Loading...
HomeMy WebLinkAbout168156 01/21/2009 .a CITY OF CARMEL, INDIANA VENDOR: T362452 Page 1 of 1 ONE CIVIC SQUARE TAMI POWELL •ic 0 CHECK AMOUNT: $20.99 CARMEL. INDIANA 46032 CHECK NUMBER: 188156 CHECK DATE: 1121/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 43560 -04 REIMS 20.99 STAFF CLOTHING It Carmel e Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: jo "9 Employee Name (print) �iM, VC* QA t Address JAN 0 7 200 Check payable to: City, St, Zip F Sign re: Approved by: 61646 1 Date: Date: Business Services Division, Revised 7 -7 -08 FILE: SharedlAdministrative \Forms\Staff Forms\Employee Exp Reimh Request E 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. Terms Powell, Tami Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 20.99 12119/08 reimbursement Security clothing Total 20.99 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. Powell, Tami Allowed 20 In Sum of 20.99 r ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 reimbursement 43656004 20.99 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 -Jan 2009 Signature 20.99 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund