HomeMy WebLinkAbout230495 03/26/14 > t. - CITY OF CARMEL, INDIANA VENDOR: 357976
® 'r ONE CIVIC SQUARE BENJAMIN JOHNSON CHECK AMOUNT: $**.....239.86*
CARMEL, INDIANA 46032 11182 HARRISTON DRIVE CHECK NUMBER: 230495
9M�,roN,`o;? FISHERS IN 46037 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 239.86 TRAVEL FEES & EXPENSE
Carmel 7R AVEC €xFENSES
Parks&Recreation AIPWL hREQSCifML
Employee Expense Reimbursement Request ASSX • WQ FeMWE
Date of Fund Account Account 'r
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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ao,`-�W Moil—
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3-3-lq MAY- j.� �`S �� M&W- L
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: fP �J�, $0 /
V �
Employee Name (print) � _)o4N1S--,Pj
Check Address
payable to: City, St, Zip
Signature: �` t f Approved by.-'
Date:
Date:,
Business Services Division, Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
Carmel
Parks& ecreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
gm000 00 t
00
qM000
All receipts should be attached in the same order as listed above. pp//
No sales tax will be reimbursed. TOTAL: aIGC�o $
Employee Name (print) zrd\i
Address
Check
payable to: City, St, Zip
Signature: Approved by:
Date: ��'—� Date:
Business Services Division, Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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.
357976 Johnson, Ben Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/10/14 Reimb Natl Afterschool Assoc conf $ 239.86
Total $ 239.86
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
120_
Clerk-Treasurer
i
Voucher No. Warrant No.
357976 Johnson, Ben Allowed 20
In Sum of$
$ 239.86
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 239.86 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
$ 239.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund