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227028 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1 ONE CIVIC SQUARE BARBARA LAMB CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $808.00 '�?• CARMEL IN 46032 CHECK NUMBER: 227028 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 808 . 00 WELLNESS PROGRAM Regal Corporate Box OfficeReceipt https://www.corporateboxoffice.com/receipt.aspx?ordemumber--2360083 2\ REGAL Regal CineMedia NTCRTAINM)r1.ri E D WA R®S c/o CBO Fulfillment E E R O U �' 0NEMA.S mom' T M I AT R I s• 3635 S. Monaco Parkway Denver,CO 80237 Phone:800-784-8477 Email:CorporateBoxOffice @RegalCinemas.com www.CorporateBoxOffice.com Order 2360083 Number Customer ID 301805 Order Date 12/2/2013 10:31:12 AM-CST Bill To: Ship To: Barbara Lamb Human Resources City of Carmel City of Carmel 943 Birnam Woods Trail One Civic Square Indianapolis, IN 46280 Carmel, IN 46032 United States United States 317-846-8501 317-571-2465 jpspelbring @carmel.in.gov Payment CREDITCARD Name On Cardbara Lamb Method: Card Type: Card Number: Product Quantity Price Ext. Price Premiere Movie Ticket-PR 50-2600 100 $8.00 $800.00 Personalized Message:Wellness:Balance Of Mind And Body SubTotal: $800.00 Shipping: GROUND $8.00 Tax: $0.00 Payment Received: $808.00 Do you have your Regal Crown Club card? Not a Member?Join today at www.reqmovies.com and start earning credits for free popcorn, soft drinks, movies and more! LL,. 9 'L:U13 I I By 1 of 1 12/2/2013 11:31 AM VOUCHER NO. WARRANT NO. ALLOWED 20 Lamb, Barb i IN SUM OF $ .I $808.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 26421 I 2360083 I 43-419.80 I $808.00 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 Monday, December 09, 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)) 12/02/13 2360083 Reimburse Regal Movie Tickets $808.00 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