157087 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
Lf ONE CIVIC SQUARE JENNIFER HAMMONS
CARMEL, INDIANA 46032 1847 WELCHWOOD CR APT 289 CHECK AMOUNT: $67.03
a INDIANAPOLIS IN 46260
CHECK NUMBER: 157087
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
1046 4239035 17.00 ART &CRAFT SUPPLIES
1046 4239037 50.03 CLUB ACTIVITY SUPPLIE
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CaF el clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Z `11 0 L"- GC- rY1cr�A (O L ICD LI Z3°(03q
f ll receipts should be attached in the same order as listed above.
o sales tax will be reimbursed. TOTAL:
Employeen Name (print) c-yYNry
Address C' p
Check
payable to: City, St, Zip `�C1C�� Qd�i s E l PJ (o O
Signature: Approved by:
C
Date: g Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
Carm Clad
Barks &R FEB 1 t 2008
Employee Expense Reimbursement Request BY:
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1
ct 1 O'z Pe— L (o zsgo
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: T
Employeen Name (print) I�mY)
Address 44 We �c,� ��00 C 6 g I
Check 1�
payable to: City, St, Zip \f \6 t w\a �J O i S 1 `t a (D o
i
Signature: Approved by:
Date: c� �L Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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.
Jennifer Hammons Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/08 Reimb Request ESE supplies 17.00
2/11/08 Reimb Request ESE supplies 50.03
Total 67.03
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Jennifer Hammons Allowed 20
In Sum of
67.03
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4239035 17.00 1 hereby certify that the attached invoice(s), or
1046 Reimb Req 4239037 50.03 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
29-Feb 2008
Signature
67.03 4&sigMt Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund