HomeMy WebLinkAbout259263 06/03/16 OW
CITY OF CARMEL, INDIANA VENDOR: 369490
ONE CIVIC SQUARE RYAN DAVISCHECK AMOUNT: S********19.57CARMEL, INDIANA 46032 10002 N COLLEGE AVENUE CHECK NUMBER: 259263
INDIANAPOLIS IN 46280 CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 052316 19.57 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
Davis, Ryan Allowed 20
11002 N College Ave
Indianapolis, IN 46280
In Sum of$
$ 19.57
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-70 Reimb 4239039 $ 19.57 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
May 25, 2016
Signature
$ 19.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
5/16/2016 Kroger 49969-7- 4239039 Rec Inclusion Supplies $19.57 Cooking Class Supplies
77
All receipts should be attached in the same order as listed above. -
No sales tax will be reimbursed. TOTAL: 9.57
= � REC E V
Employee Name(print) Ryan-Davis''
Address 11002 N. College Ave
MAY 242016
CheckBY..
'
payable to: City, St, Zip In a a olis, IN 46280
Signature: Approved by: Michelle Yadon VWAM� l UM RW
Date: � ^~~ �(� Date: 5/23/2016
C512-LA/1
(�
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
1 1 ' �._4eat food..
Low prices.
1365 E. 86th Street
317-217-1190
Your cashier was CHEC 504
TYSN CKN HRST THN 9..63 F
TYSN CKN HRST THN 5.19 F
1.16 lb @ 2.49 /lb
WT TOMATOES RFD OTU PC 2.89 F
LETTUCE HEAD 0.99 F
KRO ORANGE JUICE 1.19 F
PSST TORTILLA. 1.19 F
KRO SHRED CHEESE PC 3.49 F
TAX 0.00
****:BALANCE 19.57
CASH 20.00
CHANGE 0.43
TOTAL NUMBER OF ITEMS SOLD = 7
05/16/16 01:46pm 998 504 131 999999504
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