HomeMy WebLinkAbout175131 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
ONE CIVIC SQUARE JENNIFER SEWELL
0 CARMEL, INDIANA 46032 4163 APPLE CREEK DR CHECK AMOUNT: $15.41
INDIANAPOLIS IN 46235 CHECK NUMBER: 175131
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 REIMB 10.41 CLUB ACTIVITY SUPPLIE
1046 4343004 REIMB 5.00 TRAVEL FEES EXPENSE
i-
Carmel o Clay
Pa &Recreation
Employee Expense Reimbursement Request
Date of f=und Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
05 .2,3• o \N Mky Q" y11 V rl C f �A S p Ai
lAY
All receipts should be attached in the same order as listed above.
No sales tax wi be r e i mbu r sed. TOTAL:
Employee Name (print)
J U L 0 2 200
k"6 t' 9
Address IO V J
Check
payable to: City, St, Zip
Signature: Approved by:
I
Date: U U Date: �o O 9
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.
358641 Sewell, Jennifer Terms
4163 Apple Creek Dr
Indianapolis, IN
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/23/09 Reimb CPR supplies /Walmart 10.41
6/24/09 Reimb Parking for job fair 5.00
Total 15.41
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
c
Voucher No. Warrant No.
358641 Sewell, Jennifer Allowed 20
4163 Apple Creek Dr
Indianapolis, IN
In Sum of
15.41
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4239037 10.41 1 hereby certify that the attached invoice(s), or
1046 Reimb 43430 5.00 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
16 -Jul 2009
Signature
15.41 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund