Loading...
HomeMy WebLinkAbout163392 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 358896 Page 1 of 1 ONE CIVIC SQUARE KATELIN SEO CARMEL, INDIANA 46032 11412 GREEN STREET CHECK AMOUNT: $192.71 CARMEL IN 46033 CHECK NUMBER: 163392 CHECK DATE: 9/3/2008 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION '046 4239039 8.00 GENERAL PROGRAM SUPPL 1046 4343000 184.71 TRAVEL FEES EXPENSE t ,F Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Recei t Vendor listed on receipt Line Budget Description Amount Purpose of Ex ense �e v CL-V 3�o3�i °0 k �fl el ci TT- p �G All receipts should be attached in the same order as listed above. ©o No sales tax will be reimbursed. TOTAL: Employeen Name (print) 0,A- e, CRIVEID =BY: F Address a re-E►� st. Check payable to: City, St, Zip Ca Y l 1 4 (P Q 3 Signature: 1`"1 i aL:: Approved by: c G z Date: 4 Date: Business Services Division, Revised 3 -2 -07 FILE: Shared\AdministrativelForms \Staff Forms\Employee Exp Relmb Request PA HFD bTSTATE BOARD OF ACCOUNTS GENERAL FORM NO. ]Ol (1886) MILEAGE CLAIM 1 S RECEIV TO (GOVERNMENTAL UNIT) A UG 1 1 2008 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) BY DATE Y FROM TO SPEEDOMETER AUTO M READING POINT POINT START FINISH NATURE OF BUSINESS TRAVE ED MILE Mav E g r� s r c e V 2 i dl MeW Z1 Rr•a.• Tv-ace e Cher Tore. ZZ 10 4 1Z to1 Me 'n 3•'3 tt 27 Pra' e T"rc x Tr 2 113 Z29 T cr 'Z Pr e e, "r'r ac e..,. Z2Q�pnl Z 0 lz a 3 e3�' T't 22 Z1 G -4 :rne3 Z Q.Z`{0 2.2 tit Sun Gr e Tree rr\ GeY1i�P as i 4 t CA efi r T e r n `7 'Z2 j' h2fr Yv1c� n'c2r 5 2.Z9: Jun �'t C;rzr r� ass 3o,a32 5i�; �1 3UCNC Cn�-f c re. e. �m5>< Q 0.31 23v 337' Z M0, 4 C err r e Ors Cerrw -r 37 b 9 20,3 1 33 n 7 3 p t ma le h ers Tr a 930 4-'7J R- s 3U ih�t r i 'T�ze rn on n�� �O n a l Ji Cher r'e G-n r' Gc�� 3 O D36`j 5 z��� June- i nd ,I O'n ar arc' c e� Q 3 a a Vic-' a 1 h r T r 2 e a 3U' a 30 lob e non er 1 C c` r e, r l F 21 ter, e- C r 2 2 3 U .1' JUL 3 a I ti M (1 S, C V r �r ems- i rem L131 o a3y 011 ei a 1 a 3 a 019 2 ,e.�ur a T 10 )A a 3 i 1 11 1 21 5 W mrm: n AUTO LICENSE NO. TOTALS 6 1 U 1 SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part of the same has been paid. Date GI�CQQ� Claim No. Warrant No. I have examined the within claim and hereby .IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority That it. is apparently correct incorrect Disbursing Officer On Account of Appropriation No for o tr a r, y CCD i n M j Allowed 19 k ;3r' a a ro K ro in the sum of m n m I p i a p., tr ro ro cD O y M p 0 0. a (Board or Commission) 0 froi FILED t]. Q: CC a Q a c ro (*r (Official Title) p O ro rt 4 ro m G tr iv A.E. BOYCE CO., INC- W"CDI, IN 01136 PRESCRIBED BY STA?E BOARD OF ACCOUNTS GENERAL FORM NO. 103 (1486) r E�``�TE ILEAGE CLAIM 1 p TO H (GOVERNMENTAL UNIT) AUG 1 1 2008 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OA INSTITUTION) I DATE FROM TO SPEEDOMETER AUTO MILE GE 19 READING P MILES COP OINT POINT START FINISH NATURE OF BUSINESS TRAVELED ER MILE JaVILJ 15-- t' X M y !1 t I L-a .r F o.h, C'�n e- r r -r 31 I g SL Uuk 1 SL 5 D r r- -rr- �2 l 5 -f- 41 r Tr ro-" r rc+ 1 1 4 1 PV J k r', ce Cvr.e r. 5 e A31 1 31 '7E n i r 'rr e, C�Unc� 2 r ail t, 1 7o S m cr, E. AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be detezmined by fixed mileage or official highway map. E Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just cre is and that no part of the same has been paid. Date Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority. That it is apparently correct incorrect Disbursing Officer On Account of Appropriation No. for o tr a N Allowed 19 o n a w o o in the sum of E; m w m E✓ �"1 G t0 P �Mrr W o O n (Board or Commission) o n rt P) FILED 1D a a (Official Title) p 0 A.E_ BOYCE CO INC. WLTNCIE, IN 01136 0 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. Seo, Katelin Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/11!08 Reimb. Mileage 5119108 7131/08 184.71 8/4108 Reimb. Field trip parking 8.00 Total 192.71 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. Allowed 20 Seo, Katelin In Sum of d 192.71 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb. 4343000. 184.71 1 hereby certify that the attached invoice(s), or 1046 Reimb. 4239039 8.00 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 -Aug 2008 Signature 192.71 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund