188446 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360861 Page 1 of 1
ONE CIVIC SQUARE TERRY MYERS CHECK AMOUNT: $20.97
CARMEL, INDIANA 46032 C/O PARKS DEPT
CHECK NUMBER: 188446
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 20.97 MISCELLANEOUS SUPPLIE
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Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
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11 zS y237 `1 7
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All receipts should be attached in the same order as listed above.
TOTAL I s 2-0- 1 4r
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Name (print)
Check Address 1 1 1 h k ✓i E a) Dr
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payable to:
City, St, Zip 11 v 76W2,
Signature Date:
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Approved by: Date:
Revised 3 -2 -07 by Business Services`i
V JUL 1 2 2010 d
BY j.
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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.
360861 Myers, Terry Terms
113 Parkview Dr Date Due
Danville, IN 46122
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
717!10 Reimb. Lowe's 20.97
Total 20.97
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.
360861 Myers, Terry Allowed 20
113 Parkview Dr
Danville, IN 46122
In Sum of
20.97
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1125 Reimb. 4239000 20.97 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
Signature
20.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund