HomeMy WebLinkAbout176742 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363307 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH FOLAND CHECK AMOUNT: $125.00
CARMEL INDIANA 46032 631 BURR OAK DRIVE
�Q, CARMEL IN 46032 CHECK NUMBER: 176742
CHECK DATE: 912/2009
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
-1047 4357003 REIMB 125.00 INTERNAL INSTRUCT FEE
Carm
Par s&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
000. moo.
Shoo S Do OU
l 6
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: I�
Employee Name (print) E 1 1 a !K� Fblan
Address �i 3 'Burr oaf by j'%
Check
payable to: City, St, Zip c ar M el I U_ A (S US9
Signature: r �F-Z. Approved by:
Date. �r�� Date:
Business Services Division, Revised 7 -7 -08 f
FILE. Shared�Administrative \Forms\staff Forms%Employee Exp Reimb Request t1 F j
AUG 1 7 2009
o ...........u....«........
000261885
3 @oory &DOO!o
Monon Center Clerk: BRG
Date: 05/20/2009 Time: 19:43:26
H /H: Beth Foland
F /M: Beth Foland
Description Ext Price
Class: 193020- 01(ENROLLED)
water safety Instruc 125.00
Class Dates: 05/06/2009 05/13/2009
class Times: 4:OOP 9:OOP
Meeting Days: M,Tu,w,Th,F,Sa
Class Location:
Indoor Lap Pool
Monon Center
Carmel, IN 46032
Rcpt# 261885 Prev Bal: 0.00
New charges 125.00
New Tax: 0.00
Total Due: 125.00
Tot Paid: 125.00
New Bal: 0.00
CHECK Payment of: 125.00
Ref: 2244
Fed Tax ID #35- 6000972
0 11
Rcpt# 261885
0@
Om
Page 1
re
n.4'T
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.
Foland, Elizabeth Terms
631 Burr Oak Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8114109 Reimb. WSI Course 125.00
Total 125.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with €C 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Foland, Elizabeth Allowed 20
631 Burr Oak Drive
Carmel, IN 46032
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
104 program Fund
PO# or INVOICE NO ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4357003 125.00 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
27 -Aug 2009
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
�r