HomeMy WebLinkAbout251951 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 00351756
G
ONE CIVIC SQUARE JEFFREY W COOPER CHECK AMOUNT: $*******'60.00-
CARMEL,
60.00*CARMEL, INDIANA 46032 C/0 CARMEL WASTEWATER CHECK NUMBER: 251951
C/0 CARMEL WASTEWATE CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
6S1 . 5023990 REIMB 60.00 OTHER EXPENSES
1 Capitol Commons
Capitol Commons **EXIT **
**EXIT 7** DATE :11/18/15
DATE ;11/19/15 TIME :04;49; PM
TIME :05:11; PM
Receipt No, 4/558/87 Receipt No. 7/557/89
* Original * * Original �
Ticket; 417921
Ticket; 418044
Entry : 11/19/15 07:33 AM Entry 11/18/15 07.54 AM
LPR ;55048 LPR ;55048
TAX included 30.00 TAX included 30.00
Credit 30.00 Credit 30.00
Trans ID : 110800 Trans ID : 110521
Of A
j
( CITY OF CARMEL Expense Report (required for all travel expenses)
M
` -,No�ANP•= EXHIBIT A
EMPLOYEE NAME: Jeff Cooper DEPARTURE DATE: i 1/1$ 15 TIME: -DCS AM PM
DEPARTMENT: Utilities RETURN DATE: i J! J 5 TIME: 5!'00 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 $30.00 $30.00
11/19/15 $30.00 $30.00
$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
$0.00
0.00
Total $0.001 $0.001 $0.00 $60.00 '$0.001 -$0.00 $0:00 . $0.00 . $0.00 - a-$0.00 , $0.00 01ME
City of Carmel Form#ER06 Revision Date 11/23/2015 Page 1
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
T9984
COOPER, JEFFREY W. Purchase Order No.
WASTEWATER PLANT Terms
Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201,' COOPER, J $60.00
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
Date Officer
VOUCHER # 156727 WARRANT # ALLOWED
T9984 IN SUM OF $
COOPER, JEFFREY W.
WASTEWATER PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
COOPER,J 01-7042-05 $60.00
Voucher Total $60.00
Cost distribution ledger classification if
claim paid under vehicle highway fund