HomeMy WebLinkAbout220370 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 367173 Page 1 of 1
` ONE CIVIC SQUARE JOI-LYN THORNTON
` CARMEL, INDIANA 46032 C/O ESE CHECK AMOUNT: $51.30
*„ CHECK NUMBER: 220370
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 51 . 30 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 The Weber Grill 1081-99 4343000 Food $ 20.00 Food
4/9/2013 Cajun Grill 1081-99 4343000 Food $ 9.21 Food
4/9/2013 Starbucks 1081-99 4343000 Food $ 7.09 Food
4/9/2013 Circle Centre Mall 1081-99 4343000 Travel $ —15.00 '/ Parkin
AM 101M^ D66
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $51.30 ��` -
MAY ® 72013 I
Employee Name(print) Joi-lyn Thornton
Address 4150 Crooked Creek Overlook
Check
payable to: City, St, Zip I , Indiana 46228
Signature Approved by:
Dat Date: 13
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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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.
Thornton, Joi-lyn Terms
4150 Crooked Creek Overlook
Indianapolis, IN 46228
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/3/13 Reimb NAA Conference expenses $ 51.30
i
Total $ 51.30
1 hereby certify that the attached in or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120_
Clerk-Treasurer
1
Voucher No. Warrant No.
Thornton, Joi-lyn Allowed 20
4150 Crooked Creek Overlook
Indianapolis, IN 46228
In Sum of$
$ 51.30
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 51.30 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
i
16-May 2013
Signature
$ 51.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund