Loading...
245085 05/13/15 4+ ""\f �>/ �.. CITY OF CARMEL, INDIANA VENDOR: 367093 ® �, ONE CIVIC SQUARE ALYSSA CLARK CHECK AMOUNT: $********87.66* :9 �_�: CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 245085 ,,,�roN�. CHECK DATE: 05/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 87.66 TRAVEL FEES & EXPENSE Carmel • Cla ' Parks&Recreation 1 Employee Expense Reimbursement Request Date of Fund Account Account Recei t Vendor listed on receipt # Line# Budget Description Amount Pur of Expense 3fKarI&CS MCx_ � '�� y X000 ravel fees conn( ZoIS OS'T 'SUr,.,r"+ 91)49 �.� 14` �9 3 002 TYavc( es amici, '�� I J Z,©1S IDST suvwhA I Mv�tl es 4 32 t� 2 ot's pSrt sjmf .,; Iii(xy- L C CA 2 Z S -`��( 3430 COe All receipts should be attached in the same order as listed above. ( No sales tax will be reimbursed. I TOTAL: Is Employeen Name(print) V Ls�& ay Address Check payable to: City,St,Zip Signature: Approved by; Date: q '� Date.! t I Revised 3-2-07 by Business Services; j Shared/Forms and Templates/Business Service Forms/Employee Exp Relmb Request 2007-3 i i Y� — 1 Ann INDIANA AFTERSCHOOL I I f A s LY CLARK Carmel Clay Parks & recreation '' �•+�"' r {s �" �'k ^,,y�yz,"is rt.Y'� - §y"F'}'i� ,yy .sryy-x K t P �,rH+. _ I � ��ax %,`, sk t - +a'�` ,.+a �s �_ 2:ctY.:.:.°.aa.J.� .3.4. s._-,x...41 'i:.t '1.rs.��..,�;�c:v,,..>.__�.�-_-i r�+ 7.._.,_.�'.i,.asn.<�._t-. ._i:sb.,_.�.st«� •�,-:..a tui =..iiia._ �+Y x:i:,i�k 4,i,c.7,a,- c._;:a.d,:.d_'�'-:< IAM INN Ir -DIA" "A FTFRS HOOL t 'L-^b� 1.�@' '}3: Ze +K-3r ,✓� �si w. tk""' q t + 1- ? ' ssav Fr rz _ ' '!` t. a�. r " J1 i-j "�Tk-�,��` s r. 3 � ,� x u ,� � S � � -. i ,���f•ac�j E'er a�: 'r c t ,. t� � .,[� �x � �'' �t :�.',•r s -� f1w R � Mar",now BATE INDINA` LOCATION i e GOLIEARNING Jw MARRIOTTINDIANAPOLIS / A 27^CmmryGommwity ' ItarnLngCmkee ®� INDIANA c ® ® �� �' IMAGINING Indiana — Aftersch®oe • ° De artment of Education ®® NETWORK `Jo �kPe�tationy 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. 367093 Clark, Alyssa Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO## Amount 4/21/15 Reimb Travel expenses for 2015 OST Summit $ 87.66 Mileage 1/5-3/3/15 Total $ 87.66 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. 367093 Clark, Alyssa . 1. Allowed 20 In Sum.of$ I' $ 87.66 III 1 ON ACCOUNT OF APPROPRIATION FOR ' 108 -ESE I I ' PO#or INVOICE NO. ACCT#/TI.TLE AMOUNT Board Members Dept# I' 1081-99 Reimb 4343000 $ 87.66 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 May 7,2015 i Signature $ 87.66 Accounts Payable Coordinator Cost distribution ledger classification if I'' Title claim paid motor vehicle highway fund 1; �1: