HomeMy WebLinkAbout186279 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $37.65
CARMEL, INDIANA 46032 C/O PARKS ESE
CHECK NUMBER: 186279
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 37.65 GENERAL PROGRAM SUPPL
c
Carrel o Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Rec ipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
7110 K
All receipts should be attached in the same order as listed above. 3 7-
N s ates tax will be reimbursed. T
Employee Name (print) �ryyf 5
Address
Check
payable to: City, St, Zip ev
Signature: Approved by:
Date: of Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms\Staff FormslEmployee 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.
363065 Dowell, James Terms
14328 Banister Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/24/10 Reimb. Site celebration supplies 37.65
Mileage 2/1 4/1/10
Total 37.65
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.
363065 Dowell, James Allowed 20
14328 Banister Dr
Noblesville, IN 46060
In Sum of
37.65
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb. 4239039 37.65 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
3 -Jun 2010
Signature
37.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund