HomeMy WebLinkAbout257276 04/05/16 •ur..4•Igy
® ~( CITY OF CARMEL, INDIANA VENDOR: 359461
I ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: S'""'`"443.58•
,�� ,�; CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK NUMBER: 257276
,�'��roN�°, INDIANAPOLIS IN 46208 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIM 443.58 TRAVEL FEES & EXPENSE
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 443.58
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 200.52 1 hereby certify that the attached invoice(s), or
1081-11 Reimb 4343000 $ 243.06 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
March 31, 2016
Signature
$ 443.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/24/16 Reimb Travel Expenses NAA Convention $ 200.52
3/14/16 Reimb Mileage 9/1/15- 3/14/16 $ 243.06
Total $ 443.58
1 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
GrHT.RAL TO81t HQ 1tll SiR06i .
FMCRIDW BY STATE BOARD Or ACCOUHIS '
MILEAGE CLAIM Travel Fer E)iem 1081--1 1-+3-+00+
Extended 1506001 F nrichment TO 41
nn olHiIEHTAT""'^ ON ACCOUNT OF APPROPRIATION NO. FOR Nikees6a Pittman
armed flay t'ar�Cs and recreation
t0'Tk..:s,80.00,DE►ARnWrr OR IHSSTTUTIOH)
FROM TO SPEEDOMETER AUTO I[ILE.ATGEE
�7DAT READING NATURE OF nUSINESS EL J' 5 Lam+ f -
L�t POINT POINT START FINISH 1TfAVELEp PER�
c
ni
Wa \
14 mrr-G � ta. co t=. 3• 7
` 72
n y1, to
l 7
W OO,>MCC_ -� M th v^l 5t
Wtb S Ac*'�5t s "
Z
t
AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legallyue,after allowing all just credits.-
and th tp the same ha een ai , �kik
Date ;�r
MAR 3 12016
t
PRESCRIBEDIM F ouxnc
GGIF•IIAL FORM 110.101(less)
/� MILEAGE CLAIM Travel Fer Diem i 081--1 i-+3+oo+
�X G 001 n TO 1
I/• no rxTA*� A {,
�a act �'ar�Cs and r ion ON ACCOUNT OF APPROPRIATION No. ^ FOR NikCCska plttman
/ ROARP.aUARTWERr el sml/tox) .�..., • _ 1
TB FROM / TO SPEEDOMETER
A
READING A�UTOg }AHLEAGE
-i-� POINT POINT START FINISH[ NATURE OF BUSINESS TRA EUD a D-E5 7 S �
PER WLE
11
/ W ETF 2'fa ✓ : �, o- �o
•z, W t.pnD tGT MCG Nl60 IG-—b M[ RHCE fv1 L �1
_ r.'A44-- C ziP �J Z� Ze i
a. CG --r --t' M t 1. ;S-C-
57
MC L
IV CG d1I Atli' a1W2
1LP —� t1 �1iJ t FrUJ17S11-7
5y -7-51
A �:-
7-;7
AUTO LICENSE NO_ y TOTALS
+ SPEEDOMETER READING columns are to be used only whoa distance be114 n pniuts cannot be dalernined by fixed mileage or official highway map.
Pursuant to a provislons and penalties of Chapter 155,Acts 1953,I hereby caitify thal the foregoing ylcoount Is just and correct,that the amount claimed is 1�auftaowingall just credits
and t t a of th sa a h s bea paid. ;'
Dato
REGE����
MAR 3,1 2416
BY:
emcalati)by STATE BOARD OF Accou"n GVxVft"TORN 140.101 Was)
MILEAGE CLAIM Travel Per Diem i o8 I--1 1-+3+00+
Extended School F-nric6ment TO
Carmel Ca ON ACCOUNT OF APPROPRIATION NO.— FOR Nilcees6a 'Pittman
Recreation
.010.MAR"Wff 09 IjtMTnFnOX)
M
SPEEDamITIR
DATE FRO
TO READING + AUTO
NATURE OF BUSINESS
POINT POINT START FINISH PER lea
Ae�
WAtQka-r-V-WO -7- &14
15 bACC' 90tf-212—t-A-K-
(-
MCC- Vq J%I 1� 6 anA
kA Ce., ofr-e
q��k' L.- Z—
Or-
ELE
OEI
UT '%
k
AUTO LICENSE no. TOTALS --7 e?
+ SPEEDOMETER READING oolumns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penaltles of Chapter 185,Acts 1993,1 hereby certify that the foregoing account is just and correct,that the amount cl"t'u t1ally due,after allowing all just credits o
and th p It OL thesame has Veen paid.
