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Home My WebLink About221084 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 360925 Page 1 of 1 ONE CIVIC SQUARE JENNIFER HOLDER CARMEL, INDIANA 46032 5716 DURHAM CASTLE CT APT 137 CHECK AMOUNT: $232.06 INDPLS IN 46250 CHECK NUMBER: 221084 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 REIMB 189 . 95 GENERAL PROGRAM SUPPL 1081 4343000 REIMB 42 . 11 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 51a�11 c �� - tia3 ao3 iL UC le-C&t a ea � All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name(print) f 1L��` JUN 44 2013 Address ��C�I �7J ��CQ . s JUN I I Check . payable to: City, St, Zip --- Signature: `` n I Approved by: Date: 5 ia `� Date: v Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Invoice No: 792851 Invoice Date: May 28, 2013 Stare Code: 2280 Store: 116th and Keystone INVOICE Billing Information Pick-up Information Carmel Clay Parks &Rec. Orchard Park Elementary School Pick-Up Date: 05/28/2013 (7:00 - 7:15 AM) 10404 Orchard Park Dr. S. Indianapolis, IN 46280 Jennifer Holder Carmel Clay Parks &Rec. Phone: (317)679-9867 Phone: (317) 679-9867 Payment Method: Credit Card VISA(...9223) Exp; 03/14 Auth z: 621158 Amt: 207.05 Order entered by: Online Printed: 06/12/2013 12'56 PM MDT 5 Mixed Bagels and Sweets Noah box(& For the Group 5 37.99 189.95 10 Blueberry Basel 10 Chocolate Chip Bagel 10 Cinnamon Raisin Bagel --. -------------.... 5 Cinnamon Sugar Bagel ........... 5 Good Grains Bagel iS Plain Bagel ---------- ---- 5 Sesame Bagel 1 Garden veggle Shmear 1 Honey Almond Shmear 2 Reduced Fat Shmear(25%less fat) 3 strawberry Shmear 1 Onion and Chive Shmear 2 Regular Plain Shmear. 5 Chocolate Chip Coffee Cake 5 Banana Nut Muffin 5 Blueberry Muffin ._. .... 5 Chocolate Chip Muffin 5 Blueberry Scone 5 Cinnamon Scone 15 Cinnamon Walnut Strudel 1 Brownie Box Half Dozen Sweets for the Croup S 12.99 12.99 6 Brownie TSubTotal 202.94 For Corporate Accounts only please send Web Promo Discount: (512.99) payment to: Tax: 17.10 EINSTEIN NOAH RESTAURANT GROUP INC Catering Orders and Questions: Total: 207.05 NW 6042 J.800.BAGEL.ME (224-3563) PO Box 1450 Visa: (207.05) Minneapolis, MN 55485-6042 ^� Refund: 17 1.0 Balance pun: 0100 Web Promo: 1 rree Brownie Box Half Dozen for subtotal >=150.00 Accepted Delivery minimums and the applicable taxes for the order may vary per locatlon and may be adjusted prior to your final charge. Please contact the store your order was placed at for more details. AD Powered by MONKEYMEDIA SOFTWARE 4% �_ 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 I ` Pb-Lo posy-) a ek e 9) � S 00 1�Cf U Z�C� �t�sl-�l�l �t 3X13 \ � 8134 - 11 Mnor-` r Akin All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name(print) ��\1��L� I--�do&C JUN 0 2013 Address la,�y �� `"I2rd, St ��- Check payable to: City, St, Zip -T(-) �0 oL WN I r Signature: ti �� Ll 9�C� Approved by: Date' I Date: 3 i3 Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request F i 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. 360925 Holder, Jennifer Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 4/17/13 Reimb Travel expenses for NAA Annual conference $ 42.11 5/28/13 Reimb OPE Teacher breakfast $ 189.95 I Mileage 7/6 - 11/30/10 Total $ 232.06 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. 360925 Holder, Jennifer Allowed 20 In Sum of$ $ 232.06 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 42.11 1 hereby certify that the attached invoice(s), or 1081-6 Reimb 4239039 $ 189.95 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 13-Jul 2013 Signature $ 232.06 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund