171761 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358408 Rage 1 of 1
ONE CIVIC SQUARE TIFFANY BUCKINGHAM
CARMEL, INDIANA 46032 CHECK AMOUNT: $120.15
5130 PRIMROSE AVE
INDIANAPOLIS IN 46205 CHECK NUMBER: 171761
CHECK DATE: 4/29/2009
DEPA RTM E NT T ACCOUNT P O NUMBER INVOICE NUMB Y AM OUNT DESCRIPTION
1046 4343002 1046 120.15 EXTERNAL TRAINING TRA
h
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
4-13 o (do; 17 s
4/4 c ka(vt�- ccke CD
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All receipts should be attached in the same order as fisted above.
No sales tax will be reimbursed. TOTAL: Z Z:7
Employeen Name (print) t'1� E�;C_v—j n G'�AayA
Address
Check
payable to: City, St, Zip
t
Signature: Approved by:�
V 9`
Date: Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request
�ti
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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i /0 r30 CO 2_0.00
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
I
Employeen Name (print) 7 14ck y�� GlVln A PR 1 4 2009 t
Address `J .7U t`1 YY1(t�S� Ave Check BY:
payable to: City, St, Zip 1Y\G�,lG�V1l:<<7[� S N 11VZ& I
r A pproved by.
Signature: I �G�/l.U/1 1s71.1.�Lt/1ilG PP
Date: `7 L� Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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.
358408 Buckingham, Tiffany Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
417109 Reimb. Conference expenses for AfterSchool Conf. 124,27
Total 124.27
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.
358408 Buckingham, Tiffany Allowed 20
In Sum of
124.27
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343002 I hereby certify that the attached invoice(s), or
.�j
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
124.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund