220751 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
`+ ONE CIVIC SQUARE NIKEESHA PITTMAN
_ CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $4.49
INDIANAPOLIS IN 46208 CHECK NUMBER: 220751
CHECK DATE: 6/412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 4 .49 GENERAL PROGRAM SUPPL
�,armel Q Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Club Supplies- Smell and Guess
5/3/2013 MARSH 1081-11 4239039 Su lies $ 4.49 Club
E
34 1)
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $4.49
Employee Name(print) Nikeesha Pittman
MAY 2 Q 2013
Address 2713 Highland Place
Check ----- -
payable to: City, St, I diana olis, IN 46208
Signatu Approved by:
Date:�'7— i Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
s
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
5/3/13 Reimb Club supplies $ 4.49
Mileage 2/4-2/28/13
Total $ 4.49
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$
$ 4.49
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4239039 $ 4.49 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
1'YLCIrJ
Signature
$ 4.49 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund