HomeMy WebLinkAbout168504 02/04/2009 f CITY OF CARMEL, INDIANA VENDOR: 360880 Page 1 of 1
ONE CIVIC SQUARE SHAWN HART CHECK AMOUNT: $32.48
CARMEL, INDIANA 46032 17274 PUNTLEDCE DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 168504
CHECK DATE: 21412009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NU A MOUNT D
1125 4343000 32.48 TRAVEL, FEES EXPENSE
Carmel o Clay
RarACS &Recreation
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
TOTAL
Name (print) �j�fbw^ I-Ir k
V CE:
Check Address
JAS! 2 3 2009 f
payable to: r
City, St, Zip �7VSVi IN B
Signature Date:
Approved by: Date: D�
Revised 3 -2 -07 by Business Services
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.
Hart, Shawn Terms
17274 Pentledge Dr Date Due
Noblesville, IN 46062
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1114!09 reimb. Meals, INLA conference 32.48
Total 32.48
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
Voucher No. Warrant No.
Hart, Shawn Allowed 20
17274 Pentledge Dr
Noblesville, IN 46062
In Sum of
32.48
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO, ACCT #ITITLa AMOUNT Board Members
Dept
1 125 reimb. 4343000 32.48 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
I
I
2 -Feb 2009
1
Signature
32.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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