170570 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
;y� j, ONE CIVIC SQUARE JENNIFER SEWELL
?a CARMEL, INDIANA 46032 4163 APPLE CREEK DR CHECK AMOUNT: $189.95
INDIANAPOLIS IN 46235 CHECK NUMBER: 170570
CHECK DATE: 411/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 14.95 TRAVEL, PER DIEMS
1046 4357004 175.00 EXTERNAL INSTRUCT FEE
a:
Carrel oClay
Parks
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Z- Lb U 1 I dl i �v� Sh� "vI UPS i D b �f d y- kr a,tic�& 1 1 v� c� 5 S tv� rvl G�.w� i
Iry UtVVv �r 300 a� i Lac i v (imM v a rr
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: G�
Employee Name (print)
Address 4 1 ("'I/ 'r-- Y MAR 1 8 2009` I
Check
Payable to: City, St, Zip j
Signature. Approved by
JJ�� rJ 1�
Date. U V Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Adminislrativel Form slStaff FormslEmployee Exp Reimb Request
Carmel o Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
c
00
ex �P Is�rQ
03 1 0 I mf' ttw I fd Ca
All receipts should be attached in the same order as listed above. c
No sales tax will be reimbursed. TOTAL: I 5
Employee Name (print) 0 V1 I t C r S 'C
Address 3 2V f C G-V C K Dy MAR 1 S 2009
Check f
payable to: City, St, Zip mo_ I N 4-I
Signature: p q Approved by:
Date: �J c5 I Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative\Forms \Staff Forms\Employee Exp Reimb Request
Jennifer Sewell
From: Indy Red Cross Training registration @indyredcrosstraining.org]
Sent: Wednesday, March 18, 2009 8:15 AM
To: registration @indyredcrosstraining.org
Cc: Jennifer Sewell
Subject: Payment for First Aid /CPR /AED Instructor w /FIT and Precourse Testing
Merchant: American Red Cross of Greater Indianapolis
'Order ID: VLFE3E161 D14
Order Placed: 03/18/2009
Amount: $175
Instructor -Led: First Aid /CPR /AED Instructor w /FIT and
Precourse Testing
4370-
Session: 1985960 *1985971 "1985982*1986009
Location: Indianapolis Headquarters
MAR 1 8 2009
BILL TO
Carmel Clay Parks Recreation
Jennifer Sewell
1235 Central Park Drive l=ast
Carmel IN 46235
USA
3178433864
jsewell(@carmelclayparks.com
SHIPPING ADDRESS:
Carmel Clay Parks Recreation
Jennifer Ava Sewell
1235 Central Park Drive East
Carmel IN 46235
USA
3178433864
jsewell(a7carmelclayparks.com
ORDER DESCRIPTION
Instructor -Led: First Aid /CPR /AED Instructor w /FIT and Precourse Testing
F
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
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3110/09 Reimb. Summer camp fair travel /lodging 14.95
3118109 Reimb. CPR Instructor course 175.00
Total 189.95
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- 14 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
358641 Sewell, Jennifer Allowed 20
c)
In Sum of
?4 189.95
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343003 14.95 1 hereby certify that the attached invoice(s), or
10 Reimb. 4357004 175.00 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
25 -Mar 2009
Signature
189.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund