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HomeMy WebLinkAbout168333 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361411 Page 1 of 1 ONE CIVIC SQUARE CRYSTAL ALLEN CHECK AMOUNT: $155.91 CARMEL, INDIANA 46032 2411 CUMBERLAN STREET o� zo P o BOX 468 CHECK NUMBER: 168333 DUBLIN IN 47335 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION X1047 4239039 REIMB 155.91 GENERAL PROGRAM SUPPL Carmel o Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense CO 1/12/2009 Toy R US 47.J,9V %M.4239039 Program/ Class Su lies $155.00 Block Party/ Shake, Rattle Roll ti. Ail receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $155.00 Employee Name (print) Crystal Allen Address P.O. Box 468 Check payable to: City, St, Zip Dublin, 47335 Signature: ltd Approved by: P10 'T6 Date: 1 I Tag Date: w o c l C F,IV EE) Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request JAN 2 9 2009 BY: ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL s 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. 361411 Allen, Crystal Date Due P.O. Box 468 Dublin, IN 47335 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/12/09 Reimb. Program Class supplies 155.00 Total 155.00 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 4k Voucher No. Warrant No. Allowed 20 361411 Allen, Crystal P.O. Box 468 Dublin, IN 47335 In Sum of 155.00 i ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1047 Reimb. 4239039 I 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 2 -Feb 2009 "i Signature $Q Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund