168097 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 362444 Page 1 of 1
0 ONE CIVIC SQUARE MATT LEBER CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 768 EAST 93RD DR. APT A
INDIANAPOLIS IN 46240 CHECK NUMBER: 168097
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUN PO NUMB IN VOICE NU MBER AMOUNT DESCRIPTION
1047 4239039 REIMB� 50.00 GENERAL PROGRAM SUPPL
y
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
(able 1 r1j1 r 3� �rL C[c,sy s j 0 0 j
�(2 -34v39
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print) Ma
Address �3r� I,)f. �A� DEC 1 9 2008
Check
payable to: City, St, Zip r j Yn PNA I':'
Signature: Approved by:
Date: I 2 a, Date: z Z- ZfO
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative\Forms \Staff Forms\Employee Exp Reimb Request
t�
Evil-am
I Olympic Plaza Colorado Springs,
Colorado 80909-5769
E C E 1'r"T
Date: December 1, 2008
Received From: Matt Leber
Fifty& 00/1.00 Dollars
Paid: #538 The Monon Center Table
Check rX7X Tennis Club
Money Order: No.
Purchase Fahle- 7 Thank you.
Description
P.O.# lvltq P or F
G.L# q,;k39o39 USA TABLE TENNIS
Budget
Line Descr P
Purchaser Date_
Approval
Signature:
UMedSdo
lates
ot m pic
(I'l-
1 Olympic Plaza Colorado Springs. Colorado 80909-5769 Caminee
Telephone 7 7 9.865.4583 FAX 719.632.6071
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,
Leber, Matt Terms
768 East 93rd Dr., Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1211108 Reimb. USATT Registration fee 50.00
Total 50.00
I 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.
Leber, Matt Allowed 20
768 East 93rd Dr., Apt A
Indianapolis, IN 46240
In Sum of
n 50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO- ACCT #MTLE AMOUNT Board Members
Dept
1047 Reimb. 4239039 50.00 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
2 -Jan 2009
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund