HomeMy WebLinkAbout234437 07/01/14 o�u,.F�gy�(
CITY OF CARMEL, INDIANA VENDOR: 367759
e 1 CHECK AMOUNT: $*****""`25.00"
ONE CIVIC SQUARE LEAH ZUKERMAN
:9 /�� CARMEL, INDIANA 46032 13255 ROMA BEND CHECK NUMBER: 234437
''�1rox'�' CARMEL IN 46074 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 25.00 OTHER EXPENSES
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CMYC�� STARBUCKS Store #8920
�~ 2810 E 116th Street
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- ° Carmel, IN (317) 817-9803
Reimbursement Expense Receipt
CHK 708546
Reimbursement expenses are transactions that were conducted by a third-party whom 04/29/2014 03:52 PM
-- - Drawer: 1- -----
needs areimbursement on behalf of the CMYC organization. Transactions such as CMYC 1834194 2 Reg_-
members paying for CMYC event materials would be one example of a reimbursement expense. T1 Moc Cookie Frap 4.25
Activate Card 25.0
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After completing this form,please submit it to the Council Clerk-Treasurer. XXXXXXXXXXX. $29,63
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Subtotal $29.2 5
Expender:p1W�" bvY�V�' ►I�"� Tax 9% $0.38
Total $29.63
Vendor (location of purchase): (S rbUd G Change Due $0 . 00
¢ ---- Check Closed -. - -----
Date: f/21 �.I 04%29/2014 03:52 PM
Event/Activity(if applicable): H�6h ScWl ! �i hyt Activate 6e: 25707667319
New Balance: 25.00 I
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Card is not registered.
i Expense Account (see list of accounts): Sign up at
www.starbucks.com
i Additional Description: jpftarar
Expense Amount (do not include Sales Tax): Frappuccino(R) Happy Hour
is back May 1 - 10.
��� Treat yourself to a HALF-PRICE
Reimbursee Name: Lmk L F rappucc i no(R) blended
beverage from 3-5pm each day.
(required):q ) www.Frappuccino.com
Reimbursee Address re uired
N +V -
I verify to the best of my knowledge that this information is correct, and this purchase was
made on behalf of CMYC and not for personal use or gain.
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OAF+J�,o�`rG
For use by Clerk—Treasurer
Received and approved with correct purchase receipt by Clerk—Treasurer:
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Signature LZ� Date 2
Withdraw from: City of Carne Other
For use by Council President.VPE, or VPE
Expense and reimbursement has been approved by:
Signature: Date:&,2/itPosition: Y P 2,F:7 y
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VOUCHER NO. WARRANT NO.
Leah Zukerman ALLOWED 20
IN SUM OF$
13255 Roma Bend
Carmel, IN 46074
$25.00
ON ACCOUNT OF APPROPRIATION FOR
I
Community Relations Gift Fund 854 ,
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT ; Board Members
I hereby certify that the attached invoice(s), or
854 Receipt - . 1 $25.00
bill(s) is(are)true and correct and that the
CMq materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,June 3 ,2014
Director, Communvy Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/29/14 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
, 20-
Clerk-Treasurer
20Clerk-Treasurer