HomeMy WebLinkAbout213663 10/09/2012 f CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
0 ONE CIVIC SQUARE MEAGAN STORMS
CARMEL, INDIANA 46032 CHECK AMOUNT: $10.00
CHECK NUMBER: 213663
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 10 . 00 TRAVEL FEES & EXPENSE
Carmel 0clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
°� Zall2 U'P(')'T7 PAS ��� l "l� �`�� Z5 C> O D r ab
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: Is
;T .Y �T
Employeen Name(print)��A S 6& IS
S E P 2 2012
Address W -cq � ,
Check `
payable to: City, St,Zip
Signature: Approved by: p
Date: 21 2 Date:
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.
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/20/12 Reimb Parking for training $ 10.00
Mileage 7/2 -8/31/12
Total $ 10.00
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
i
Voucher No. Warrant No.
363382 Storms, Meagan Allowed 20
In Sum of
$ 10.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#FFITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 10.00 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
4-Oct 2012
Signature
$ 10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund