HomeMy WebLinkAbout231301 04/08/2014 %u * CITY OF CARMEL, INDIANA VENDOR: 366990
® 31•. ONE CIVIC SQUARE JOSH LANE CHECK AMOUNT: $*******354.00*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 231301
9*ITON =O CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 REIMB 354.00 EXTERNAL INSTRUCT FEE
Carmel 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
2/26/2014 NRPA CPRP Stud `Guide lov-S) M,-7 b•�r-.-� 1..�1._ �_. $ 55.00 Ct-' ( P
2/26/2014 NRPA CPRP Application Fee $ 104.00
2/26/2014 NRPA CPRP Exam Fee $ 195.00
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $354.00
Employee Name(print) Joshua Lane
Address_ 5 Meadow Lane, Apt C
Check
payable to: City, St, Zip Carmel, I 46032
Signature::::p Approved by:
Date: �/2LQ�J Date:_ 2-(,,.1 '/
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Buslness Services\Employee Exp Relmb Request
V
Gmail - Order Receipt Page 1 of I
Josh Lane<josh1ane3@gmail.com>
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:8C
Order
Order Receipt
customerservice@nrpa.org <customerservice@nrpa.org> Wed, Feb 26, 2014 at 11:43 AM
To:joshiane3@gmail.com
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AsswaaL
Park.
February 26, 2014
Order# 137809
22377 Belmont Ridge Road, Ashburn VA 20148
BILL TO Joshua Lane SHIP TO Joshua Lane
5 Meadow Lane 5 Meadow Lane
Apt C Apt C
Carmel, IN 46032 Carmel, IN 46032
Customer ID 278137 (812) 890-6031
QTY ITEM# DESCRIPTION UNIT PRICE TOTAL
1 OFFICIAL03 CPRP Study Guide 2012$55.00 $55.00
1 CPRP_APP CPRP Application Fee $104.00 $104.00
1 CPRP_EXAMCPRP Exam Fee $195.00 $195.00
Subtotal: $354.00
Freight $11.43
Tax: $0.00
Total: $365.43
PAYMENT(card ending: 1618) ($365.43)
AMOUNT DUE $0.00
THANK YOU FOR YOUR BUSINESS!
If the receipt does not display correctlyClick here to open in a browser.
https:Hmail.google.com/mail/u/0/?ui=2&ik=0041 c93bf0&view=Pt&search=inbox&msg=1... 3/26/2014
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.
366990 Lane, Josh Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/26114 Reimb NRPA CPRP Certification $ 354.00
Mileage 2/19-3/13/14
Total $ 354.00
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.
366990 Lane, Josh Allowed 20
In Sum of$
$ 354.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept'
1081-99 Reimb 4357004 $ 354.00 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
3-Apr 2014
Signature
$ 354.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund