168021 01/21/2009 F CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
0 CHECK AMOUNT: $27.47
CARMEL, INDIANA 46032 10868 GUNNISON CT
M <ron io FISHERS IN 46038 CHECK NUMBER: 168021
CHECK DATE: 1/21/2009
DEPARTMENT f ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 27.47 CLUB ACTIVITY SUPPLIE
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8� UU. STORES, INC..., n
Storo# 1375 (3l7) 876-0335
3439 West 05ch Street
Indianapolis IN 46268
DESCRIPTION UTY PRICE TOTAL
CHRISTMAS CARDS 1 1.00 i 00T
CHRISTMAS CARDS 1 1.00 1.00T
CHRISTMAS CARDS l 1.00 1.00T
CHRISTMAS CARDS 1 1.00 1.801
CHRISTMAS CARDS 1 1.00 1.80T
CHRISTMAS CARDS 1 1.00 1.O0T'
CHRISTMAS CARDS 1 1.00 1.00T
CHRISTMAS CARDS 1 1.00 1.U0T
CHRISTMAS CARDS 1 1.00 1.00T
CHRISTMAS CARDS 1 1.00 1.00T
CHRISTMAS CARDS 1 1.00 1.081
CHRISTMAS CARDS I 1.08 1.00T
CHRISTMAS CARDS 1 1.00 1.80T
CHRISTMAS CARDS 1 1.00 1.001'
CHRISTMAS CARDS 1 1.00 1.001
Sub Total
SALES TAX
Total $16.05
Debit Card $16.05
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Debit Total $16.05
Thank You for Shopping Dollar v ar
Where Everything's $1.00
Shop On-Lino at Do||artreeUirpoT.cvm
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Sales Assouiate:lavinda
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MANAGER STEVE BUMS
317 875 =_0273
Sig 15.18 OPa 00009050_TE# 50 TRii._01709
1S1 ML' CP 026813200398_ 3.98
_SUBTOTAL 3.48
TAX 1 "1.000_X-. 0.29
TOTAL 3.72
DEBIT_-"TEND 3.72
CHANGE DUE 0.00
EFT DEBIT PAY FROM.PRIMARY
ACCOUN! ___.7503
3.72 TOTAL PURCHASE
REF 834900362137
NETWORK 11). 0082 APPR -CODE 852117
12/09/08 11:57:11
ITEMS SOLD "1
1'1-;tt 7080 8K0b 2619 9465 8621
Get Free Holiday Savings bm Coll! Dial
,#WMI or visit walmart,com /moblleinfo
12/09/08 11:57:15
Q)TARGET.
EXP[c MORE. PAY LESS
NORA PLAZA 317 -810 -0044
12/09/2008 12:38 PM
RECEIPT EXPIRES ON 03/09/09
IIII II I II IIIII III III
TOYS SPORTING GOODS
087000764 DISNEY ARE U T 9.
SUBTOTAL
T IN TAX 7.0000% on 9.99 .70
TOTAL 10.69
7503 DEBIT TOTAL PAYMENT 10.69
Target Pharmacy We're here to help!
gam 9pm M -F
9am 6pm Sat
9am 6pm Sun
RECEIPT ID# 2- 8344 -1848- 0075- 2902-2
VCD# 752- 280 -944 TM *0750
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Save All Receipts.
A recei t dated within 90 days is
required ALL mtuFns exchanges.
1 0 may be requieed.
All returns exchanges must be
new, unused and have original
packaging and accessories. Some
items cannot be returned if opened.
For the full return exchange
policy, log on toTarget.com
or visit any store.
For a gift receipt, bring this receipt
back to any Target store within 90 days.
Ask about receipt look up.
A -2
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C arme l
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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CA U V)
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print)
Address ��i��i �u ran tScr� C4 DEC 2
Check ?oo8
I
payable to: City, St, Zip C 1 (9 Cj S r
V.
Signature: Approved by:
Date: Date: "U
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice oi'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
10868 Gunnisan Ct Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/11/08 Reimb. Club supplies, Target, Walmart, Dollar tree 27.47
Total 27.47
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.
358411 Hammons, Jennifer Allowed 20
10868 Gunnisan Ct
.f Fishers, IN 46038
In Sum of
�r
I�
27.47
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239037 27.47 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
J
Signature
27.47 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund