181236 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE
z INDIANAPOLIS IN 46220 CHECK NUMBER: 181236
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 5.00 GENERAL PROGRAM SUPPL
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DOLLAR TREE STORES, INC.;,;
Store# 1375 (317> 876 -0335
3489 West 86th Street
Indianapolis IN 46268
DESCRIPTION QTY PRICE TOTAL
CHRISTMAS CARDS 1 1.00 1.00T
TRIDENT 1 1.00 1.00T
CHRISTMAS CARDS 1. 1.00 1.00T
CHRISTMAS CARDS 1 1.00 1.00T
CHRISTMAS —CARDS 1 1.00 1.00T
Sub Total
SALES TAX
Total $5.35
$5.35
*wx *xxxx *Kx *
Debit Total $5.35
Thank You for Shopping at Dollar Tree
Where Everything's $1.00
Now Shop On -Line at Dollartree.corn
001225 1375 04 00041 26777 12/11/09 11:54
Sales Associate:Shawna
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We win' gladly exchange any item with
the original receipt.
Seasonal, (.'hristmas, Easter, Halloween, etc.,
Merchandise will be exchanged prior to the
season end.
Jue to our incredible value price, we are
unable to provide cash refunds.
We will gladly exchange any item with
the original receipt.
Seasonal, Christmas, Easter, Hallc wecn etc.,
Merchandise will be exchanged prior to the
season end.
Due to ou_ ir..rccdible value price, we are
unable to provide cash refunds.
We will gladly exchange any item with
the original receipt.
Seasonal, Christmas, Easter, Halloween, etc.,
Merchandise will be exchanged prior to the
season end.
Due to our incredible value price, we are
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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
i Q. I 1 9 i t 1 J 42 S PO's o tt dE
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 1 G.:‘, od
1 c4 r, -;7 731
Employee Name (print) U2'11
v� V•(`01(1, 7 ca
I\ dk DEC 1 7 2009
Address (9 S N O sr—k \m \ems .quC.__
Check U
payable to: City, St, Zip ``E1 ?OG"hc�(�O�`�S I^V L A LI 2 0
Signature: Approved by:
Date: k 2• l i I Date: /4 -4 C
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative1Forms \Staff Forms \Employee Exp Reimb Request
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.
Terms
358411 Hammons, Jennifer
634 Northview Ave
Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number
(or note attached invoice(s) or bill(s)) PO Amount
5.00
12111/09 Reimb. Program supplies
Total 5.00
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- 1O -1.6
20,
Clerk- Treasurer
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
.634 Northview Ave
Indianapolis, IN 46220
ill
14 In Sum of$
fi
5.00
ON ACCOUNT OF APPROPRIATION FOR
1.
PO# or Board Members
INVOICE NO. ACCT It/TITLE /TITLE AMOUNT
Dept
84f3 Reimb. 4239039 5.00 I hereby certify that the attached invoice(s), or
f 8/ 7 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
7 -Jan 2010
Signature
5.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund