162002 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
i••� ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $42.50
':a CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 162002
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1046 4343007 42.50 FIELD TRIPS
Carmel Clay
P arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
u e, Zt�o C�NS�.m 0 `�3y3o�? SIP o
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
M Employeen Name (print) Check Address �t3iCr�1L,a,�illtAC.F j G- 0 8 2�G$
payable to: City, St, Zip tempt 6OL t 5 t tit
Signat n Approved by: Date: Date:
Business Services Division, Revised 3 -2 -07
FILE: SharedlAdministrative \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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6127108 reimb. Field trip 38.00
6127108 reimb. supplies 4.50
Total 42.50
E 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.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
42.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 reimb. 4343007 38.00 1 hereby certify that the attached invoice(s), or
1046 reimb. 4343007 4.50 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
18 -Jul 2008
Signature
42.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund