172541 06/13/2009 CITY OF. CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
0 t ONE CIVIC SQUARE JENNIFER SEWELL CHECK AMOUNT: $32.54
.+o CARMEL, INDIANA 46032 4163 APPLE CREEK DR
INDIANAPOLIS IN 46235 CHECK NUMBER: 172541
CHECK DATE: 6/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343002 REIMB 32.54 EXTERNAL TRAINING TRA
Carmel o Clay
Parks &Recreati
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor fisted on receipt Line Budget Description Amount Purpose of Expense
i12 u I O ow y CQ J 0 0 Z 1 fso f vki i V[. -CXc tvL 1b
All receipts should be attached in the same order as listed above. 2
No sales tax will be reimbursed. TOTAL: v1 Q a
Employee Name (print) 0A V r
A P R 2 9 2009
Address U V t� l "U lJ�( l��`L B Y:
Check
payable to: city, St, Zip
Signature: Approved by: ✓i}
Date: u 1 Date: r
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
4/28/09 Reimb Training expenses 32.54
Total 32.54
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.
358641 Sewell, Jennifer Allowed 20
4163 Apple Creek Dr
Indianapolis, IN
In Sum of
32.54
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb 4343002 32.54 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
7 -May 2009
Signature
32.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund