HomeMy WebLinkAbout169494 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362631 Rage 1 of 1
4 ONE CIVIC SQUARE DENISSE JENSEN
i b CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 5298 BREAKERS WAY
CARMEL IN 46033 CHECK NUMBER: 169494
CHECK DATE: 3!4!2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1047 4239039 15.00 GENERAL PROGRAM SUPPL
Carmel a clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
4 41 D9 b a Cr 4 7co ioo 423q 0 1 6 -1 0 4
f`
i
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: O
Employee Name (print)
Address zq P, t
Check
payable to: City, St, Zip L D 5
Signature: ,Q t Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08
CF YVED
FILE: Shared\AdministrativelForms \Staff Forms\Employee Exp Reimb Request FEB 1 7 2009
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.
Jensen, Denisse Terms
5298 Breakers Way
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
215!09 Reimb All staff meeting supplies 15.70
Total 15.70
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 10 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Jensen, Denisse Allowed 20
5298 Breakers Way
Carmel, IN 46033
In Sum of
15.70
r%
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLF AMOUNT Board Members
Dept
1047 Reimb 4239039 7 F7b I hereby certify that the attached invoice(s), or
E 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
26 -Feb 2009
iMInVA
Signature
I s Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i