157096 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360926 Page 1 of 1
ONE CIVIC SQUARE SHAVONNE HOLTON CHECK AMOUNT: $15.24
a CARMEL, INDIANA 46032 1853 WELCHWOOD CIRCLE #298
INDIANAPOLIS IN 46260 CHECK NUMBER: 157096
CHECK DATE: 31512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1.346 4239037 15.24 CLUB ACTIVITY SUPPLIE.
t
Carm "FrEB1 2008
Parks &Recreation
Employee Expense Reimbursement Request BY: �nD
Date of
Receipt Vendor listed on recei Fund Dep artment Account Line Account Description Amount Purpose of Expense
14 Z 5 Qg P r n
All receipts should be attached in the same order as listed above.
TOTAL
Name (print) f 5V A\JO c) n e k4nVA r
Check Address 1 '653 WP 1ch L&)C')n6
payable to: N
City, St, Zip
Signature Date: h- [S
Approved by: Date:
Revised 3-2 -07 by Bu ss Services
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4; 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.
Shavonne Holton Terms
Date Due
Invoice Invoice Description
D ate Number (or note attached invoice(s) or bill(s)) Amount
2/1/08 reimb. ESE supplies 15.24
Total 15.24
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
Voucher No. Warrant No.
Shavonne Holton Allowed 20
In Sum of
15.24
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1046 reimb. 4239037 15.24 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 -Feb 2008
Signature
15.24 Amaistsiat Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund