HomeMy WebLinkAbout202202 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1
ONE CIVIC SQUARE LINDSAY LABAS
CARMEL, INDIANA 46032 8809 147TH PLACE CHECK AMOUNT: $185.97
NOBLESVILLE IN 46060 CHECK NUMBER: 202202
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 185.97 SPECIAL PROJECTS
Carmel a Clay
'arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
I 1 S mwyei 11 �q S i I 5 a°
d F1ror%ke S
RUd UP
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Ali receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) WA LA190-S U Address p J Place EQ �(il
Check r 3
payable to: City, St, Zip I I�1CS�L I �N r u w i
Signature: Z" Approved by:
Date: l Date: 9�fc,,,fl
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.
360464 Labas, Lindsay Terms
8809 147th Place Date Due
Noblesville, IN 46060
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9115111 Reimb Things Remembered/20th anniversa frames 185.97
Total 185.97
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,
360464 Labas, Lindsay Allowed 20
8809 147th Place
Noblesville, IN 46060
In Sum of
185.97
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4359000 185.97 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
22 -Sep 2011
Signature
185.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund