170428 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1
ONE CIVIC SQUARE LINDSAY HOLAJTER CHECK AMOUNT: $70.00
CARMEL, INDIANA 46032 6628 BEAR CREEK DRIVE APT 1424
«o INDIANAPOLIS IN 46254 CHECK NUMBER: 170428
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1047 4341991 REIMB 70.00 MARKETING PROMOTION
Carm Clay
Parks &Recreati ®n
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. V
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) L l I d s ct I f� e
Check U
Address l� �Z� &(Ar ft°k.
payable to: City, St, Zip I nd ickn I's; 1 N) 1 4 C005
Signature: L Approved by:
Date: (j C j Date:
Revised 3 -2 -07 by Business Services 7MAR 2Q09
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Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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GmaiI iStock Payment Confirmation. https: /mail.googic.com/ mail ?ui= 2 &ik=141520cd93 &view=pt &searc...
Lindsay Holajter <lindsay.holajter @gmail.com>
.ri RF. TA
iStock Payment Confirmation.
1 message
iStockphoto <service @istockphoto.com> Mon, Mar 2, 2009 at 2:53 PM
To: lindsay.holajter@gmail.com
iStoc hoto LP Suite 200 1240 20th Ave SE
p Calgary, Alberta T2G 1 M8
Canada
Tel: 403.265.3062
Billing Information: Payment Information: Order Information:
Name: Lindsay Holajter
Business: Carmel Clay Parks Member
Recreation Type: Visa Iholajter
Amount: $70.00 USD name:
1411 E. 116th Street Transaction March 02, 2009
Name on card: Lindsay J Holajter
Address: Carmel, IN, United Last digits: 6128 date: 12:53:30
States Status: Received Confirmation 090302 2595566
no: 130
46032 Confirmation no: VTHC3C14C73D
Order id: 6435860
Phone 317 573 -4020
no:
Purchased Items:
Items: Quantity: Item price: Total:
Pay -as- you -go: 50 Credits 1 $70.00 USD $70.00 USD
Credits Expire: March 2, 2010
Order subtotal: $70.00 USD
Shipping: $0.00 USD
Tax: $0.00 USD
Total: $70.00 USD
Refund Policy
Pay -as- you -go credits or Top -up credits You are entitled to a full refund
within 14 days of the purchase of your credit plan provided that you have not
used any credits. iStock does not provide a refund on credit plans if you have
used any of the credits.
I of 2 3/2/2009 4:04 PM
Gmail L tock Payment Confirmation. https: mail. google .conVmail ?ui= 2 &ik7-141520cd93 &view =pt &searc...
Special Offer From PunchStock
Your purchase of $70.00 qualifies you for a special offer from PunchStock! Please visit
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Code Status Description
RW6PC46N Valid A special offer for iStockphoto customers Save 25% off all single images only at
http: /www.punchstock.com
Simply enter the discount code RW6PC46N on check -out and save. Offer good
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Business Number: 83844 6821 RT0001
of 2 3/2/2009 4:04 PM
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.
360464 Holajter, Lindsay Terms
6628 Bear Creek Dr., Apt 1424 Date Due
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/2/09 Reimb. Cipart Istockphoto LP 70.00
Total 70.00
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
360464 Holajter, Lindsay Allowed 20
In Sum of
70.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 Reimb. 4341991 70.00 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
25 -Mar 2009
Signature
70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I