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174743 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363096 Page 1 of 1 G 0 ONE CIVIC SQUARE MICK BARTON CHECK AMOUNT: $25.00 CARMEL, INDIANA 46032 CHECK NUMBER: 174743 CHECK DATE: 7/22/2009 TEPARTMENT ACCOUNT PO NUMB INVOICE NUMB AMOUNT DESCRIP 1046 4359000 v REFERRAL 25.00 SPECIAL PROJECTS 4 0 0 Extended School Enrichment 0 Employee Referral Prol4ram JUN 2 2 2009 ESE ��Employee: Start Date of Referral: g lj�/-v 60 /0 Nam of Referral: ESE School Site: Ivm CICA ESE Emp oyee Signature Date E Di on Manager Signature Date ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Barton, Mick Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6115109 Referral Employee Referral /David Plough 25.00 Total 25.00 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 a Voucher No. Warrant No. Barton, Mick Allowed 20 In Sum of 25.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Referral 4359000 25.00 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 16 -Jul 2009 Signature 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund