HomeMy WebLinkAbout207596 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
Q� ONE CIVIC SQUARE JESSICA RICHARDS
CARMEL, INDIANA 46032 1632 N GLENDORA DR CHECK AMOUNT: $77.60
INDPLS IN 46214 CHECK NUMBER: 207596
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 77.60 TRAVEL FEES EXPENSE
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:HAMPPS
A FIEF I C:ANA
49 EW. Maryland St
Indianapolis IN 46204
(317)S51=003
Server: Kyle GOB: 03/12/2012
01:06 PM 03/12/2012
Table 53/8 9/90016
SALE
VISA 1150052
Card kXFtXXKXXXXX:XX81151
Magnetic card present: RICHARDS JESSICA R
Card Entry Method:
Approval: 432950
Amount: 19.60
Tip: 0o
Total: Total Coo
I agree to p the above
total amount sccordina to the
card issuer agreement.
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Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Desc Amount A urpose of Expense
3 1 2 f I _q +A 3 000 iya vU 0
3 j l 3 3W KAY i 9-.-i O (c O' q 3t 0 o a I y�,y C k e Z% c_e_-
3 12 C,�a -;rn Y Ug J I.CO o �c c�cP-- I cV�
All receipts should be attached in the same order as listed above. rr
No sales tax will be reimbursed. TOTAL: I s 7 T. W
3(a
Employeen Name (print) &SSl C O'-� I J
1�3 2 NGY N G��� MAR 9 2012
Address
Check
payable to: City, St, Zip 5 `-C 2 BY
1
Signature: C4U Approved by: QV
Date: I� l 2— Date: f 7
Revised 3 -2 -07 by Business Services;
SharedfForms and Templates/Business Service Forms /Employee Exp Reimb Request 2007 -3
�aR 2 0 2012 go
By.........
BOARDING PASS
(Flight Date: 03/12/2012 it
nklkff ro su,UriH
!Terminal: JW Marriott
Jessica Richards
ESE (Carmel Clay Parks and Recreation)
111111111111 I II 1 111/111 III1111111 1 111
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.
364657 Richards, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/14/12 Reimb Conference expenses OST 77.60
Mileage 8/8 -11114111
Total 77.60
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.
364657 Richards, Jessica Allowed 20
In Sum of
77.60
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb 4343000 77.60 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
77.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund