171874 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 360926 Page 1 of 1
ONE CIVIC SQUARE SHAVONNE HOLTON
i, CARMEL, INDIANA 46032 8001 CANARY LANE, APT A CHECK AMOUNT: $109.64
INDIANAPOLIS IN 46260
CHECK NUMBER: 171874
CHECK DATE: 4/29/2009
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
1046 4343002 109.64 EXTERNAL TRAINING TRA
I
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
301 nnc) SS
G C) r do r-) 6 C r Sc h 'ZV, 3 I
q z� Og boar 8 -(85
Charles 12t�z i 2 oG
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: t 3
Q �a
Employee Name (print VCj P11r1� l t n TOTAL
APR 1 4 ZO 09
Check Address /te n r of A
l CI G
payable to: City, St, Zip 1 n `1 �2
Signatur Cr Approved by:
Date: 1 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Car reel o Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
l z A& OCR- q, 4 ;AO��
1 U v
CcA C\ 5' E 3�a
3 Z
n I
2C c) o hc) n SA-
i
'AP A
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
P Y �V -o n k')
I A PR 1 2009
Em to een Name (print
s
Address P) M\ co nCA Ln T BY:
Check
to:
payable City, St, Zip
Signaturei Approved by:
Date: A .0 lh C 4 Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request i
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
t.
Purchase Order No.
360926 Holton, Shavonne Terms
8001 Canary Ln Apt A Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/6/09 Reimb. Afterschool Conference expenses 110.88
Total 110.88
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
i
Voucher No. Warrant No.
360926 Holton, Shavonne Allowed 20
8001 Canary Ln Apt A
Indianapolis, IN 46260
In Sum of
110.88
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343002 —+tO -M I 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
110.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund