188353 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
CHECK AMOUNT: $11.90
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE
INDIANAPOLIS IN 46220 CHECK NUMBER: 188353
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 11.90 GENERAL PROGRAM SUPPL
Carmel Clair
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpo of Expens
7 11 VV h l �S !'yC2 l c.cC}U 1 b Z 8 4zS9C)a' q �vb \'�e� �rG Cl
All receipts should be attached in the same order as listed above. I C
No sales tax will be reimbursed. TOTAL: 1
Employee Name (print) Ve G mm,_7S tt>, JUL 1 2� O
Address l5t 4 1CN'�� V i �l,J
Check
payable to: City, St, Zip 1(1C�0. ►V ?4 �a
t
Signature. Approved by:
Date: I Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative \FormslStaft Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/19110 Reimb. Alt. Minds supplies 11.90
Total 11.90
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
358411 Nammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
11.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -8 Reimb. 4239039 11.90 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
29 -Jul 2010
yLbkmn? y
Signature
11.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund