HomeMy WebLinkAbout195335 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 360484 Page 1 of 1
1 0� ONE CIVIC SQUARE AMY BALDAUF CHECK AMOUNT: $15.98
CARMEL, INDIANA 46032 126 LARK DR
APT CHECK NUMBER: 195335
CARMEL IN 46032
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 15.98 GENERAL PROGRAM SUPPL
Carrel 0 Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: I
Employee Name (print)
Address 1)
Check
payable to: City, St, Zip
Signature: Approved by:
Date: J 1 Date: t
Business Services Division, Revised 7 -7 -08
FILE: SharedrAd minis trative Form s\Staff FormslEmpfoyee Exp Reimb Request M A R 0 3 201
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,
360484 Baldauf, Amy Terms
126 Lark Dr., Apt. D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2128111 Reimb Site celebration supplies 15.98
Mileage 1211109 4/27/10
Total 15.98
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
360484 Baldauf, Amy Allowed 20
126 Lark Dr., Apt. D
Carmel, IN 46032
In Sum of
15.98
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -8 reimb. 4239039 15.98 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
10 -Mar 2011
Signature
15.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund