HomeMy WebLinkAbout222016 07/17/2013 �.F CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK AMOUNT: $115.70
INDIANAPOLIS IN 46220 CHECK NUMBER: 222016
CHECK DATE: 7117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 69 . 98 GENERAL PROGRAM SUPPL
1082 4239039 REIMB 45 . 72 GENERAL PROGRAM SUPPL
Carmel * Clay �CEIVED
Parks&Recreati®n JUL 0 12013
Employee Expense Reimbursement Request
BY:
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
-IQ 3qO
G ° I •13 �oad�,� i Z - r1s S ►'e ( $ , -7
Ia3ao I
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $ Q �• 75
Employeen Name(Print) (' �--�G on 0
Check Address
payable to: City, St, Zip nd O_ (:\ i 4 10 of
r
Signature: J Approved by:
Date: I l 1 Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
Carmel e Clay JUL 0 1 2013
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Bud et Description Amount Purpose of Expense
-Ea3ao3q
l ,2P Le
i
All receipts should be attached in the same order as listed above. p� nn
No sales tax will be reimbursed. TOTAL: $ ` • l�'
Employeen Name(print).13 e Y\ Ac.\M
Address �9 'l l�l �1 �,� A's_
Check
payable to: City, St, Zip Y) d.Y1G CD V\S ( N (D a a c
Signature: Approved by:
Date: LQ ( � 3 Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
Carmel e Clay c � �
Parks&Recreation JUL 112013
Employee Expense Reimbursement Request BY:
Date of Fund Account Account
Receipt Vendor listed on receipt # iLine# Budget Description Amount Purpose of Expense
�d3g03� ' � 1 •� O � '� '�
512-9 �.� �� 1- 1z� S 1�p
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name(print) CMG M f Y\(2'Y)
Address
Check
payable to: City, St,Zip �nc�i CGf)G(J CA t l b c9 a
Signature: '"- Approved by:
Date: ` a I� � ( � Date:
Revised 3-2-07 by Business Services;
SharedlForms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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
6/19/13 Reimb. Goodwill costumes $ 25.75
6/18/13 Reimb. Supplies Walmart $ 19.97
5/29/13 Reimb. Supplies Target $ 69.98
t; Total $ 115.70
I 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.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 115.70
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-6 Reimb. 4239039 $ 25.75 1 hereby certify that the attached invoice(s), or
1082-6 Reimb. 4239039 $ 19.97 biil(s) is (are)true and correct and that the
1081-10 Reimb. 4239039 $ 69.98 materials or services itemized thereon for
which charge is made were ordered and
received except
10-Jul 2013
Signature
$ 115.70 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund