HomeMy WebLinkAbout170572 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1
ONE CIVIC SQUARE SHANNON SHERMAN
CARMEL, INDIANA 46032 18816 WIMBLEY WAY CHECK AMOUNT: $9.98
NOBLESVILLE IN 46060 CHECK NUMBER: 170572
CHECK DATE: 41112009
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239039 9.96 GENERAL PROGRAM SUPPL
'I
CARMEL CLAY PARKS RECREATION
REIMBURSEMENT REQUEST
Carmel Clay
Parks &Recreation
RECEIPT DATE OF VENDOR LISTED ON ACCOUNT LINE PURPOSE OF CLAIM
NUMBER RECEIPT RECEIPT FUND DEPARTMENT NUMBER ACCOUNT DESCRIPTION AMOUNT EXPENSE SHEET
C
Total Reimbursement Request: $00
Signature: 1 Date:
Supervisor's Signature: Date;
MAR 18 2009
BY:
ACCOUNTS PAYABLE VOUCHER
w CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
358684 Sherman, Shannon Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2127109 Reimb. Club supplies 9.98
Total 9.98
1 hereby certify that the attached invoice(s), or biil(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
358684 Sherman, Shannon Allowed 20
In Sum of$
9.98
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239039 9.98 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
25 -Mar 2009
��.D/YyI/J�'7,��1
Signature
9.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund