HomeMy WebLinkAbout179373 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 360624 Page 1 of 1
ONE CIVIC SQUARE TESS PINTER CHECK AMOUNT: $350.75
CARMEL, INDIANA 46032 13046 DOLPHINS LN
FISHERS IN 46037 CHECK NUMBER: 179373
CHECK DATE: 11/1112009
DE PARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER ___AMO DESCRIPTION
1047 4341993 322.88 CATERING SERVICE
1047 4343004 27.87 TRAVEL PER DIEMS
Carmel 0 clay
arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
9/17/2009 Logan Street Market 47.000 400.100.4341993 Catering Services $95.86 V Staff Retreat
9/18/2009 Scotty's Brewhouse 47 400.100.4341993 Catering Services 114.19 Staff Retreat
9/30/2009 Donato's 47 400.100.4341993 Catering Services 112.83 TDC Wrap Up Meetin
10/12/2009 Sbarro 47 100.100.4343004 Travel Per Diem 7.32 Conference Lunch
10/15/2009 Subway 47 100.100.4343004 Travel Per Diem 7.55 Conference Lunch
10/16/2009 Jason's Deli 47 100.100.4343004 Travel Per Diem 9.26 Conference Lunch
10/17/2009 Squatters Airport Pub 47 100.100.4343004 Travel Per Diem 3.74 Conference Breakfast
All receipts should be attached in the same order as listed above.
N o sales tax will be reimbursed. T $350.75 V
Employee Name (print) Tess Pinter
Address 13046 Dolphins Lane
Check
payable to: City, St, Zip Fishers, IN 46032
Signature: ��2� Approve by:
Date: Date: l
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee 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.
360624 Pinter, Tess Terms
13046 Dolphins Lane
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/18/09 Reimb. Food for Staff retreat 210.05
9/30/09 Reimb. TDC Wrap up meeting 112.83
10/17/09 Reimb. NRPA conference expenses 27.87
Total 350.75
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
th IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
360624 Pinter, Tess Allowed
13046 Dolphins Lane
Fishers, IN 46037
In Sum of
350.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4341993 210.05 1 hereby certify that the attached invoice(s), or
1047 Reimb. 4341993 112.83 bill(s) is (are) true and correct and that the
1047 Reimb. 4343004 27.87 materials or services itemized thereon for
which charge is made were ordered and
received except
5 -Nov 2009
Signature
350.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund