243664 3 /31/2015 4�%r_F�gMf
,r ,! CITY OF CARMEL, INDIANA VENDOR: 360484
�i ONE CIVIC SQUARE AMY BALDAUF CHECK AMOUNT: $*******233.89*
CARMEL, INDIANA 46032 126 LARK DR CHECK NUMBER: 243664
'M,�roN-Fo• APT D CHECK DATE: 03/31115
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 233.89 TRAVEL FEES & EXPENSE
r
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request KATL. Af7E��
Date of Fund Account Account
Receipt Vendor listed on receipt # ;Line# Budget Description Amount Purpose of Expense
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receipts should be attached in the same order as listed above.sales tax will be reimbursed. TOTAL: $ ��
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Employeen Name(print) AM � -2-
Address
Address (k l OA- Uri �QI ,
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Check �I^/1
payable to: City, St,Zip WlJ
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Signature: Approved by:
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Date' I Date: [ J
Revised 3-2-07 by Business Services; "' -
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
. MAR 2,0 2015
BY:
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Carmel Cy
Parks&Recreation
Employee Expense Reimbursement Request
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: is ,
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Employeen Name(print)
Address L,(J�1�� �• D
Check
payable to: City,St,Zip H(ko
Signature: Approved by:
Date: Date:
f
Revised 3-2-07 by Business Services; _
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 T
' 7MA 0 2015
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i------------
Amy
Baldauf
Carmel Clay Parks & Recreation
Carmel, IN
United States
t 1iILT AfterSchool
4 '`
Strategies m Bulld
ilan.Cognitivc Skills
March 10,2015
�t1:45PM-3:45PM
•
•
,. Marchr8-11, 2015 Gaylord National Harbor. & Convention Center Washington, DC
N I
VA610fid:-,_- !_
S- t
r K.
Afterschool Alliance
A11MC...I FOR ALL
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.
360484 Baldauf, Amy Terms
126 Lark Dr., Apt. D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/19/15 Reimb Travel Expenses for NAA Conference $ 233.89
Mileage 12/1/09-4/27/10
Total $ 233.89
I 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.
360484 Baldauf,Amy Allowed 20
126 Lark Dr.,Apt. D
Carmel, IN 46032
In Sum of$
$ 233.89
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
De t# INVOICE NO. ACCT#/TITL AMOUNT �
p
1081-99 Reimb 4343000 $ 233.89 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
March 25, 2015
i
i
Signature
$ 233.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund