HomeMy WebLinkAbout230354 03/26/14 or Coq'-.
�' Mr. CITY OF CARMEL, INDIANA VENDOR: 367943
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ONE CIVIC SQUARE TRACI BROMAN CHECK AMOUNT: $********29.99*
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CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 230354
"�%;,0 '�6` CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341991 REIMB 29.99 MARKETING & PROMOTION
Carmel ® Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Y I *2°l a01 me-
All receipts should be attached in the same order as listed above.
��'O`• V 1
No sales tax will be reimbursed. TOTAL:
Employee Name(print)
Check Address 0V6-72- Bcnc ✓m Dr- 1Ti1i A ��, MqR p,20
1
payable to: City, St, Zip J 5" ITA !gK40
Signature: Al �MA4W Approved by:
Date: 8/WLq Date: Le q
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
V
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
3/6/14 Reimb Frame for AO $ 29.99
Total $ 29.99
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
f
Voucher No. Warrant No.
Broman, Traci ' Allowed 20
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
In Sum of$
$ 29.99
i
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4341991 $ 29.99 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
20-Mar 2014
Signature
$ 29.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund