HomeMy WebLinkAbout258242 05/06/16 ;•- CITY OF CARMEL, INDIANA VENDOR: 365288
ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********78.65*
:9 ?a, CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 258242
WESTFIELD IN 46074 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 042116 78.65 TRAVEL FEES & EXPENSE
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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/21/16 Reimb Travel Expenses-IU Exec. Development Program $ 78.65
Cell Phone Reimbursement-Apr
Total $ 78.65
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
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
. In Sum of$
$ 78.65
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center i
r
I
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4343000 $ 78.65 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
April 27, 2016
I
Signature
$ 78.65 [' Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Carmel 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request —
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
4/18/2016 IMU Dining Services-Starbucks 1091 4343000 Travel Fees& Expenses $ 7.88 Breakfast
4/18/2016 Sandwhich Shop 1091 4343000 Travel Fees&Expenses $ lb 9.90 Lunch
4/18/2016 Abe Martin Lodge 1091 4343000 Travel Fees&Expenses._ $ 20.00 Dinner
4/19/2016 IMU Dining Services-Starbucks 1091 4343000 Travel Fees& Expenses $tl 4.49 Breakfast
4/19/2016 Scotty's 1091 4343000 Travel Fees&Expenses $rt, 26.38 Lunch
4/19/2016 Kilroy's 1091 4343000 Travel Fees&Expenses $ 10.00 Dinner
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) �Cu Ljs-Sa u m g�artn e�r '
"r receipts
N o sal
Address 16930 Kingsbridge Blvd
Check
payable to: City, St,Zip Westfield, lt+46074_
Signature: Approved by:
Date: Date: Z zolu
Business Services Division,Revised 7-7-08 RJECEIVED
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
APR 2 2 2016
,BY: