190244 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
0 ONE CIVIC SQUARE MEAGAN DECKER
CARMEL, INDIANA 46032 CHECK AMOUNT: $16.98
CHECK NUMBER: 190244
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1061 4239039 REIMS 16.98 GENERAL PROGRAM SUPPL
Carm o Clay
Parks &Recreati
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
O 3110 Jafs IOU -7 qZ3 9a3q ert41 S PtX5 7 rq8 P(nmr, S 0 s
.84 1 to -7 W300S I Ov
All receipts should be attached in the same order as listed above.g
No sales tax will be reimbursed. TOTAL: b e rr'3, 5c� 4r Ctf7
Employee Name (print) S E P 1 0 20 1 0
Address s� p'y QW�/ N
Check ]BY:
payable to: City, St, Zip •6n g q 6 2a
Signature: Approved by:
[y
Date: '"l Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms\Slaff 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.
353382 Decker, Meagan Terms
350 W Fall Creek Pkwy N Dr
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/31110 Reimb Program supplies PT 16.98
Mileage 8/3 813111 0
Total 16.98
I 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.
363382 Decker, Meagan Allowed 20
350 W Fall Creek Pkwy N Dr
Indianapolis, IN 46208.
In Sum of
16.98
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 7 Reimb 4239039 16.98 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
23 -Sep 2010
�tC.1(' u-'N 1
Signature
16.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund