HomeMy WebLinkAbout205791 01/31/2012 voided CITY OF CARMEL, INDIANA VENDOR: 363050 Page 1 of 1
ONE CIVIC SQUARE AMANDA BENNETT
0 CHECK AMOUNT: $192.32
CARMEL, INDIANA 46032 510 N RILEY AV
INDPLS IN 46201 CHECK NUMBER: 205791
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4357004 95.00 EXTERNAL INSTRUCT FEE
209 4469000 97.32 LIBRARY REF MATERIALS
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Amanda Bennett, being first duly sworn upon my oath, state that I expended $95.00 of my own
money for lab fees required for Paralegal studies class POLS -Y 221, Spring Semester 2012 at IUPUI, and
for which I need to be reimbursed.
Dated this 26 day of January, 2012.
Amanda Bennett
Subscribed and sworn to before me, the undersigned Notary Public, this 26 day of January, 2012.
A. Elaine Bass, NO Y PUBLIC
Resident of Marion County, Indiana
My ;Commission Expires:
W/23/.,20f&
ON
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Amanda Bennett Payee
Purchase Order No.
510 North Riley Avenue
Terms
Indianapolis, Indiana 46201
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 -30 -12 Reimburse Amanda Bennett for monies she personally 95.00
expended or lab tees required tor paralegal studies ce (ica e
piogidin POLS-Y 221 pei the attached aff
Total
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. $95.00
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amanda Bennett IN SUM OF
510 North Riley Avenue
Indianapolis, IN 46201
$95.00
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund
430 -57004 Instructional Fees (External)
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
209 $95.00 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
30 20
n re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
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Order 105 4641343 8410644
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Items: $97.32
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Total Before Tax: $97.32
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Delivery estimate: Jan. 25, 2012
1 "Black's' °Law_Dictioriary Standard Ninth sEdiitiibfil
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Bryan A{ :Garnerr,Hard'cover'$55 41
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Amanda Bennett
Purchase Order No.
510 North Riley Avenue
Terms
Indianapolis, Indiana 46201
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 -30 -12 Reimburse Amanda Bennett for monies she personally $97.32
expended to purchase once copy of "Black's Law Dictionary
Standard in Edition' per the attached receipt
Order No. 105-4641343-8410644
Total
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. $97.32
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amanda Bennett IN SUM OF
510 North Riley Avenue
Indianapolis, IN 46201
$97.32
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund 209
440 -69000 Library Reference Materials
Board Members
-pow 0.
DE INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
209
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
j 20
nat e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund