HomeMy WebLinkAbout230398 03/26/14 "f CITY OF CARMEL, INDIANA VENDOR: 363065
® ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $'"'""'"309.99*
CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK NUMBER: 230398
CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 309.99 TRAVEL FEES & EXPENSE
Carmel e Clay -rMvEL' ecpesEs
Parks&Recreation - NATL aCOL
Employee Expehse Reimbursement Request
ASSIOC• FF..2tlVt
Date of Fund Account Account
Receipt Vendor listed on receipt # ;Line# Budget Description Amount Purpose of Expense
F'a ` Fr-ez,. v e- M
O o 8 �e
lay 14( Iq. c' -�a�
M) IL, Rosie D 'C, 00 12 0001
3. 1 • t`� GGr- Arylerican
3. a. 1'1 6 V u,'.s R mccI con K",%
LO .53ri d Zk 1- kN I
W 53rx) A 11.0(D 1. 6 'Food
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $ ��J. 0
Employeen Name(print)74�(-Vles V O�,•�2. `� •`1-( -TOTAL
Address cLj53 13Qr cro-i a-brr,xv_AP+9
Check
payable to: City, St,Zip TV%11 r%I S � � � 14&Z S/b
Signature: Approved by:
i
Date: .� 1 b !�/ Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
I
Carmel ® Clay
Parks&Recreate®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # iLine# Budget Description Amount Purpose of Expense
3, 3J I-i Ob�-gq
Tell "(,-I --eles S -7 PO o cj
53 fog
a , on L
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name(print)) .70 —1 ;
I
Check Address
G35-z 3CC f C+r'C .
-P+dr- RpA-A
payable to: City, St,Zip 11
T�N 62L-7, f�
Signature: c Approved by: J
Date: �� 7 1 I C,i Date:
Revised 3-2-07 by Business Services;
Shared/Fortes and Templates/Business Service Fonns/Employee Exp Reimb Request 2007-3
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.
363065 Dowell, James Terms
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/16/14 Reimb. Travel expenses NAA Conference $ 309.99
Mileage 8/5-11/15/13
Total $ 309.99
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.
363065 Dowell, James Allowed 20
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of$
$ 309.99
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 Reimb. 4343000 $ 309.99_ 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
$ 309.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund