HomeMy WebLinkAbout200342 08/17/2011 a CITY OF CARMEL, INDIANA VENDOR: 360484 Page 1 of 1
ONE CIVIC SQUARE AMY BALDAUF
CHECK AMOUNT: $610.87
a CARMEL, INDIANA 46032 126 LARK DR
APT D CHECK NUMBER: 200342
CARMEL IN 46032
CHECK DATE: 8117/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 610.87 GENERAL PROGRAM SUPPL
Carmel 9Clay
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 4
Employee Name (print)
Address
Check
payable to: City, St, Zip I
Signature: Approved by:
Date:
i Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared Wdministrative\Forms \Staff FormslEmployee Exp Reimb Request
`i
Insect Lore
May 16, 2011
AMY BALDAUF
126 LARK DRIVE APT.D
CARMEL, IN 46032
Good Morning!
Thank you for your recent order. Please accept this letter as an
itemized receipt.
We look forward to doing business with you in the future. If you
need further information, please feel free to contact our Customer
Service Department at
1- 800 -213 -6124 or email us at customerservice @insecLlore.co {n.
The order will be shipped to:
AMY BALDAUF
THE MONON COMMUNITY CTR
CARMEL CLAY PARKS REC
1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032
Sincerely,
Insect Lore
Customer Service
P05465520100
0261662876 00125L
Sage 1
mail: PO Box 1535 Nafter, (A 93163 -1535 Phone: (661) 146 -6041 800 HVE BUG fax: (661) 146 -0334
email: livebug @insectlore.com internet: www.insectlore.com www.builerflycelebration.com
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ORDER NUMBER P0546552 05/16/11
OTY ITEM DESCRIPTION S AMOUNT
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2 123 Live School Kit Larval Refill 81.68
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Net Product: 81.68
P H: 14.99
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Master Card Total Order:$ 96.6)7
Page 2
mail: PO Box 1535 Shaf (A 93163-1535 phone: (661) 746 -6049 800 LIVE BUG fax: (661) 146 -0334
email: iivebug @infectlore.com internet: www.inrectlore.com www,butterflycelebration.com
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
r etSY"Y 23��3� C� c a
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen €Name(print) A ziLk
Address 1 y
(a e: 2011
Check
payable to: City, St, Zip l v Sl,� IN y C 2-
Signature: 4 4 f")r�- Approved by
Date: 7 d 1 Date:
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.
360484 Baldauf, Amy Terms
126 Lark Dr., Apt. D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/20/11 Reimb Supplies 447.50
7/25/11 Reimb Supplies 163.37
Mileage 12/1/09 4/27/10
Total 610.87
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
360484 Baldauf, Amy Allowed 20
126 Lark Dr., Apt. D
Carmel, IN 46032
In Sum of
610.87
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -5 Reimb 4239039 447.50 1 hereby certify that the attached invoice(s), or
1082 -5 Reimb 4239039 163.37 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
9 -Aug 2011
�&aaal'/a,
Signature
610.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund