172035 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 Of 1
ONE CIVIC SQUARE JENNIFER SEWELL CHECK AMOUNT: $213.13
CARMEL, INDIANA 46032 4163 APPLE CREEK DR
INDIANAPOLIS IN 46235 CHECK NUMBER: 172035
CHECK DATE: 4129/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1046 4343002 REIMB 213.13 EXTERNAL TRAINING TRA
I
i
Carmel oClay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. T
Employee Name (print) tJ Y
Address l j �7 U Vv APR 10 2009
Check
payable to: City, St, Zip l/� r` BY:
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Signature: {1 Approved by:
Date: U� Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \staff Forms \Employee Exp Reimb Request
Carmel (DClay
Parrs &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. q q, q a
No sales tax will be reimbursed. T
Employee Name (print)
Address AA V
Check i
payable to: City, St, Zip 1 m N �3
Signature: Approved by: ��1
Date: V� V Date:
Q
3029W
Business Services Division, Revised 7 -7 -08 n
FILE: Shared \Administrative \Forms \Staff Forms \Employee Exp Reimb Request r
BY:
iwrd uwse.w a` v
4009 Convention
JENNIFER
SEWELL
Carmel, IN
TWO DAY
a• o•
tt- tt• tt-
n
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind
numberaf price per unit e dates service rendered, by
hours
whom, rates per day, number of rate per hour,
Payee Purchase Order No.
Terms
358641 Sewell, Jennifer
4163 Apple Creek Dr
Indianapolis, IN
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)}
113.21
417109 Reimb. AfterSchool Conference expenses 99.92
417109 Reimb. AfterSchool Conference expenses
Total 213.13
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
213.13
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343002 113.21 1 hereby certify that the attached invoice(s), or
1046 Reimb. 4343002 99.92 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
22 -Apr 2009
Signature
213.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund