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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: r 1 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) _ _ +s ,aG� � ri J� ASS_1 � � -�vr4�_.,- , ni . 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'L. •'., .,.x .i Gig,: k:. ., -r,ti a,:: .,'�., a w.,. `�' -ti� „� . x, h ,k' ,i . :•i,, ,.,��:».. ,�x. v > �,. ,• �- R ,p-,.,.+,.,..r.e - x� e�:.. j .,.a ,. .4 ..,�•,.fa. t.V"f }...�n':�.�.+ 4. :G,.' 1• �tl..il. •'4� `�... ,k, �„ ..� Yli t - .�4.A s �<.w q .. i..dC �.7 ,,,la..< �•R! @`v_., "r.,. °i-. 3.,,y'� r •.( ��, a� ...,ij' -„1;.., w,y ?� ..� n,�, k,.'4,fit.r�.`d) ,'s a �V `.b� a' �:,r ..:'t'v.�' -�. a ,S`- ,�7 r„; .. x.�,, ,�, .1,?-s- �,� �.,• ;t >.-._. ,;�,.,,,>'l�r:. -k�k ,d:.,td3 �,S,v1i5.a 4. .�y_:-�• �,.�!-.;�.,s.. e�.}�...i_`�.�t ._ ., ra1,....�, .i+ rit n� 1 x.t+5 � �!�- `,x�'�is - i1a�-S,d �i�'�r ..,rt�"11�.:,..,T� �.?..... y`. �, � 14,'Tih...k. � � �\��` z!�'f,�,S u .�1M � y�'1v a� Ih-�m ai�t��i�5���,.���.,�jy'�`�i 3s,�,4�b�b �n�,.. 1.� ?+w,a.R .'or t� `.v, xwd°e,,.. 5'_ Y t. « - a 4il , v 1 aa G n ' Classic — 2015 �� s0 ■ Course Name I Mary L Evans Kymberli D Mx Participant Name(please print} _-_._,.__, Course Trainer _ �..w. _ 1 I North Manchester/IN 4/24/201 S I EBrtffattarr t �f'+ � ,a Program Date Program Location(City/State) 1 ` ' ACE ,r` atCEP69724.`'�”e '9°0 20 3 i , r ' , - 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 ___ ,;..tes.,44..yd\ndvtal, _ i Provider Name Provider Signature i , \ 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> 2a i <� 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. 11 r r — Z7.1 T X 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 L In Sum of$ $ 40.00 ON ACCOUNT OF APPROPRIATION FOR 4 109 -Monon Center I I. I; 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 I