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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 �E► I�e�� l��e io�z -s ��3q�� e a �r Co s�� s� (r -o�� ►��aj 01c nt 1 Z 5 V xi l �S e Axe L AI I I NZ 14z3q63q Su !i L4 Z ("Q (-I S C,� Su sup 4 r u+n� g�2cu eta �C�Z S y2 �3� G�t°r�crcl �r Sc, 1 ul `J Zdll No AaYNOA 63 5 6c Pr 6q 7 6_ u�6 2W VMbg7 639 �Y 5u Sic:-, Su i CS- f nK Y 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 d� Insect Lore AZ S6 0� swmtr pqra-mScAPP q23qO3qboi ORDER NUMBER P0546552 05/16/11 OTY ITEM DESCRIPTION S AMOUNT wwwwwwwwwwwwwww, wwwwxwwwwwwwwwwwwwwwwww>•, e* wwkwww* wwwwwwwwwwwwwwwwwwwwwww ,rwww r•kw,t *w *,r,tw *,ti: 2 123 Live School Kit Larval Refill 81.68 wwwwwwwww Net Product: 81.68 P H: 14.99 wwwwww,f *w 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 05 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