HomeMy WebLinkAbout205607 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365238 Page 1 of 1
I�; O
s ONE CIVIC SQUARE NATHAN STAPLETON
CARMEL, INDIANA 46032 PO Box 701 CHECK AMOUNT: $200.00
ARCADIA IN 46030 CHECK NUMBER: 205607
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 011012 200.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: b
Name of Prize /Reward: Cpl Oks�
Amount: $200,(00
Line Item: 419 -80
Check Made Out To: MaY -I ajj
Please Return Check to Sue Corr in Human Resources
D
Q 0
JAN 17 2012
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Stapleton, Nathan
IN SUM OF
Employee
$,200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE= NO, ACCT #ITITLE AMOUNT Board Members
21668 I 01.10.12 I 43- 419.80 I $200.00 1 hereby certify that the attached invoice(s), or
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
Friday, January 13, 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/10/12 01.10.12 2011 Most Miles Walked $200.00
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