HomeMy WebLinkAbout208326 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360926 Page 1 of 1
ONE CIVIC SQUARE SHAVONNE HOLTON
CARMEL, INDIANA 46032 3707 N MERIDIAN ST APT 36 CHECK AMOUNT: $75.16
e, INDIANAPOLIS IN 46208
CHECK NUMBER: 208326
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 75.16 TRAVEL FEES EXPENSE
�ssc��1 C'onf eren�
Carmel e Clay Ckw�as
Parks &Recreation
Employee Expense Reimbursement Request
Date
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
4/1/2012 Champp's Indianapolis Airport 4343000 Travel Fees Expenses A 2.77 Food
4/1/2012 Yellow Checker Shuttle 4343000 Travel Fees Expenses g 10.00 Transportation
4/1/2012 Texan Station 4343000 Travel Fees Expenses C e;ea Food
4/2/2012 Java Coast 4343000 Travel Fees Expenses 7:62 Food
23,
4/2/2012 Uncle Buck's 4343000 Travel Fees Expenses Food
4/3/2012 Java Coast 4343000 Travel Fees Expenses 2.40 Food
11.73
4/3/2012 Texan Station 4343000 Travel Fees Expenses 4 11-06 Food
4/4/2012 Executive Taxi Service 4343000 Travel Fees Expenses 10.00 Transportation
All receipts should be attached in the same order as listed above. 75, I(c
No sales tax will be reimbursed. TOTAL: $7-1.
Employee Name (print) Shavonne Holton D �9 V
APR 11
Address 605 Dearborn Dr.
Check
payable to: City, St, Zip We ftId IN 46074
Signature: —7 Approved by:
Date: q Z 1 L Date: 4 h
Business Services Division, Revised 7 -7 -08
FILE: Shared \Forms \Business Services \Employee Exp Reimb Request
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.
360926 Holton, Shavonne Terms
8001 Canary Ln Apt A Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/29/12 Reimb. NAA conference 75.16
Mileage 1/31 3/29/12
Total 75.16
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
i
Voucher No. Warrant No.
360926 Holton, Shavonne Allowed 20
8001 Canary Ln Apt A
Indianapolis, IN 46260
In Sum of
75.16
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 75.16 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
19 -Apr 2012
oc "U'1
Signature
75.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund