HomeMy WebLinkAbout164742 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
y �o CARMEL, INDIANA 46032 10868 GUNNISON CT CHECK AMOUNT: $98.75
FISHERS IN 46038
CHECK NUMBER: 164742
CHECK DATE: 10116/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 73.75 CLUB ACTIVITY SUPPLIE'
125 4351000 25.00 AUTO REPAIR MAINTEN
6.
Carmel U Clay
Parks
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
l 2 3 E' Z lS 2 S I S o� T� C t i Y CY
G corn G
All receipts should be attached in the same order as listed above. -o
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) J -e_ n h i r f c- YY\"
Address C��S u Sc,^ C SEP 2 5 2008
Check 1
payable to: City, St, Zip �i S �5 J v d JX BX%
Signature: Approved by:
Date: 2-.3 1 �j Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Yeazei Tire Shop
Hwy. 14 West 70
1297 W. 18th Street
Rochester, IN 46975
223 -4773
i
Customer
Address
City State
TERMS: NET 15 DAYS, 1 1/2% per month after 30 days. 18% annually
DATE ITEM DESCRIPTION JOB NO. AMOUNT
7
A l
OIL FILTER LURE
Tire Recycle
Ind. Sur.
�I RE- TORQUE LUG NUTS TOTAL SALES
f�! AFTER 75 -100 MILES TOTAL LABO 1,
f &V TAX
IZ OA Q CASH CHECK NOj TOTAL rl�
carmen QD 0ay
Parks& Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Pur ose of Expense
t 2 sr�-�� it c�ob S i
V
3 P� �t'S�1 �U L 4 2 3 9 03 S L� c cst c�� sr� i,,; rJ J stl si
PO
C TVD
OOT 0 7 2008
BY:
r ll receipts should be attached in the same order as listed above.
o sales tax will be reimbursed. TOTAL: ifl-S J
Fc,29AJ:4,01 01 L 0 00
Employeen Name (print) 2�t'�� o.rn rY���r.S
2
A ddress x(11 UY\ t��5��v� C4
Check
payable to: City, St, Zip 4u
1
Signature: Approved by:
I c
Date: O l (,t Date: (d b 0 0
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.
358411 Hammons, Jennifer Terms
10868 Gunnisan Ct Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
Amount
9/24/08 Reimb. Veqzel's Tire Shop/ repair flat tire on company van
25.00
10/6108 Reimb. Club supplies
73.75
Total 98.75
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.
358411 Hammons, Jennifer Allowed 20
10868 Gunnisan Ct
Fishers, IN 46038
In Sum of
98.75
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb. 4351000 25.00 1 hereby certify that the attached invoice(s), or
1046 Reimb. 4239037 73.75 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
1 -Oct 2008
Signature
98.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund