HomeMy WebLinkAbout257108 04/05/16 Jy..c�q"F� . CITY OF CARMEL, INDIANA VENDOR: 360144
e 1 ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $*******197.85*
9 j?� CARMEL;INDIANA 46032 11508 LUCKY DAN DRIVE CHECK NUMBER: 257108
,,�T�N L� NOBLESVILLE IN 46060 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIM 197.85 TRAVEL FEES & EXPENSE
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.
360144 Canada, Cyndi Terms
11508 Lucky Dan Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/24/16 Reimb Travel Expenses for Natl Afterschool Assoc Conf $ 197.85
Mileage 8/4-12/22/15
Total $ 197.85
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
Voucher No. Warrant No.
i
360144 Canada, Cyndi Allowed 20
11508 Lucky Dan Dr
Noblesville, IN 46060
In Sum of$
I
$ 197.85
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#!TITLE AMOUNT
1081-99 Reimb 4343000 $ 197.85 1 hereby certify that the attached invoice(s), or
I 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
i
March 31, 2016
Signature
$ 197.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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Carmel * Clay
Parks&Recreation
Employee Expense Reimbursement Request U>N rckWC6
Date of Fund Account Account f
Receipt Vendor listed on receipt # Line# Budget Description Amount Pulpose of E nse
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All receipts should be attached in the same order as listed above_
No sales tax will be reimbursed. r TOTAL: ! `;L-1 qg
Employeen Name(ptht) a QJ ACX
Check Address( SOR- Lt Ac
payable to: City,St,Zip ��mdcpk-.'&- i S y Ql` o
Signature: Approved by: �
Date: �-� ���C�. yrs_® Date:
RECEIVED
Revised 3-2-07 by Business Services;
Shamd/Fonns and Templates/8usiness Service Forms/Employee EV Reimb Request 2007.3 MAR 3 1 2016
/ �i,
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor Fisted on receipt # Line# Budget Description Amount Purpose of nse
i0 4" �/3�I 3 0t�0 `Tr�vc� -�ee� Ff �e� .155 Lf D
1 receipts should be attached in the'same order as listed above.
No sales tax will be reimbursed. TOTAL: $ ,�•{L1
Employeen Name(print) Cyf\a,t C-a3\ ` ~ C�L—
Address A 1507?� 1,LAC,-LV
Check r
payable to: City,St,�p � �C].��`���t @_-, I�Lpob.z
Signature: V�--�-'� (✓ - ---�-- Approved by:
Date- 1 l.� Date: �'I YJ
RECEIVEn
Revised 3-2-07 by Business Services;
Shared/Forms and Templatesl8usinew Service FornWEmployee Exp Reimb Request 2007-3 MAR 3 1 2016
BY: