HomeMy WebLinkAbout198615 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 360464 Page 1 of 1
c• ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $140.00
CARMEL, INDIANA 46032 mwMAIN ST APT 2C
CARMEL IN 46032 CHECK NUMBER: 198615
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4358300 REIMB 140.00 OTHER FEES LICENSES
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
51p I ck 1 125' -1 `f 3S �3v90 14o. O n Si vks C }fir
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed.. TOTAL: yo. oo
Employee Name (print) Ll y Ao t qa j L
Address M w m6Ln Jt t Avk
Check
payable to: City, St, Zip
C (A ft teIf 1 N L4 na
Signature: 7.._ Jam Approved by:
Date: �o I1` t T•,7yy Date: i I
Business Services Division, Revised 7 -7 -08 em
FILE Shared\Administrahve \Forms \Staff Forms \Employee Exp Reimb Request C i�I f r I� V 1 I ['N �r1 1 201 I L I L I L I I III f all
1
BY:
Sock P!_•atography: Search Royalty Free Itnages R Photos I iStockphoto.com http: /www.istockphoto coral store _order_receipl_view.php ?ID= 1413...
i5tockphoto LP Suite 200- 1240 20th Ave SE
Calgary, Alberta T2G SMS
Purchase Receipt Canada
Tel: 403.265.3062
UStID: EUS26013185
Billing Information: Payment Information: Order Information:
Name Lindsay Labas Type: Member llabas
name:
Address: 111 W Main Amount $140.00 USD
Transaction May 27, 2011
Street Apt. Name on Lindsay H Labas
2C date: 06:51:50
card:
Confirmation 110527- 7792664
Cannel, IN, Last 4 digits:
United no: 166
States Confirmation VDMC213432058 Order id: 14132204
no:
46032
Phone 2193810474
no:
Purchased Items
Items Quantity Item price Total
Pay -as- you -go: 120 Credits 1 $175.00 USD $175.00 USD
Credits Expire: May 27, 2012
Order subtotal $175.00 USD
Discount $35.00 USD
Shipping $0.00 USD
Tax $0.00 USD
Total $140.00 USD
Refund Policy
Pay-as- you -go credits or Top credits You are entitled to a full refund within 14 days of the purchase of vour credit plan provided that you have not used,,, uscrts r"tock does
not provioe a refund on credit plans J you have used an y of the credits
Please print this page for your records
If you have any questions regarding your payment please contact Stockphoto at +403 265 -3062 or toll free 866 478 -6251.
You can also contact us usng one of our Online Forms
I of 2 5/27/2011 8:49 AM
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
360464 Labas, Lindsay Date Due
111 West Main Street, 2C
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
140.00
5127111 Reimb Parks si art
Total 140.00
I hereby ce rtify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No Warrant No.
360464 Labas, Lindsay Allowed 20
111 West Main Street, 2C
Carmel, IN 46032
In Sum of$
140.00
ON ACCOUNT OF APPROPRIATION FOR
101 General 108 ESE 11109 Monon Center
Po# or Board Members
Dept INVOICE NO. ACCT #/TITL AMOUNT
1125 Reimb 4358300 140.00 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
14 -Jun 2011
phDQmn�L
Signature
140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund