170169 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 360128 Page 1 of 1
F ONE CIVIC SQUARE TARA WOOLERY
CARMEL, INDIANA 46032 15476 BLAIR LANE CHECK AMOUNT: $41.00
NOBLESVILLE IN 46060
CHECK NUMBER: 170169
CHECK DATE: 3/18/2009
'DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239039 41.00 GENERAL PROGRAM SUPPL
Carm Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount l Purpose of Expense
2/6/2009 Deal$ 101 4239039 General Program Supplies $41.00 V Give way baskets contents
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $41.00
Employee Name (print) Tara Woolery
Address
Check
payable to: City, St, Zip
Signature: "-I, _p Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative%Forms \Staff FormslEmployee Exp Reirnb Request
tl�Jt =1
MAR 0 G 2009
BY:
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.
360128 Woolery, Tara Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
312109 Reimb Morale committee supplies 41.00
Total 41.00
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.
360128 Woolery, Tara Allowed 20
In Sum of
41,00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4239039 41.00. 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
12 -Mar 2009
Signature
41.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund