HomeMy WebLinkAbout205532 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 184595 Page 1 of 1
0 ONE CIVIC SQUARE TERESA LEWIS CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 338 ORLAND OVERLOOK
WESTFIELD IN 46074 CHECK NUMBER: 205532
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 01.10.12 200.00 WELLNESS PROGRAM
�1b6�
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: 0 2
Name of Prize /Reward
Amount: a00.O�
Line Item: 419 -80
Check Made Out To: for cc6a J wl S
Please Return Check to Sue Coy in Human Resources
Q 0
D
JAN 1 '1 2012
By
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 Points Award $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
VOUCHER N WA RR A NT NO.
ALLOWED 20
Lewis, Teresa
IN SUM OF
Employee
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
21668 I 01.10.12 I 43 419.80 $200.00 I 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
C2w,��
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund