187845 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
c,\ *f ONE CIVIC SQUARE JENNIFER HAMMONS
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK AMOUNT: $45.39
INDIANAPOLIS IN 46220
CHECK NUMBER: 187845
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 26.64 GENERAL PROGRAM SUPPL
1082 4343007 18.75 FIELD 'TRIPS
p ppp-
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
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Emplo Name (print) rn Y)01 S JUG 1 8 7010
Address n O hv� e.� A V�
Check
payable to: City, St, Zip AY` 1� S 00 o BY:
Signature. J Approved by:
Date: Date: O
Business Services Division, Revised 7 -7 -08
FILE SharedlAdministrative \Forms \Staff Forms \Employee Exp Reimb Request
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Carmel 0 Clay
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print) ")e G'M'(YlG �1
Address
Check
payable to: City, St, Zip g� U1
Signature: Approved by:
Date: �k n Date:
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Business Services Division, Revised 7 -7 -08 2101 Q
FILE: SharedlAdministrative \Forms\Staff ForrnslEmployee Exp Reimb Request
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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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/16110 Reimb. Pump It up Party field trip 18.75
7!5110 Reimb. Summer supplies 26.64
Total 45.39
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
i
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
45.39
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT' Board Members
Dept
1082 -8 Reimb. 4343007 18.75 1 hereby certify that the attached invoice(s), or
1082 -8 Reimb. 4239039 26.64 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
15 -Jul 2010
Signature
45.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund