169809 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 362613 Page 1 of 1
I. ONE CIVIC SQUARE LINDSAY ATKINSON CHECK AMOUNT: $30.93
s CARMEL, INDIANA 46032
CHECK NUMBER: 169809
CHECK DATE: 3/1812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 30.93 GENERAL PROGRAM SUPPL
Carmel •Clay
Parks &Recreation
Employee Expense Reimbursement Request I
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
L S�(pl e5
a 600& W i l I� o -�Ia;R s ey i d zo r1Q
y
i
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: �10
Employee Name (print)
+\dam tr��r� 30.93
Address yq)p S1"�'iuA bc.
Check j
payable to: City, St, Zip 1l n,� S n,
Signature: 1 Approved by: _T�s
Date:
Date: Ola-LI /09
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request FEB 2 5 2009
BY:
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.
Atkinson, Lindsay Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2123109 Reimb. Kidzone program supplies 30.93
Total 30.93
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.
Atkinson, Lindsay Allowed 20
In Sum of
30.93
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #FFITLE AMOUNT Board Members
Dept
1047 Reimb. 4239039 30.93 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
12 -Mar 2009
A('h00/mm tL)
Signature
30.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund