156510 02/21/2008 =yew CITY OF CARMEL, INDIANA VENDOR: 360849 Page 1 of 1
Q� ONE CIVIC SQUARE AUTUMN BRAGG
CARMEL, INDIANA 46032 8101 S. WALNUT STREET CHECK AMOUNT: $13.18
o DALEVILLE IN 47334 CHECK NUMBER: 156510
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 13.18 TRAVEL FEES EXPENSE
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Carmel o Day JAN
Parks &Re�cr-eation 2 2 Zoos
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt F und Department Account Line Account Description Amount Purpose of Expense
lAy /off Ica t� CT bl 1125 �o.�' S.l- /3,
All receipts should be attached in the same order as listed above.
TOTAL
Name (print) t�i L(�i tirYU1 aP Q
Check Address
payable to:
City, St, Zip Zvi l 12, _:w
7�
Signature A t �r� 4�,� Date:
Approved by: Date:
Revised 3 -2 -07 by Business Services
d o t lYw/
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.
n
Payee
Purchase Order No.
Autumn Bragg Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/08 reimb. Travel reimbursement 13.18
Total 13.18
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
i
Vouc her No. Warrant No.
Autumn Bragg Allowed 20
In Sum of
13.18
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb. 4343000 13.18 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
29 -Jan 2008
Signature
13.18 Business Service anager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund