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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