HomeMy WebLinkAbout195403 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 358991 Page 1 of 1
0 ONE CIVIC SQUARE GEORGIANNA EDWARDS CHECK AMOUNT: $42.97
CARMEL, INDIANA 46032 1830 E 67TH STREET
INDIANAPOLIS IN 46220 CHECK NUMBER: 195403
CHECK DATE: 311612011
DE PARTMEN T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 42.97 GENERAL PROGRAM SUPPL
Car ek Clay
°arks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account 'q 9
Receipt I Vendor lis on r Line �r Bud /y g et Descri ti Amount P rpose of Expense
an -q 3qO 3 t s
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: c.
s
Employee Name (print) C i R 1
Check Address BY:
payable to: City, St, Zip r
Signature: Approved by:
Date: 3 0 Date: l i
Business Services Division, Revised 7 -7 -08
FILE Shared \Administrative%Forms\Staff FormslEmployee 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
2125111 Reimb. Supplies 42.97
Total 42.97
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.
358991 Edwards, Georgianna Allowed 20
In Sum of
42.97
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -9 Reimb. 4239039 42.97 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
10 -Mar 2011
Signature
42.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund