HomeMy WebLinkAbout239556 11/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 355133CHECK AMOUNT: $*******383.66*
ONE CIVIC SQUARE AUDREY B KOSTRZEWACARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK NUMBER: 239556
CARMEL IN 46032 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 REIMB 383.66 SPECIAL PROJECTS
Carmel W Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Custom framing of Gold
11/13/2014 Michael's 1125 4359000 Special Projects $ 370.69 Medal award poster
Frame mats for CAPRA
11/13/2014 Michael's 1125 4359000 Special Projects $ 12.97 certificates
All receipts should be attached in the.same order as listed above.
No sales tax will be reimbursed. TOTAL: $383.66 ✓
Employee Name(print) Audrey Kostrzewa
Address 2592 Turning Leaf Lane
Check
payable to: City, St,Zip Carmel, IN 4603
Signature: o Approved by:
Date: 1 1 ,Date: 11 I -L-A r y
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemi2ed 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.
355133 Kostrzewa, Audrey Terms
2592 Turning Leaf Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) -PO# Amount
11/14/14 Reimb Custom framing of Gold Medalposter/CAPRA Cert. $383.66
Total $ 383.66
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
i
Voucher No. Warrant No.
355133 Kostrzewa, Audrey Allowed 20
2592 Turning Leaf Lane
Carmel, IN 46032
In Sum of$
$ 383.66
f
ON ACCOUNT OF APPROPRIATION FOR
i
101 -General Fund
ii
PO#or Board Members
INVOICE NO. ACCT#/TlTLE AMOUNT
Dept#
1125 Reimb 4359000 $ 383.66 11 hereby certify that the attached invoice(s), or
t ill(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-Nov 2014
Signature
$ 383.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund