HomeMy WebLinkAbout158580 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 361111 Page 1 of 1
ONE CIVIC SQUARE SARA PEDERSEN
CARMEL, INDIANA 46032 13510 CLIFTY FALLS DR CHECK AMOUNT: $53.83
CARMEL IN 46032
CHECK NUMBER: 158580
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1046 4343000 53.83 TRAVEL FEES EXPENSE
I
Ca rme l
arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
'343 4a v
1610 Rn nefcc /5reool
-fl U /ob Lo66 t7 GLASS
30 lvck)07ald�
le lo Prb'
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employees Name (print) 'S"C�rCt ��Qd er�_Qn
MAR 2 0 2008
Address C��f �(r'+ �C -V� �r_
Check �l 2 BY:
payable to: City, St, Zip
Signature Approved by:
Date. 0 Date: 2r► f
c�
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reim 2�
b Request GGG C
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.
Sara Pedersen Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3120108 reimb. Travel fees Ellis training 53.83
Total 53.83
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Sara Pedersen Allowed 20
In Sum of
53.83
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 reimb. 4343000 53.83 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
14 -Apr 2008
ign re
53.83 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund