HomeMy WebLinkAbout177160 09/15/2009 CITY OF CARMEL, INDIANA VENDOR. 359554 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL ETHRIDGE CHECK AMOUNT: $21.65
CARMEL. INDIANA 46032 8821 CANTON COURT
<<6a Lo INDIANAPOLIS IN 46234 CHECK NUMBER: 177160
CHECK DATE: 9/15/2009
D EPARTM ENT ACCOU PO NUMB INVOICE NUMBE AMOUNT DESCRIP
1046 4239037 21.65 CLUB ACTIVITY SUPPLIE
r
ry
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
Tnescr
i
l
All receipts should be attached in the same order as fisted above.
TOTAL..
Name (print)
Check Address CZ7
payable to: r I
City, St, Zip W OE !AJ 6
gn "lure Date: W 170
Approved by: Date.
Revised 3 -2 -07 by Business Servic
AUG 19 2009
_L
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.
Ethridge, Crystal Terms
8821 Ganton Ct
Indianapolis, IN 46234
Invoice Invoice Description
Date Number (or note attached invoice(s) or bhl(s)) PO Amount
816109 Reimb. Target 1 supplies 21.65
Total 21.65
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.
Ethridge, Crystal Allowed 20
8821 Ganton Ct
Indianapolis, IN 46234
In Sum of
21.65
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. CCT WTITLE AMOUNT Board Members
Dept
1046 Reimb. 4239037 21.65 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
10 -Sep 2009
Signature
21.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund