164175 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361703 Page 1 of 1
ONE CIVIC SQUARE SARAH CARLING
s`�1a CARMEL, INDIANA 46032 481 ARBOR DRIVE CHECK AMOUNT: $269.12
CARMEL IN 46032 CHECK NUMBER: 164175
CHECK DATE: 9/30/2008
DEPARTM ACCO PO NUM INVOICE NUMB AMOUNT D ESCRIPTION
1047 4239039 269.12 GENERAL PROGRAM SUPPL
Germs[ a clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
rare f
6o en
10 ID
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: tB
t E mplo Name (print) P 1 7 008$ Address Check
payable to: City, St, Zip �Za
Signature Approved by: I t 1 n4(f
Date: Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative \Forms\Staff Forms \Employee Exp Reimb Request
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,
361703 Carling, Sarah Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9!4!08 Reimb. Wii for classes /special events 269.12
Total 269.12
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
Carling, Sarah Allowed 20
In Sum of
r
269.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#Fr]TLE AMOUNT Board Members
Dept
1047 Reimb. 4239039 269.12 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
17 -Sep 2008
Signature
269.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund