220232 05/21/2013 °'CAF CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
Q� ONE CIVIC SQUARE BARBARA LAMB
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $347.75
CARMEL IN 46032 CHECK NUMBER: 220232
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 04900641809 219 . 98 WELLNESS PROGRAM
1201 4239099 20185902176 26 . 98 OTHER MISCELLANOUS
1201 R4341980 26421 31281122198 100 . 79 WELLNESS PROGRAM
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))
05/07/13 04900641809 Reimburse Clinic-Bestbuy $219.98
05/08/13 31281122198 Reimburse Clinic(Hobby Lobby) $100.79
05/09/13 20185902176 Reimburse Clinic(Home Depot) $26.98
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF $
$347.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26421 04900641809 43-419.80 $219.98 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
26421 31281122198 43-419.80 $100.79
materials or services itemized thereon for
1201 20185902176 42-390.99 $26.98 which charge is made were ordered and
received except
Monday, May 20, 2013
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund