HomeMy WebLinkAbout245147 5 /13/2015 . 4�u,..4Aq�f
CITY OF CARMEL, INDIANA VENDOR: 369352
d ONE CIVIC SQUARE DEBBIE HAIRE CHECK AMOUNT: $********40.00*
:9 =a CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 245147
°jaroN�. CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4357004 40.00 EXTERNAL INSTRUCT FEE
Carmel ® Clay
APR 2 8 2015 Parks&Recreation
BY: Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
fru .
All receipts should be attached in the same order as listed above. . / w
No sales tax will be reimbursed. TOTAL: 0 $0.00
Employee Name(print) �l 1712 / 1<�5
Address
Check
payable to: City, St, Zip
Signature: � ,(/ Approved by:
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Date: p� / Date: gLz7/6
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
1
Order#47634
https://hes-ssequip.healthways.com
Date:Wednesday,April 22,2015
Billing Information:
Name;Deborah Haire
Phone:
Address: 12421 Bayhill Drive
Carmel,Indiana 46033
United States
Payment method:CRESecure
Product(s)
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$40.00 1 $40.00
Classic-2015
Sub-total:$40.00
Tax: $0.00
Order total:$40.00
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' Classic — 2015 �� s0
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Course Name
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Mary L Evans Kymberli D Mx
Participant Name(please print} _-_._,.__, Course Trainer _ �..w.
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I North Manchester/IN
4/24/201 S I
EBrtffattarr t �f'+ � ,a Program Date Program Location(City/State)
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ACE ,r` atCEP69724.`'�”e '9°0 20 3
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' , - f AEA` ,r�, ,t 519�4� 2 1 ii25 r Strauss-Peabody Aquatic and Fitness Center ___
if - Y iNF p A E �1Sc F`� 20 r sf. �110: { .__...._.____...__.___ .._. -. _...w.-._._,,.._...__.,._�. _...,•-...___.,,, ,�._--__
s r r Program Facility Name
AGSM S ..,.16644.81 ,.. ..2 501 _r
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i Provider Name Provider Signature
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\ This course has been approved byAFAA for continuing education units,but was not developed by AFAR.Therefore it does not count as on AFAA course which is required for recertification. i
4245-100-48869
SSFPNAT-385 9.11
Gmail - Workshop Order Completed Page 1 of 1
GmDebbie Haire<dehaire@9mail.com>
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tyC:.rnxn •
orkshop Order Completed
message
DONOTREPLY@healthways.com<DONOTREPLY@healthways.com> Wed,Apr 22,2015 at 9:21 AM
To:dehaire@gmail.com
Order Number:47634
Course Name:Classic-2015
Start Date:4/24/2015
Start Time:10:00 AM
Length:02:00:00
Venue Name:Strauss-Peabody Aquatic and Fitness Center
Address:902 N.Market St
Instructor Name:Kymberli Nix
Trainer Email:kymbedinix@gmail.com
Order Summary
Name Price Quantity Total
Classic-2015 $40.00 1 $40.00
Sub-Total: $40.00
Tax:
Order Total: $40.00
:::
This email contains confidential and proprietary information and is not to be used or disclosed to anyone other than the named recipient of this email,and is to be used only for the intended purpose of this communication.
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https://mail.google.com/mail/u/0/?ui=2&ik=20cOd7ef8l&view--pt&search=inbox&th=14c... 4/22/2015
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.
Haire, Debbie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/22/15 Reimb Workshop training $ 40.00
Total $ 40.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
I
Haire, Debbie Allowed 20
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In Sum of$
$ 40.00
ON ACCOUNT OF APPROPRIATION FOR
4
109 -Monon Center
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PO#orBoard Members
Dept# INVOICE NO. 4CCT#/TITL AMOUNT j I,
1091 Reimb 4357004 $ 40.00 1 hereby certify that the attached invoice(s), or
j 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 7, 2015
'P A-)
Signature
$ 40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund w
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