164575 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 361411 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL ALLEN
CHECK AMOUNT: $44.19
CARMEL, INDIANA 46032 2411 CUMBERLAN STREET
P O BOX 468 CHECK NUMBER: 164575
DUBLIN IN 47335
CHECK DATE: 10116/2008
DEPARTMEN ACC OUNT PO N UMBER IN VO I CE NUMBER AMOUNT DESCRIPTION,
1047 4239039 J 44.19 GENERAL PROGRAM SUPPL
I
F
Carmel 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
9/7/2008 Wal -Mart 47.360.30C 4239039 Youth Program/Class Sup. $44.19 Construction zone and bingo
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $44.19
Employee Name (print) Crystal Allen
R
Address P.O. Box 468
Check
payable to: City, St, Zip Dublin, IN 47335
Signature: (U" Approved by:
Date: 9/10/2008 Date:
�CEIV�D
Business Services Division, Revised 7 -7 -08 SEP 2 2008
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
BY:
vw
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.
361411 Allen, Crystal Date Due
P.O. Box 468
Dublin, IN 47335
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/08 Reimb. Walmart Yourth Program supplies 44.19
Total 44.19
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.
Allowed 20
361411 Allen, Crystal
P.O. Box 468
Dublin, IN 47335 In Sum of
44.19
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4239039 44.19 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
1 -Oct 2008
Signature
44.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund