157408 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 357804 Page 1 of 1
ONE CIVIC SQUARE COLLEEN BRODERICK
CARMEL, INDIANA 46032 1969 PATTON DRIVE CHECK AMOUNT: $6.30
SPEEDWAY IN 46224 CHECK NUMBER: 157408
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1047 4343000 6.30 TRAVEL FEES EXPENSE
I
I
Carmel ®Clay FB!Y UVED
Parks &Recreation 7 2008
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
47 -3oo q3g3coo T Pas I-
T4 A
Fit
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 6 Zi O
Employee Name (print)
Address o5�; 9 P Ttp,•J �2
Check
payable to: City, St, Zip S y �0 22
Signature: Approved by:
Date: Z /17�� Date: a
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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.
Colleen Broderick
1969 Patton Dr, Date Due
Speedway, IN 46224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2!5108 reimb. parking for intern fair 6.30
Total 6.30
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
Colleen Broderick
1969 Patton Dr.
Speedway, IN 46224 In Sum of
6.30
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 reimb. 4343000 6.30 1 hereby certify that the attached invoice(s), or
bill is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Mar 2008
40�
Y
nat e
6.30 Business S /es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund