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225442 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1 ONE CIVIC SQUARE BARBARA LAMB CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $10.00 CARMEL IN 46032 CHECK NUMBER: 225442 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 4521125 10 . 00 WELLNESS PROGRAM 2013-10-17 CanSt�(Ph= Order Id :4521125 Can Stock SSStto�occk Photo Inncc`,{,�•n 1096 Queen St.,Suite 166 Halifax,NS 1331-1 2119 CANADA Billing Information Payment Method Jim Spelbring Credit Card:MasterCard*6235 City of Carmel Trans ID:59063635 1 Civic Square Auth ID:56630Z Carmel,IN 46032 317-571-2465 ME 64728 USD$10.00 Total:USD$10.00 My Downloads Use of images and clips is governed by the terms of the license agreement. Thank you for your order! -Can Stock Photo www.canstockphoto.com Need help? D z nP 0 C T 2 1 2013 t . By AT&T Universal Account Activity Page 1 of 2 CARD MEMBER AGREEMENT CONTACT US HELP Search... I GO SECURITY My Home Payments Benefits&Services Sign Off Welcome BARBARA A LAMB I Last Login:October 21,2013,8:36 AM I My Profile I Secure Messages Account Activity ~i AT&T Universal Rewards World i. Use the menus below your card summary to sort your account activity or to search for a specific purchase or credit. If your account is eligible for an Annual Account Summary,please scroll to the bottom of this page to Request or View it. AT&T Universal Rewards World Mastercard® Download Your Statement Current Balance l= Minimum Payment Due Payment Due Nov.1,2013 $ ; $ C � Late Payment Waming i thankyou, I Statement Balance-10/04/13 $ Vie.vlEdd Scheduled Payments i Edit AutoPay Preference¢ I --- I I You're eligible fora 01io promoUOnai PPP,on balance transfers.Learr.more View your Paperless Letters online in the Document Center View All Account Activity Create a Report r Download Your Statement Temporary Authorizations fY, View All Temporary Authorizations Your Temporary Authorizations are temporary and subject to change.Only Posted Transactions can be disputed. I Transaction Date Description Amount 10/17/2013 CAN STOCK PHOTO HALIFAX CAN 10.00 Select Time Period: Transaction Type Since Last Statement All Transactions I I Transaction Details as of 10/21/2013 Sale Date Description Amount You currently have no transactions available to view. i=Print This Page Request an Annual Account Summary To help with your personal financial planning and record keeping,request an Annual Account Summary-it https-.11www.accountonline.com/cards/svc/AccountActivity.do 10/21/2013 VOUCHER NO. WARRANT NO. ALLOWED 20 Lamb, Barb IN SUM OF $ $10.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26421 I 4521125 I 43-419.80 I $10.00 1 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, Octobers 21, 2013 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)) 10/17/13 4521125 Reimbursement $10.00 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