Loading...
HomeMy WebLinkAbout170936 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 357976 Page 1 of 1 1 0� I ONE CIVIC SQUARE BENJAMIN JOHNSON CHECK AMOUNT: $168.59 s CARMEL. INDIANA 46032 8416 MANSHIP DRIVE FISHERS IN 46038 CHECK NUMBER: 170936 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4343002 REIMB 168.59 EXTERNAL TRAINING TRA I Carmel e Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Lune Budget Description Amount Purpose of Expense �1� oo�jov �NFn1cfl "r All receipts should be attached in the same order as listed above. y7 No sales tax will be reimbursed. TOTAL: I Employee Name (print) Address /��'-N.S 4 APR 0 7 2Q09 Check payable to: City, St, Zip :............:1....... Signature: Approved by: Date: l'J r Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Formslstaff Forms\Employee Exp Reimb Request Cal MCI o Clay Parks &Recreati ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense -0 1 (OaT l f►NTAL AM LNES a��oc y�o�d- Tit f���Jlhl(� TiZAVE IS. F}bC %E PM C_A�-C L y -3 -oj Taj7 a K )o M ML q- 3 -O! Wss ,j� S So*oo_� e Ft"S It 1 75-1 M E-L y -3 -0 9 60��/ 31 E� OA 30 b MYL +q- CH KZ p, �►�Er��r�sEs All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: D APR 0 7 2009 Employee Name (print) v D wIS O A V Address ��yl �0� S}��Q L�_IL� payab to: P Y City, St, Zip Signature. �j Approved by: Date: 1 —G I Date: 1 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 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. 357976 Ben Johnson Terms 8416 Manship Dr Date Due Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/6/09 reimb. Meals for Conference 13.47 4/6/09 reimb. Conference expenses 155.12 Total 168.59 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. 357976 Ben Johnson Allowed 20 8416 Manship Dr Fishers, IN 46038 In Sum of 168.59 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb 4343002 13.47 1 hereby certify that the attached invoice(s), or 1046 Reimb 4343002 155.12 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 9 -Apr 2009 Signature 168.59 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund