HomeMy WebLinkAbout215608 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365720 Page 1 of 1
ONE CIVIC SQUARE COVITA
a CHECK AMOUNT: $62.20
' CARMEL, INDIANA 46032 30 WASHINGTON AVE SUITE 8
HADDONFIELD NJ 08033 CHECK NUMBER: 215608
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 V2240 62 . 20 WELLNESS PROGRAM
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Haddonfield, NJ 08033
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City of Carmel City of Carmel
Attn: Barbara Lamb Attn: Sue Coy
943 Birnam Woods Trail One Civic Square
Indianapolis, IN 46280 USA Carmel, IN 46032 USA
$62.20
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Cost
10/31/2012 UPS Ground 26464
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4.
scrip,
D-Piece-6 • Flatpak D-Piece Sampling System, Set of 6 1 48.50 48.50
DEC 17 2012
By
Shipping & Handling Charges (may include haz-mat). SubTotal $48.50
NOTE: This invoice, and the contents of the shipment associated with it
will be presumed correct unless customer contacts us within 5 days of Shipping $13.70
the receipt of the shipment. Please inspect your shipment immediately.
$62:20
Federal Tax ID#:27-2887698
VOUCHER NO. WARRANT NO.
ALLOWED 20
coVita
IN SUM OF $
30 Washington Ave., Suite B
Haddonfield, NJ 08033
$62.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26421 V2240 43-419.80 $62.20 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
Monday, December 17, 2012
0
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))
10/31/12 V2240 $62.20
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