HomeMy WebLinkAbout302462 08/31/16 L+ r c�gyF
,� CITY OF CARMEL, INDIANA VENDOR: 00352774
® �l ONE CIVIC SQUARE JORDAN KLEINSMITH CHECK AMOUNT: $********48.00*
?� CARMEL, INDIANA 46032 C/0 WASTEWATER CHECK NUMBER: 302462
9�,.__.,% : C/0 WASTEWATER CHECK DATE: 08/31/16
v.�tON G�•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 081916 48.00 OTHER EXPENSES
VOUCHER # 166018 WARRANT # ALLOWED
00352774 IN SUM OF $
KLEINSMITH, JORDAN
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
KLEINSMITH, 01-7042-05 48.00
Voucher Total 48.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 servke, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352774
KLEINSMITH, JORDAN Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 8/24/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2016 KLEINSMITH 48.00
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
Date Officer
,✓`S.1UF ,
/ 4peFTFBq'�C� f
\ CITY OF CARMEL Expense Report (required for all travel expenses)
^� 01ANP-! EXHIBIT A
EMPLOYEE NAME: JORDAN KLEINSMITH DEPARTURE DATE: S/►7)I G TIME: PM
DEPARTMENT: UTILITIES RETURN DATE: 4' /15 ��b TIME: 1 •3 O AM PM
REASON FOR TRAVEL: IWEA SEMINAR DESTINATION CITY: INDIANAPOLIS
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lod m Meals
Air-fare Car Rental Other Parking ging Breakfast Lunch Dinner Snacks Per Diem Misc. Total
8/17/16 $17.00
8/18/16 $17.00 $1,700
8/19/16 $14.00 $14.00
' $14.00
$0:00
$0:00
$0.00
$0:00
$0.00
KOO
. $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 $48:00 $0.001 $0.00 $0.00 $0.00 . $q.00 $0.001, $0'.00
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.
City of Carmel Form#ER06 Revision Date 8/24/2016 Page 1