HomeMy WebLinkAbout205219 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357005 Page 1 of 1
ONE CIVIC SQUARE DAVID LITTLEJOHN
CARMEL, INDIANA 46032 4840 N. GUILFORD AVENUE CHECK AMOUNT: $250.00
INDIANAPOLIS IN 46205 CHECK NUMBER: 205219
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 12.21.11 250.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
s
Date: December 21, 2011
Name of Prize /Reward: Fourth Quarter Participation Raffle
Amount: $250.00
Line Item: 419 -80
Check Made Out To: David Littlejohn
Please Return Check to Sue C'oy in Human Resources
D
U I
JAN 4 2012
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Littlejohn, David
IN SUM OF
Employee
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
21668 12.21.11 43- 419.80 $250.00
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
0-
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/21/11 12.21.11 Fourth Qtr Raffle $250.00
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