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
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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
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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