HomeMy WebLinkAbout253906 01/26/16 4+u�.F,p�F
u! �� CITY OF CARMEL, INDIANA VENDOR: 369061
°I•_ ONE CIVIC SQUARE AMANDA JACKSON
CHECK AMOUNT: $"•"•'•"17 97•
s. ?�. CARMEL, INDIANA 46032 14850 WAR EMBLEM DR CHECK NUMBER: 253906
9�'RroN i�. NOBLESVILLE IN 46060 CHECK DATE: 01126/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 17.97 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
1/13/2016 Mother Bear's Pizza 1091 4343000 Travel Fees&Expenses $9.63 V Lunch while at Conference
1/15/2016 Wendy's 1091 4343000 Travel Fees&Expenses $8.34 Lunch while at Conference
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $17.97
Employee Name(print) Amanda Jackson
JAS, a 9 2016
Address 14850 War Emblem Dr.
Check T.
payable to: City, St,Zip Noblesville, IN 46060
Signature: Approved by:_%A OUkAlI A
Date: 1/19/2016 Date: (P
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.
369061 Jackson, Amanda Terms
14850 War Emblem Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/19/16 Reimb Travel Expenses for IPRA Conference 2016 $ 17.97
Total $ 17.97
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. j
369061 Jackson, Amanda Allowed 20
14850 War Emblem Dr
Noblesville, IN 46060
In Sum of$
$ 17.97
I
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
PO#
I
or INVOICE NO. CCT#/FITC AMOUNT Board Members
Deptept#
1091 Reimb 4343000 $ 17.97 i . 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
I
materials or services itemized thereon for
! which charge is made were ordered and
received except
January 19, 2016
I
Signature
$ 17.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund