HomeMy WebLinkAbout206050 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 363050 Page 1 of 1
ONE CIVIC SQUARE AMANDA BENNETT
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q� P CARMEL, INDIANA 46032 D AV CHECK AMOUNT: $150.41
INDPLS iNOPLS �s IN iN 46201 CHECK NUMBER: 206050
CHECK DATE: 2/8/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4357004 95.00 EXTERNAL INSTRUCT FEE
209 4469000 55.41 LIBRARY REF MATERIALS
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
1, 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 1 need to be reimbursed.
Dated this 26 day of January, 2012.
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Amanda Bennett
Subscribed and sworn to before inc. the undersigned Notary Public, this 26 day of January, 2012.
AI
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A. Elaine Bass, NO1 Y PUBLIC
Resident of Marion County, Indiana
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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
o Pr a INVOICE NO. ACCTM/TITLE AMOUNT 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
3° 20
are re
Ora Ar-S.A.d
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Amanda Bennett IN SUM OF
510 North Riley Avenue
Indianapolis, IN 46201
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund 209
440 -69000 Library Reference Materials
Board Members
DEPT, b
hereby certify INVOICE NO ACCT /TITLE AMOUNT I hereb certif that the attached invoice(s), s or
209 bill(s) is (are) true and correct and that the
6 6,4 materials or services itemized thereon for
which charge is made were ordered and
received except
%r 30 20
r
•nat e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund