HomeMy WebLinkAbout195876 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 365196 Page 1 of 1
ONE CIVIC SQUARE DAVID CONNORS
s CHECK AMOUNT: $10.27
CARMEL, INDIANA 46032
CHECK NUMBER: 195876
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 10.27 GENERAL PROGRAM SUPPL
Carmel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
3/2/2011 Kroger 1081 -11 4239039 Cookies, Limes, Foam Cups $10.27 Site Celebration
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $10.27
Employee Name (print) David Connors MAR 0 7 201'
Address 11 L y,,5 "r{ WR S-E
Check BY:
payable to: City, St, Zip Carmel, IN 46033
Signature: CN"� t, n"" Approved by:
Date: 313/2011 3/3/2011 Date: 3" O
Business Services Division, Revised 7 -7 -08
FILE: SharedWdministrative \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.
Connors, David Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
312/11 Reimb Site celebration supplies 10.27
Total 10.27
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.
Connors, David Allowed 20
In Sum of
10.27
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. AkCCT WTITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4239039 10.27 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
1 received except
24 -Mar 2011
6/917
Signature
10.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund