HomeMy WebLinkAbout230334 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 360484
b ONE CIVIC SQUARE AMY BALDAUF CHECK AMOUNT: $ ."`*"322.19'
4. CARMEL, INDIANA 46032 126 LARK DR CHECK NUMBER: 230334
vt'oN,co� APT D CHECK DATE: 03/26/14
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 322.19 TRAVEL FEES & EXPENSE
Carmel 0Clay NATIWAI
Parks8.Recreati®n � � -
Employee Expense Reimbursement Request NSSOctknOn
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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5 JL4 Prer: 51 D Y-i 2-ML) 1509 COW /lir aru m
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $
Employeen Name(print) 1C ,Ce,
AddressD(l ✓
Check
payable to: City, St,Zip ca f�n e,I N U(DO57-
Signature: Approved by: �J
Date: -�`-� Date:
Revised 3-2-07 by Business Services;
Shared/Fortes and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
Carmel e Clay
Parks&Recreati®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # ILine# Budget Description Amount Purpose of Expense
GIOLAM& Df 1 ) SA txv I Coco
2. K
3 ,3 ±-a 0, i zz `I SMCK
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3j.3 C�r'1rnc�� r �5
All receipts should be attached in the same order as listed above. Q
No sales tax will be reimbursed. TOTAL:
Employeen Name(print) Arm � &)adcA tl-
Address �Z(Q L-0(V— �' j Q
Check
payable to: City, St,Zip CCA�Jj1°1 f Ll%l
Signature: Approved by:
Date: Date: �— LI t✓f .
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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aldauf
Carmel Clay Parks &
I Recreation
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Carmel, IN
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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.
360484 Baldauf, Amy Terms
126 Lark Dr., Apt. D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/7/14 Reimb Travel Expenses for NAA Conference $ 322.19
Mileage 12/1/09 -4/27/10
Total $ 322.19
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
i
Voucher No. Warrant No.
360484 Baldauf, Amy Allowed 20
126 Lark Dr., Apt. D
Carmel, IN 46032
In Sum of$
$ 322.19
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 322.19 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
$ 322.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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