HomeMy WebLinkAbout221659 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 366298 Page 1 of 1
`y ONE CIVIC SQUARE TRACI PETTIGREW CHECK AMOUNT: $11.31
CARMEL, INDIANA 46032 C/o MCC
CHECK NUMBER: 221659
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 REIMB 11 . 31 GENERAL PROGRAM SUPPL
I
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
�%�t3 0. toAtbioo �c23a►o� en. � � 11.�� o r
M4 CAMPM
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) lyaci Pe iArelly -V 7 1_3
Address
�k I�o3 Whitesln ®Y. 7!11J UN 12 2013
Check
payable to: City, St, Zip caret ,LTA A10036
Signature: Approved by:
Date: [� Date:_V 11 � 113
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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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.
366298 Pettigrew, Traci Terms
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/7/13 Reimb photos for Family campout CVS $ 11.31
Total $ 11.31
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.
366298 Pettigrew, Traci Allowed 20
9372 Benchview Dr., Apt A
Indianapolis, IN 46240
In Sum of$
$ 11.31
.t
P
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-60 Reimb 4239039 $ 11.31 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
20-Jun 2013
$ 11.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund