212007 08/14/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 366057 Page 1 of 1
ONE CIVIC SQUARE SANDRA YOUNG
CARMEL, INDIANA 46032 C/O PARKS DEPT CHECK AMOUNT: $5.95
*<,o„ CHECK NUMBER: 212007
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4342100 REIMB 5 . 95 POSTAGE
Carmel ay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
8/2/2012 United States Postal Service $ 5.95 Certified Mail
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) Sandra J. YoungV
Address 11145 Echo Crest East Drive AUG 0 6 2012
Check
payable to: City, St, Zip Indianapolis, IN 46280 J'
Signature: Approved by:
Date: 8/2/2O V2 Date: 8/3/2012
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.
366057 Young, Sandra Terms
11145 Eco Crest East Drive
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/2/12 Reimb Certified mail $ 5.95
Total $ 5.95
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
Voucher No. Warrant No.
366057 Young, Sandra Allowed 20
11145 Eco Crest East Drive
Indianapolis, IN 46280
In Sum of$
$ 5.95
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1125 Reimb 4342100 $ 5.95 i 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
9-Aug 2012
lllh&elm�
Signature
$ 5.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund