HomeMy WebLinkAbout165379 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 361238 Page 1 of 1
0 ONE CIVIC SQUARE ERIN PADILLA
CARMEL, INDIANA 46032 802 EAST 93RD DRIVE, #C CHECK AMOUNT: $38.96
_ate io? INDIANAPOLIS IN 46240 CHECK NUMBER: 165379
CHECK DATE: 10/2912008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 38.96 CLUB ACTIVITY SUPPLIE
l
Carrne� Clay
Parks &Recreat
Employee Expense Reimbursement Request
Date of Fund Accoun
Account
Receipt Vendor listed on receipt Line d et Description Amount Purp of Expense
rage 12
4
f N A o ll receipts should be attached in the same order as listed above. 7 sales tax will be reimbursed. TOTAL: t
Employeen Name (print) e)/� n Po d j I 1 cA
Address S)�( 1X� �UV
Check OCT -1 7 2008
payable to: City, St, Zip 5�
Signature: �DpQ�� Approved by:
Date: I b 1 4 1 Date:
P
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Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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.
Padilla, Erin Terms
802 E 93rd Dr., Apt. C
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/08 Reimb. Club supplies Target 38.96
Total 38.96
I 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Padilla, Erin Allowed 20
802 E 93rd Dr., Apt. C
Indianapolis, IN 46240
In Sum of
38.96
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239037. 38.96 1 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
20 -Oct 2008
�d�AP/_r -A
Signature
38.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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