HomeMy WebLinkAbout187931 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362444 Page 1 of 1
zl ONE CIVIC SQUARE MATT LEBER CHECK AMOUNT: $16.62
CARMEL, INDIANA 46032 768 EAST 93RD DR. APT A
INDIANAPOLIS IN 46240 CHECK NUMBER: 187931
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 REIMB 16.62 GENERAL PROGRAM SUPPL
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
6/1/2010 White's Ace Hardware 1096 -50 4239039 Program Supplies $17.78 Tarp Straps for Sand Vball
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $17.78
Employee Name (print) Matthew Leber UN 2 3 2010
Address 11824 Garden Circle West
Check BY:
payable to: City, St, Zip Fis IN 46038
Signature: /O/I� Approved by:
Date: 6/16/2010 Date: (yp d
Business Services Division, Revised 7 -7 -08
FILE: SharedWdministrative\Formslstaff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
`iCITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
362444 Leber, Matt Terms
11824 Garden Circle West
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
611110 Reimb. Tarp straps for Sand V Ball 17.78
Total 17.78
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
Voucher No. Warrant No.
362444 Leber, Matt Allowed 20
11824 Garden Circle West
Fishers, IN 46038
In Sum of$
47 5
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 Reimb. 4239039 1-$ I 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
15 Jul 2010
Signature
17.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund