HomeMy WebLinkAbout171906 04/29/2009 -u, f CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1
ONE CIVIC SQUARE CARRIE KEAVENEY
CARMEL, INDIANA 46032 CHECK AMOUNT: $68.37
13789 FIELDSHIRE TERRACE
WESTFIELD IN 46074 CHECK NUMBER: 171906
CHECK DATE: 4/2912009
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1047 4343002 68.37 EXTERNAL TRAINING TRA
Fit
e
a t
d m' ,a`
Mll
al-
Carmel o clay
Parks &Recreafaon
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt V endor listed on receipt Line Budget Description Amount Purpose of Expense
No U� ne%�r �fSt 47.10d•10 .4 7 iL 3 1 6 �(?0. sf
01 ru �O' �oo n t��jpQ !(.7� lunch
((b(U9 Nick En Iisk P' f /a.S 0 cernn2i
y1 1 J 09 IUD iJt�\av: (isfe- d
(11-1 (ol N Vkr,aU( 6I Sfa. 7 .o /U^CA
yJ 1 1 09 J L Ff(t ZX9 re ca) ':ac 111 r
N t ije.Ado k l2j 3, f `t! firer•, tl 4sq
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: (o 3 7
Employee Name (print) e a r ric 60U'-n'L j bl[l Address (3') y 9 rTdc�� A, (e T a va c t APR 1. 7 2009
Check
to: W es ie(d AJ �n
p ayable City, St, Zip 1 BY:
Signature: (20 -U-44 Approved by: ��j�j 710k4l-
Date: LI 0q Date: q11 71M
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.
361255 Keaveney, Carrie Terms
13789 Fieldshire Terrace
Westfield, In 46074
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
68.37
4115109 Reimb Conference expenses
Total 68.37
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.
361255 Keaveney, Carrie Allowed 20
13789 Fieldshire Terrace
Westfield, In 46074
In Sum of
68.37
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb 4343002 68.37 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
22 -Apr 2009
Signature
68.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund