302504 08/31/16 01" CITY OF CARMEL, INDIANA VENDOR: 356491ONE CIVIC SQUARE TARA WASHINGTONCHECKAMOUNT: S********26.00*
CARMEL, INDIANA 46032 5253 COMANCHE TRAIL CHECK NUMBER: 302504
CARMEL IN 46033 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 081916 26.00 OTHER EXPENSES
VOUCHER # 166011 WARRANT # ALLOWED Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCF
356491 IN SUM OF $ CITY OF CARMEL
WASHINGTON, TARA
SOUTH PLANT j An invoice or bill to be properly itemized must show, kind of service
performed, dates of service rendered, by whom, rates per day, nun
price per unit, etc.
Payee
Carmel Wastewater Utility j 356491
ON ACCOUNT OF APPROPRIATION FOR i WASHINGTON, TARA Purchase Or
SOUTH PLANT Terms
Due Date
Board members i.
Invoice Invoice Description
PO# INV# ACCT# AMOUNT Audit Trail Code i Date Number (or note attached invoice(s) or b
8/24/2016 WASHINGTC
WASHINGTO 01-7042-05 26.00 j
l
1
1
1'
i
1
I
1
Voucher Total 26.00 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
Cost distribution ledger classification if
claim paid under vehicle highway fund
Date C
/'a m
WELCOME TO
PLAZA PARK
PLEASE KEEP THIS TICKET -
WITH YOU
Entered/Arriuee:
2016/08/19 07:06
Ticket/Billet#:53538399
Dur/Ouree:6:28:18
Paid On/Paye Le:
201fi/08/19 13:34
Paid/Paye:$ 26.00
Original Fee:$ 26.00
CST:$ 0.00
PST:$ 0.00
Change:$ 0.00
UISA .
SC:$ 0.00
Merchant ID:
rwarrr*****r2210 S
UISA
Seq# 155873710 00906
Purchase 16/08/19 13:38:8fi
Auth# 023333
RPPROUED
e ,
CITY OF CARMEL Expense Report (required for all travel expenses)
^�[NDIANP% - EXHIBIT A
EMPLOYEE NAME:_TARA WASHINGTON DEPARTURE DATE: S/��I�ICO TIME: ��3C7 AM PM
DEPARTMENT: UTILITIES RETURN DATE: g Ll 10 TIME: AM1 7r
PM
REASON FOR TRAVEL: IERC SEMINAR DESTINATION CITY: INDIANAPOLIS
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Meals
Air-fare Car Rental Other Parkin Lodging Misc. Total
9 Breakfast Lunch Dinner Snacks Per Diem
8/19/16 ='$26.00
$26:00
:$0.00
$0:00
$0:00
$0.00
:$0:00
$0:00
$0:00
$0.00
_$0:0.0
$0.00
$0:00
$0:00
$0:00
$0.00
$0.00
^:$0:00
0.00
.:..Total :. `$0:00
$0:00: ,$0.00 . ..U.Qol $0.00 i
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
J
City of Carmel Form#ER06 Revision Date 8/24/2016 Page 1