HomeMy WebLinkAbout204197 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362493 Page 1 of 1
ONE CIVIC SQUARE MICHELLE COMPTON
CARMEL, INDIANA 46032 1959 ASHLEY XING #L CHECK AMOUNT: $16.00
WESTFIELD IN 46074 CHECK NUMBER: 204197
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239099 REIMB 16.00 OTHER MISCELLANOUS
O 4s aners
1418 S. Rangeline. Rd
Carmel, IN 46032
317- 846 -7756 g at- K
COMPTON, MICHELLE
(317)446 -6517 t3 J
DUE Fri 11/18/11 05:00 PM co V e- -r
Eiiip AA
Drop: 11/14 08:46 AM
M G armen t cs _o a
Table Cloth 1 20.00
1 PCs,
Total: $20,00
Less Coupon: $4.00
Tax: $0.00
H
,Gr. Total: $16,00
Retail
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
rJr H J 12 s 101 4 -3qo 99 n4� r 1(Q pa- B
i o -b l-e.. C" v N r
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: l co M
Employee Name (print) A I C13 VY-, p D n
Check i
Address I C 1 5 9 A 1 n L NOV payable to: City, St, Zip W Q.ST� t e- CP N e
Signature: �Az lil /a �,oj� Approved by:
Date: l- Z j Date 22, j d
Ll =mot b� i
Business Services Division, Revised 7 -7 -08 O Z0
NOV 3 It
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request U
V_Y
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.
362493 Compton, Michelle Terms
1959 Ashley Xing L
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/21111 Reimb Park board table cover cleaning 16.00
Total 16.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
362493 Compton, Michelle Allowed 20
1959 Ashley Xing L
Westfield, IN 46074
In Sum of
16.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4239099 16.00 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
1 -Dec 2011
1 P
Signature
16.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund