HomeMy WebLinkAbout222908 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
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ONE CIVIC SQUARE JAMES DOWELL
CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK AMOUNT: $208.00
CHECK NUMBER: 222908
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 REIMB 208 . 00 FIELD TRIPS
Carmel * Clay
Par ks&Recr-eati®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # !Line# Budget Description Amount Purpose of Expense
7 AC) i3 0-)(0 4, �>rl; 1?��.s�vc. C�n� f fl�a�_ 13- L! 3 C! 3��
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 0
Employeen Name(print)Q Cn 6 6— p
Address -I ��aC Ct'o'1'C \�� ��� i AUG - 5 2013
Check
payable to: City, St,Zip g "IbZ Y Q
Signature: Approved by:
Date: Date: IJ ( 3
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
Exotic Feline Rescue Center
2221 E. Ashboro Roast
Center Point, IN 47840
exoticfelinerescuecenter.org 812-835-1130 efrcl @frontier.com
Invoice/Receipt j
DATE: ` 3� o�-O ) 3
ORGANIZATION: (f ern ��-- L4
Fees for tour:
Group discount / V
Children 12 and under @$4.00 each (c7 V
Over 12 0,$6.00 each
Adults @8.00 each
Regular admission fees:
Children 12 and under @$5.00 each
Over 12/adults @ 10.00 each
TOTAL (�20
PAID IN FULL
Cash Check CC
Thank you,
Jean Hen berg
r
Assistant Director EFR �f/
t
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.
363065 Dowell, James Terms
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7/30/13 Reimb. Exotic Feline Rescue Center field trip 7/30/13 $ 208.00
Mileage 5/6-6/21/13
Total $ 208.00
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
t
Voucher No. Warrant No.
363065 Dowell, James Allowed 20
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of$
$ 208.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-13 Reimb. 4343007 $ 208.00 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
8-Aug 2013
Signature
$ 208.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund