HomeMy WebLinkAbout200067 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $69.97
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 200067
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 REIMB 9.97 GENERAL PROGRAM SUPPL
1082 4343007 REIMB 60.00 FIELD TRIPS
Carmel o Clay
Pa rks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
6/30/2011 TURKEY RUN 82 -3 4343007 Field Trip 60.00 Enrty Fees
6/30/2011 KROGER 82 3 4239039 Supplies 9.97 FOOD
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $69.97
Employee Name (print) Nikeesha Pittman
l JHU L 2011
Address 2713 Highland Place
Check
payable to: City, St, Zip ndiana olis, IN 46208
Signature: Approved by:
Date: 7/13/2011 Date:
Business Services Division, Revised 7 -7 -08
F[LE: Shared \AdministrativelForms\Staff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show;kindrnbeeofl performed,
price perunitdedates service rendered, by
who m, rates per day, number of hours rate per hour
Payee Purchase Order No.
Terms
359461 Pittman, Nikeesha Date Due
2713 Highland Place
Indianapolis, IN 46208
Invoice Description PO
Number Amount
Invoice (or note attached invoice(s) or bill(s))
Date 60.00
6130111 Reimb Turkey run field tri 9.97
6130111 Reimb su lies
mileage 311 3131111
Total 69.97
1 hereby certify that the attached invoice(s), or bili(s) is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
69.97
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -3 Reimb 4343007 60.00 1 hereby certify that the attached invoice(s), or
1082 -3 Reimb 4239039 9.97 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
26 -Jul 2011
Signature
69.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i