244367 4 /15/2015 Jy f. CITY OF CARMEL, INDIANA VENDOR: 366471
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ONE CIVIC SQUARE SHANDI WALKER CHECK AMOUNT: S•.•.«••183.39•
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 244367
' roN CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 183.39 TRAVEL FEES & EXPENSE
J �
Carmel <- Clay
�~ Parks&Recreation
Employee Expense Reimbursement Request ASS( A110r] (2GnFEFEW--
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount _ Purpose of
Expense(
318 S C�1a vn lP(JS 6VV -j4 X1-Mtoo -1rowed 2c l WL
2oc iSeS ` '�
3 tO j K Natio►nt-1 Pasdirw- faoof
31 g 1 t 5 COuv. (-ear. i_i s a3 G -(VOOL
fVOCk
3 ) to 15 Mu,�w► �a�olD Hui
3 j to`l5 FioVP-110- Z-z XiaFV
31 D
All receipts should be attached in the same order as listed above. int
No sales tax will be reimbursed. TOTAL: ll
Employee Name(print) S}V1D1 W PrUVIE12 L_
Address 51370 S$. APR ® 12015
Check
payable to: City, St, Zip 1 Ylotp!S in 4 tI.2-Zy
Signature: �L�� Vv � Approved by:
Date: �J.�J o. Iff 4 f �i
Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
� L! -
National. AfterSchool
Association Convention 0
The Afterschool for All Challenge
Passionate
Professionals ,
AfterSchooI - • •
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.
366471 Walker, Shandi Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/30/15 Reimb NAA Conference expenses $ 183.39
Mileage 11/10-11/26/14
Total_ $ 183.39
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.
366471 Walker, Shandi Allowed 20 -
In Sum of$
$ 183.39
1 i
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or- Board Members
Dept#
INVOICE NO. CCT#trITL AMOUNT
1081-99 Reimb. 4343000 $. 183.39 1 hereby certify that the attached invoice(s), or
bill(s)is(aye)true and,correct and that the
is emi eon o
L
materials or,sery es it zed then f r
which charge'is made were ordered and
receivbd,except�,
April 9, 2015
1
Signature .
Accounts Payable Coordinator.
Cost distPibution ledger classification if.. Title
claim paid motor vehicle highway fund
I ,
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