160567 06/10/2008 ,a o WP
CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1
1J ONE CIVIC SQUARE KATIE SCHNEIDER CHECK AMOUNT: $394.05
CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR #1A
INDIANAPOLIS IN 46268 CHECK NUMBER: 160567
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1047 4239039 141.54 GENERAL PROGRAM SUPPL
1047 4341993 252.51 CATERING SERVICE
Carmel ®Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
6/2/2008 CVS Pharmacy 47 370 300 4239039 Adult Program Su lies 12 Cards for Senior Bridge Clas:
9,7
All receipts should be attached in the same order as listed above. Rte' CEIVE' D
No sales tax will be reimbursed. TOTAL: 2
JUN 0 3 2008
Employee Name (print) Kate Schneider 1
BY:
Address 3211 Chadwood Lane North Drive Apt 1A
Check
payable to: City, St, Zip Indianap is, IN 4PN8
Sigrta"ture:
6 Approved by:
Date: 10/21/2007 Date: (W31jY_
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
car e
Parks &Recreati
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
5/28/2008 StockPins.com 47 -375 362- 4239039 Adult Special Event Supplies V121.80 Staff Recognition Pins
21 -May Chili's t Q «3 1 V1 24.55 Staff Retreat Lunch
5/22/2008 Applebees l c'�� 1 27.96 Staff Retreat Lunch
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 374.31 I V
CEIVED
Employeen Name (print) Kate Schneider MAY I L I 9
2008
Address 3211 Chadwood Lane North Drive Apt 1A .3 Y•
Check
payable to: City, St, Zip Indianapo4 IN 4 268
Sig an Lure: Approved by:
Date: 5/29/2008 Date:
,Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
Order Review Page 1 of 2
Shipping Payment Order Review Confirmation
S tockPinsxom
Tax may be added to your order. For terms, see the Info page.
Your Order
Item Cost
Star Flat 1
12 Lapel Pin $24.00
Pin-Finish: Gold
Colored Star
25 Pin $62.50
Color:: Blue
Colored Star
12 Pin $30.00
Color:: Green
Subtotal: $116.50
Shipping: $5.30
Total: $121.80
Review Your Shipping Payment Information
Ship T Edit
Katie A Schneider
The Monon Center 3 3 'Z cJ 03 0
1235 Central Park Dr E. n
Carmel, IN 46032
0 317 -573- 5243<- 5/2�
Shipping Method: Priority Mail
Bill To Edit
Katie Schneider
v 3211 Chadwood Lane N. Drive APT. 1 a
Indianapolis, IN 46268
0 317 -573 -5238
Credit Card Type:
Account Number: xxxxxxxxxxx
Expiration Date:
https: /us -dc 1- order. store. yahoo. net ymix/ MetaController .html ?ysco_key_event_id =1 &ysc... 5/28/2008
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 Schneider, Kate
3211 Chadwood Lane North Dr., Apt 1A Date Due
Indianapolis, IN 46265
Invoice RgEiij Description
Date
e attached invoice(s) or bill(s)) Amount
08 Pharmacy Program supplies 19.74
6/2/
5/28/08 Event su lies
121.80
5/22/08 reimb. Catering Service
252.51
Total 394.05
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
/oucher No. Warrant No.
Allowed 20
359185 Schneider, Kate
3211 Chadwood Lane North Dr., Apt 1A
Indianapolis, IN 46265 In Sum of
394.05
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 reimb. 4239039 19.74 1 hereby certify that the attached invoice(s), or
1047 reimb. 4239039 121.80 bill(s) is (are) true and correct and that the
1047 reimb. 4341993 252.51 materials or services itemized thereon for
which charge is made were ordered and
received except
4 -Jun 2008
Sig re
394.05 Business Service Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund