252672 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 00351325
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® ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $*********7.73*
,. CARMEL, INDIANA 46032 C/O STREET DEPARTMENT CHECK NUMBER: 252672
'M,�'ruN moo. C/O STREET DEPARTMEN CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 7.73 EXTERNAL TRAINING TRA
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BI.�K R KING .1445 North Shadeland Ave
Indianapolis, IN 46219
(317) 375-8782
12/8/2015. 1-1 :'44:55 AM.- ---
Order 311657 Reg 3 - IN
Employee: 368583 Name: Myra
OCS MCM 7.09
1 PLAIN
1 Med FRIES
.1 Ned SODA] a
Tax 0.64
Total 7.73
Visa 7.73
Change 0.00
Your order number is: 357
,
uthorization: 064411
WHOPPER Sandwich for your thoughts:
www.,!ybkexperience.com
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Check on reverse for food offer
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CITY OF CARMEL Expense Report (required for all travel expenses)
(NOIANA
EMPLOYEE NAME: �jQUL }--t.�Y'I,n�('.�.�1 DEPARTURE DATE: �.� (�'' I�
TIME: AM/ PM
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DEPARTMENT: RETURN DATE: �: I (I� TIME: AM/ PM
REASON FOR TRAVEL: DESTINATION CITY: Indianapolis
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$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
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 12/9/2015 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 service rendered, by
I 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))
12/01/15 $7.73
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dave Huffman
IN SUM OF $
$7.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-430.021 $7.73 1 hereby certify that the attached invoice(s), or
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
s
4 Thur day, Dec mber 10 2015
Str���t'��R4i15�'�Igper
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund