HomeMy WebLinkAbout194162 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 358991 Page 1 of 1
0 ONE CIVIC SQUARE GEORGIANNA EDWARDS
CARMEL, INDIANA 46032 1830 E 67TH STREET CHECK AMOUNT: $4.88
INDIANAPOLIS M 46220 CHECK NUMBER: 194162
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 4.88 OFFICE SUPPLIES
Carrel 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
Z 7 lb cQ S SAS l 1� ro11 S
All receipts should be attached in the same order as listed above. pp
No sales tax will be reimbursed. TOTAL: r 14 O
Employee Name (print) r r—. dbo ct, rdS
Address )U I 2011
Check
payable to: City, St, Zip r KS Z Qj
Signature: Approved by: —e n
Date: Date:
Business Services Division, Revised 7 -7 -08
FILE: Share&Administrativel Form slStaff Forms\Emplcyee 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.
358991 Edwards, Georgianna Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1!7111 Reimb. Office supplies 4
Total 4.88
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.
358991 Edwards, Georgianna Allowed 20
In Sum of
4.88
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO ACCT #/TITLE AMOUNT Board Members
Dept
1081 -9 Reimb. 4230200 4.88 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
27 -Jan 2011
Signature
I 4.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund