HomeMy WebLinkAbout163238 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 360926 Page 1 of 1
0 ONE CIVIC SQUARE SHAVONNE HOLTON CHECK AMOUNT: $60.00
CARMEL INDIANA 46032 8001 CANARY LANE, APT A
INDIANAPOLIS IN 46260 CHECK NUMBER: 163238
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239040 60.00 FOOD BEVERAGES
r
Carmel G Cia-%--
Parks :creation
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
All receipts should be attached in the same order as listed above.
TOTAL OJ
Name (print) a \1nY"1>rle_
Check Address C ��IV��
p ayable to: AUG 1 0 2008 City, St, Zip D
Si gna re Date:
Approved by: L� pate: 3
Revised 3 -2 -07 by Business 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.
Holton, Shavonne Terms
8001 Canary Ln Apt A Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8113/08 Reimb. SOS reception 60.00
Total 60.00
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.
Holton, Shavonne Allowed 20
8001 Canary Ln Apt A
Indianapolis, IN 46260 Oea,5e
rno In Sum of
Gl'NeCK
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1046 Reimb. 4239040 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund