330425 09/25/18 0{�'saA, CITY OF CARMEL, INDIANA VENDOR: 372353
/ 4I ONE CIVIC SQUARE NEIL WHITEHEAD CHECK AMOUNT: $********10.03*
s. ?�; CARMEL, INDIANA 46032 24602 DARTOWN ROAD CHECK NUMBER: 330425
9�'RitiN. SHERIDAN IN 46069 CHECK DATE: 09/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMB 10.03 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show,kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Whitehead, Neil Payee
24602 Dartown Rd
Sheridan, IN 46069 In Sum of$ Purchase Order#
Whitehead, Neil Terms
$ 10.03 24602 Dartown Rd Date Due
Sheridan, IN 46069
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#or INVOICE NO. ACCT#frlTLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
rave xpenses for Purdue Pesticide
1125 Reimb 4343000 $ 10.03 Board Members 9/10/18 Reimb Core Training $ 10.03
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
$ 10.03 Total $ 10.03
September 20,2018
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 5-17-10-1.6
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
E7 1
ED
Carmel • Clay 1 0 20
Parks&Recreation Y.
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
9/5/2018 Jimmy Johns# 1125-1-13 4343000 Travel Expenses $ 10.03 Lunch out of town training
Conte �
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. $10;03
Employee Name(print) Neil-.WhitbheadL""=-
Address0 D town Rd
Check
to: Cit St, Zipherdarr�l. \4,:606
payable y, 5.._, , ,
Signature: ') Approved by: Q� �`
Date: _ '=9/1:0120;1::8:;= Date: /(O (g 9/10/2018
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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Jimmy
________ _______________________Jimmy Johns 480020
720 Northwestern Ave Suite. S
785-743-8600
-------------------------------------------
W-05-2018
---- -- -- ------------'-------
)S-U5-20l8 Chk# 81 Open 11 :40 AN
[kr 10800 Hng# l 11 :46 AN
'---------------'-'-----------------
*10 Hunters Club 6.78
NO tomatoes
-------_--------- ----------------------
Med
- -------------------Nod Fountain 1 .38
Combo -0.10
-------------------------- ___________
Th|nOy Chips 1 .29
--'-------------------
----------
r 8UbLn1a| 9.37
So|oa Tax (7�%) 0.66
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APPLY AT
JJCAREER8-JlNNYJOHNS.lCIN8.CON
JIMMY JOHNS ENTERPRISES LLC
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