HomeMy WebLinkAbout236053 8 /13/2014 �� ""� CITY OF CARMEL, INDIANA VENDOR: 368532
`� F1 CHECK AMOUNT: $**"""""`29.99`
.s;�® ,• ONE CIVIC SQUARE KATIE TOURNEY
,a CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 236053
9;,;;. CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT , PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 29.99 GENERAL PROGRAM SUPPL
Carmel • Clay
Parks&Recreation CMv��
Employee Expense Reimbursement Request AUG 9 12014
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 0
Employee Name(print) nLl
Address I UV� Vii n&-pr 0Y.
Check
payable to: City, St, Zip '1S�1fVS I mDQ3�
Signature: Approved by:1�44 ayw Zety I"
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Date:�TI�f E Date: 7j
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Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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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.
j Tourney, Katie Terms
12117 Windsor Dr
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/9/14 Reimb Labels from Meijer for Swim meet XX959 $ 29.99
Total $ 29.99
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
Voucher No. Warrant No.
Tourney;Katie Allowed 20
12117 Windsor Dr
Fishers, IN 46038
In Sum of$
$ 29.99
ON ACCOUNT OF APPROPRIATION FOR I'
109-Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-60 Reimb 4239039 $ 29.99 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
1
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7-Aug 2014
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Signature
$ 29.99 j Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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