HomeMy WebLinkAbout219556 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1
` ONE CIVIC SQUARE JENNIFER BROWN CHECK AMOUNT: $58.27
CARMEL, INDIANA 46032 4163 APPLE CREEK DR
INDIANAPOLIS IN 46235 CHECK NUMBER: 219556
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 58 . 27 TRAVEL FEES & EXPENSE
Carmel • Clay
marks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
X 113 logl -qj L " ki�_x I � 0 0 NAI C-wf rar4oj
f 3 V r 1 7-Z . IS 16 8 I- q d 6-)) -el �yt,3 k t Xp ivy-A ovtF I kk ,
i 3 i I C Wy t (,/ at [01-1 P 6S k" 00 ✓ , Nh/� Wf
f 3 0 vvi vt S�v-v i o S-f"A v l ua 0 g I j l / I -its �v,� NAA- Cat F b rea.t-. f
All receipts should be attached in the same order as listed above. f�
No sales tax will be reimbursed. TOTAL: l ,i7 V
Employee Name(print) `��,V� t I r ow
Y V 1
Address , ( J a y- ho
o f
Check
payable to: City, St, Zip r J Iv
Signature: Approved by:
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.
358641 Brown, Jennifer Terms
400 Jordan Road
Indianapolis, IN 46217
Invoice Invoice, Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4110113 Reimb NAA Conference expenses $ 58.27
Total $ 58.27
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.
___________
358641 Brown, Jennifer Allowed 20____
58.27
ON ACCOUNT OF APPROPRIATION FOR
108 ' ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 58.27 | 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 io made were ordered and
received except
|
2013
Signature
1 $ 58.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund