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160737 06/25/2008 I CITY OF CARMEL, INDIANA VENDOR: 361411 Page 1 of 1 0 ONE CIVIC SQUARE CRYSTAL ALLEN CARMEL, INDIANA 46032 2411 CUMBERLAN STREET CHECK AMOUNT: $82.31 DUBLIN IN 47335 CHECK NUMBER: 160737 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 82.31 GENERAL PROGRAM SUPPL R 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 6/9/2028 Target 47 360 300 4239039 Youth Program Supplies $82.31 Tea party supplies l All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $82.31 Employee Name (print) Crystal Allen Address P.O. Box 468 Check payable to: City, St, Zip Dublin, IN 47335 Signature: C��1 J� Ap roved Date: 6/11/2008 Date: Revised 3 -2 -07 by Business Services; Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3 (D Ii MOR FISHERS 317 -895 -4945 -1/09/ 20('8 07:10 PM RECEIPT EXPIRES ON 09/07/08 253050568 DIAMOND T 1.17 086050111 DISNFYTEAPOT 1' 33.87 3 '11.29 225011033 MP TUB CKIES FN 2.69 225011037 MP TUR CKIES FN 2.69 225011039 MP TUB CKIES FN 2.69 225022018 BROWNIE BITE FN 8.99 086002202 PLAY DOH T 3.96 4 @1).99 203130702 CRYSTL LIGHT FN 3.99 203130009 MP ORINK MIX FN 2.99 003060275 JOY T 0.97 059032613 DISNEY T 14.39 261060045 MARKET PANTR FN 1 77 204020912 6 PK BUBBLES T 2.14 SUBTOTAL 82.31 TAX EXEMPT SALE 0.00 TOTAL 82.31 *88 8231 RECEIPT Iit# 2 -8161 -1350- 0074 7432-3 VCD# iti5 -257 84fi TM# *x-.=, *3818 F i r C :1 Z- v i. r) Cj O l•. E' v' yT3ioo 300 yob V �I cum Y awr ticket 1A gift pertectlon. '1'0: From: 11 ill I IIIIIIII 1 Iill lllll11 WiEI this receipt, you can return your 311 f for a GiftCard. Some item, can he returned if opened. RECI=IPT IDES ON 09/07/08 RC 'rlPr ID# 5- 8161 1350 -0074- 7432 -3 CO# 755- 257 --848 TM *3818 Yaw%.; l9in 1 A recea t dated w -thin 90 days is required for ALL returns exchanges. ID may be required. All returns exchanges must be, new, unused and have original packaging and accessories. Some items cannot be returned if opened. For the full return exchange policy, log on toTarget.com or visit any store. For a gift receipt, bring this receipt back to any Target store within 90 days. Ask about receipt look up. EX Save All Receipts. A receippt dated within 90 days is required for ALL returns exchanges. ID may be required. All returns exchanges must be new, unused and have original packaging and accessories. Some items cannot be returned if opened. For the full return exchange policy, log on toTarget.com or visit any store. For a gift receipt, bring this receipt back to any Target store within 90 days. Ask about receipt look up. DO Save All Receipts. A receipt dated within 90 days is required for ALL returns exchanges. I® may be required.. All returns exchanges must be new, unused and have original packaging and accessories. Some. 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 i Purchase Order No. Allen, Crystal P.O. box 468 Date Due Dublin, IN 47335 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6111108 Reimbursement Youth Program Supplies 82.31 Total 82.31 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 Allen, Crystal P.O. box 468 Dublin, IN 47335 In Sum of 82.31 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 Reimbursement 4239039 82.31 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 20 -Jun 2008 Signature 82.31 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund