HomeMy WebLinkAbout234214 07/01/14 ,CAA .
y *f. CITY OF CARMEL, INDIANA VENDOR: 368352
® °1 ONE CIVIC SQUARE KIMBERLY ANDERSON CHECK AMOUNT: $ .....25.00"
s. _� CARMEL, INDIANA 46032 4202 ALVERDO LANE CHECK NUMBER: 234214
9MI,ON�G�` CARMEL IN 46033 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 25.00 OTHER EXPENSES
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CIVIYcm
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Non-reimbursement Expense Receipt
Non - reimbursement expenses are transactions that are charged directly to a CMYC account.
After completing this form, please submit it to the Council Clerk-Treasurer.
Expender: /"meg Oge&u�
Vendor(location of purchase): Kj'rn h er I/� � so✓�
V
Date:
Event/Activity (if applicable): 6-4 Lc.
Expense Account(see list of accounts): SSvc7
Additional Description:
Expense Amount(do not include Sales Tax):
Account Charged: City of� Other
I verify to the best of my knowledge that this information is correct, and this purchase was
made on behalf of CMYC and not for personal use or,gain.
Expender Signature Date
Please submit this form to Clerk—Treasurer along with the purchase receipt.
Appendix 15 —Page 1
+eV�}� .
CIVIYC�'
OrbC ,o
For use by Clerk—Treasurer
Received and approved with correct purchase receipt by Clerk—Treasurer:
Signature '" IG �G ��� Date
For use by Council President,VPE, or VPE
Expense has been approved by:
Signature: /�7 'u-'�'�ate: �� Z /</ Position:
Appendix 15 —Page 2
Kimberly Anderson
4202 Alverdo Lane
Carmel, IN 46033
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/02/14 Receipt $25.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kimberly Anderson
IN SUM OF $
4202 Alverdo Lane
Carmel, IN 46033
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 Receipt . 1 $25.00
I hereby certify that the attached invoice(s), or
-
bill(s) is (are) true and correct and that the
Cmaterials or services itemized thereon for
which charge is made were ordered and
received except
Monday, June 2014
Director, Com unity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund