HomeMy WebLinkAbout231754 4/23/2014 v`.
CITY OF CARMEL, INDIANA VENDOR: 355319
ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $ ......18.06'
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 231754
oyt oN.� BROWNSBURG IN 46112 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 REIMB 18.06 OFFICE SUPPLIES
Carmel 0 Clay
Par kS&Recreation APR - 4 2014
Employee Expense Reimbursement Request 33Y:
-----------
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Supplies to hang projection screen
4/2/2014 Lowe's 101 1125-1--02-4230200 Office Supplies $18.06 in AO conference room
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $18.06
Employee Name (print) Michael Klitzing
Address 1550 Redsunset Dr.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: 4/4/2014 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\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.
355319 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/4/14 Reimb Lowe's Supplies to hang projection screen $ 18.06
Total $ 18.06
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
i
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ 18.06
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 Reimb 4230200 $ 18.06 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
17-Apr 2014
Signature
$ 18.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund