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Home My WebLink About209177 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1 ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $137.18 CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE INDIANAPOLIS IN 46220 CHECK NUMBER: 209177 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 60.18 GENERAL PROGRAM SUPPL 1082 4239039 77.00 GENERAL PROGRAM SUPPL Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt I Line Budget Description Amount Purpose of Expense 60 :S-P P es C o`f 1 voe- e. All receipts should be attached in the same order as listed above. 7 No sales tax will be reimbursed. TOTAL: 0.00 Employee Name (print) ec\ MAY 15 20 Address Check payable to: City, St, Zip CqP 01 0 o Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Forms \Business Services \Employee Exp Reimb Request Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose o Expense `lO3°1 G. t�-� l -tG C D C. ce �cocd` Z mrrk,r- All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: E o l Employee Name (print) 01 MMWIN S c 22 Address J 0 fA T y t {,U Check payable to: City, St, Zip `Ya 1 O• X-\ Q (J U\ Signature: V \N Approved by: Date: S l O I Date: 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. 358411 Hammons, Jennifer Terms 634 Northview Ave Date Due Indianapolis, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/8/12 Reimb. Creekside Vacation Station supplies 77.00 5/10/12 Reimb. Food for summer meetings 60.18 Mileage 9/2 12/15/11 Total 137.18 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. 358411 Hammons, Jennifer Allowed 20 634 Northview Ave Indianapolis, IN 46220 In Sum of 137.18 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -1 Reimb. 4239039 77.00 1 hereby certify that the attached invoice(s), or 1081 -10 Reimb. 4239039 60.18 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 17 -May 2012 Signature 137.18 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund