HomeMy WebLinkAbout230462 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 360925
Q i ONE CIVIC SQUARE JENNIFER HOLDER CHECK AMOUNT: $ ....'175.32*
CARMEL, INDIANA 46032 5716 DURHAM CASTLE CT APT 137 CHECK NUMBER: 230462
INDPLS IN 46250 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 175.32 TRAVEL FEES & EXPENSE
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Carmel ay
Parks&Recreation fo, 0,15(
Employee Expense Reimbursement Request Af4cV-qChMf Asp,
Date of Fund Account Account
Receipt Vendor listed on receipt # iLine# Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
k, No sales tax will be reimbursed. TOTAL: $
Employeen Name(print) Ik n n tier
Address
Check
payable to: City, St,Zip ��(`�►�(��QI l�1 Z fHU200
Signature: Approved by:
Dat :_ 3 I y Date: ��
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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Holder
Carmel Clay Parks &
Recreation
Carmel, IN r
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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.
360925 Holder, Jennifer Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/3/14 Reimb Travel expenses NAA Conference $ 175.32
Mileage 9/3-12/19/13
Total $ 175.32
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
360925 Holder, Jennifer Allowed 20
I
In Sum of$
$ 175.32
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 175.32 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
$ 175.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund