198818 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 364931 Page 1 of 1
ONE CIVIC SQUARE LINDSAY WILLARD
CARMEL, INDIANA 46032 CHECK AMOUNT: $28.61
7345 BRITTANY WAY
FISHERS IN 46038 CHECK NUMBER: 198818
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4342100 REIMB 28.61 POSTAGE
Carme
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
5/25/2011 The UPS Store 1091 4342100 Shipped two Fitlinxx
Posta a $28.61 computers back to the
company, as they were no
longer working properly.
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $28.61
Employee Name (print) Lindsay Willard
I'
Check
Address 7345 Brittany Way
�t
payable to: City, St, Zip Fishers, IN 46038 JUN 2011
.W
Signature: Approved b a &:ia
Date: 5/25/2011 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.
364931 Willard, Lindsay Terms
7345 Brittany Way
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5125111 Reimb Postage 28.61
Total 28.61
I 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
Voucher No. Warrant No.
364931 Willard, Lindsay Allowed 20
7345 Brittany Way
Fishers, IN 46038
In Sum of
28.61
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4342100 28.61 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
16 -Jun 2011
Signature
28.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund