220686 06/04/2013 .F CITY OF CARMEL, INDIANA VENDOR: 362444 Page 1 of 1
` ONE CIVIC SQUARE MATT LEBER CHECK AMOUNT: $19.24
s; CARMEL, INDIANA 46032 768 EAST 93RD DR.APT A
INDIANAPOLIS IN 46240 CHECK NUMBER: 220686
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMS 19 . 24 TRAVEL FEES & EXPENSE
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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
4/30/2013 Christos Family Restaurant 1091 4343000 Travel Expenses $ 17.98 Lunch
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $17.98
Employee Name(print) Matt Leber ' CTVFT)
Address 11904 Igneous Dr. MAY O 9 2013
Check
payable to: City, St, Zip Fishers, IN 46038 YL.-- --- --
Signature: �, iC/l� Approved by: .
Date: J //3 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.
362444 Leber, Matt Terms
11904 Igneous Dr
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
517113 Reimb. Meeting with IPRA"Hoop It Up" committee $ 17.98
Total $ 17.98
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.
362444 Leber, Matt Allowed 20
11904 Igneous Dr
Fishers, IN 46038
In Sum of$
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb. 4343000 $ 17. 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
30-May 2013
Signature
$ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund V `