155495 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360472 Page 1 of 1
4 ONE CIVIC SQUARE LYNN RUSSELL
CARMEL, INDIANA 46032 829 DESERT WIND COURT CHECK AMOUNT: $230.00
CARMEL IN 46032 CHECK NUMBER: 155495
CHECK DATE. 1/110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 230.00 SPECIAL PROJECTS
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1
lu
4 3S'1Do a Jam- C) 0
C
1 211 s b So. p cD
Sf
Ork AU6 06ae t b[ (D 6. b0 C (a,
un 610 C'Lb'L5
v D
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: v
30.
Employeen Name (print) Y\C\- JAN 0 200
Address
Check
payable to: City, St, Zip` G�2
Signature: Approved by:
Date: 1� Date: i�� ?-lag
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Lynn Russell Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12119/07 reimb. Gift cards for holiday celebration 230.00
Total 230.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20�
Clerk- Treasurer
Voucher No. Warrant No.
Lynn Russell Allowed 20
In Sum of$
230.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. r4359000 T #/TITLE AMOUNT Board Members
Dept
1125 reimb. 230.00 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
4 -Jan 2008
Si tur
230.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund