217777 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 366298 Page 1 of 1
ONE CIVIC SQUARE TRACI PETTIGREW
e�ra CARMEL, INDIANA 46032 c/o MCC
CHECK AMOUNT: $176.26
CHECK NUMBER: 217777
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 176 . 26 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
1090 -koo • g Z3g a3 Princess bail
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: W• L�
=FEB7
Employee Name(print) "f rao Pe- �areW Address q3�2 r
e chyicw Check payable to: City, St, Zip 'n�(��15�
Signature: Approved by: �^--
Date: I5/ I3 Date: c9 J Uc h 3
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.
366298 Pettigrew, Traci Terms
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/5/13 Reimb Princess Ball supplies from Party City $ 176.26
Total $ 176.26
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
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
Ylew Address In Sum of$
$ 176.26
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-60 Reimb 4239039 $ 176.26 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
21-Feb 2013
Signature
$ 176.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund