HomeMy WebLinkAbout205523 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355133 Page 1 of 1
ONE CIVIC SQUARE AUDREY B KOSTRZEWA
s CHECK AMOUNT: $11.18
CARMEL, INDIANA 46032 2592 TURNING LEAF LANE
CARMEL IN 46032 CHECK NUMBER: 205523
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4342100 REIMB 11.18 POSTAGE
C
Parks& Re creation
Employee Expense Reimbursement Request
q est
Fund Account
r listed on receipt Line Account
V e d v Budget Description
Qatee 1 G r eel Post Office 1125 4342100 Postage Amount Purpose of Expense
Re c $11.18 Certified Mail
11'-'
Issue PVI:
59 'ttached in the same order as listed above.
INDIANAPOLIS IN imbursed.
TOTAL: $11.18
46254 Zone -1 $0.44
First -Class Letter e (print) Audrey Kostrzewa
0.50 oz.,
Expected Delivery: W Address 2592 Turning Leaf Lane
Return Rcpt (Green 01/04
Card) $2.30 Car el, IN 46032
Certified ;ity, St, Zip
Label Approved by:
7005311000004015$293 5
Signature:
Issue PVI /14/2012 Date: 1/4/2012
$5,59 Date:
7-7-08
Paid
Paid by e�i to ee Ex Reimb Request
Cash
�Forms�Staff Forms�Emp Y P
Change Due: $20,00
$8,82
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.
355133 Kostrzewa, Audrey Terms
2592 Turning Leaf Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
01/03/12 Reimb Postage $11.18
Total 11.18
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.
355133 Kostrzeewa, n Audrey Allowed 20
N I C v l�d
In Sum of
ON AO )N FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4342100 11.18 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
11 -Jan 2012
Signature
11.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund