257143 04/05/16 �ur_4�g�s
J`/ �� CITY OF CARMEL, INDIANA VENDOR: 363065
® 'I ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $*******232.27*
9 kroN co�ro CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK CHECK NUMBER: 04/05/16 143
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 4/4/16 232.27 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
363065 Dowell, James Allowed 20
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of$
I,
$ 232.27
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb. 4343000 $ 27.00 1 hereby certify that the attached invoice(s), or
1081-99 Reimb. 4343000 $ 205.27 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
March 31, 2016
f
Signature
$ 232.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r
I
I
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.
363065 Dowell, James Terms
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/29/16 Reimb. Travel Expenses for Natl Afterschool Assoc Conf $ 27.00
3/24/16 Reimb. Travel Expenses for Nat[Afterschool Assoc Conf $ 205.27
Mileage 1/4-2/5/16
Total $ 232.27
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
. i
Carmel o Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date ofFund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
a31� A� JO'61 y9% 03113000 '1�rnk-d �c e-x
KI 0-b
W+Cr Sckioc
Nss 0 a
e�
t .
All receipts should be attached in the same order as listed above: pp
No sales tax will be reimbursed. TOTAL:
Employee Name(print) (Yl ,51
_ (� RECEIVED
Address I�oZ nLr t a, G/\ C7� 2 16
Check 1
payable to: City, St,Zip &2 (-&20Z
Y:
Signature: (� Approved by:
(:> )I
Date: -31M Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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Carmel * Clay k3�c c
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund. Account Account
Vendor listed on.recBudet Description AmountRevel t. Purpose of Expense
3 G IorA 0 1(a & Pore- iOSI �T 9ST2,00D FY W N
3�a1 lb �o I AMC.r �i�i. -13�I3�DL:1--
3 al 1 b 6 1 OCA eS_%0 5 DXI 3�l3 DU(� •SOL,
31aa,1 b Co oe ec - 311�C �. 3�;T'7
I6 br6odo Wor[A ce-Ae f- 3L-13aD. 1 0.'DO �oocJ
�laa�lb j�-cr�ve.kS j_qq �-13l-j3MOD � � �. '�� - 0000
31a311k 0c-1&r<�,WoA4 6 01 c r►s ) sl go/ L_/ I�O D 33. 00 roo�g
3431 L b Tt,V)nn r%ve c 5 /4-�'I-cF �I'�` 13C {n vn PPS �( ,� S. Xo 0
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $
Employeen Name(pant) J o Me5-
a7
Address
Check
payable to:f City.St,Zip a � . L 2 C)
Signature: Approved by:
Date: Date:
Revised 3=2-07 by Business Services; RECEIVED
shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2U07-3
MAR 31 2016
BY: