HomeMy WebLinkAbout247018 06/30/15 u ��q
"% CITY OF CARMEL, INDIANA VENDOR: 367656
® a ONE CIVIC SQUARE SAVANNAH VANWHY CHECK AMOUNT: $**......93.06*
:. ,_� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 247018
'+%.troN�o- CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 93.06 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
�11i31 i 5 Paf V-\ -\ CD c\-( .e, 2)-�q q3y 3000 -Fr-cwel Fee-�-e)c -P 2:7. '-7-5 pckfkion
X13 3000
y I 1 q t 15 .�bf Y416af g1-a°I y 3 u 3 `"Ie1 i of sk - 1� 2-1 . -7 f ar V-),r�
M'f rscc"Acc I
Conf%ence
All receipts should be attached in the same order as listed above. Ob
No sales tax will be reimbursed. TOTAL:
Employee Name(print) ��va lno(.-ny Gr)W� J JUN 2 2015
12 1�l , )�\U lnctn 17r�V
Check
Address � 1
payable to: City, St, Zip CQ( m�� �� + U LO32 --
Signature: Approved by:
Date: 5/�0 l2— I Date: �y C✓— J
Business Services Division, Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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.
367656 VanWhy, Savannah Terms
1012 W Auman Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/20/15 Reimb Travel expenses for Indiana Afterschool conference $ 93.06
Mileage 3/16-5/1/15
Total $ 93.06
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.
367656 VanWhy, Savannah Allowed 20
1012 W Auman Drive
Carmel, IN 46032
In Sum of$
$ 93.06
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/-FITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 93.06 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
June 25, 2015
1pkm"V��
Signature
$ 93.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund