HomeMy WebLinkAbout199157 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $17.59
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 199157
OM
CHECK DATE: 716/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 17.59 GENERAL PROGRAM SUPPL
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
6/17/2011 MARSH 82 -3 4239039 Food 17.59 Camfire Supplies
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $17.59
Employee Name (print) Nikeesha Pittman s
Address 2713 Highland Place 2011
Check
payable to: City, St, Zip I d'ana olis, IN 46208
Signature: Approved by:
Date: 6/17/2011 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice ::Number nvoice Description
Date (or note attached invoice(s) or bill(s)) PO Amount
6/17/11 Reimb Su lies 17.59
Mileage 3/1 3/31/11
Total 17.59
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
17.59
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -3 Reimb 4239039 17.59 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
28 -Jun 2011
Signature
17.59 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund