205224 01/05/2012 a \,f CITY OF CARMEL, INDIANA VENDOR: 358694 Page 1 of 1
aQ t ONE CIVIC SQUARE AMY LUNN CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 20069 GREGORY CIRCLE
s,_ NOBLESVILLE IN 46062 CHECK NUMBER: 205224
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 12.21.11 50.00 WELLNESS PROGRAM
caq
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: December 21, 2011
Name of Prize /Reward: December Random Raffle
Amount: $50.00
Line Item: 419 -80
Check Made Out To: Amy Lunn
Please Return Check to Sue Coy in Human Resources
D Q
JAN 4 2012
gY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lunn, Amy
IN SUM OF
Employee
$50.00
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 $50.00
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
6 A
Director, HR
Title
Cost distribution ledger classification if
clalm 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/21/11 12.21.11 Dec Random Raffle $50.00
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