171772 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361703 Page 1 of 1
0 ONE CIVIC SQUARE SARAH CARLING CHECK AMOUNT: $320.31
CARMEL, INDIANA 46032 9215 PARK AV
�y INOPLS IN 46240 CHECK NUMBER: 171772
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRI T
1047 T 4239039 320.31 GENERATE PROGRAM SUPPL
f
Carmel *clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. I
No sales tax will be reimbursed. TOTAL:
Employee Name (print)
Check Address
payable to: City, St, Zip /t V Z q O
Signatur C Approved by:
Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\FarmslStaff Forms\Employee Exp Reimb Request APR 1 C ZOOS
BY
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,
361703 Carling, Sarah Terms
9215 Park Ave
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
419109 Reimb General program supplies 320.31
Total 320.31
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.
361703 Carling, Sarah Allowed 20
9215 Park Ave
Indianapolis, IN 46240
In Sum of
320.31
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITI- AMOUNT Board Members
Dept
1047 Reimb 4239039 32031 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
22 -Apr 2009
Signature
320.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund