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Home My WebLink About196512 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1 ONE CIVIC SQUARE NIKEESHA PITTMAN CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $90.17 INDIANAPOLIS IN 46208 CHECK NUMBER: 196512 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBE INVOIC N UMBER AMOUNT DESCRIPTION 1081 4239039 REIMB 35.97 GENERAL PROGRAM SUPPL 1081 4343000 REIMB 54.20 TRAVEL FEES EXPENSE Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 3/17/2011 Wal -Mart 1081 -11 4239039 Bean Bag Chairs $30.00 Program Supplies All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $30.00 Employee Name (print) Nikeesha Pittman SAP, Address 2713 Highland Place Check BY: payable to: City, St, Zip I diana olis, IN 46208 Signature: i Approved by: Date: 3/18/2011 Date: �i�[ Business Services Division, Revised 7 -7 -08 FILE: SharedlAdministrative \Forms\staff FormslEmployee Exp Reimb Request Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 3/18/2011 Jo -Ann Fabric and Craft Store 1081 -11 4239039 Metallic Colored Pencils $1.99 Program Supplies 3/18/2011 Jo -Ann Fabric and Craft Store 1081 -1j: 4239039 Metallic Colored Pencils $1.99 Program Supplies 3/18/2011 Jo -Ann Fabric and Craft Store 1081 -11 4239039 Metallic Colored Pencils $1.99 Program Supplies All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $5.97 Employee Name (print) Nikeesha Pittman t Address 2713 Highland Place MAR .2 3 2011 Check BY payable to: City, St, Zip ln 4anapolis, IN 46208 Signature: Approved by: UV Date: 3/22/2011 Date: V 22 Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Stafr FormslEmployee Exp Reimb Request PRESCRIBED BY STATE BOARD OF ACCOUNTS GENEBAI. FORM NO. 101 (1995) MILEAGE r0M "RAVEL p E DI EM 0 r 4 (GOVERNMENTAL UNI11 ON ACCOUNT OF APPROPNATION NO_ FOR C Pk9*AS1 is q -Cgz R17N (OFFICE. BOARD" DEPARTMErrr OR INSTRUnON) SPEE�OM£TEA AUTO unp AGE DATE FROM TO I READING NATURE OF BUSINESS M n- r It POINT POINT START FINISH TRAVELED PER MITE s u 53 CA i;; I I rs 5 NAuAN a i t p I L' R 5•Ey G. 3 a 5 v y" sue. r f b -7 All 2. i '1`�1� •vV t7 1 3 1 tS 1, 4 !G �O Ir 1 2A M N I L tN y lJl.f�Jli�t��T 41i� txU -t gpet. r -"mzo. 7 C614 f Y M tv�i 7 f, v FIN 2 017 #�12iN1 7" z _7 A WZU V1 11 AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map Pursuant to the provisions and penalties of Chapter 155, Acts 1993, I hereby certify that the foregoing account is just and correct, that the amount clai as egall d i s, after allowing all just credits and that rA rt of the s me has been paid. Date a f� APR ®52O11 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. 359461 Pittman, Nikeesha Terms 2713 Highland Place Date Due Indianapolis, IN 46208 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3117111 Reimb Pro ram supplies 30.00 3/18/11 Reimb Program su plies 5.97 3131/11 Reimb Mileage 3/1 3131111 54.20 Total 90.17 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. 359461 Pittman, Nikeesha Allowed 20 2713 Highland Place Indianapolis, IN 46208 In Sum of 90.17 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -11 Reimb 4239039 30.00 1 hereby certify that the attached invoice(s), or 1081 -11 Reimb 4239039 5.97 bill(s) is (are) true and correct and that the 1081 -11 Reimb 4343000 54.20 materials or services itemized thereon for which charge is made were ordered and received except 7 -Apr 2011 Signature 90.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 7 S