207393 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
ONE CIVIC SQUARE JENNIFER BROWN
CARMEL, INDIANA 46032 4163 APPLE CREEK DR CHECK AMOUNT: $68.73
INDIANAPOLIS IN 46235 CHECK NUMBER: 207393
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 68.73 TRAVEL FEES EXPENSE
BOARDING PASS
Flight Date: 03/1212012
Terminal:JW Marriott
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Jennifer
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Recreation
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Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
03. a VVI e P S 1 �1 1 0 0o expoV Fry CRAP ZU 6 S r C 6 ftv eo Cv
D3, la. is woo rv�g. ��a�� X031 -a� x-34300 o exrNW UTA4 j Z� �sfi
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 1 3
Employeen Name (print) U eon �t �3Y WV In o 33 0 3 9 I F )ED
Address
�0 U Ka MAR 16 2011
Check
payable to: City, St, Zip V\ W I
Signature: Approved by
Date: D 7' `f I Z Date: J'
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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.
358641 Brown, Jennifer Terms
4163 Apple Creek Dr
Indianapolis, IN
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3112112 Reimb OST conference expenses 68.73
Total 68.73
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- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
358641 Brown, Jennifer Allowed 20
4163 Apple Creek Dr
Indianapolis, IN
In Sum of
68.73
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb 4343000 68.73 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 -Mar 2012
Signature
68.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund