252032 1 2/02/1 5 li!C,p'�/f!
^� CITY OF CARMEL, INDIANA VENDOR: 00352774
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ONE CIVIC SQUARE JORDAN KLEINSMITH CHECK AMOUNT: $ ......51 51.00-
CARMEL,?� CARMEL, INDIANA 46032 C/0 WASTEWATER CHECK NUMBER: 252032
'.y,�_oN. C/0 WASTEWATER CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 51.00 OTHER EXPENSES
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C4 pxr+R,A'O!
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CITY OF CARMEL Expense Report (required for all travel expenses)
JNDIANP EXHIBIT A
EMPLOYEE NAME: Jordan Kleinsmith DEPARTURE DATE: �� I TIME: p:JCS AM PM
DEPARTMENT: Utilities RETURN DATE: f /a() 1,15 TIME: 5 C) AM PM
REASON FOR TRAVEL: Class/Seminar DESTINATION CITY: Indianapolis
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total.
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
11/18/15 $17.00 $17.00
11/19/15 $17.00 $17.00
11/20/15 $17.00 ° .$17:00
$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
Totall. $0.00 ;$0.00. $0.001 $5c,00i- $0.00 $0.00 $0.00 $0.00 $0.00 , :: ;$0.001, $0.00
City of Carmel Form#ER06 Revision Date 11/23/2015 Page 1
Circle Centre Mall Circle Centre Mall
Indianapolis, IN Indianapolis, IN
Fee CoiliGuter Number: Fee Coaputer Number: 2
Cashier: 150 Id #150 Cashier: 150 Id 9150
Transaction Number: 32401�i Transaction Number: 323716
Entered: 11/19/2015 07:27 Entered: 11/18/2015 07:26
Exited: 11/19/2015 18:38 Exited: 11/18/2015 16:17
Ticket 47033
Dispenser #36 Ticket 46659 Dispenser 436
Lot: Moon Lot: Moon
Area: Area 1 Area: Area l
Rate: Daily LR: Rate: Daily LR.
Parking Fee: $ 17.00 Parking Fee: $ 17.00
Total Fee: $ 17.00 Total Fee: $ 17.00
Cash: $ 17.00 Cash: $ 17.00
Total Paid: $ 17.00 Total Paid: $ 17.00
Thank You Thank You
Denison Parking Denison Parking
Circle Centre Mall
Indianapolis, IN
Fee Computer Number: 2
Cashier: 160 Id #160
Transaction Number: 324251
Entered: 11/20/2015 07:37
Exited: 11/20/2015 14:49
Ticket 97428 Dispenser 436
Lot: Moon
Area:
Area 1
Rate: Daily LR
Parking Fee: $ 17.00
Total Fee: $ 17.00
Cash: $ 17.00
Total Paid: $ 17.00
Thank You
Denison Parking
P w CITY OF CARMEL Expense Report (required for all travel expenses)
:�NDIANP.. EXHIBIT A
L
EMPLOYEE NAME: Jordan Kleinsmith DEPARTURE DATE.- TIME: CI:JC) (QPM
DEPARTMENT: Utilities RETURN DATE: I TIME: S DD AM PM
REASON FOR TRAVEL: Class/Seminar DESTINATION CITY: Indianapolis
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Meals
Lodging Misc. Total.' ,
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
11/18/15 $17.00
11/19/15 $17.00
11/20/15 $17.00
0:00
:00
.: .' $0.00
0:
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
T9971
KLEINSMITH, JORDAN Purchase Order No.
WASTEWATER Terms
Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! KLEINSMITH $51.00
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
i1/yS//S
Date Officer
VOUCHER # 156729 WARRANT # ALLOWED
T9971 IN SUM OF $
KLEINSMITH, JORDAN
WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
KLEINSMITH 01-7042-05 $51.00
Voucher Total $51.00
Cost distribution ledger classification if
claim paid under vehicle highway fund