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161553 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1 p ONE CIVIC SQUARE KATIE SCHNEIDER CHECK AMOUNT: $26.45 -a CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR CA INDIANAPOLIS IN 46268 CHECK NUMBER: 161553 CHECK DATE: 7111/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 12.57 GENERAL PROGRAM SUPPL 1047 4357004 13.88 EXTERNAL INSTRUCT FEE E Cal Mel 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 6/17/2008 Adams Mark 47 300 000 4357004 $13.88 Workshop: Lunch 6/20/2008 Speedway 47 375 364 4239039 12.57 Family Campout: Ice I JUL 0 1 Zoos All receipts should be attached in the sarne order as listed above. No sales tax will be reimbursed. TOTAL: $26.45 Employee Name (print) Kate Schneider Address 3211 Chadwood Lane North Drive Apt 1A Check payable to: City, St, Zip IndiarApolis, I 46268 Signatur Approved by: Date: 1 Date: 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 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. 359185 Kate Schneider Terms 3211 Chadwood Lane N. Dr., Apt. 1A Date Due Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/17/08 Reimb. Workshop lunch 6/17/08 13.88 6/20/08 Reimb. Ice for family campout 12.57 Total 26.45 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. 359185 Kate Schneider Allowed 20 3211 Chadwood Lane N. Dr., Apt. 1A Indianapolis, IN 46268 In Sum of 26.45 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 Reimb. 4357004 13.88 1 hereby certify that the attached invoice(s), or 1047 Reimb. 4239039 12.57 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 3 -Jul 2008 Signature 26.45 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund