HomeMy WebLinkAbout191718 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364569 Page 1 of 1
11 ONE CIVIC SQUARE JEFFREY KRAMER CHECK AMOUNT: $29.99
i` CARMEL, INDIANA 46032 9269 W SWIMMING HOLE LANE
c+-0 PENDLETON IN 46064 CHECK NUMBER: 191718
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 29.99 SPECIAL PROJECTS
Carmel clay
P arks &Recreation
Employee Expense Reimbursement Request
Date Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount P urpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
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EmployeeName(prnti ���Fr I 6
Address
Check
payable to: City, St, Zip
Signature: Approved by.
Date: 10 Z, Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared %Administrative\Forms\Staff Forms\Employee Exp Reimb Request: sD 20
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BY........................
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.
364569 Kramer, Jeff Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/21/10 Reimb Managers retreat supplies 29.99
Mileage 813/09 7/23/10
Total 29.99
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.
364569 Kramer, Jeff Allowed 20
In Sum of
29.99
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#TFITLE AMOUNT Board Members
Dept
1125 Reimb 4359000 29.99 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
4 -Nov 2010
Signature
29.99 Accounts Payable Coordinator
Cost distribution ledger classification if Titie
claim paid motor vehicle highway fund