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HomeMy WebLinkAbout201009 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 365640 Page 1 of 1 ONE CIVIC SQUARE MONIQUE SMITH CHECK AMOUNT: $22.24 CARMEL, INDIANA 46032 770 INDIANA TRAIL, APT A CARMEL IN 46032 CHECK NUMBER: 201009 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4239039 REIMB 22.24 GENERAL PROGRAM SUPPL Carmel e Clay C Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense i Z 1 V I OUL k� 4 903 en e,ca P ro lc+rl 5 C cc cr55 vL^ C� v 09 I ���Z g23�iO3r' t-� P�r� M 2 Su ASS v, J 11 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 2 Z 2 Employeen Name (print) OVl i G VY\ Address 7 U 'In� 1 C� V� (VOtt S� Check payable to: City, St, Zip Cr VYl y/\j L4 (p C"S'L Signature: 00 Approved by: Date: P)I/ I Date: Revised 3 -2 -07 by Business Services; Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Smith, Monique Terms 770 Indian Trail Apt A Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/22/11 Reimb Supplies 22.24 Total 22.24 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. Smith, Monique Allowed 20 770 Indian Trail Apt A Carmel, IN 46032 In Sum of$ 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