HomeMy WebLinkAbout205231 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365931 Page 1 of 1
ONE CIVIC SQUARE MEN'S HEALTH
INDIANA 46032 PO BOX 5886 CHECK AMOUNT: $34.77
CARMEL
HARLAN IA 51593 -1386
CHECK NUMBER: 205231
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 01.04.12 34.77 WELLNESS PROGRAM
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ACCOUNT NUMBER: 1809112426
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JAN 4 2012
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Men's Health
IN SUM OF
PO Box 5886
Harlan, IA 51593 -1386
$34.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
L hereby certify that the attached invoice(s), or
01.04.12 43- 419.80 $34.77
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, January 04, 2012
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Term s
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
01/04/12 01.04.12 20 issues exp Nov 13 $34.77
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer