HomeMy WebLinkAbout221255 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
i ONE CIVIC SQUARE MEAGAN STORMS CHECK AMOUNT: $32.42
CARMEL, INDIANA 46032
CHECK NUMBER: 221255
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 32 . 42 GENERAL PROGRAM SUPPL
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
/-/-7/L3 qz b
All receipts should be attached in the same order as listed above. 22
No sales tax will be reimbursed. TOTAL:
Employee Name(print) rM
Address �j� W I` t� JV
Check
payable to: City, St, Zip
Signature: Approved by:
Date: �Z'4( 3 Date:
Business Services Division,Revised 7-7-08 IRV
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request MAY 2 4 2 013
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.
363382 Storms, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/22/13 Reimb Food for program from Jet's Pizza $ 32.42
Total $ 32.42
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
363382 Storms, Meagan Allowed 20
In Sum of$
$ 32.42
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-7 Reimb 4239039 $ 32.42 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
13-Jun 2013
Signature
$ 32.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i