HomeMy WebLinkAbout213137 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366298 Page 1 of 1
ONE CIVIC SQUARE TRACI PETTIGREW
CARMEL, INDIANA 46032 C/o MCC
CHECK AMOUNT: $38.49
s' )� CHECK NUMBER: 213137
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 38 .49 GENERAL PROGRAM SUPPL
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
9/13/2012 Part Cit 1096-60-4239039 General Program Supplies $ 38.49 Tour De Carmel Wristbands
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $38.49
Cl
Employee Name(print) Traci Pettigrew - T .D
Address 1503 White Ash Dr.
7SEP 1 7 2012
Check
payable to: City, St, Zip Carmel, IN 46033 _
Signature: ; Approved by:
Date: -`I 1`[ I 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.
366298 Pettigrew, Traci Terms
1503 White Ash Dr.
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/13/12 Reimb Tour de Carmel Wristbands $ 38.49
Total $ 38.49
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.
366298 Pettigrew, Traci Allowed 20
1503 White Ash Dr.
Carmel, IN 46033
In Sum of$
$ 38.49
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 Reimb 4239039 $ 38.49 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
,eceived except
20-Sep 2012
A lch LMPUAJ
Signature
$ 38.49 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund