160939 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1
ONE CIVIC SQUARE CARRIE KEAVENEY CHECK AMOUNT: $27.76
CARMEL, INDIANA 46032 13789 FIELDSHIRE TERRACE
WESTFIELD IN 46074 CHECK NUMBER: 160939
CHECK DATE: 6/25/2008
DEPARTMENT A CCOU NT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1047 4239039 27.76 GENERAL SUPPL
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Car 0 clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
6/12/2008 WalMart 47 340.300.4239039 Fitness Center 0 space heaters for Fitness B
Program /Class supplies used by Gentle Yoga class
All receipts should be attached in the same order as listed above. 7 7&
No sales tax will be reimbursed. TOTAL:
Employee Name (print) Carrie Keaveney
Address 13789 Fieldshire Terrace
Check
payable to: City, St, Zip Westfield IN 46074
Signature: Approved by i
Date: 6/13/2008 Date:
Revised 3 -2 -07 by Business Services; T'' EE
Shared/Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
JUN 1 2008
BY
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r 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.
Keaveney, Carrie
13789 Fieldshire Terrace Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
Amount
6/13/08 Reimbursement Supplies for Gentle Yo a classes
27.76
Total 27.76
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
r
Voucher No. Warrant No.
Allowed 20
Keaveney, Carrie
13789 Fieldshire Terrace
Westfield, IN 46074 In Sum of
27.76
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimbursement 4239039 27.76 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 -Jun 2008
L j M",(J h___
Signature
27.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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