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196301 04/13/2011
CITY OF CARMEL, INDIANA VENDOR: 362493 Page 1 of 1 ONE CIVIC SQUARE MICHELLE COMPTON i CHECK AMOUNT: $16.00 CARMEL, INDIANA 46032 17208 MEGGS ST NOBLESVILLE IN 46062 CHECK NUMBER: 196301 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239001 16.00 LINENS BLANKETS e Parks& Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line #E Budget Description Amount Purpose of Expense (0C1 q �5 oQr T All receipts should be attached in the same order as listed above. IG, ©O I No sales tax will be reimbursed. TOTAL: X9-89 Employee Name (print) i CVI Q� P CID M 0 r) Address I Z b 8 lylf g 4S. Check payable to: City St Zip S j �-�Q C) Signature: Approved by: Date: Date: 3 1-40 t II Susiness Services Division, Revised 7 -7 -08 =li_ ShareclAdmiaist ativelrorr }s1St2i` ForimstEmployee Exa Reimo 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. 362493 Compton, Michelle Terms 17208 Meggs St Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3117111 Reimb Dry cleaning table cloth 16.00 Total 16.00 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. 362493 Compton, Michelle Allowed 20 17208 Meggs St Noblesville, IN 46062 In Sum of 16.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members Dept 1095 -3 Reimb 4239001 16.00 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 7 -Apr 2011 Signature 16.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund