HomeMy WebLinkAbout207013 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 360074 Page 1 of 1
o, ONE CIVIC SQUARE SUE COY CHECK AMOUNT: $150.00
s' CARMEL, INDIANA 46032 C/O HUMAN RESOURCES
•a;. ONE CIVIC SO CHECK NUMBER: 207013
CARMEL IN 46032
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 150.00 PRIZE
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: March 12, 2012
Name of Prize /Reward: First Quarter Weight Loss Challenge
First Place Female
Amount: 150.00
Line Item: 419 -80
MAR .1 2 2:012
Check Made Out To: Sue Coy D
By
Please Return Check to Sue Corr ►n Human Resources
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sue Coy
IN SUM OF
$1 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 $150.00 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
Mon y, March 12, 2012
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 $150.00
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