HomeMy WebLinkAbout204303 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365863 Page 1 of 1
ONE CIVIC SQUARE EMILY LUCAS CHECK AMOUNT: $5.86
CARMEL, INDIANA 46032 875 AMERICAN WAY W
CARMEL IN 46032 CHECK NUMBER: 204303
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 REIMB 5.86 GENERAL PROGRAM SUPPL
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
11/11/2011 Wal -Mart 1096 -70 4239039 General Program Supplies $5.86 Supplies for Pro ram
'a.
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $5.86
Employee Name (print) Emily Lucas
Address 875 American Way W.
Check
payable to: City, St, Zip Carmel, In 46032'
Signature: Approved by:
Date: 11/15/2011 w Date:
Business Services Division, Revised 7 -7 -08 ItlI a� eD 1
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request F 2 b�
WE VALUE YOUR OPINIONI
WE WANT TO KNOW ABOUT YOUR SHOPPING
EXPERIENCE TODAY AT WAL -MART.
Please complete a survey about
today's store visit at:
http: /www.survey.walmart.com
You will need to enter the
following online:
ID 7CLDLCJVVMT
IN RETURN FOR YOUR TIME YOU COULD
RECEIVE ONE OF FIVE $1000
WALMART SHOPPING CARDS
Must be 18 or older and a legal
resident of the 50 US or DC to
enter. No purchase necessary to
enter or win. To enter without
purchase and for complete official
rules visit
www.entry.survey.walmart.com.
Sweepstakes period ends on the date
shown in the official rules. Survey
must be taken within TWO weeks
of today.
Esta encuesta tambien se encuentra
en espanol en la p6gina del Internet
THANK YOU
Walmart e i NOV 2 2 2011 c;
i
Save money. Live better.
(317) 578 -4336 tea
Manager PAUL ASKINS
8300 E 96TH ST
FISHERS IN 46037
ST# 1557 OP# 00007283 TE# 27 TR# 06502
CONTACTPAPER 009044409998 5.48 X
SUBTOTAL 5.48
TAX 1 7.000 0.38
TOTAL 5.86
AMEX TEND 5.86
ACCOUNT 1029
APPROVAL 584568
REF 131500635720
TERMINAL WMT00000001
CHANGE DUE 0.00
ITEMS SOLD 1
TC# 3704 1017 5836 1874 6177
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Layaway is back for Electronics,
Toys, and Jewelry. 10 17 'x1 12/16/11
11/11/11 15:08-1
*CUSTOMER COPY -1
I
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.
Lucas, Emily Terms
875 American Way W
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/11/11 Reimti Program supplies
5.86
Totad 5.86
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.
Lucas, Emily Allowed 20
875 American Way W
Carmel, IN 46032
In Sum of
5.86
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -70 Reimb 4239039 5.86 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
Signature
5.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund