156724 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360860 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL MONTGOMERY
CARMEL, INDIANA 46032 14969 WARNER TRAIL CHECK AMOUNT: $12.91
WESTFIELD IN 46074 CHECK NUMBER: 156724
CHECK DATE:_ 212112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1125 4343000 12.91 TRAVEL FEES EXPENSE
Ind
Crystal
Crystal Montgomery
Carmel Clay Parks Recreation
Carmel, IN
C armel o Clay/ FJAN2 2 2008
Parks&Reereation
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receip Fund Department Account Line Account Description Amount Purpose of Expense
c fA z Brews co, !b 11 25 4 +3000. TMa,146 EX
All receipts should be attached in the same order as listed above.
TOTAL jZ
Name (print)
Check Address q( o q
payable to:
City, St, Zip
Signature Date:
Approved by: t a Date:
Revised 3 -2 -07 by Business Services
ACCOUNTSPAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
t whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
b,
Payee
Purchase Order No.
Crystal Montgomery Terms
14969 Warner Trail Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/08 reimb. Travel reimbursement 12.91
Total 12.91
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.
Crystal Montgomery Allowed 20
14969 Warner Trail
Westfield, IN 46074
in Sum of
12.91
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125 reimb. 4343000 12.91 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
12 -Feb 2008
ign u
12.91 Business ices Ma nager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund