171865 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
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.f ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $407.07
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE
INDIANAPOLIS IN 46220 CHECK NUMBER: 171865
CHECK DATE: 4/29/2009
DEPA ACCOUNT P O NUMBER INVOI NUM AMOUNT DESCRIPTION
1046 4343004 184.80 TRAVEL PER DIEMS
1047 4343002 222.27 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1985)
MILEAGE CLAIM 1WNS
TO YY
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(GOVERNMENTAL UNI•n ON ACCOUNT OF APPROPRIATION NO. FOR
(OF,TcE BOARD. DEPARTMENT OR INSTMrr1ON)
SPEEDOMETER Mrt'R
DATE FROM TO I READING AUTO AGE
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PE MILE
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SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, adtar aliZU6 l credits
and that no part of the same has been paid.
Date Ci f
APR 14 2009
BY:
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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All receipts should be attached in the same order as listed above. 1 I L4-2- V
No sales tax will be reimbursed. TOTAL: l
Employee Name (print)
��r1c1��e� VA o coons 0 30397
Address �9 V O r-�hy ew A v APR 0 8 1009
Check 1
payable to: City, St, Zip 11�C�� C� .r��,1S F lJQ U Z-2 C BY:
Signature: Approved by: 4
Date:
O I Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Carmel (D 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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4. 15 g �raocl
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: co
Employee Name (print) P -n(O�f YY1onS 1 1 APR 0 8 2009
Address L4 N O ���v i�vJ A vz-
Check BY:
payable to: City, St, Zip
Signature: Approved by:
Date: Date: a
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice ofbill 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
4/8/09 Reimb. Mileage 3/2/09 3/31/09 WC 184.80
4/8109 Reimb. AfterSchool Conference expenses 167.42
4/8/09 Reimb. AfterSchool Conference expenses 56.94
Total 409.16
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$
409.16
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 184.80 1 hereby certify that the attached invoice(s), or
1046 Reimb. 4343002 2 bill(s) is (are) true and correct and that the
1046 Reimb. 4343002 4 materials or services itemized thereon for
TZ• Z7 which charge is made were ordered and
received except
22 -Apr 2009
Signature
Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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WE'RE JAZZED YOU'RE HERE!
CAB COMPANY
TELEPHONE
PASSENGER RECEIPT, TAXI FARE
DATE 4 C I
Amount ....00V.......
Other Charges
Total..............
Driver's Name C-hGr��- Cell
Cab Number
NEW ORLEANS
WELCOME TO NEW ORLEANS
WE'RE JAZZED YOU'RE HERE!
WE INVITE YOU TO .INDULGE IN OUR
DELICIOUS CUISINE, GREAT MUSIC, AND
AUTHENTIC CULTURE... AND SHARE THE GOOD
NEWS ABOUT THE NEW NEW ORLEANS!
LAISSEZ LES BON TEMPS ROULEZ!
LET THE GOOD TIMES ROLL!
NEW ORLEANS METROPOLITAN CONVENTION &VISITORS BUREAU
WE'RE JAZZED YOU'RE HERE!
CAB COMPANY
TELEPHONE
PASSENGER RECEIPT, TAXI FARE c
DATE 1
Amount .......1....�-
Other Charges
�pO
Total
Driver's Name C�na� �e5 Cell
Cab Number N G N
W OIZLEANS
WELCOME TO NEW ORLEANS
WE'RE JAZZED You'RE HERE!
WE INVITE YOU TO INDULGE IN OUR
DELICIOUS CUISINE, G.REAT.MUSIC, AND
AUTHENTIC CULTURE... AND SHARE THE GOOD
NEWS ABOUT THE NEW NEW ORLEANS!
LAISSEZ LES BON TEMPS ROULEZ!
LET THE GOOD TIMES ROLL!
NEW ORLEANS METROPOLITAN CONVENTION VISITORS [BUREAU
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SSP America
Harry izzy's
Indianapolis Int' I P'
Indianapolis, IN 46241
(31 7) 241-0533
Date: Apr0i'091 05:28PM
Card Type: Master Card
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Trans Type: P j'Pr H
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agree to pay aCjo tcta!
according to my card issuer
Customer Copy
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JENMIFER L HAMNON�
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ERNST CAFE
Ernst Cafe
600 South Peters St,
504- 525 -8544
Server: Tanya 04/02/2009
Table 42/2 12:46 PH
Guests: 1
#00017
Reprint: 1
Chicken Spicy Sandwich 9.00
Sweet Fries 1.00
Complete Subtotal 10.00
Subtotal 10.00
Tax 0,00
Total 10.00
VISA 10.00 vvvvvvvvv vy� 03
/IAA #,,,,,,;,,,,,,,,•.,,X,,,,�5J�
Auth;032201 Exp 0213
BZI l ar1ce D CAEl
GO SAINTS
WEM SDAY STEAK NIGHT!
Check Closed
r
ERNST CAFE
Ernst Cafe
600 South Peters St.
504 -525 -8544
Server: Tanya 04/02/2009
Table 42/2 12:46 PM
Guests: 1
#30017
Chicken Spicy Sandwich 9.00
Sweet Fries 1.00
Complete Subtotal 10.00
Sio Mai 10.00
Tax 0.00
Tota 10.00
13 z 1 ar1tovy Dr iel 1 t.l 00
GO SAINTS
WEDNESDAY STEAK NIGHT!
BRNST CAFE
E[0StZdf8
800 South Peters S[.
504-525-8544
Server: Tanya DOD: 04/02/2009
01 :22 PM 04'02/2009
|dU|e 42/2 3/30017
VISA 3145748
Card OXXXXXXXXXXXX7503
NdgA6L|C card present: HANHONS JENNIFER L
Approval: 032201
Amount: 10.00
]�s
Gratuity:
(�]�r
=Total:
GO 3kIN7O
WEDNESDAY STEAK NIGHT!
******Guest's Copy******
200 POydrOS 5trR8t
N8N Orleans, LO 70130
(504) 552'2759
Pate: Apr03'08 10:01PN
Cord Type: Visa
ACCt
|/Ons Key: EIE001138072733
�xP Dd��� XX/XX
AulU Code: 020003
Check: 4784
TaUla: 305 /5
Server: 13 1co|8 D
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DATE 03APR'89 08AH
CARO TYPE� V1Sa
XXXX�XxXXXXx 75O3
EXP D�TE� XX/Xx
�U7H CODE/ 090837
RES EARCH OOOlO00008000
JENNIFER L HANNONS
TOT�L� 2 -4 3
3�gn8�Ure�
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a0UUnt aCC3[d1nO to ru�dho�der
a0r8Cment.
Kr ,er
640 Buurbf
New OdA08" |30
504. 1b7
fax W.52iM4
Date: A0r02'09 03:42PH
Card Type: V1Sd
AW XXXXXXXXXXXX7503
Trans Key: AIA081530583138
[^V Date, XX/XX
nu|h Code: 814204
Check: 4104
Server 6008 Mvg0
Subtotal: 1 E
CUSTOMER COPY
G/o1u1ty�
Total
CUSTOMER MY
A A RR 0
[HAR C 0 0 Li i- A S T N i 1 A 1 R F; tD R T
7584 AWANDA
6 4 2 4 A P RCj 11 C' l 5 8 A [l
I STROMBOLI 6.2'9
SAW& 6,29
fax 0 52
Am( Pd i Cl (3) 8 1
cas." 7 00
Va w
THANK YOU, HMSHOST
C i'j 0 COW ERNS OR OKEST 1 N S
PLEAEL GONTnT 704-3514316 OR
L I T U S TQ M E R 11 M S p! 0 S T C 0
0158
Server: MICHAEL N R8C;l82
19:26, Swiped T; 40 Term: 2
LA BAYOU RBTUARANT
208 BOURBON ST.
NEM ORLEANS LA 7013O
(5O4)525 475�
MER�HANT
CARD TYPE ACCOUNT NUMBER EXP
VISA SXXXXXXXXXXX7503 0213
Name: HANH
00 TRANSACTION APPROVED
�UTHSRI ATIOH 09270 4
A, 153"' 02
T'RA"NS TYPE: Crzedit Curd SALE
CHEC 54.80
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**�OuPlioa't C-, CC) pY���
CARDHOLDER VILL PAY CARD I3SUBR ABOVE
AHOUNT PURSUANT TO CARDHOLDER AGREEMENT
tDtdl and G1g0 one oolpy, keep the other
0204C Ta��le 4'0 #Party 1
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HANK
F OR DINING VJ I TH US.
VISIT US ON
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