HomeMy WebLinkAbout203175 10/25/2011 ,a CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN STORMS
CARMEL, INDIANA 46032 CHECK AMOUNT: $84.83
CHECK NUMBER: 203175
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 7.51 GENERAL PROGRAM SUPPL
1081 4343000 77.32 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS G�IF.RAI- iOPM NG. ]N (19867
MILEAGE CLAIM
TO__._
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD. DEPART140fr Oa INS I UTION)
SPEEDOMETER
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ILES I/ILE F
ZQ NATURE OF BUSINESS C
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. I
TOTALS
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
q
�L E OCT
1 4 r
Carmel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 5 Ode-
S
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (prin t^ S
O CT 0 6 2011
Address
Check
payable to: City, St, Zip
Signature: j Approved by: j
Date: d Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared \Administrative%Forms\Staff FormslEmpioyee Exp Reimb Request
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.
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9129111 Reimb Mileage 911 9129111 77.32
9/23111 Reimb Supplies for Site celebration 7.51
Total 84.83
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.
363382 Storms, Meagan Allowed 20
In Sum of
84.83
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 77.32 1 hereby certify that the attached invoice(s), or
1081 -7 Reimb 4239039 7.51 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
20 -Oct 2011
Signature
84.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund