HomeMy WebLinkAbout233334 07/01/2014 r CAA .
CITY OF CARMEL, INDIANA VENDOR: 368360
a;
® °I ONE CIVIC SQUARE MATT KLINEMAN CHECK AMOUNT: $""""'*""37.00"
�. 4 CARMEL, INDIANA 46032 2842 HAZEL FOSTER DRIVE CHECK NUMBER: 234334
CARMEL IN 46033 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 37.00 OTHER EXPENSES
CIVIYC`�
Reimbursement Expense Receipt
Reimbursement expenses are transactions that were conducted by a third-party whom
needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC
members paying for CMYC event materials would be one example of a reimbursement expense.
After completing this form, please submit it to the Council Clerk-Treasurer.
Expender:
Vendor(location of purchase): TeaMtiro.K.co,+�
Date:
Event/Activity (if applicable):
Expense Account(see list of accounts): g6XxD
Additional Description:
Expense Amount (do not include Sales Tax): -,t�3 ?. Co
Reimburses Name:
Reimbursee Address (required):
Ct�ru� ?•� �/G o 3 3
I verify to the best of my knowledge that this information is correct, and this purchase was
made on behalf of CMYC and not for personal use or gain.
�ZP_/
Expender Signature Date
Please submit this form to Clerk—Treasurer along with the purchase receipt.
Appendix 14—Page 1
'
|
~
�
keteamworke INVOICE
Teamwork Project Manager Carmel Mayor's Youth Council
North Point House, One Civic Sqaure
North Point Business Park, Carmel
Cork, 46033
Ireland. United States
VAT Number: IE6333652G
Invoice No. TWPM2014223011
Invoice Date. 05 June 2014
Account No. 120026
Account URL. hftps:HcmyG.t
Site Name Price Plan Duration Cost It
Carmel Mayor's Youth Council Business 2 1 Month USD$37.00
Total: USD$37.00 i'd
FA Your credit card has been charged USID$37.00 on Thursday,05 June 2014
Thank you for your business!
Your Teamwork PM subscription was created by.Your next payment will be made on Saturday,05 July 2014
Your bank may apply additional foreign transaction fees for processing your credit card payment which are out of our control.
| lof|
�
r{t7toe�'-� 'l"o
C1VII'C�
For use by Clerk—Treasurer
Received and approved with correct purchase receipt by Clerk—Treasurer:
Signature Date
g
Withdraw.from: ity of Carm Other
For use by Council President, VPE, or VPE
Expense and reimbursement has been approved by:
oe
Signature:&4 /���ate:&1112-114--111 Position:
Appendix 14—Page 2
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))
06/05/14 Receipt $37.00
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
Matt Klineman
IN SUM OF $
2842 Hazel Foster Drive
Carmel, IN 46033
$37.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 Receipt . 1 $37.00
I hereby certify that the attached invoice(s), or
-
bill(s) is (are) true and correct and that the
C' materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, June 30, 2014
Director, Corn unity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund