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HomeMy WebLinkAbout243677 03/31/15 , u!..44Ags CITY OF CARMEL, INDIANA VENDOR: 358641 �r •� ONE CIVIC SQUARE JENNIFER BROWN CHECK AMOUNT: $*******223.98* i =Q CARMEL, INDIANA 46032 400 JORDAN ROAD CHECK NUMBER: 243677 INDIANAPOLIS IN 46217 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 223.98 TRAVEL FEES & EXPENSE Carmel • Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense a I I °I �15 w�� �, `�v-�v S� � o,v� �i - � � `t3 3 0 o v �vtl -e S '& I � 1 • o o o fu:� Y �;V �+� 3� 0q sq . q � o a-Ylh VVL-& �1 - q°I hex 12- U ® . �-o IS 00-1q 31 1 -M 6 In e, S i tv vkln Vl q OqObb �nv V -�ttt K .3 0 C A 61 9 N414 3 10 15 Y7-e" 10 . 3q f lao I� �JH-P A I - o o (1 P, 0 1 s N 0-4 v iz C/\/ i 1 3 t 6 a -�1 -��� k e x e 3 All receipts should be attached in the same order as listed above. F No sales tax will be reimbursed. TOTAL: Employee Name(print) v l�V V PjY N v 1, -L'- t- Address J by MAR 13 2015 ` Check l C payable to: City, St,Zip v� BY: Signature: 2 I Approved byI L11100, : P �" Date: 3 ` � Date: f J Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Carmel • Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense WA ' 4 3 q 36 0v - rk ),�Y 5. 0a 3 NSA a6 i � Ok q 3 0T kV--C/i k -ex 5-U - ao N 1'9'14 a ► 5 NATIONAL ASF Sc+f-ML ASSM Ao r'►()pj cvwenTI Dn WA%tIM c-Ta n if- . - 3r 15 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: I - C) $0 Employee Name(print) 'VW�AA ka W U ° V V ' Address YUL �Tft a Check payable to: City, St,Zip Signature: Approved by: e Date: 1 Date: Business Services Division,Revised 7-7-08 TMAR 1 3 2015 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request m , 5 ennifer Brown Carmel Clay Parks & Recreation Carmel, IN United States AfterSchool f.. ' i a z BOB 1 1 1 1 i • � _ ° ' 'National After$bhooil Association Convention Thee Afte-rschool for .All Chatlenge • as j Am ,.-,-f ter School - • • 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. 358641 Brown, Jennifer Terms 400 Jordan Road Indianapolis, IN 46217 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 3/11/15 Reimb Travel expenses for NAA Conference $ 223.98 Total Is 223.98 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 Voucher No. Warrant No. l 358641 Brown, Jennifer i Allowed 20 400 Jordan Road it In'dlanap©IIs, IN;-46217 **PLEASE CORRECT ADDRESS ' In Sum of$ $ 223.98 i ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or Dept INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 223.98 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 4 i March 25, 2015 Signature $ 223.98 Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund I I