HomeMy WebLinkAbout191178 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON
CARMEL, INDIANA 46032 507 CORNWALL CT CHECK AMOUNT: $51.98
CARMEL IN 46032
CHECK NUMBER: 191178
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 REYMB 51.98 GENERAL PROGRAM SUPPL
Car Mel 0 Clair
Parks &Recreation
Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1015/2010 Office Depot 1096 -50 4239039 Gen program supplies $51.98 Class materials
All receipts should be attached in the same order as listed above.
I o sales tax will be reimbursed. TOTAL: $51.98
oard Member Name (print) Sue Dillon
Address 507 Cornwall Court
Check
payable to: City, St, zip Carmel, IN 46032
Signature: zy Approved by:
6 IJ
Date: 10/13/2010 Date:
Business Services Division, Revised 7 -7 -08 !1 57
FILE: Shared\Administrative\Forms \Staff Forms\Employee Exp Reimb Request i 1141
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bilk to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354361 Dillon, Susannah Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1015110 Reimb ;Program supplies 51.98
Total 51.98
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of$
51.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 Reimb 4239039 51.98 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
21 -Oct 2010
Signature
51.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund