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172038 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1 ONE CIVIC SQUARE SHANNON SHERMAN i bI' CHECK AMOUNT: $144.26 CARMEL, INDIANA 46032 18816 WIMBLEY WAY a �.�o• NOKESVILLE IN 46060 CHECK NUMBER: 972038 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOU NT DESCRIPTION 1046 4343002 REIMB 144.26 EXTERNAL TRAINING TRA a �x Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense A-( m V Vk 'A k 1 �M --W &Z2 7 Pr 2 A' I 7,5 12 �40 X/Mm 4 NIC- 71wwJ S eizq e-zo All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: J�V Employeen Name (priq42466i= Address APR 1 4 2009 Check payable to: City, St, Zip -Z BY Signature: Approved by: �7 Date: Date: Business Services Division, Revised 3-2-07 FILE: SharedXAdministrativelFormsXStaff Forms\EmPiDyee Exp Reimb Request Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense tr Qa V V /5" LI)II y Vle 4"�"' All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL Employeen Name (print r r/ �Vz APR 1 4 2009 Address Check BY: payable to: city, St, zip Signature: Approved by: Date: v Date: Business Services Division, Revised 3-2-07 FILE: Shared\Administrative\Forins\Staff Forms\Employee Exp Reimb Request ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized muster hour. number of service, where rice erone edates service rendered, by whom, rates per day, number of hours, rate Payee Purchase Order No. Terms 358684 Sherman, Shannon Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 88 416109 Reimb. AfterSchool Conference expenses 56.00 4/6109 Reimb. AfterSchool Conference expenses Total 144.26 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. 358684 Sherman, Shannon Allowed 20 '1 In Sum of 144.26 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Reimb. 4343002 88.26 i hereby certify that the attached invoice(s), or 9046 Reimb. 4343002 56.00 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 22 -Apr 2009 Signature 144.26 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund