156610 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360880 Page 1 of 1
o ONE CIVIC SQUARE SHAWN HART
CARMEL, INDIANA 46032 17274 PUNTLEDGE DRIVE CHECK AMOUNT: $6.35
NOBLESVILLE IN 46062 CHECK NUMBER: 156610
CHECK DATE: 2/21/2008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DE
1125 4343000 6.35 TRAVEL FEES EXPENSE
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I
Clay JAN 2 2 2008
Parks Recreation �z
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
I Gn c d A 1 0
All receipts should be attached in the same order as listed above.
TOTAL G -3
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Name (print)
Check Address
payable to:
City, St, Zip v Lj
Signature Date:
Approved by: Date: 06'
Revised 3 -2 -07 by Business Services
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lez?-y d' C4"'k-
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.
Shawn Hart Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/08 reimb. Travel reimbursement 6.35
Total 6.35 i
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance j
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
Shawn Hart Allowed 20
In Sum of
6.35
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb. 4343000 6.35 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
29 -Jan 2008
Signature
6.35 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1