HomeMy WebLinkAbout209836 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366300 Page 1 of 1
ONE CIVIC SQUARE LATIA RUSSELL
CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $40.00
CHECK NUMBER: 209836
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 REIMB 40.00 EXTERNAL INSTRUCT FEE
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Rate: 20788
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,4r�11TE RIVER 'STATE PARK GARAGE
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TkH 242107
Main 12 M
Mal Fee 1100
CAGHPAID 12 AS
Cmh Tender
Change Due 0.011
OFiera,"ted By 'E",ur Pairking Sysi.,:eo)
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt qq Line Bud et Description Amount Purpose of Expense
(16 1 �3�7ao��
3 z
j "'Q "S ees Z. 1 L-9,
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) uSS� CEIVED
1 MAY 3 0 2012
Address
Check T 7
payable to: City, St, Zip
Signat Approved by:
D� Date U 11-
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.
Russell, Latia Terms
941 Watermead Dr
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/16/12 Reimb Parking 40.00
Total 40.00
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
z
Voucher No. Warrant No.
Russell, Latia Allowed 20
941 Watermead Dr
Noblesville, IN 46062
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1081 -99 Reimb 4357004 40.00 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
14 -Jun 2012
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund