HomeMy WebLinkAbout220636 06/04/2013 a CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
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CARMEL, INDIANA 46032 634 NORTHVIEWAVENUE CHECK AMOUNT: $133.97
a� INDIANAPOLIS IN 46220 CHECK NUMBER: 220636
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 133 . 97 GENERAL PROGRAM SUPPL
i
Carmel ® Clay
Parks&Recreation
Employee Expense Reimbursement Request 3
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
(0,31 -10 +�2 `lb�°� 1 . \'r \/'� 'Ss . cti-teacreC"
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All receipts should be attached in the same order as listed above. 12 p
No sales tax will be reimbursed. TOTAL:
Employee Name(print) V�1f1 G�Y��YlS
Address b 4 o,4' �t
Check ` MAY 15 N13
payable to: City, St, Zip t Ai G (D\'S Co as a
Signature: Approved by:
Date: Date: lI"
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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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/13/13 Reimb. Staff/Teacher appreciation $ 133.97
Total $ 133.97
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.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 133.97
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1081-10 Reimb. 4239039 $ 133.97 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services iternized thereon for
which charge is made were ordered and
received except
30-May 2013
Signature
$ 133.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund