183444 03/16/2010 a- CITY OF CARMEL, INDIANA VENDOR: 360472 Page 1 of 1
ONE CIVIC SQUARE LYNN RUSSELL CHECK AMOUNT: $306.20
CARMEL, INDIANA 46032 829 DESERT WIND COURT
CARMEL IN 46032 CHECK NUMBER: 183444
CHECK DATE: 3/1612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
853 5023990 REIMB 306.20 OTHER EXPENSES
Car 0 Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account. Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/14/2010 Subway 853 5023990 Other Expenses $196.20 Staff Holiday Event
1/15/2010 Dunkin Donuts 853 5023990 Other Expenses $20.00 Staff Holiday Event
1/15/2010 Target 853 5023990 Other Expenses $70.00 Staff Holiday Event
1/27/2010 Starbucks 853 5023990 Other Expenses $20.00 Staff Holiday Event
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $306.20 g,
Employee Name (print) Lynn Russell MAR 0 2, 2010
Address z.
Check
payable to: City, St, Zip r'
Signature: Approved by:
Date: Z D l 0 Date: X1 -�L"t co
Business Services Division, Revised 7 -7 -08
FILE: Shared\AdministrativelForms \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.
360472 Russell, Lynn Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1114110 Reimb. Staff holiday event 306.20
Total 306.20
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1_6
20_
Clerk- Treasurer
Voucher No. Warrant No.
360472 Russell, Lynn Allowed 20
f
In Sum of
306.20
ON ACCOUNT OF APPROPRIATION FOR
853 Gift Fund
PO# or INVOICE N0. ACCT #!TITLE AMOUNT Board Members
Dept
853 reimb. 5023990 306.20 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
11 -Mar 2010
h LL� rn�
Signature
306.20 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund