252548 12/15/15 Q
CITY OF CARMEL, INDIANA VENDOR: 362115
.ONE CIVIC SQUARE JAMES BENTLEY CHECK AMOUNT: $ ...."'7.07'
CARMEL, INDIANA 46032 19513 TRADEWINDS DRIVE CHECK NUMBER: 252548
NOBLESVILLEIN 46062 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 7.07 EXTERNAL TRAINING TRA
BURGER GE # N5
2055 North Shadeland Ave
Indianapolis, IN 46219
(317) 375-8782
12/8/2015. 11 :58:01 AM
Order 311668 Reg 3 - IN
Employee: 368583 Name: Myra
BIG KING MCM 6.49
1 Med FRIES
1 [Med SODA]
SubTotal 6.49
Tax 0.58
Total 7.07
Cash "10.00
Change 2.93
Your order number is: 368
WHOPPER Sandwich for your thoughts:
www.mybkexperience.com
�+ Check on reverse for food offer
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fries at regular price after completing our brief survey.
I. Go online to www.mybkexperience.com
anytime within 48 hours.
2. Complete survey and get validation code.
3. Write code here
Return this receipt to a participating BURGER KING°
restaurant to receive offer.Food purchase required.
Validated receipt good for one month from date of
purchase.Not valid with any other offer,including
senior or value meal pricing or value menu item
pricing.Not available to employees&their families.
One survey per guest per month.Cash value I/100¢.
Visite www.mybkexperience.com
y siga las instrucciones.
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One Free WHO PPE R®Sandwich 9657
or Original Chicken Sandwich F 9640
with purchase of small,medium or large size drink and
fries at regular price after completing our brief survey.
I. Go online to www.mybkexperience.com
anytime,within 48 hours.
2. Complete survey and get validation code.
3. Write code here
Return this receipt to a participating BURGER KING°
restaurant to receive offer.Food purchase required.
Validated receipt good for one month from date of
purchase.Not valid with any other offer,including
senior or value meal pricing or value menu item
pricing.Not available to employees&their families.
One survey per guest per month.Cash value I/100g
Visite www.mybkexperience.com
y siga las instrucciones.
CITY OF CARMEL Expense Report (required for all travel expenses)
NOIANa
EMPLOYEE NAME: J C ( DEPARTURE DATE: - g TIME: t)e0 AM / PM
DEPARTMENT: RETURN DATE: 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 $0.00 $0.00 $0.00 $0.001--$0.00 $0.00 $0.00 $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 12/8/2015 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 $6.49
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
James Bentley
C/O Street Department
IN SUM OF $
3400 W. 131 st Street
Carmel, IN 46074
� �I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I I 43-430.021 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1 t v materials or services itemized thereon for
which charge is made were ordered and
received except
Thursfiayecgrbei it, 2015
7 Y
'j'regl re FirrComhiri's Toner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund