206857 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366057 Page 1 of 1
ONE CIVIC SQUARE SANDRA YOUNG
CARMEL, INDIANA 46032 C/O PARKS DEPT CHECK AMOUNT: $14.00
CHECK NUMBER: 206857
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350600 14.00 CLEANING SERVICES
Ca rmel lay
Parks& Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
2/13/2012 Premier Cleaners `-i3 o C' c-n 5 �/r� 14.00 Dry clean press CCPR
Table Runner
All receipts should be attached in the same order as listed above.
No sales tax will be reimbur TOTAL: $14.00
Employee Name (print) Sandra J. Youn y S 1 5 201
9 FEB
4�
Address 11145.Echo Crest East Drive
Check BY;
payable to: City, St, Zip Indianapolis, IN 46280
Signature: Approved b
Date: 2/13/2012 Date: 2/13/2012
Business Services Division, Revised 7 -7 -08
FILE: Shared\Forms%Business Services\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.
Young, Sandra Terms
11145 Eco Crest East Drive
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2113112 Reimb Dry clean press table runner 28884 14.00
Tota! 14.00
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.
Young, Sandra Allowed 20
11145 Eco Crest East Drive
Indianapolis, IN 46280
In Sum of
14.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACOT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4350600 14.00 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
23 -Feb 2012
Signature
14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund