HomeMy WebLinkAbout196144 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 364931 Page 1 of 1
b ONE CIVIC SQUARE LINDSAY WILLARD CHECK AMOUNT: $50.00
y CARMEL. INDIANA 46032 7345 BRITTANY WAY
FISHERS IN 46038 CHECK NUMBER: 196144
CHECK DATE: 3!2912011
D EPARTM ENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 50.00 REFUNDS AWARDS INDE
k-'a C a
Par ks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
$50 gift card for winner of MCC
3/15/2011 Runners Forum of Carmel 1096 -22 4358400 Refunds, Rewards Indemnities 50.00 Weight Loss Challenge
r No receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL,: $50.00
q T 7 97 7�
Employee Name (print) Lindsay Willard MAR 2011
Address 7345 Britfany Way
Check
payable to: City, St, Zip Fishers, IN 46038 BY"
Signature: Approved by:
Date: 3/1512011 Date: 3 5/1
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrativelFormslStaff 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.
364931 Willard, Lindsay Terms
7345 Brittany Way
Fishers, IN 46038
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3115111 Reimb gift card for winner of MCC Weight loss challenge 50.00
Total 50.00
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
21J_
Clerk- Treasurer
Voucher No. Warrant No.
364931 Willard, Lindsay Allowed 20
7345 Brittany Way
Fishers, IN 46038
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT */TITLE AMOUNT Board Members
Dept
1096 -22 Reimb 4358400 50.00 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
24 -Mar 2011
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund