245048 5 /13/2015 �q�" CITY OF CARMEL, INDIANA VENDOR: 364750
`� `` CHECK AMOUNT: $********57.13*
'.;; ® 31• ONE CIVIC SQUARE JESSICA BALLINGER
10830 TOOLEY CT CHECK NUMBER: 245048
d. CARMEL, INDIANA 46032 APT IF CHECK DATE: 05/13/15
5�i*oN�°� INDIANAPOLIS IN 46234
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 57.13 TRAVEL FEES & EXPENSE
Carrel e Clay
.
Parks&Recf eation APR � 3 2 015
Employee Expense Reimbursement Request __.,
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
qW1 Vii �s l w-q� ' ES �I3'-Alco � \C� �s �& &5 �q. 3$ lune a+ mon feTe.,ce
I I y 115 TarKinj ak �.vf, ma rij)-t
91M L;S� 4S\43000
a/1-walk QQ 3 F pyo PD, -7.5 -paf-Z; 10✓ COvr� •n
All receipts should be attached in the same order as listed above.
` TOTAL 1 $ 5-7. )-3
Name (print) Jess,ek 3elf<<n!�-�
Check Address E Ca U Z/So N,
payable to:
City, St, Zip le a .21-1, q(p/ ZL
Sig atureDate: l /0 S
Approved by: Date:
Revised 3-2-07 by Business Services
f,
t
►- IAM
INDIANA
AFTERSCHOOL
JESSICA
BALLINGER
Carmel Clay Parks & Recreation
1
0
Q
Indiana's only conference designed specifically for out-of-school time program providers!
DATE INDIANA SUMMIT LOCATION
APRIL 13 $ 14, 201.5 ON ouT-OF-SCHOOL LEARNING JW MARRIOTT INWANAP011.I:5
1 i
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.
364750 Ballinger, Jessica Terms.
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/14/15 Reimb Travel expenses Indiana Afterschool Conference $ 57.13
Mileage 1/5-2/18/15
Total Is 57.13
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.
r
364750 Ballinger, JessicaAllowed 20
r
In Sum of$
$ 57.13
I
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 57.13 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
I
ii
May 7, 2015
Signature
$ 57.13 ;� Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund 1
i
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