160892 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
CHECK AMOUNT: $159.25
CARMEL, INDIANA 46032 1847 WELCHWOOD CR, APT 289
INDIANAPOLIS IN 46260 CHECK NUMBER: 160892
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMO UNT D
1046 4239037' 159.25 CLUB ACTIVITY SUPPLIE
I
i
I
Carrne0 a Oay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on recei t Line Budget Description Amount Purpose of Expense
s(3i 1 CC�1 o.r r'Pe_ 6�7 s f CQ
J o 3
f o receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL: I J
L RECEIVED
Employeen Name (print) J to t1 n I l r H c_m yw y)�7s JUN 1 1 2008
Address l C_ky\) C)OC 01 C I
Check tt I BY:
payable to: City, St, Zip 1 Y'lC�
Signature: Approved by:
Date: C.p c� Date: O
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
JUN 0 4 2008
_�73Y:_
Carmel u 033
Parks& Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
T 0
All receipts should be attached in the same order as listed above. 7
No sales tax will be reimbursed. TOTAL: `N) 7BY: l Employees Name (print) �Q v1^ y\� :N\ N Y 1 2008 Address �IV� `�AC Cr 1 Check
payable to: City, St, Zip `I AA a v1 P C A 'S
Signature: Approved by:
Date: L9 Date: 0 LO
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
TA R G ET
EXPECT MORE. PAT LESS:
NORA PLAZA 317 810-0044
06/03/2008 11:31 AM
RECEIPT EXPIRES ON 09/01/08
1111111111111111111111111111111111111
084000979 DAISY MIX T 1.49
084000948 POPPY T 1.49
084000950 WILD FLAX T 0.99
084000318 POPPY CALIF T 2.29
084000527 COSMOS T 2.29
084000460 LAVENDER T 2.29
084000070 ZINNIA T 2.29
253010127 GLAD T 2.79
070021212 COOKIE CUTTE T 3.49
261050801 ARGO FN 1.27
084130010 PIPO MIR GRO T 7.39
SUBTOTAL 28.07
TAX EXEMPT SALE 0.00
TOTAL 28.07
* 28.07
RECEIPT ID# 2- 8155- 1848 0075 1140 -0
VCD# 751 251 -148 TM *3866
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JUN 1 1 2008
BY:
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.
t
Payee
Purchase Order No.
Hammons, Jen
1847 Welchwood Cir 289 Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/08 Reimbursement Club supplies 28.07
6/3/08 Reimbursement Club supplies 132.75
a
Total 160.82
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
Harnmons, Jen
1847 Welchwood Cir 289
Indianapolis, IN 46260 In Sum of
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimbursement 4239037 28.07 1 hereby certify that the attached invoice(s), or
1046 Reimbursement 4239037 6— bill(s) is (are) true and correct and that the
?j materials or services itemized thereon for
which charge is made were ordered and
received except
20 -Jun 2008
T' Lj�' n
Signature
160.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund