219454 04/24/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $64.81
INDIANAPOLIS IN 46208
CHECK NUMBER: 219454
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 64 . 81 TRAVEL FEES & EXPENSE
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
4/8/2013 Denison Parking 1081-99 4343000 Travel Fees& Expenses $ 14.00 Parking
4/8/2013 Starbucks 1081-99 4343000 Travel Fees & Expenses $ 8.28 Food
4/9/2013 Denison Parkin 1081-99 4343000 Travel Fees & Expenses $ 14.00 Parking
4/9/2013 Starbucks 1081-99 4343000 Travel Fees & Expenses $ 4.91 Food
4/9/2013 Hard Rock Cafe 1081-99 4343000 Travel Fees & Expenses $ 23.62 Food
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All receipts should be attached in the same order as listed above. /
No sales tax will be reimbursed. TOTAL: $64.81
Employee Name(print) Nikeesha Pittman
Address 2713 Highland Place
Check
payable to: City, St, Zip II d ana olis, IN 46208
Signature: Approved by:
Date: 4/10/2013 Date: 92
i
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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Nikeesha Pittman
Carmel Clay Parks
& Recreation f
Carmel, IN
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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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/10/13 Reimb NAA Conference expenses $ 64.81
Mileage 214-2/28/13
Total $ 64.81
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 64.81
ON ACCOUNT OF APPROPRIATION FOR _
108 - ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-99 Reimb 4343000 $ 64.81 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
18-Apr 2013
A"
Signature
$ 64.81 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund