HomeMy WebLinkAbout179168 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 362493 Page 1 of 1
ONE CIVIC SQUARE MICHELLE COMPTON CHECK AMOUNT: $31.43
�Q CARMEL, INDIANA 46032 17208 MEGGS ST
NOBLESVILLE IN 46062 CHECK NUMBER: 179168
CHECK DATE: 11/11/2009
L EPARTMENT ACCOUNT PO N UMBER IN NUMBER AMOUNT DESCRIP
1047 4239039 REIMB 31.43 GENERAL PROGRAM SUPPL
Carmel y
Parrs &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
V ,�3 j G .Su S u o e- 1 77 4- e
11 q3
All XJ�
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:��Cr� T M
Employee Name (print) i�,�� i I I?-, Cc) 0p 0C) OCT 2 7 1009
Address S S
Check
payable to: City, St, Zip .S 'P I N 4 o Le 2—
Signature: Appro x
Date: /Q 09 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARML
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.
r
Payee
Purchase Order No.
362493 Compton, Michelle Terms
17208 Meggs St
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/26/09 Reimb supplies for staff morale 31.43
Total 31.43
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.
362493 Compton, Michelle Allowed 20
17208 Meggs St
Noblesville, IN 46062
In Sum of
31.43
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rFITLE AMOUNT Board Members
Dept
1047 Reimb 4239039 31.43 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
5 -Nov 2009
Signature
31.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund