220518 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 367190 Page 1 of 1
`•� ONE CIVIC SQUARE EMILY ANDERSON
CARMEL, INDIANA 46032 14289 RYAN DRIVE CHECK AMOUNT: $678.00
FISHERS IN 46038 CHECK NUMBER: 220518
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4111000 678 . 00 PART-TIME
Employee Tiooshcc{a Page lofl
� , ^ Emp|oygeTimeohee�
- ANN DAVIS
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Employee Tasks:
Links Employee Information
� cm»loyewammEm.\ Yi Employee Number:
mmmP��� ) - Hours Per Period: r000
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Active Pay Period: m - Active Department: 1701 Clerk Treasurer(17o1) '-
Approval Status: Notes Entered: wo Notes Entered
matructionu
Assigned Activities
ies-
Ch
Other Time Sh.- Hide',I
at Sun Mon Tu�-' otals
Fri
td
11 6/2 613 614 6/5
#'Charging Bank Comp St 37.5><40 103
Pay St 37.5><40 105
Bereavement Used 1m ».»»
ompmm Pay$1xm,1m 0.00
Comp Time Used�xr
o
0.00~.~
Holiday Used 0.00
pmoued 141 '
0.00
Sick Bank Used 145 0.00
meamo 0.00
mvomoomonmo�oo � �'� � -| o�o
.
Notes
Totals
611 612 1 6/3 614 1 615 616
Assigned Activities 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
GRAND TOTALS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
navenmnaooet Save and Submit_ �pnntj
Leave Banks
Leave balances should be accurate as of the last payroll calculation.Balances DO NOT include any time entered on current pay
period omosheets.You are responsible for keeping records m your leave time accrued and used.
Code-
401-SICK BANK Hours 0.0000 46.0000 240.0000
501-BEREAVEMENT LEAVE Hours 0.0000 22.5000 22.5000
700-COMP TIME NON EXEMPT Hours 164.5000 173.2500 16.0000
801-HOLIDAY BANK Hours 3.5000 75.0000 71.5000 "Y.i
902-PTO 13-20 YRS 9.25 ACCRL Hours 137.0000 198.5000 211.5000
http://ets/DailyTime.aspx 5/22/2013
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
A �C
6n7 1U (yl/! �II�, Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0
Total
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
�"� `a L/ v t
IN SUM OF $
d .12�
78,
ON ACCOUNT OF APPROPRIATION FOR
r4— //me
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
2 j L26 U 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
20
zjf�4jt-P!�
Signature ,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund