HomeMy WebLinkAbout181787 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 361411 Page 1 of 1
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t ONE CIVIC SQUARE CRYSTAL ALLEN CHECK AMOUNT: $138.37
k A CARMEL, INDIANA 46032 2411 CUMBERLAN STREET
4%ii —Ga P 0 BOX 468 CHECK NUMBER: 181787
mow✓' DUBLIN IN 47335
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239099 REIMB 138.37 OTHER MISCELLANOUS
2038
Server: NATE M Rec: 50
01/07/10 12:55, Swiped T: 23 Term: 2
Max Erma's Carmel
12195 North Meridian St.
Carmel, IN 46032
(317)705 -9788
MERCHANT
CARD TYPE ACCOUNT NUMBER
00 TRANSACTION APPROVED
AUTHORIZATION 007928
Reference:' 0107010002038
TRANS TYPE: Credit Card SALE
CHECK: 118.37
TIP 9.O OD
TOTAL: 13$ 31
X_____Li 91- ale/
•I' 1
*Duplicate Copy
CARDHOLDER WILL PAY CARD ISSUER ABOVE
AMOUNT PURSUANT TO CARDHOLDER AGREEMENT
TOP COPY MERCHANT
Carmel 0 Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Account Account
Receipt Vendor listed on receipt Fund Line Budget Description ,Amount Purpose of Expense
loci 1 4 7— .S v+l.. riA. mac....
1/7/2010 Max Erma's 477$00.100 433 $138.37 Staff lunch for retreat
All receipts should be attached in the same order as listed above.
N o sa tax w ill b e r eim b urse d TOTAL:
$138.37
Employee Name (print) Crystal Allen
Address PO Box 468 l�A ►0 J� 2010
Check /1/
payable to: City, St, Zip Dublin, IN 47335 Ear:
Signature: 0.l.('/Y I Approved by: I n" al
f 1/ 7/10
Date: 7 i 0 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\AdministrativelForms \Staff Forms\Employee Exp Reimb Request
1
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.
361411 Allen, Crystal Date Due
P.O. Box 468
Dublin, IN 47335
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/7/10 Reimb. Staff lunch for retreat 138.37
Total 138.37
I 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.
Allowed 20
361411 Alien, Crystal
P.O. Box 468
Dublin, IN 47335 In Sum of
138.37
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1091 Reimb. 4239099 138.37 I 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
28 -Jan 2010
Y(, t
Signature
138.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund