182079 02/03/2010 0 7, 1 CITY OF CARMEL, INDIANA VENDOR: 357470 Page 1 of 1
i ONE CIVIC SQUARE REBECCA SCHMIESING CHECK AMOUNT: $53.75
i,+ 4 CARMEL, INDIANA 46032 124 HILLCREST DRIVE
o �o� VJESTFIELD IN 46074 CHECK NUMBER: 182079
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 53.75 TRAVEL FEES EXPENSE
-a,
Circle Centre Mall
Fee Computer Number: 12
Cashier: Milliken Id #140
Transaction Number: 98076
Entered: 01/08/2010 07:25
Exited: 01/08/2010 16:25
Ticket #5562 Dispenser #40
Lot: World Wonders
Area: Area 1
Rate: Standard Rate AH
Parking Fee: 15.00
Total Fee: 15.00
Cash: 15.00
Total Paid: 15.00
Thank You
Denison Parking
CHAMPPS
AMERICANA-
49 EW. Maryland St
Indianapolis IN 46204
(317)951 -003:3
Server: Paige DOB: 01/08/2010
12:16 PM 01/08/2010
Table 52/3 9/90019
Magnetic card present: SCHMIESING REBECCA
Approval: 061612
Amount: 13.50
Tip:
Total: f 5.;GO
For The Perfect Gift Card.,.
For Large Groups end Small
Call us for Reservations...
317- 951 -0033
chris.garcia @champps.com•
Join Us On Facebook
Thanks! Come again.
Circle Centre Mall
Fee Computer Number: 11
Cashier: Michener Id #142
Transaction Number: 53051
Entered: 01/07/2010 07:29
Exited: 01/07/2010 17:01
Ticket #5338 Dispenser #40
Lot: World Wonders
Area: Area 1
Rate: Standard Rate AH
Parking Fee: 15.00
Total Fee: 15.00
Cash: 15.00
Total Paid: 15.00
Thank You
Denison Parking
teak Shake No:258
NO, 11 :/7/2010 11:12:13 AM
Subtotal_ 7
0.68
Total 825
Eodulq.1,516 Amounl 8.2S
AulliCede: 001211
11ES:NWREBECCA A
x(y.,:xxxiirrAv.cii*.ii**iyri(,io:
1/2 Price HaPP9 Hour!!!
Shakes and Or inks,,
and 2
OH vol id al 21 hour locations
Onlik YOU FOR VISITING
1
Is About Your txperience
-877-SIK-N-SHK (1-877-185-6715)
To contact this store
Call (317)631-8703
rr- flok: Was: for ever $15 spent!
e 110 at www 1,leaknshake.com
ve :he oews, Promotions,
dnd 5PEC:.31 offers!!!
Customer COPY
Can e
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of 0
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
1 1 X11, n Shake. o l ,;.25 "13 30 W I coon; r Trave_l, L04. S �5 Cohc2y Lurk
1 7. D Circle. C a r e KaIl I l 05 43 3 T r o A n n 5 I 5 0 0 Par
/D C raps Rrnencara 101 a 4 4 x Tra; n►r3,-k-rzz'ceL (oc 1 5. 50 V CorCere e_ LaYncSi
I S c ceY e. 1 01 625 '4 dza Trajnirn* \leaf► 15.oa ✓I
All receipts should be attached in the same order as listed above.
TOTAL 1 55.151
Name (print) Fe,bum C ,rn \Q 3
It
JAN 1 32010 L
`t
Check Address 10 kh11C,\ I J e.
payable to 1 BY.
City, St, Zip e ]1� 460 74
Signature A f Date: 1 f D
2
Approved by: �7 Date: 15
lC
y
Revised 3 -2 -07 by Business Services
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
357470 Schmiesing, Rebecca Terms
124 Hillcrest Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/13/10 reimb. Indiana Green Expo Conference expenses 53.75
Total 53.75
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- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
357470 Schmiesing, Rebecca Allowed 20
124 Hillcrest Drive
Westfield, IN 46074
In Sum of
53.75
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members
INVOICE NO. ACCT ft/TITLE /TITLE AMOUNT
Dept
1125 reimb. 4343000 53.75 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
Signature
53.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund