163229 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
e ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $54.90
CARMEL. INDIANA 46032 1847 WELCHWOOD CR, APT 289
INDIANAPOLIS IN 46260 CHECK NUMBER: 163229
CHECK DATE: 9/3/2008
DEPAR AC COUNT PO NUMBER I NVOICE NUMBER AM DESCRIPTION
1046 4239037 54.90 CLUB ACTIVITY SUPPLIE
t
II
f
Carmel s Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of
Receipt Vendo listed on rec eipt Fund Department Account Line Account Description Amount Purpose of Expense
s�r�nmer
.0 alm toq(p l aycj� q 2-310S4 ZS At 5 y -1 O C���lora�c�or1
All receipts should be attached in the same order as listed above.
TOTAL �J
Name (print) �p.(1 �'�G`1(�(\1rF'Y'1G"1ns REC TED
Check Address c�ea C' f AUG 7 2008
s
payable to: BY:
City, St, Zip Y1() C �C'P(AT' S �9 0� �9
I
Signature Date: LI Q
Approved by: Date:
Revised 3 -2 -07 by Busine s Services
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 Jennifer Hammons Terms
1847 Welchwood Cir 289 Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/4/08 Reimb. Supplies 54.90
Total 54.90
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
i
Voucher No. Warrant No.
35 Jennifer Hammons Allowed 20
1847 Welchwood Cir 289
Indianapolis, IN 46260 .&jAu
C:K. In Sum of
54.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239037 54.90 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
18 -Aug 2008
Signature
54.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund