HomeMy WebLinkAbout228934 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 367943 Page 1 of 1
ONE CIVIC SQUARE TRACI BROMAN CHECK AMOUNT: $25,69
CARMEL, INDIANA 46032 C/O PARKS
CHECK NUMBER: 228934
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 25 . 69 TRAVEL FEES & EXPENSE
Carmelo Clay JAN 23 2014
Parks&Recreation
:' - --
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
'/15 SiaYbQCKS- &WYa+on 10011 43`tBODC CortFCYWCemea
BICANVIMIL I nd K loa 1 4343000 X21.8 ,/
20#-/ !P4
a
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) -TYOLu ?OMMI
1
Address 1372 B CWMW Dr. , Aa J 1
Check
payable to: City, St, Zip l�A�I
Signature: Approved b ,,!
Date: Y/1:2./ 14 Date: (. 2-
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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201 IPRA Conference
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invest. innovate. lead.
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Broman
Carmel Clay Parks and Recreation
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Broman, Traci Terms
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/22/14 Reimb Travel expenses for 2014 IPRA Conference j $ 25.69
Total $ 25.69
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.
Broman, Traci I Allowed 20
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
In Sum of$
$ 25.69
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4343000 $ 25.69 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
6-Feb 2014
Signature
$ 25.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund