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245009 05/05/2015 t�',.�,q,,f� CITY OF CARMEL, INDIANA VENDOR: 365406 .�; �"�• ONE CIVIC SQUARE CHRISTOPHER VEACH CHECK AMOUNT: $*******334.00* _, ?� CARMEL, INDIANA 46032 12170 RISING SUN WAY CHECK NUMBER: 245009 ,ylro„� , FISHERS IN 46037 CHECK DATE: 05/05/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 27016935 334.00 ORGANIZATION & MEMBER The Official Member Site of The PGA of America The Official Member Site of The PGA of America Your Payment has been Approved! THIS IS YOUR PAYMENT RECEIPT Thank you for renewing your membership in the PGA of America.This is your payment receipt.Please PRINT IT NOW for your records.Your membership credentials will be mailed separately.If you do not receive them within a few weeks,please contact the PGA Membership Services Department at 800-474-2776. Name: Christopher J.Veach,PGA ID: 27016935 Reference#: A03e4U Card Type: Card Number: moomwom_ Card Holder: Christopher J.Veach,PGA Payment Amount: $334.00 Payment Date: 05/05/2015 Description Amount 055 Member Sectional Dues $175.00 Member National Dues $100.00 Life Insurance Premium $34.00 Liability Insurance Premium $25.00 Total: $334.00 Click here to return to PGA.org. Copyright© 20.11 The PGA of America PGA.com I PGA Foundation I PGA Village I PGA Hole in One I PGA Magazine PGA Golf Shop PGA Employment /tj of Cqq� CITY OF CARMEL Expense Report (required for all travel expenses) ,��lq�D1ANp EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: -��/�� TIME: AM/PM DEPARTMENT: l.2n RETURN DATE: TIME: AM/PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Parkin Misc. Air-fare Car Rental Other g g g Breakfast Lunch Dinner Snacks Per Diem :r ��i4• i'•tli1•: :;reg%I;r:,r�`�":i.•;.. P. -•:, ..1. �• i t r. .:v k a ...r� f :.f x t t ! `!t; s. s 1 ': ',,,: s t;;'�,, a lu c..._kic• 4 n .r\:�!„ 1 ,... rt+. _41 t f C,:1.i. }t\ R! it .:.^ 11 i I '..D ;Z ! ..'41 1 4 I '.1 ..:!I •` 1. :::} ):..: DIRECTOR'S STATEME I hereby affir that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: f Date: City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1 VOUCHER NO. WARRANT NO. Christopher Veach ALLOWED 20 IN SUM OF$ 12170 Rising Sun Way Fishers, IN 46037 $334.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 27016935 I 43-553.00 I $334.00 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 Tuesday, May 05, 2015 1 d Director, Brookshire olf Club Title Cost distribution ledger classification if claim paid motor 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 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)) 05/05/15 27016935 Dues $334.00 I i 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 5-11-10-1.6 120 Clerk-Treasurer