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182107 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360888 Page 1 of 1 ON E CIVIC SQUARE JOSHUA TAYLOR CHECK AMOUNT: $44.85 4, CARMEL, INDIANA 46032 11028 LAKEVIEW DR „ti:,, of CARMEL IN 46033 CHECK NUMBER: 182107 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 44.85 TRAVEL FEES EXPENSE Cs F i� Circle Centre Mall Fee Computer Number: 4 Cashier: Dagnew Id #191 Transaction Number: 86163 Entered: 01/08/2010 08:23 Exited: 01/08/2010 14:46 Ticket #4092 Dispenser #38 Lot:. Sun 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 -0033 Server: Paige DOB: 01/08/2010 12:16 PM 01/08/2010 ,Table 52/2 9/90018 9437199 Card #XXXXXXXXXXXX1923 Magnetic card present: TAYLOR JOSHUA —Approval l 09436C Amount: 13.28 +Ti Total: For The Perfect Gift Card... For Large Groups and Small Call us for Reservations... 317 951 -0033 chr1s.garc1achampps.com Join Us On Facebook Thanks! Come again. rh'nF /C'Lt for 'dznlncr «irh r',,F, Chang' Serv Sarah 'h DOB: 12 ti's Pr1. 0j>>"''' r1.�+ Tabu S,Lr Card a nrtic Lard p osent C rd,_Enfr'y.. llet'ioi1. Flpspr•avd1: •(,1761 Ornnurit, .',16_ Tip: 7. agree t'o pay '}he E bOv e OLct1 arfoLtnt .cac'c'orfdi .to. the 'card 5sl.ler. �agre.er1i?n.r,+ rciat our cG worker5 t ier d family .tb tne; P F..Chang.'._ e; rrence.. -Ask yaL Ser ver ;bout. 1 r L• c' d 'or:. order line a i7�•'W pf Carmel 0 CBay Parks &Recr'eat on Employee Expense Reimbursement Request Date of Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense 1/ 7/ f l�� Qn �r l-•�a •L,�l U f� i 2 y3 y 3 c, ©2_ t Y7`�v�- l �GIrF 6. 5 7 :n C LA-64 S'h' I f`2' W/1°1° t°1 2 i'3L Z T/aL a4. /c, L 4 3, 2 7 V(6,4c -..ee 6L., 0/2- °(0 I i /o 2-5 93 /13490 Z_ i 4 (moo ✓c P All receipts should be attached in the same order as listed above. TOTAL I s $s 1 '--r JAN 1 4 2010 w Name (print) I7 .SI (A 0, Check Address r ©z cE'- payable to: City, St, Zip �t w� j —Z7v Y610) Signature Date: 7 /11/ 2 0 10 Approved by: v 7 Date: 1 TO Revised 3 -2 -07 by Business Services �.t t f� 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. 360888 Taylor, Joshua Terms 11028 lakeview Dr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/13/10 reimb. INLA conference expenses 44.85 Total 44.85 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. 360888 Taylor, Joshua Allowed 20 11028 lakeview Dr Carmel, IN 46033 In Sum of r- 44.85 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or Board Members INVOICE NO. ACCT it/TITLE AMOUNT Dept 1125 reimb. 4343000 44.85 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 4 71 Ah/M/in.,/_.-- 7 Signature 44.85 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund