HomeMy WebLinkAbout259970 06/24/16 �l v CITY OF CARMEL, INDIANA VENDOR: 354405
f� it ONE CIVIC SQUARE JASON REECER CHECK AMOUNT: $*******167.1 1
9 ,?� CARMEL, INDIANA 46032 13375 E 266TH STREET CHECK NUMBER: 259970
M,�T6ii�. ARCADIA IN 46030 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 062016 37.11 GASOLINE
1120 4343003 062016 130.00 TRAVEL & LODGING
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
JASON REECER ACCOUNTS PAYABLE VOUCHER
13375 E 266TH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ARCADIA, IN 46030 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$167.11 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-430.03 $130.00 1 hereby certify that the attached invoice(s),or 6/20/16 0 $37.11
1120 (3LQ*Zjb 101 1120 101
0 42-314.00 $37.11
bill(s)is(are)true and correct and that the 6/20/16 0 $130.00
1120 Q�Q 20 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Monday,June 20,2016
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
``Ny OF 04#41
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Jason Reecer DEPARTURE DATE: -\'3-\� TIME: 3 AM/ M
DEPARTMENT: FIRE RETURN DATE: N., - \' -\\o TIME: \O (AM fm
REASON FOR TRAVEL: Assist with Retired Capt Funeral Arragement DESTINATION CITY: South Haven, MI
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Meals ;Tot;al� 'Gas/Tolls/Date Parkin Lodging Misc.Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
.00
6/13/16 $32.50 $32.50
6/14/16 $37.11 65.00 $102.11
6/15/16 32.50 $32.50
$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
$0.001, $0.001 $37.111 $0.001 $0.001 $0.001 $0.001 $0.001 $130.00 $0.00
DIRECTOR'S STATEMEN I iey aiTiqrn that a 'e penses ted 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 6/20/2016 Page 1
CITY OF CARMEL
FIRE DEPARTMENT
DATE: June 20,2016
TO: Patricia Brown
FROM: David Haboush,Fire Chief
Attached you will find a reimbursement request for Jason Reecer. I sent Jason to South Haven,MI to assist
with the planning of Retired Captain John Crisler's Funeral. There were no lodging expenses,however I
would like to pay his per diem and gas.
If you have any questions,please feel free to contact me.