HomeMy WebLinkAbout197655 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
CARMEL, INDIANA 46032 CHECK AMOUNT: $51.8p
634 NORTHVIEW AVENUE
➢an.���. INDIANAPOLIS IN 46220 CHECK NUMBER: 197655
CHECK DATE: 5126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 REIMB 51.80 GENERAL PROGRAM SUPPL
Carmelo clay
Parks &Recr eatidn
Employee Expense Reimbursement Request
Date of fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
4 23clo3 b Cc�-_ �cc AM%Y�,
All receipts should be attached in the same order as listed above.
IVo sales tax will be reimbursed. TOTAL:
Employee Name (print) �A mmmcyos A Y 201 r
Address f,Q3`� a�+��� v2 BY.
Check n
payable to: City, St, Zip 0(101 C_r'C).
Signature. Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministralive \Forms\Staff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized
rate per rof'units, where
price per unit, etc.
dates service rendered, by
whom, rates per day, number of hours,
Payee Purchase Order No.
Terms
358411 Hammons, Jennifer Date Due
634 Northview Ave
Indianapolis, IN 46220
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
51.80
517/11 Reimb. Coffee for trainin
Mileage 10/25 12/17/10
Total 51.80
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
i
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of
51.80
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 Reimb. 4239039 51.80 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
19 -May 2011
Signature
51.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund