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HomeMy WebLinkAbout260048 06/28/16 '4�/`C�H,yf! CITY OF CARMEL, INDIANA VENDOR: 357976 J; s A c ONE CIVIC SQUARE BENJAMIN JOHNSON CHECK AMOUNT: $*******267 84* r'. _� CARMEL, INDIANA 46032 11182 HARRISTON DRIVE CHECK NUMBER: 260048 9M,iroN. FISHERS IN 46037 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIM 267.84 TRAVEL FEES & EXPENSE i Voucher No. Warrant No. 357976 Johnson, Ben J Allowed 20 11182 Harriston Drive Fishers, IN 46037 In Sum of$ $ 267.84 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1081-99 Reimb 4343000 $ 199.81 1 hereby certify that the attached invoice(s), or 1081-99 Reimb 4343000 $ 68.03 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 June 21, 2016 Signature $ 267.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Carmel o Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense "i- AF-TU—jCffooL 3-J,16 6ArYt4b AUY15 cc a . �g tr 3 c� m"o-rr t r ' 18 , 8q zZ jr 06) i s .3 a3-i� pvy-S tk kk ,7a-- tr 3 a3s 1� 3:4bY TIL � ►� t� t� I N' d7l 00 « All receipts should be attached in the same order as listed above. rq9 No sales tax will be reimbursed. TOTAL: - 1 Employee Name(print) ,��� j / � Address Check S'Zr' `h e JUN 2,0 2016 payable to: City, St, Zip if,) q(003-7 BY: Signature: // Approved by: Date: (p ��— Date: Business Services Division,Revised 7-7-08 FILE: SharedWdministrative\Forms\Staff Forms\Employee Exp Reimb Request Carmelo Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense `(-11-I PLAZA Ion[ �13Y3a��( � /�� Yc �1 �b °° 'sem M 1-r `14 = p��T t c ►a-[�O PvtsrA(Jr 7JT ci It tc 1(0.03 C tc All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name(print) Address ���Ve�� Check (�� � /r- JUN2 0 �t;16 payable to: City, St, Zip �{ si46 -S /� `1�(03� Signature: Approved by: BY: Date: (9-A T4 Date: Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request