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246699 06/30/15
y off.Fdgy CITY OF CARMEL, INDIANA VENDOR: 365410 .{ ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $*******275.00* q• ?�; CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 246699 �'RroN i� WESTFIELD IN 46074 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 DUES 2015 275.00 ORGANIZATION & MEMBER 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 8004742776. Name: Brian S. Ballard, PGA ID: 27392746 Reference#: A03jIt Payment Type: Card Number: Card Holder: Brian S. Ballard, PGA Payment Amount: $334.00 Payment Date: 06/24/2015 Description Amount 055 Member Sectional Dues $175.00 Member National Dues $100.00 Life Insurance Premium 134TU— Liability Insurance Premium $25-06 Total: $33400' Click here to return to PGA.org. Copyright© 2011 The PGA of America PGA.com I PGA Foundation I PGA Village I PGA Hole in One I PGA Magazine PGA Golf Shop PGA Employment i { l CITY OF CARMEL Expense Report (required for all travel expenses) `��!ND_IAN�• EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: / TIME: AM/PM DEPARTMENT. RETURN DATE: TIME: AM`/PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. °'To011 Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem y, 1' •l.A•. :•Ir i=�a i��•J"'�;r;��._•.r i 4y + 77 DIRECTOR'S STATEMEN' : I hereby affirm at all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: ��t1' Date: City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Brian Ballard IN SUM OF$ 5863 Scott-Ian Court Indianapolis, IN 46254 oZ" ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Dues 2015 I 43-553.00 I P,3q-9d'� I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the �f materials or services itemized thereon for which charge is made were ordered and received except Friday, June 26, 2015 ' Director, Broo ire Golf 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)) 06/24/15 Dues 2015 Dues $334.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer