227420 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $2,850.00
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES
CARMEL IN 46032 CHECK NUMBER: 227420
CHECK DATE: 12117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 021361259530 2 , 850 . 00 WELLNESS PROGRAM
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12/16/13` 11 09am 959,'.30 .25 900
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---------------------------------------
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF $
$2,850.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
26421 1)213612595930j 43-419.80 I $2,850.00 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, December 16, 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))
12/16/13 021361259593055 Reimbjurse Kroger Gift Cards $2,850.00
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