HomeMy WebLinkAbout245260 5 /13/2015 ;.. CITY OF CARMEL, INDIANA VENDOR: 366300
t- ® ;• ONE CIVIC SQUARE LATIA RUSSELL CHECK AMOUNT: $********37.00*
:q ;_ CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 245260
�„�*oN�. CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 37.00 TRAVEL FEES & EXPENSE
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Carmel Clay
Parks&RecreationAPR 2 2015
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Employee Expense Reimbursement Request'
Date of Fund Account Account
Receipt Vendor listed on receipt # :Line# Budget Description Amount Purpose of Expense
I S. IA E4 r r 7Z
or-
rs�,Gloo �
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $ _ Q�
Employeen Name(print)1+ Y�SP_ L l
Address���� �nl L�`� I a oz
Check
payable to: City, St,Zip
Sign re: Approved by. L
► 2� J olS Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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AFTERSCHOOL
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RUSSELL
Carmel Clay Parks & Recreation
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DATEtSUMMIT LOCATION
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® � 27 leaml�gfsnter. h
®®� INDIANA o
Afterschool IMAGINING Indiana
Department of Education
NETWORK pyo
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�'�peatationy
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.
Russel, Latia Terms
7048 Sea Oats Lane
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/24/15 Reimb Travel expenses for IN Afterschool conference $ 37.00
Total $ 37.00
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
i.
4
Voucher No. Warrant No.
Russel, Latia Allowed 20
7048 Sea Oats Lane
Indianapolis, IN 46250
In Sum of$
$ 37.00
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ON ACCOUNT OF APPROPRIATION FOR d'
108 -ESE.
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PO#or I Board Members
Dept# INVOICE NO. ACCT#/TlTLE AMOUNT
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1081-99 Reimb 4343000 $ 37.00 'i 1 hereby certify that the attached invoice(s), or
I: bill(s)is(are)true and correct and that the
(;t materials or services itemized thereon for
1i which charge is made were ordered and
received except
May 7, 2015
Signature
$ 37.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund