171074 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
ONE CIVIC SQUARE JENNIFER SEWELL
4163 APPLE CREEK DR
CHECK AMOUNT: $46.00
la CARMEN, INDIANA 46032
Y INDIANAPOLIS IN 46235 CHECK NUMBER: 171074
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4367003 46.00 INTERNAL INSTRUCT FEE
Carmel 0 Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
AS 4�
All receipts should be attached in the same order as listed above.
saf es tax will be reimbursed. TOTAL: Ts 1
r
Employeen Name (print) Jaj� yi I I Ci Sfvv e-�
Address 3 APR 6 1009
Check
BY:
payable to: City, St, Zip
Signature: Approved by:
Date: V I Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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. 18564 F
358641 Sewell, Jennifer Terms
s
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
46.00
3!31109 Reimb. Books for training
Total 46.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
358641 Sewell, Jennifer Allowed 20
In Sum of
�0
46.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4357003 46.00 l 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
8-Apr 2009
Signature
46.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund