HomeMy WebLinkAbout257102 04/05/16 r Coq*f
�,�'" ' • CITY OF CARMEL, INDIANA VENDOR: 358408
ONE CIVIC SQUARE TIFFANY BUCKINGHAM CHECK AMOUNT: $*'*'***200.84*
r ?� CARMEL, INDIANA 46032 5057 E 71 ST STREET CHECK NUMBER: 257102
INDIANAPOLIS IN 46205 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIM 200.84 TRAVEL FEES & EXPENSE
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Voucher No. Warrant No.
358408 Buckingham, Tiffany Allowed 20
5057 E 71st St
Indianapolis, IN 46205
In Sum of$
$ 200.84
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ON ACCOUNT OF APPROPRIATION FOR j
108 -ESE
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PO#
or INVOICE NO. CCT#/TITL AMOUNT Board Members
Deptept#
1081-99 Reimb. 4343000 $ 200.84 I 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
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March 30, 2016
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j Signature
$ 200.84 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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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.
358408 Buckingham, Tiffany Terms
5057 E 71 st St
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/25/16 Reimb. Travel Expenses NAA Conference $ 200.84
Mileage 11/19/15-3/9/16
Total $ 200.84
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
Carmel 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
3/20/2016 Villa De Flora @ Gaylord 1081-99 4343000 Travel Fees & Expenses s 45(a3 4,7,39 Food
3/21/2016 Emerald Bay Market @ Gaylord 1081-99 4343000 Travel Fees& Expenses $ 11.93 Food
3/21/2016 Moor @ Gaylord 1081-99 4343000 Travel Fees& Expenses $ 3 ) Food
3/22/2016 Cocoa Bean @ Gaylord 1081-99 4343000 Travel Fees& Expenses $ V 10.81 Food
3/22/2016 Falls Pool @ Orlando World Marriott 1081-99 4343000 Travel Fees & Expenses $ ll� 15,001 1A-6T Food
3/22/2106 House Of Blues 1081-99 434000 Travel Fees & Expenses $ 3rj'-: Z) Food
3/23/2016 McDonalds 1081-99 434000 Travel Fees & Expenses $ 6.99 Food
3/23/2016 Chick-Fil-A 1081-99 434000 Travel Fees& Expenses $ 9.15 Food
3/23/2016 Orlando World Center Marriott 1081-99 434000 Travel Fees& Expenses $ L 28.13 Travel �
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All receipts should a attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: j' .
Employee Name(print) Tiffany Buckingham 2�U6 {
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Check Address 5057E 71st St.
payable to: City, St, Zip Indianapolis, IN 46220
Signature: , �jUl�(j� n�� Approved by:
Date: u T 3/25/2016� Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request