226103 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $45.62
s o CARMEL, INDIANA 46032 634 NORTHVIEWAVENUE
INDIANAPOLIS IN 46220 CHECK NUMBER: 226103
CHECK DATE: 11118/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 REIMB 45 . 62 GENERAL PROGRAM SUPPL
Carmel ® Clay NOV 0 t 2013
rks&Recreatid I
Employee-Expense Reimbursement Request -
Date of Fund Account Account
Receipt c Vendor listed on receipt # ;Line# Budget Description Amount Purpose of Expense
(p' Z `io'3�
All receipts should be attached in the same order as listed above. ( r
No sales tau will be reimbursed. TOTAL:
Employeen Name(print)
Address
Check
payable to: City, St, Zip
Signature: Approved by:
Date: \0 2 2 3 Date:
Revised 3-2-07 by Business Services;
Shared/Forms 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
10/22/13 Reimb. Supplies for Teacher appreciation' $ 45.62
Mileage 6/1 -7/15/13
Total $ 45.62
1 hereby certify that the attached invoice(s),or bil(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$
$ 45.62
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reimb. 4239039 $ 45.62 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
14-Nov 2013
Signature
$ 45.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund