168186 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 358684 Page 1 of 1
ONE CIVIC SQUARE SHANNON SHERMAN
a CARMEL, INDIANA 46032 18816 WIMBLEY WAY CHECK AMOUNT: $14.37
NOBLESVILLE IN 46060
CHECK NUMBER: 168186
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239039 14.37 GENERAL PROGRAM SUPPL
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CARMEL CLAY PARKS RECREATION
REIMBURSEMENT REQUEST
Carmel Clay
Parks &Recreation
RECEIPT DATE OF VENDOR LISTED ON ACCOUNT LINE PURPOSE OF CLAIM
NUMBER RECEIPT RECEIPT FUND DEPARTMENT NUMBER ACCOUNT DESCRIPTION AMOUNT EXPENSE SHEET
Total Reimbursement Request:
Signature: G Date: l 7 j
Supervisor's Signature: Date:
JAN 0 5 2009
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
358684 Sherman, Shannon Terms
a
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/19/08 Reimb. Early dismissal supplies Kroger 14.37
Total 14.37
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
358684 Sherman, Shannon Allowed 20
In Sum of$
14.37
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4239039 14.37 i 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
6 -Jan 2009
Signature
14.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund