185397 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CHECK AMOUNT: $129.57
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
iioH,�co INDIANAPOLIS IN 46208 CHECK NUMBER: 185397
CHECK DATE: 5/1112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 10.94 GENERAL PROGRAM SUPPL
1081 4343000 118.63 TRAVEL FEES EXPENSE
Carmel Clair
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
2/23/2010 Blockbuster 1081 -11 4239039 General Supplies $0.99 Club Supply -Did You See That
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $0.99 Q>
Employee Name (print) Nikeesha Pittman 2 9 20
Address 2713 Highland Place BY:
Check
payable to: City, St, Zip Indianapolis, IN 46208
l A
Signature: Approved by:
Date: 4/2612010 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms%Staff Forms\Employee Exp Reimb Request
g DID
Carme e C lay Na+r
Parks &Relcreatidn c-e
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount. Purpose of Expense
4/16/2010 Costco 1081 -11 4239039 Pizza $9.95 t/ Parent's Night Out
4/18/2010 Capitol Pizza Subs 1081 -99 4343000 Travel Fees and Expenses $13.60 Food and Beverage
4/19/2010 Banquets 1081 -99 4343000 Travel Fees and Expenses $3.00 Food and Beverage
4/19/2010 Cadillac Ranch 1081 -99 4343000 Travel Fees and Expenses $13.61 Food and Beverage
4/19/2010 Rosa Mexicano 1081 -99 4343000 Travel Fees and Expenses $-2— Food and Beverage
4/20/2010 Mayoral Coffee Roasters 1081 -99 4343000 Travel Fees and Expenses $4.61 t/ Food and Beverage
4/20/2010 City Lights of China 1081 -99 4343000 Travel Fees and Expenses $8.51 Food and Beverage
4/20/2010 King Street 1081 -99 4343000 Travel Fees and Expenses $8.30 Travel
4/20/2010 Dave Buster's 1081 -99 4343000 Travel Fees and Expenses $13.11 Food and Beverage
4/20/2010 Larry's Cookies 1081 -99 4343000 Travel Fees and Expenses $2.98 Food and Beverage
4/21/2010 Ketchup 1081 -99 4343000 Travel Fees and Expenses $17.90 Food and Beverage
4/21/2010 McDonalds 1081 -99 4343000 Travel Fees and Expenses $4.23 Food and Beverage
4/21/2010 Qdoba 1081 -99 4343000 Travel Fees and Expenses 1 -$5-25 Food and Beverage
All receipts should be attached in the same order as listed above. r] cc��
No sales tax will be reimbursed. TOTAL: laia,
Employee Name (print) Nikeesha Pittman A P R 2 0 201 Q D�
Address 2713 Highland Place BY:
Check
payable to: City, St, Zip Indianapo IN 46208
VY
Signature Approved by:
�Afi rA
Date: 4/26/2010 Date: l
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative\Forms `Staff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
4 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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4116110 Reimb. Parent's Night Out pizza 9.95
4/21110 Reimb. Natl Afterschool Assoc Conference 118.63
2/23/10 Reimb. Club supply 0.99
Mileage 311 3130110 -last paid
Total 129.57
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.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
129.57
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 reimb. 4239039 9.95 1 hereby certify that the attached invoice(s), or
1081 -99 reimb. 4343000 118.63 bill(s) is (are) true and correct and that the
1081 -11 reimb. 4239039 0.99 materials or services itemized thereon for
which charge is made were ordered and
received except
5 -May 2010
r i' 7
Signature
129.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund