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247458 07/15/15 9;� CITY OF CARMEL, INDIANA VENDOR: 369557 ® `i ONE CIVIC SQUARE AIMEE RICH CHECK AMOUNT: S"' 75.71' �� CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 247458 9 �'ON�� INDIANAPOLIS IN 46237 CHECK DATE: 07/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 75.71 TRAVEL FEES & EXPENSE Carmel o Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense UW lel" � r' 2 n ►'� '©,1E� yJML (�O r ka6`� , _ O u�fer��er� �i o►� rS �' Esc 1 r,CAusloil) V All receipts should be attached in the same order as listed above. �7 No sales tax will be reimbursed. TOTAL: Employee Name (print) L- �'ILh Check Address(4goJ SUnykjA� 01(Ct 17-x-2 payable to: City, St, Zip Signature: ll- � Approved by: ` Dater ISO) )5 _ Date: Business Services Division,Revised 7-7-08 FILE Shared\Administrative\Forms\Staff Forms\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. Terms Rich, Aimee 4907 Sunview Circle# 1222 Indianapolis, IN 46237 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 6/30/15 Reimb Travel Expenses for CPI ESE Inclusion training $ 75.71 Total $ 75.71 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. Allowed 20 Rich, Aimee 4907 Sunview Circle# 1222 Indianapolis, IN 46237 In Sum of$ $ 75.71 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 75.71 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 July 9, 2015 Signature $ 75.71 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund