214565 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $216.23
i•�.'o CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D
INDPLS IN 46240 CHECK NUMBER: 214565
CHECK DATE: 11/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 216 . 23 TRAVEL FEES & EXPENSE
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Carmel o Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/15/2012 IHOP 1091 4343000 Travel Fees & Ex p 15.06 Meals - NRPA
10/19/2012 McDonalds 1091 4343000 Travel Fees & Exp 6.67 Meals- NRPA
10/19/2012 Starbucks 1091 4343000 Travel Fees & Exp, L 8.50 Meals - NRPA
10/19/2012 Hudson News 1091 4343000 Travel Fees & Exp M 7.41 Meals - NRPA
10/19/2012 American Airlines 1091 4343000 Travel Fees & Exp N 20.99 Baggage Fees
10/19/2012 American Airlines 1091 4343000 Travel Fees & Exp 0 25.00 Baggage Fees
10/19/2012 American Airlines 1091 4343000 Travel Fees & Exp 25.00 Baggage Fees
1091 4343000 Travel Fees & Exp, NRPA
1091 4343000 Travel Fees & Exp NRPA
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $216.23
Employee Name(print) Susan Beaurain R CFTN7F�D
Address 140 3rd Street NW NOV 0 2 2012
Check
payable to: City, St, Zip Carmel, IN 46032 BY:
Signature: `— 2 Approved by:
�1
Date: Date:
Business Services Division,Revised 7-7-08
FILE: SharedWdministrative\Forms\Staff Forms\Employee Exp Reimb Request
Carmel y
arks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/13/2012 Chili's too 1091 4343000 Travel Fees & Exp A 16.34 Meals- NRPA
10/14/2012 La Casa Garcia 1091 4343000 Travel Fees & Exp ki 26.34 Meals- NRPA
10/14/2012 Starbucks 1091 4343000 Travel Fees & Ex 8.18 Meals - NRPA
10/15/2012 Starbucks 1091 4343000 Travel Fees & Exp V 7.19 Meals- NRPA
10/15/2012 Just Grillin' Express 1091 4343000 Travel Fees & Exp 13.63 Meals - NRPA
10/16/2012 Coke Corner 1091 4343000 Travel Fees & Exp 11.07 Meals- NRPA
10/17/2012 Jack in the Box 1091 4343000 Travel Fees & Exp 6 7.32 Meals - NRPA
10/18/2012 Starbucks 1091 4343000 Travel Fees & Exp 14.03 Meals- NRPA
10/18/2012 Cafe Smoothie Express 1091 4343000 Travel Fees & Exp 3.50 Meals - NRPA
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) Susan Beaurain --` ,.��j ---�
Address 140 3rd Street NW 7BY: �V 0 2 2012
Checka
payable to: City, St, Zip Carmel, IN 46032
Signature: Approved by:
Date: 10/9/2012 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\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.
363878 Beaurain, Susan Terms
143 3rd Street NW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1112!12 Reimb Travel expenses for NRPA conference $ 216.23
Total $ 216.23
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
Voucher No. Warrant No.
363878 Beaurain, Susan. Allowed 20
143 3rd Street NW
Carmel, IN 46032
In Sum of$
$ 216.23
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
I
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1091 Reimb 4343000 $ 216.23 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
15-Nov 2012
i
Signature
$ 216.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund