HomeMy WebLinkAbout167921 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
0 ONE CIVIC SQUARE TIFFANY BUCKINGHAM
CARMEL, INDIANA 46032 5130 PRIMROSE AVE CHECK AMOUNT: $28.00
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INDIANAPOLIS IN 46205 CHECK NUMBER: 167921
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
=•1046 4239037 28.00 CLUB ACTIVITY SUPPLIE
1
Car e� 0a
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Descri Lion Amount Purpose of Expense
4, I -ee Shits QA l
f N receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL: z
Employeen Name (print) ij� l C,� G Gtr
Address L DEC Chec k payable to: City, St, Zip v j
Signature: ,t C �v�c Approved by:
2 Date: Ll 0 K Date:
Business Services Division, Revised 3 -2 -07
FILE: SharedlAdministrativelFormslStaff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
r^ 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)) Amount
12/4/08 Reimb. Club supplies Dollar Tree Stores 28.00
Total 28.00
I 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
r
Voucher No. Warrant No.
358408 Buckingham, Tiffany Allowed 20
In Sum of
28.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239037 28.00 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
2 -Jan 2009
Signature
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund