323737 04/06/18 �Ap"'• CITY OF CARMEL, INDIANA VENDOR: 372353
d ONE CIVIC SQUARE NEIL WHITEHEAD CHECK AMOUNT: S*****'***5.99*
,Q CARMEL, INDIANA 46032 24602 DARTOWN ROAD CHECK NUMBER: 323737
SHERIDAN IN 46069 CHECK DATE: 04/06/18
F ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMB 5.99 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO.3Z�35 WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Whitehead, Neil Payee
24602 Dartown Rd
Sheridan, IN 46069 In Sum of$ Purchase Order#
Whitehead, Neil Terms
$ 5.99 24602 Dartown Rd Date Due
Sheridan, IN 46069
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#or nvoice Description
Dept# INVOICE NO. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
ravel Expenses for ADA Compliance
1125 Reimb 4343000 $ 5.99 Board Members 3/20/18 Reimb Workshop $ 5.99
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
$ 5.99 Total $ 5.99
April 4,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
WED
Carmel • Clay MAR 2 Y 2018
Parks&Recreation
[BY:
..............................
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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tporrshoA
All receipts should be attached in the same order as listed above. -- -=
No sales tax will be reimbursed. TOTAL: -�--�-- 57-.9,?
Employee Name print) c,t } 411 4 *tax was taken out
Address (2`(,�QZ, flic�i3y` CJ�
Check .�
payable to: City, St, Zip �► ���Gtl' __1. � -l�,
Signature: _ Approved by-
Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
Subi4aY#25654-0 Phone 219-650-4004
1530 Olmsted or -
Portage, IN, 46368
Served by: Brittany 3/20/2018 6:02,56 am
Term TD-Trans# I/A-200167
Qty Size Item
---- Price
2 loz
:FoL.Intal h-D ri hk
1 6" Ham.&� 1.
8d �- �4�00: I
Sub Tota I
Sales Tax ('7%) 5,5
Total (Eat In) 0.39
SubCard 5,99
Credit Card 1.77
Change 4.22
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SUBWAY Card
Card ************0020
USO 1,77 Redeemed
Cash Card Balance: USV 0,00
..... .. .... . .. .. .
Approval No; 07510D
Reference No: 807913026739
Card issuer, Visa
Account No:
*****
Acquired: 4*****1034
Contact_EMV
Amount: $4.22
Application, CHASE,VISA
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6680,60,
R' : 0"Oe' ', 1' 00031010
TSI. EBOO
Date/Time: 312012018 6:02:50 AM
CUSTOMER copy
Host Order ID: 147-121-507b69
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