HomeMy WebLinkAbout228921 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 365288 Page 1 of 1
ONE CIVIC SQUARE KURTIS BAUMGARTNER
CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK AMOUNT: $84.32
WESTFIELD IN 46074 CHECK NUMBER: 228921
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 59 . 32 TRAVEL FEES & EXPENSE
1091 4344100 25 . 00 CELLULAR PHONE FEES
2014 IPRA Conference
invest. innovate. lead.
Kuftis
Baumgartner
Carmel Clay Parks and Recreation
-----------
�A� 7�t
Carmel e Clay
car' s&Recreation
-11
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1.15.2014 Wendy's $ 4.87 Meals
1.16.2014 Benihana $ 40.77 Meals
1.17.2014 Starbucks $ 5.12 Meals
1.17.2014 Chipotle $ 8.56 Meals
ZOI4 IPPA
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $59.32 '/
Employee Name(print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd
Check
payable to: City, St, Zip _WqsqieIq, IN 46074
Signature: ) Approved by:'�- `
Date: 1.20.2014 Date: k . 0. VA
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
V
karmel Clay
I
Par s& ecreation JAN %7 2W
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
�
1/19/2014 AT&T 10C11� y 3y4 00 $ 25.00 Cell phhonereiimbu reimbursement_
fN
receipts should be attached in the same order as listed above,
o sales tax will be reimbursed. TOTAL: $25.00 ✓
Employee Name (print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd
Check
payable to: City, St, Zip tfie , IN 46074
Signature: Approved by._
Date: 1/24/2014 Date:
Business Services Division, Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/19/14 Reimb Cell phone reimbursement Dec'13 $ 25.00
1/20/14 Reimb Travel expenses for 2014 IPRA Conference $ 59.32
Total $ 84.32
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 84.32
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or
1091 Reimb 4343000 $ 59.32 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
6-Feb 2014
Signature
$ 84.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund