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HomeMy WebLinkAbout161429 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 357976 Page 1 of 1 0 ONE CIVIC SQUARE BENJAMIN JOHNSON f CARMEL, INDIANA 46032 8416 MANSHIP DRIVE CHECK AMOUNT: $40.33 FISHERS IN 46038 CHECK NUMBER: 161429 CHECK DATE: 7/11/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4239040 40.33 FOOD BEVERAGES Carmel 0 Clay Pa &Recreati ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 0 V(40 All receipts should be attached in the same order as listed above. J/ No sales tax will be reimbursed. TOTAL: `7�. S3 Employeen Name (print) '�Q" Address "ail A JUN 3 0 2008 Check payable to: City, St, Zip YN J Signature: Approved by: Date: Cr- Date: Revised 3 -2 -07 by Bi- siness 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. Ben Johnson Terms 8416 Manship Dr Date Due Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6130108 reimb. Food Beverage 40.33 Total 40.33 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 1 20 Clerk- Treasurer