Date
RECEIVED
MAR 31 2016
Carmel ® Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
3/20/2016 Starbucks 1081-99 4343000 Travel Fees & Expenses $ A 7.30 Food
3/20/2016 Villa De Flora @ Gaylord 1081-99 4343000 Travel Fees&Expenses $ 45.63 Food
3/21/2016 Emerald Bay Market 1081-99 4343000 Travel Fees&Expenses $ 5.30 Food
3/21/2016 Moor @ Gaylord 1081-99 4343000 Travel Fees&Expenses $ 56.01 Food
3/22/2016 Emerald Bay Market 1081-99 4343000 Travel Fees&Expenses $ 7.22 Food
3/22/2016 Starbucks 1081-99 434000 Travel Fees&Expenses $ 5.27 Food
3/22/2016 Falls Pool 1081-99 434000 Travel Fees&Expenses $ 13.85 Food
3/22/2016 House of Blues 1081-99 434000 Travel Fees&Expenses $ H- 28.00 Food
3/23/2016 Solaris 1081-99 434000 Travel Fees& Expenses $ -� 17.04 Food
3/23/2016 Starbucks 1081-99 434000 Travel Fees& Expenses $ V 3.68 Food
3/23/2016 Qdoba 1081-99 434000 Travel Fees&Expenses $ 11.22 Food
N�RTIt�NPt APTEPBNO0 (-\sSOft_1 AT►on
20 IG AN 0 tel_ CON -
All receipts Mould e attached In the same order as listed above. /
No sales tax will be reimbursed. TOTAL:
$200.52 v
ED
Employee Name(print) Nikeesha Pittman
Check
Address 2713 Highland Place MAR 2 5 2016
payable to:
City, St,Zip Indianapolis, IN 46208
Signature: - Approved by:
Date: 3/24/2016 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
' GMERAL TORu uO.101 IMS) a
PRESCRIBED ar STATE BOARD Or ACCOUNr3 -
MILEAGE CLAIM Travel Per Diem 108 i-1 1-tt-34004
r—xtended School Enrichment TO
ERNMENTA``^" ON ACCOUNT OF APPROPRIATION NO. gOR¢ 1 tllee5l lad'-ittmaFl.�
Carmel Cay Par�Cs and Recreation " ` '
IOrk,. BOARD.DEPARTU NT OR INSTRUnON)
SPEEDOMETER AUTO Mill ILGE
�lg FROM TO READING NATURE OF BUSINESSP11E E
POINT POINT START FINISH 1 PER
3 VM Z
WOODitE coPi �
CW1 C�� 3�
11 CG A-rd.T --_t:- c, --:P-W11 M e
CG --0
11 GCS --P 1.1-v l.A
id)' NACC
1 y�j,/�lit x (u Wf u fo
j•. Wk G
1I J
AUTO LICENSE NO. TOTALS 5, 6, 93
+ SPEEDOMETER READINGcolumns are to be used only when distance between points cannot be datermined by fixed mUeage or offioial highway map. .�
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account Is just and correct,that the amount claimed is a d a,after allowing all loaf credits:r
and that o p rt of heramee has
(b�a/nn paid.
Date
RECEIVED
MAR 3.1 2016
BY:
PRESCRIBED BY STATL BOARD or ACCONNIS GrNERAI iOR4 No.101 i14Rf1
MILEAGE CLAIM Travel Per Diem i (381--1 '-+3+00+.
0
Extended 6001 Enrichment TO '
ENIA�• NikeeSha Fit
MON ACCOUNT OF APPROPRIATION NO. FOR
an
Carmel Clay F
id-r :s,BOARD,BEEARnln/I OB 1116M 10H)
I! TF FROM TO READING ET
PEEDOMER AUTO
�h NATURE OF BUSINESS
V POINT POINT START FINISH 'YRAVILF6 PER UILF
_. N1G� L.Ac�tPT 3 to f. = .Z
- _ ,/ Z•
1N t 7
Z
Z Mt— U — .0 1. 102—
k
[ w . vIV MAt o [.
M
tA22—
•
' GC. i7b .C) fol
AUTO LICENSE NO. TOTALS ! �� 1
+ SPEEDOMETER READING,columns are to be used only when distance between points cannot be determined by fixed mLleage or oiiiolal highway map. w 11
Pure ant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foyegoing account is just and correct,that the amount claimed is le lly ue,after allowing all just credits r
and o p rt cf t o ahfts been paid.
Date +
q,,,�V,-ECEIVJH�D
MAR 31 2016
J