163323 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361779 Page 1 of 1
0 ONE CIVIC SQUARE TRANG NGUYEN
CARMEL, INDIANA 46032 14740 DRAYTON DRIVE CHECK AMOUNT: $37.44
NOBLESVILLE IN 46062 CHECK NUMBER: 163323
CHECK DATE: 9/3/2008
D EPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 37.44 PARKS DEPARTMENT REFU
I
r
t
Carmel o Clay
Parks &Recreation CHECK REQUEST
Date: D 6 0
Check payable to
Name: I /T A ti G /Q C7 lA YEN
Address: -17 b P i4 Y'7 A/
City, state, zip /lJQ R 1_ F_ S V _T L L_ E l /V 6 2
j'1hor2e 3> 7 -5(/ v o 1'7
v Mail che ec to payee Return check to requestor
Check Amount 7 T Date Required ('P /Z Z ej o
Check needed for: i/i ll'P,v cJCI I'Yl�
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund /O1(„ Budget Line 455 4
Budget Line Description U'nY S AV�I K�,Y2 DCd'vLV1 tl ES
AUG 1 2, 2008
Requested by (print): S h w neo S h( rina fi BY.
Requested by (signature):
Approved by (signature of Division Manager): 2J'�
on this date 0 0 V p
i
Au�
Ale
r e
G vocz 1 7� Ldu- S M
all
CEIVED
AUG 1 2 2008
BY:
F A ecei t dated with 0 days is
red r ALL returns e5mianges.
0� anal. be rec�aaireed.
All returns exchanges must be
new, unused and have original
packaging and accessories. Some
items cannot be returned if opened.
For the full return exchange
policy, log on to°Target.com
or visit any store.
For a gift receipt, bring this recei
back to any Target store within 90 days.
Ask about receipt look up.
W O
Save AGO Receipts.
A recei t dated within 90 days is
required t ALL returns exchanges.
go may be required.
FXPIV I MCJIO*. PAY LESS:
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wi i ipf HN 09/27/ OH
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99
T It! !11' r 0000' t,l 34.99
1111 CIL 41
NOW11 [Alllpt :57.44
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all
yard
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.
Nguyen, Trang Terms
14740 Drayton Drive Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
8/7/08 Reimb Reimb for lost game at summer camp 37.44
Total 37.44
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.
Nguyen, Trang Allowed 20
14740 Drayton Drive
Noblesville, IN 46062
In Sum of
37.44
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4358400 37.44 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
37.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund