226066 11/18/2013 �.f CITY OF CARMEL, INDIANA VENDOR: 364750 Page 1 of 1
0 ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $138.00
CARMEL, INDIANA 46032 10830 TOOLEY CT
APT IF CHECK NUMBER: 226066
INDIANAPOLIS IN 46234
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 113 . 00 TRAVEL FEES & EXPENSE
1081 4357004 REIMB 25 . 00 EXTERNAL INSTRUCT FEE
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AUTO LICXXSZ NO. TM= 4(J o I13 1,00
+ SP€.SDON=M RMD?G commas are to be used only when distanis between polub cannot be determined by fixed mileage or official highway map.
Pursuant to the proristons and penalties of Chapter 159,Ads 1953,I hereby certify that the foregoing account is just and coned,that the amount claimed is legally due,a ter allowing all just credits
end that no part of/the same has been paid.
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Cal-Mel 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # !Line# Budget Description Amount !Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $ a5 vp
Employeen Name(print) je-'ssi Cci ��l�n
Address Li kg C yo izl qso. N. NOV - 5 2013
Check
payable to: City, St,Zip—pcnv;�\L id
Signature: n Approved by: J
Date: 10131 1.3 Date:
Revised 3-2-07 by Business Services',
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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You've Got Cash!
Hello Marion County Commission on Youth, Inc.,
This email confirms that you have received a payment for $25.00 USD from Jessica Ballinger.
Receipt ID: 2131-5704-2905-7706
The number above is the buyer's receipt ID for this transaction. Please retain it for your records so
that you will be able to reference this transaction for customer service.
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— - - View the details of this transaction online -
No\1 zry\ber- q I
Payment details
Total amount:, $25.00 USD C �0\3� LAI
Currency: U.S. Dollars
Transaction ID:, 1TU93593KD6884632
Quantity:, 1
Invoice ID:, 15263538
Buyer:, Jessica Ballinger
Have you lifted your withdrawal and receiving limits? Just log in to your PayPal account and click
View Limits on the Account Overview page.
Sincerely,
PayPal
PayPal Email ID PP345o
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.
364750 Ballinger, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/16/13 Reimb Mileage 9/1 - 10/16/13 $ 113.00
10/31/13 Reimb Training $ 25.00
Total $ 138.00
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
Voucher No. Warrant No.
364750 Ballinger, Jessica Allowed 20
In Sum of$
$ 138.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
Po#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-10 Reimb 4343000 $ 113.00 1 hereby certify that the attached invoice(s), or
1081-99 Reimb 4357004 $ 25.00 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
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Signature
$ 138.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund