HomeMy WebLinkAbout230356 03/26/14 > F CITY OF CARMEL, INDIANA VENDOR: 358641
® it ONE CIVIC SQUARE JENNIFER BROWN CHECK AMOUNT: $*"""***181.03*
is CARMEL, INDIANA 46032 400 JORDAN ROAD CHECK NUMBER: 230356
_oN `• INDIANAPOLIS IN 46217 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 181.03 TRAVEL FEES & EXPENSE
Carmel e Clay -rPAvEL—ex p
Parks&Recreati®n 'r-CR t,-A-ctor,�iAL
Employee Expense Reimbursement Request Ar--TeR5C*°X:�c--
Date of Fund Account Account-
Receipt
ccountReceipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
` AA NO ✓t °I 4�4 3 0 0 00 LM Lcox � ►� �-[ � I � r� �L�
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Zvi t, 6�v c 's I °I �- 4- j 300 00 ' 1AKW
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3 j I 1:-o 6 C o u - I,A (ru uA i a I °I �I - '-f ��1 n-P w (
31 � I►� � � 1-� g I q6arb - v
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 0 3
Employee Name(print) J V1 VI I -C V �V 0 V/ (/t
Address Lf 0 0 V
Check
payable to: City, St, Zip
Signature: Approved by:
Date: I I I Date:
Business Services Division,Revised 7-7-08 /
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request V/
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Annu�:�l Convention 2014 4
c Ne wY ro k,City
February-28 March•.
, � by
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.
358641 Brown, Jennifer Terms
400 Jordan.Road
Indianapolis, IN 46217
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/7/14 Reimb Travel expenses for NAA Conference $ 181.03
Total $ 181.03
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
Voucher No. Warrant No.
358641 Brown, Jennifer Allowed 20
40'0 Jordan Road
Indianapolis IN'' 46217' ,
PLEASE CORRECT ADDRESS In Sum of$
$ 181.03
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 181.03 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
50)je�WIIIII�
Signature
$ 181.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund