192695 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
z`o CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $14.98
drid� INDIANAPOLIS IN 46208 CHECK NUMBER: 192695
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 14.98 GENERAL PROGRAM SUPPL
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
12/3/2010 Half Price Books 1081 -11 4239039 Thesaurus $14.98 General Supplies
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed TOTAL: =$14.98
Employee Name (print) Nikeesha Pittman
Address 2713 Highland Place
Check
payable to: City, St, Zip ,Indianapolis, IN 46208
Signature: Approved by:
Date: 1 2/3/2010 Date: 1
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms\Staff 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.
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
12/3/10 Reimb General supplies 14.98
Mileage 1011 10/29/10
Total 14.98
E 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
k
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
14.98
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4239039 14.98 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
9 -Dec 2010
T
Signature
14.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4