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HomeMy WebLinkAbout232421 05/12/14 4'..�,q;E CITY OF CARMEL, INDIANA VENDOR: 354405 j, ® I ONE CIVIC SQUARE JASON REECER CHECK AMOUNT: $"""**""260.00" ,. _� CARMEL, INDIANA 46032 13375 E 266TH STREET CHECK NUMBER: 232421 >.y,roN.�` ARCADIA IN 46030 CHECK DATE: 05/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 260.00 EXTERNAL TRAINING TRA Print and Mail Completed Form To Address Below. You can fill this out scan and email it to me if you wish to pay via credit card. I will call you to complete the registration. 2014 KTA Sy �j mnosium Re istrati®n The 2014 Registration fee for/CTA is$65 per attendee._ Checks can be made payable to City of Lewisville. If you wish to pay via credit card we can accommodate you. If you wish to use a credit card please include a daytime phone number and I will contact you to get the necessary information. YOU WILL NOT BE REGISTERED UNTIL WE RECEIVE YOUR PAYMENT! Each participant MUST complete the form. Please choose between Pipes and Drums or Honor Guard but not both. Name Department Name Department City Department State Al Cell Phone / Email Address r , Please circle the appropriate response: What are you signing up for (Please Only Choose One) or Guard onor Guard Command re Team Member Pipes Beginner Intermediate Advanced"" ' ""Advanced players will be required to audition for this group on day one Drums Snare Tenor Bass Beginner Intermediate Advanced Will you require transportation from the airport Yes A,4 OF Cqq� CITY OF CARMEL Expense Report (required for all travel expenses) NOIANO` EMPLOYEE NAME: DEPARTURE DATE: �� -\y TIME: PM DEPARTMENT: ��. _ RETURN DATE: 5 - © -rV TIME: AM PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 5/7/14 $65.00 $65.00 5/8/14 1 1 $65.00 $65.00 5/9/14 $65.00 $65.00 5/10/14 $65.00 $65.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total 1 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.001 $0.001 $0.001 IS260.001 $0.00113M o o e DIRECTOR'S STATEMENT: I hereby of T that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: MAY 1 Z 2014 City of Carmel Form#ER06 Revision Date 5/12/2014 Page 1 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $260.00 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. ALLOWED 20 Jason Reecer IN SUM OF $ $260.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.02 $260.00 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 MAY I Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund