HomeMy WebLinkAbout201009 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 365640 Page 1 of 1
ONE CIVIC SQUARE MONIQUE SMITH CHECK AMOUNT: $22.24
CARMEL, INDIANA 46032 770 INDIANA TRAIL, APT A
CARMEL IN 46032 CHECK NUMBER: 201009
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 REIMB 22.24 GENERAL PROGRAM SUPPL
Carmel e Clay
C Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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09 I ���Z g23�iO3r' t-� P�r� M 2 Su ASS v,
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 2 Z 2
Employeen Name (print) OVl i G VY\
Address 7 U 'In� 1 C� V� (VOtt S�
Check
payable to: City, St, Zip Cr VYl y/\j L4 (p C"S'L
Signature: 00 Approved by:
Date: P)I/ I Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Smith, Monique Terms
770 Indian Trail Apt A
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/22/11 Reimb Supplies 22.24
Total 22.24
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Smith, Monique Allowed 20
770 Indian Trail Apt A
Carmel, IN 46032
In Sum of$
22.24
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 Reimb 4239039 22.24 l 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
23 -Aug 2011
Signature
22.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund