HomeMy WebLinkAbout252833 12/15/15 1 ui.CLAM
CITY OF CARMEL, INDIANA VENDOR: 356491
® ¢; ONE CIVIC SQUARE TARA WASHINGTON CHECK AMOUNT: $ ....*'78.00*
d• ?� CARMEL, INDIANA 46032 4475 SILVER SPRINGS DR CHECK NUMBER: 252833
9Aj�_oN ` GREENWOOD IN 46142 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 REIMB 78.00 OTHER EXPENSES
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CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: _Tara Washington DEPARTURE DATE: )� ' S TIME: 8.00 AM PM
DEPARTMENT: _Utilities Wastewater RETURN DATE: it/ao '�s TIME: S,' 00 AM / M
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 Parkin Lodging Misc. Total.
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
11/18/15 $26.00 $26.00
11/19/15 $26.00 $26.00
11/20/15 $26.00 1 $26.00
$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 _$0.001 $78.001 $0.001 $0.00 $0.00 $0:00 $0.001 $0.00 $0.00 �
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356491
WASHINGTON, TARA Purchase Order No.
SOUTH PLANT Terms
Due Date 12/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2015 WASHINGTC $78.00
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
//
/'- I�JS e.- o�CM'Yh� _
Date Officer
VOUCHER # 156840 WARRANT # ALLOWED
356491 IN SUM OF $
WASHINGTON, TARA
SOUTH PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
WASHINGTO 01-7040-01 $78.00
Voucher Total $78.00
Cost distribution ledger classification if
claim paid under vehicle highway fund