172028 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1
0 ONE CIVIC SQUARE KATIE SCHNEIDER CHECK AMOUNT: $82.74
1, CARMEL INDIANA 46032 3211 CHADWOOD LANE N DR #1A
INDIANAPOLIS IN 46268
CHECK NUMBER: 172028
CHECK DATE: 4/29/2009
DEPARTM ACCOUNT PO NUMBE INVOI NUMBER AMOUNT DESCRIPTION
1047 4343003 REIMB 82.74 TRAVEL LODGING
I
i
Carmel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1 4 z 5
4/16/2009 Champps Americana 47 100 100 4343094 Travel Per Diem 82.74 V Ohio facility Visit Meal
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $82.74
I M T E777171I Employee Name (print) Kate Schneider
A PR 7 2
Address 3211 Chadwood Lane N Dr Apt 1A
Check BY:
payable to: City, St, Zip jndiana s, IN
Sign ure: Approved by:
Date: 4/6/20` W Date: 7
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; hourkn d of service,
units, price performed, dates service rendered, by
whom, rates per day, number of hours, rate N
Payee Purchase Order No.
Terms
359185 Schneider, Kate
3211 Chadwood Lane N. Drive, 1 A
Indianapolis, IN 46268
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
82.74
4116109 Reimb. Ohio facility visit meal
Total 82.74
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.
359185 Schneider, Kate Allowed 20
1A
I In Sum of
OrL MC, JN FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 Reimb. 4343003 82.74 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
22 -Apr 2009
Signature
82.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund