HomeMy WebLinkAbout255604 02/26/16 CITY OF CARMEL, INDIANA VENDOR: 362121
CHECK AMOUNT: 5*******100.22*
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ONE CIVIC SQUARE LEE HIGGINBOTHAMCARMEL, INDIANA 46032 3530 E DIVISION RD CHECK NUMBER: 255604
TIPTON IN 46072 CHECK DATE: 02/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 022416 100.22 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Lee Higginbotham DEPARTURE DATE: 2/17/2016 TIME: 4:30pm AM/PM
DEPARTMENT: Street RETURN DATE: 2/18/2016 TIME: 5:30pm AM/PM
REASON FOR TRAVEL: CCH's for pesticide license DESTINATION CITY: French Lick
TRAVEL EXPENSES ARE FOR(check all that apply): ADVANCE REIMBURSEMENT X PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total.
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
2/17/16 $86.86 $13.36 $100.22
$0.00
$0.00
$0.00
$U.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 $86.86 ,$0.00 ,.'$0.00 $13.36 $0.00 . $0.00 $0.00 E$10OL22
DIRECTOR'S STATE ME I hereb affirm t at al expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
c�_ 3
City of Carmel Form#ER06 Revision Date 2/22/2016 Page 1
Add a Room
ChargesSummary of
Total Cliarged: $86.86
Billing Name: Lee Higginbotham
Room Price: $72.00/night
Number of rooms: 1 Room
Number of nights: 1 Night
Room Subtotal: $72.00
Taxes&Fees: $14.86
Total Charged:
Prices are in USD
Charges will be from"Priceline.com"
3
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
02/23/16 0 $100.22
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
LEE HIGGINBOTHAM
3530 E DIVISION RD IN SUM OF$
TIPTON, IN 46072
$100.22
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member;
I 0 I 43-430.02 I $100.22 I hereby certify that the attached invoice(s), or
2201 201
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
Tues y, Febru ry 2 16
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund