HomeMy WebLinkAbout250327 10/07/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 368259
ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $'"""'82.06'
CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 250327
WESTFIELD IN 46074 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIM 82.06 TRAVEL FEES & EXPENSE
Carmel y
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
9/14/2015 Shake Shack $5.68 1" food
9/15/2015 Starbucks $12.70 a food
9/16/2015 Shake Shack $3.19 G food
9/16/2015 Starbucks $11.35 D food
9/16/2015 American Doughnuts $3.19 food
9/16/2015 Double Barrel $22.00 food
9/17/2015 Starbucks $8.65 IV food
9/17/2015 McDonalds $3.66 Gl food
9/17/2015 Nathan's Famous $11.64 1 food
All receipts should be attached in the same order as listed above. /41"1 Y1U�l.
No sales tax will be reimbursed. TOTAL: $82.06 COQ ►�-nct:-
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Dr
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature:— QU AAi A d�1�17� Approved by: � �-r—
Date: 9/18/2015 Date: /
7SEP
22 2015
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.
368259 Lewallen, Shauna Terms
15066 Redcliff Drive
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/18/15 Reimb Travel expenses for NRPA Conference $ 82.06
Total $ 82.06
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
120
Clerk-Treasurer
Voucher No. Warrant No.
368259 Lewallen, Shauna Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 82.06
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1091 Reimb 4343000 $ 82.06 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
October 1, 2015
Signature
$ 82.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund