206958 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00350816 Page 1 of 1
g� ONE CIVIC SQUARE PAUL ARNONE
CARMEL, INDIANA 46032 IN CHECK AMOUNT: $50.00
s'vr CHECK NUMBER: 206958
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 50.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE REWARD STATEMENT
I
CITY OF CARMEL, INDIANA VENDOR: 00350816 Page 1 of 1
f ONE CIVIC SQUARE PAUL ARNONE CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 IN
CHECK NUMBER: 206958
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER
AMOUNT DESCRIPTION
1201 R4341980 21668 50.00 WELLNESS PROGRAM
u .0
Check Made Out To: Paul Arnone BY
Please Return Check to Sue Coy in Human Resources
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))
03/12/12 03.12.12 1 st Qtr Weight Loss Challenge $50.00
1 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 NO. WARRANT NO.
ALLOWED 20
Arnone, Paul
IN SUM OF
Employee
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 03.12.12 43- 419.80 $50.00 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
Monday, March 12, 2012
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund