158871 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
0 j CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 158871
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 15.00 REFUNDS AWARDS INDE
Carmel CFIVBD t
Parks &Recreation APR 1 5 2008
�1
Expense Reimbursement Request Uny
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
I d '7c3 D e. n v o 12eI' m e_
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: /6
e m
EnTrp4 Name (print)
Address 13 .5 e)'V e r w d U4
Check
payable to: City, St, Zip �thrn e, lKj YL 0 3.1
Signature: yil v(. Approved by:
Date: lor I Li Zdag Date: i—/
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
CEIVED
APR 4 2008
BY:
Carmel Clay Parks and Recreation
1411 East 116` Street
Carmel, IN 46032
I, Alison Brown, acknowledge receipt of $15.00 (fifteen
dollars) cash as a refund for the cancelled April Fool's Day run
that was cancelled by the Carmel Clay Parks Department due to
low enrollment. I also request that my recent refund request for
said event be voided.
Allison Brown
April 4, 2008
Z000 daOH5 AoGa'IDN3 6££L £L5 LTC Ida 69:TT 80 /VO /VO
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.
James L. Engledow
13851 Riverwood Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4108 Reimb. Refund /Alison Brown 15.00
Total 15.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Vouc -her No. Warrant No.
Allowed 20
James L Engledow
13851 Riverwood Way
Carmel, IN 46032 In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1047 Reimb. 4358400 15.00 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
22 -Apr 2008
Sig tur
15.00 Bu sin ss Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund