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Home My WebLink About173857 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1 f ONE CIVIC SQUARE JENNIFER HAMMONS CARMEL, INDIANA 46032 634 NORTHVIEWAVENUE CHECK AMOUNT: $246.34 INDIANAPOLIS IN 46220 CHECK NUMBER: 173857 CHECK DATE: 6/2412009 DEPA ACCOUNT PO NU INV OICE NUMBER AMO DESCR IPTION 1046 4239037 191.27 CLUB ACTIVITY SUPPLIE 1046 4239039 55.07 GENERAL PROGRAM SUPPL Car Mel 0 Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account r Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense �9 t G eA 2-10 00 A a s ao3 S-PP1 Q I .--I z A\� s� lo co z 0 0 0 4 4 a s° O 3q All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 9 Employee Name (print) 1�en n Address 3 o V; e" j A V'e- Check J UN 0 4 1009 payable to: City, St, Zip Signature: Approved by Date: 1 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carmel a Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense "I 9 z 3 c33� e L1 l�? -f l O S rc�r c o, rn C. cr�r �ln zl o 0 A 001 23 u, 4 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: T JUN 1 5009 Employee Name (print) �JC' �1 n t ��h;�� <�4`'`��'� By� Address J, Check payable to: City, St, Zip Signature: Approved by: Date: l s C Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request c r:- Carmel e Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense f 4u- z; o_ PG�d �cr fir; P 1 1 C i c. C t`�l r All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name (print) Je,\'V)"A -e JUN 1 1 2009 j Address U'S 1 y n \C 1 Check a payable to: City, St, Zip \��ti C.�c�C_ `f� �22Q Signature. by: Date: Date. Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request r 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. 358411 Hammons, Jennifer Terms 634 Northview Ave Date Due Indianapolis, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/2/09 Reimb. Alt. minds supplies 41.27 6/10/09 Reimb. Field trip to Indiana State Museum 150.00 6/15/09 Reimb. Summer camp supplies 55.07 Total 246.34 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. 358411 Hammons, Jennifer Allowed 20 634 Northview Ave Indianapolis, IN 46220 In Sum of$ 246.34 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb. 4239037 41.27 1 hereby certify that the attached invoice(s), or 1046 Reimb. 4343007 150.00 bill(s) is (are) true and correct and that the 1046 Reimb. 4239039 55.07 materials or services itemized thereon for which charge is made were ordered and received except 18 -Jun 2009 Signature 246.34 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I WE VALUE YOUR OPINION! WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT WAL -MART. Please complete a survey about today's store visit at: http: /www,surveg.weilmart.com You will need to enier the foIlowins online: ID 79CLH3JFPX1 IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE $1000 WALMART SHOPPING CARDS Must to 18 or older and a legal resident of the 50 US or DC to enter. No purchase necessary to enter or win. To enter without Purchase and for complete official rules visit www.entry.survey.walmart.com. Sweepstakes Period ends on the date shown in the official rules. Survey must Le taken within TWO weeks of toclay. Esta encuesta tambi6n se encuentra en esF-anol en la Pasina del Internet THANK YOU Wa I i v n, a r t o f kb- Saave money. Live better. WE SELL FOR LESS MANAGER STEVE DOBBS 317 875 0273 ST# 1518 OP# 000001'2.9 TE# 13 TR# 04669 ICE POP MKR 007675334961 1.50 X ICE POP MKR 007675334961 1.50 X ICE POP MKR 007675334961 1,50 X JB KWIK 004342608276 4 17 X SUBTOTAL CMN DGNATION 060538862097 1 SUBTOTAL 9.67 TAX 1 7,000 0.61 TOTAL 10.28 DEBIT TEND 10.28 CHANGE DUE 0.00 EFT DEBIT PAY FROM PRIMARY ACCOUNT 7503 10.28 TOTAL PURCHASE REF 916300052403 NETWORK ID. 0082 APPR CODE 110850 06/12/09 06:49:16 ITEMS SOLD 5 TC# 6122 4999 2328 6820 1245 Find simple tips and earth friendly Products at walmart,com /green 06/12/09 06:49:20 WE VALUE YOUR OPINION! WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT WAL -MART. Please complete a survey about today's store visit at: littp: /www.survey.walmart.com You will need to enter the following online: ID 79CKBFJFQWJ IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE $1000 WALMART SHOPPING CARDS Must be 18 or older and a legal resident of the 50 US or DC to enter, No purchase necessary to enter or win, To enter without Purchase and For complete official rules visit www.entrg.survey.walmart.com• Sweepstakes Period ends on the date shown in the official rules. Survey must be taken within TWO weeks of today. Esta encuesta tambi& se encuer+tra en espanol en la P69ina %del Internet THANK YOU Wa I art Save money. Live better. WE SELL FOR LESS MANAGER STEVE DUBBS 317 875 0273 ST# 1518 OP# 00000088 TE# 07 TR# 05614 STYROFOAM 004650193654 3.48 X STYROFOAM 004650193654 3.48 X STYROFOAM 004650193654 3.48 X MASKING TAPE 007535305128 2.97 X MASKING TAPE 005113103431 2.97 X CREPE RUB BN 007181500532 0.46 X STAN CLIPS 005050572365 0.57 X DUCK TAPE 007535303055 3.34 X REPAIR KIT 007186200206 2.77 X BIRD SEED 008615522149 TAX 1 7.000 AL 79 TOTAL 29.74 DEBIT TEND 29.74 CHANCE DUE 0.00 EFT DEBIT PAY ;;;s,9 PRIMARY ACCOUNT I 03 29.74 TOTAL PURCI4 REF 9153004�,1110 NETWORK I.D. 6w APPR i;GDE 310606 O5i01/09 22-:03:07 ITEM SOLD 10 TC# 7555 1386 3812. 0734 4308 111111 I1111Illlli II 111111 II III II llii i' p� I� �'l,► IIII IIII I II I IIII II IIII Find simple tips and ea. 11 friendly Products at walmarf.com /sreen 06/01/09 22:03:11 TAN." YOU FOR VISTTT,NG PlilI ANA 'STATE MUSEUM 1. ''7 2 13 2 -163 Y T T PI 00 14 84, 00 J,n i If,AL 150.0 0. 00 t 15C.00 i �56 0 00 r:53 AM 05/10 1 17b:21 1 1601 i 3Q F- 0 0 T P R I N T S3 Balancing Nature's Diversity Opening ;�hruarj 14, 2009! T f V. CVS/pharmacy for all the ways YOU care"' 13090 PEITrGRU DRIVE, CARMEL, IN PHARMACY: 733 -8608 STORE: REG003 TPAN #0317 CSHR 4688560 STR #1367 ExtraCare Card #4# 0$910 1 3M DUCT TAPF 8011 6 -.99T 1 3M MASKING TA 5620 6.g9T. 2 ITEMS SUBIOTAL IN 7..0'% TAX .94 TOTAL 14.42 DEBIT 14.92 *xxx h (7503 MS CHANGE ,00 1111111111111111111111111111111111111 5136 7915 0031 7031 RETURNS WITH RECEIPT THRU 07/29/2009 MAY 30, 2009 10:06 AM EARN 2i BACK ON ALMOST EVERYTHING IN THE STORE AND ON CVS.COMI TO ENSURE YOU GET ALL THE OFFERS AND INFORMATION AVAILABLE SPECIFICALLY FOR YOU, UPDATE YOUR EXTRACARE INFORMATION AT EITHER CVS.COM OR CALL 1- 800 SHOP -CVS, SHOP 29 HOURS A DAY AT CVS,COM THANK YOU FOR SHOPPING WITH US CVS for all tl ways you care e xtracare cou on For Him; Save $3 on any 2 Neutrogena Hen's Products (Up to $3.00 value) Expires 06/13/2009 IIIII �I�� I IIIIi�� (��III�II�III 444931117 F;.IraCare Card fi8970 EXTRACARE CARD MUST BE PRESENTED TO GET T11 ;E SAVINGS. SAVINGS APPLIED TO TOTAL. PURCHASE W111 SI'CCIFIED PRODUCT, [XC010FS PRFSCR'IPrIONS, ALCOHOL, GIFT t,Ai DS, TIl TFI-Y, MONEY ORDFRS, POSTAGE SIAMPS, PRE -PAID CARDS TOBACCO PRODUCTS. NO CASH BACK. TAX rHARGED ON PRE COUPON PRICE WHERE REQUIRED. 12592114111