HomeMy WebLinkAbout160824 06/25/2008 I
CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
ONE CIVIC SQUARE TIFFANY DETERS CHECK AMOUNT: $94.57
CARMEL, INDIANA 46032 6264 N CENTRAL
oN INDIANAPOLIS IN 46220 CHECK NUMBER: 160824
CHECK DATE: 6/2512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
1046 4239035 94.57 ART CRAFT SUPPLIES
carmen C) Day
Parks& Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
ft' 10H Ady. m A(t
LP/ 0 1 Lowe S p 10 `-1 LIP VuQqj>
J
JUN
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) De A
Address 5`1,30 Ante
Check
payable to: City, St, Zip r�dVctiAa 6 UQ c4 u _S_
Signature: Approved by:
Date: Q/ I d f Date:
Business Services Division. Revised 3 -2 -07
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.
Deters, Tiffany
5130 Primrose Ave Date Due
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/08 reimbursement General supplies 94.57
Total 94.57
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
Deters, Tiffany
5130 Primrose Ave
Indianapolis, IN 46205 In Sum of
94.57
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimbursement 4239035 94.57 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
20 -Jun 2008
k4�, ,bcCNo=
r
Signature
94.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund