188478 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
0 ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $95.28
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 188478
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 26.92 GENERAL PROGRAM SUPPL
1082 4343000 28.36 TRAVEL FEES EXPENSE
1082 4343007 40.00 FIELD TRIPS
e-RPSCRISED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NG- 101 (1 6)
MILEAGE CLAIM L Fta-P- blSbA �D�2 3 J 4 3g
TD
tOOVEANHENTAL UNITI
CL- V ON ACCOUNT OF APPROPRIATION ND- FOR —��C EStP� r i�M
i10E
(Of, HOARD, DEPARTME]f1' IHSTTfUngN)
SPEEDOMETER
DATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MRES O• t
2 POINT POINT START FINISH TRAVELED
PER MILE
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AUTO LICENSE NO. TOTALS
t SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount clai eg du after alio just credits.-
and that no art of the same has been paid.
Date 0
JUL 5 1010
BY:
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description A Amount Purpose of Expense
6/14/2010 Marsh 1082 -3 4239039 Candle Air Freshner `jj� 1 General Supplies
6/3/2010 Marsh 1082 -3 4239039 Food Supplies $5.00 General Supplies
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $1 .51 V 1.
Employee Name (print) Nikeesha Pittma
Address 2713 Highland Place
Check BY:..
payable to: City, St, Zip Indianapolis, IN 46208
Signatu Approved by:
Date: 7/9/2010 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \AdministrativelFormslstaff Forms\Employee Exp Reimb Request
Carmel o Clay
Parks& Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
7/15/2010 McCormick's Creek State Park 1082 -3 4343007 Bus Entry Fee $40.00 Field Trip
7/17/2010 Walmart 1082 -3 4239039 Fishing Supplies $15.84 General Supplies
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $55.4
b�
Employee Name (print) Nikeesha Pittman J U L 2 1 201
U
Address 271_3 Highland Place
CheckBY:
payable to: City, St, Zip Indianapolis, IN 46208
Signature: Approved by. Lam'
Date: 7/19/2010 Date: ��0 0
Business Services Division, Revised 7 -7 -08
FILE: SlharedlAdministrative%Forms `Staff Forms\Empioyee 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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6130110 Reimb Mileage 611 6125/10 28.36
6/14/10 Reimb General supplies 11.51
7115/10 Reimb McCormicks Creek State Pk 40.00
7/17/10 Reimb Walmart 15.84
Total 95.71
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,
359461 Pittman, Nikeesha Allowed 20.
2713 Highland Place
Indianapolis, IN 46208
In Sum of
95.71
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -3 reimb. 4343000 28.36 1 hereby certify that the attached invoice(s), or
1082 -3 reimb. 4239039 14VO bill(s) is (are) true and correct and that the
1082 -3 reimb. 4343007 40.00 materials or services itemized thereon for
1082 -3 reimb. 4239039 15.84 which charge is made were ordered and
received except
29 -Jul 2010
Signature
95.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund