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252700 12/15/15 `I//r CAA*f! CITY OF CARMEL, INDIANA VENDOR: 362129 i; b ;r ONE CIVIC SQUARE DAVID LOVEALL CHECK AMOUNT: $*****'*"15.67' ,., ,=4 CARMEL, INDIANA 46032 4677 MUSCATINE WAY CHECK NUMBER: 252700 'M,,TON:a. WESTFIELDIN 46062 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4343002 15.67 EXTERNAL TRAINING TRA 1¢ KKR EE9- IN5 2055 North Shadeland Ave Indianapolis, IN 46219 (317) 375-8782 12/8/2015 11 :44:25 AM Order 311656 Reg 3 - IN Employee: 36K83 Name: Myra WHOPPER LCM 7.09 1 + CHS Amer 0.60 1 Lg ORING 1 [Lg SODA] WHOPPER MCM 6.69 1 Med ORING 1 [Med SODA] SubTotal 14.38 Tax 1 .29 Total 15.67 Master Card 15.67 Change 0.00 Your order number is: 356 Authorization: 004423 WHOPPER Sandwich for your thoughts: www.mybkexperience.com Check on reverse for food offer `t�or CggM L`f\pl\Fq4�F( CITY OF CARMEL Expense Report (required for all travel expenses) NDIANP I EMPLOYEE NAME: �y ,�� LOV�Ol6I DEPARTURE DATE: (p�I�I�� TIME: AM / PM DEPARTMENT: CNMEL S7TQeT- Dj© . RETURN DATE: TIME: AM / PM REASON FOR TRAVEL: S'<.mk.%ic,-r DESTINATION CITY: A 1C 115 Indianapolis TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g 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 $0.001 $0.001 $0.001 $0.00 $6—.001 $0.00 $0.00 $0.00 $0.001 $0.001 $0.001 $0.00 DIRECTOR'S STATE T: I hereby affirm that a I 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 12/8/2015 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 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)) 12/08/15 $15.67 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Dave Loveall c/o Street Department IN SUM OF $ 3400 W. 131 st St. Carmel, IN 46074 $15.67 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I I 43-430.021 $15.67 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 &j-[.jjThursd,,yfkDecgtr15 �� Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund