HomeMy WebLinkAbout236182 08/19/14 �� ;.• CITY OF CARMEL, INDIANA VENDOR: 368232
ONE CIVIC SQUARE JEFF PETERS CHECK AMOUNT: $*******125.52*
9, =4 CARMEL, INDIANA 46032 C/O WATER DEPT CHECK NUMBER: 236182
CHECK DATE: 08/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 072914 125.52 OTHER EXPENSES
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4
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Jeff Peters DEPARTURE DATE: TIME: AM/ PM
DEPARTMENT: Water Department RETURN DATE: TIME: AM/ PM
REASON FOR TRAVEL: DESTINATION CITY:
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
7/29/14 $19.95 $19.95
7/29/14 $105.57 $105.57
$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
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $125.52 $125.52
DIRECTOR'S STATEMENT- I here y affir that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 8/14/2014 Page 1
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Payment received - thank you.
Licensee: Jeffrey Randal Peters
License Number: PE19600474
Authorization Code: 006218
Received Date: 7/29/2014 5:49:07 PM
Transaction ID: 19941620
Credit-Card Number: XXXX XXXX
XXXX -
Fee Amount: $100.00
Enhanced Fee: $2.50
Instant Fee: $3.07
Total Payment: $105.57
Print Receipt
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Date: Tuesday, July 29, 2014 5:21 PM
From: info@engineereducators.com
To: jpeters34@indy.rr.com
Subject: Engineer Educators Receipt
Engineer Educators
857 East Park Avenue
Tallahassee, FL 32301
Telephone: 850-224-0500
Fax: 850-224-8337
Email: info@engineereducators.com
Engineer Educators does not store credit card numbers.
Purchase Date: Jul 29,2014
Total Charge: $19.95
Billing Information:
Name on credit card: Jeffrey Peters
Address: 990 Tillson Drive
City: Zionsville
State: Indiana
Zip: 46077
Engineer Name:
Jeffrey Peters
Items Purchased:
1 - Law and Rules for Professional Engineers of Indiana
Course Preference:
ONLINE - I want to take my courses online
http://mail.twe.com/do/mail/message/preview?msgId=INBOXDELIM4008 8/13/2014
VISA
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Statement Closing Date:
July 31, 2014
BREACH EVENTS,WE ADVISE THAT YOU CONTINUE TO
REDIT CARD ACCOUNT.PLEASE REPORT ANY SUSPICIOUS
CHECK RECENT ACCOUNT ACTIVITY,LOG INTO OUR ONLINE
3 OR ENROLL YOUR CREDIT CARD ACCOUNT TODAY.
Trans_ac_iions... ..
ode Reference Number nescrintion Amount
I 24692164183000015938505
1 24692164188000154991153
1 24231684189837000317412
i 24164074194730110119430 1
1 24692164195000263284137
3 24110394196556775778599
1 24692164200000464915839
i 24013394201001468631160
1 24692164204000266755892
1 24692164205000529775967
1 24692164208000692512632 '
3 24246514208554005263363 1
I N
1 24692164209000242234173
3 24224434211102020451076 IN PROFESSIONAL LI 105.57
800-236=5446 IN
3 24307924211900015776245 ENGINEER EDUCATORS 19.95
850-2246500 FL
1 24692164211000143939587
P ents,Adjustments aY►n. ,
0 74104334209001710423559 PAYMENT-THANK YOU
TOTAL PAYMENTS OR ADJUSTMENTS $
Fees
TOTAL FEES FOR THIS PERIOD $ 0.00
Interest Charged 1
TOTAL INTEREST FOR THIS PERIOD - $ 0.00
20.14.TotaIs Year To Date :.
Total Fees Charged in 2014 $0.00
Total Interest Charged in 2014 $0.00
I nfnrmati nn.aclnf:07/fill/1 d
i
VOUCHER # 141458 WARRANT # ALLOWED
T1655 IN SUM OF $
PETERS, JEFF
CARMEL WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
072914 01-6040-05 $125.52
Voucher Total $125.52
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1655
PETERS, JEFF Purchase Order No.
CARMEL WATER Terms
Due Date 8/14/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/2014 072914 $125.52
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
Date Officer