185378 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 363773 Page 1 of 1
h 0 ONE CIVIC SQUARE JOELLE OGLE CHECK AMOUNT: $178.09
CARMEL, INDIANA 46032 9203 CROSSING DR
INDPLS IN 46037 CHECK NUMBER: 185376
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 178.09 TRAVEL FEES EXPENSE
Carmel o Clay
P a rks &Recreat
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
4/18/2010 Capitol City Pizza Subs 1081 -99 4343000 Travel Fees Expenses 6.99 Dinner
4/1912010 Cadillac Ranch 1081 -99 4343000 Travel Fees Expenses 5.00 Lunch
4119/2010 Rosa Mexicano 1081 -99 4343000 Travel Fees Expenses `17.51 Dinner
4/20/2010 Aloft Nat'l Harbor 1081 -99 4343000 Travel Fees Expenses Breakfast
4/2/2010 Subway 1081 -99 4343000 Travel Fees Expenses /8.85 Lunch
4/2012010 Metro Pass 1081 -99 4343000 Travel Fees Expenses /6.60 Transportation
4/20/2010 Adams Mill Bar Grill 1081 -99 4343000 Travel Fees Expenses 4.74 Dinner
4/21/2010 Public House 1081 -99 4343000 Travel Fees Expenses 1 /0.00 Lunch
4/21/2010 McDonalds 1081-991 4343000 Travel Fees Expenses v Dinner
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 123.09
Employee Name (print) Joelle Ogle 2010 National After School Association Conference
Address 9203 Crossing Drive 4119110 4121110
Check
payable to: City, St, Zip Fishers, IN 46037
Signature: g� 1 Approved by:
Date: l 22 V Date.
Business Services Division, Revised 7 -7 -08
FILE. 5hared\Administrative \Forms \Staff FormsxEmployee Exp Reimb Request
PAISCRISLD BY STATE BOARD OF ACCOUNTS ]IG. EN FRAL�FOR NI W1 (7996}
MILEAGE CLAIM L��(f a ���e
TO
(GO IIH11?
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFiICY, BOA AD, DFPARTYFIfT OA Itr5tiTUIION)
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS A UTO Q H�
2d POINT POINT START FINISH TRAVELED
PER MILE
t
%i (3 S
G
At fte
rc. Cd 0 0 t
o I
907,
C
G
am,/
y
w ter L
AUTO LICENSE NO. TOTALS 1
F SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway. map.
Pursuant to the provisions and penalties of Chapter 185, Acts 1953, I hereby certify that the foregoing account i9 just and correct, that the amount claimed is legally due, after allowing all just credits
'end that no part of the same has been paid.
Date
Q
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.
363773 Ogle, Joelle Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4121110 Reimb. National Afterschool Association Conference 123.09
4130110 Reimb. Mileage 4/13 4130/10 55.00
Mileage 3/2 3/30110
Total 178.09
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- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
363773 Ogle, Joelle Allowed 20
4
In Sum of
178.89
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 123.09 1 hereby certify that the attached invoice(s), or
1081 -3 Reimb. 4343000 55.00 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
5 -May 2010
Signature
178.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund