157546 03/19/2008 CITY OF CARMEL INDIANA VENDOR: 355133 Page 1 of 1
ONE CIVIC SQUARE AUDREY B KOSTRZEWA
t CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK AMOUNT: $229.25
CARMEL IN 46032 CHECK NUMBER: 157546
CHECK DATE: 3119/2008
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1125 r 4359000 229.25 SPECIAL PROJECTS
R-ECEIVED
Carmel FEB 2 7 2008
Parks &Recreation BY: ALLY
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Master Plan Committee
2/19/2008 McAllister's Deli 101 -1125 4359000 Special Projects 229.25 Mtg food.
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TO 22 9.25
Employeen Name (print) Audrey Kostrzewa
Address 2592 Turning Leaf Lane
Check
payable to: City, St, Zip Carmel, JN 46032
Signature: Approved by:
Date: /20 008 Date: 779'
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
E 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.
i
Payee
Purchase Order No.
Audrey Kostrzewa Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/19/08 reimb Master Plan Cmte. mtg. food 229.25
Total 229.25
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
i
Voucher No. Warrant No.
Audrey Kostrzewa Allowed 20
In Sum of
229.25
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb 4359000 229.25 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
11 -Mar 2008
Signature
229.25 Assistant Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund