HomeMy WebLinkAbout197767 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 361238 Page 1 of 1
ONE CIVIC SQUARE ERIN PADILLA CHECK AMOUNT: $29.96
CARMEL, INDIANA 46032 1832 W 72ND PLACE
INDIANAPOLIS IN 46260 CHECK NUMBER: 197767
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 29.96 GENERAL PROGRAM SUPPL
Carmelo Clay
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
a� p u
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print)
agtq�
Address r
Check
payable to: City, St, Zip
Signature: I Approved by:
R f
Date: Date: 4
7 jr
Business Services Division. Revised 7 -7
FILE: Shared \AdministrativelFormsistaH FormMEmployee Exp Reimb Request
MA io n
Dy
y
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.
361238 Padilla, Erin Terms
10404 Orchard Park Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4121111 Reimb club supplies 29.96
Total 29.96
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- 1D -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No,
361238 Padilla, Erin Allowed 20
10404 Orchard Park Dr
Indianapolis, IN 46280
In Sum of
29.96
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1081 -6 Reimb 4239039 29.96 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
29.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund