HomeMy WebLinkAbout226067 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $34.27
s`�? CARMEL, INDIANA 46032 4615 CAROLLTON AVE
INDPLS IN 46205 CHECK NUMBER: 226067
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 34 . 27 TRAVEL FEES & EXPENSE
Carmel • Clay
Parks&Recreate®n
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: S4 .2`� V $0:00-
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Address LW 15 CcS'YO tk'�� Aq-el
Check ,p B"Y:
payable to: City, St, Zip 'r'I nk =-'=
Signature;- 5,t Approved by:
Date: 10 I k5� 13 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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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.
363878 Beaurain, Susan Terms
4615 Carrollton Ave
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
10/11(13 Reimb NRPA Conference travel expenses $ 34.27
Total $ 34.27
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.
363878 Beaurain, Susan Allowed 20
4615 Carrollton Ave
Indianapolis, IN 46205
In Sum of$
$ 34.27
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1091 Reimb 4343000 $ 34.27 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
$ 34.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund