HomeMy WebLinkAbout302461 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 371040
(9,
ONE CIVIC SQUARE DUANE JARVISCHECK AMOUNT: $********90.00*CARMEL, INDIANA 46032 720 BLOOR LN CHECK NUMBER: 302461
ZIONSVILLE IN 46077 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 081916 90.00 OTHER EXPENSES
VOUCHER # 166019 WARRANT # ALLOWED
371040 IN SUM OF $
JARVIS, DUANE
720 BLOOR LN
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
JARVIS, DUA 01-7042-05 90.00
Voucher Total 90.00
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 service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
371040
JARVIS, DUANE Purchase Order No.
720 BLOOR LN Terms
ZIONSVILLE, IN 46077 Due Date 8/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2016 JARVIS, DUI 90.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
CITY OF CARMEL Expense Report (required for all travel expenses)
��/NDIANp�f EXHIBIT A
EMPLOYEE NAME: DUANE JARVIS DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: UTILITIES RETURN DATE: TIME: 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/ Meals
Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8/17/16 $30.00 $30.00
8/18/16 $30.00 $30.00
8/19/16 $30.00 $30.00
10.00
:$0:00
;,-10,-00
$0.00
$0:00
<$0.00
s.'$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 $0,00 '`._`. $90:00 ::$0'.001 $0?001 $0.00[.:- $0.001 $0.00 ,$0.001 $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.
City of Carmel Form#ER06 Revision Date 8/25/2016 Page 1
Capitol Commons Capitol Commons Capitol Commons
**EXIT 6** **CREQIT 11** **CREDIT 11**
DATE :08/17/16 DATE :08/18/16 DATE :08/19/16
TIME :05:23: PM TIME '05:18: PM TIME :01:16: PM
Receipt No. 61/831/91 Receipt No. 75/832/91 Receipt No. 42/833/91
* Original * Original * * Original
Ticket: 443779
Ticket: 443669 Entry 08/18/16 07:20 AM Ticket: 443878
Entry : 08/17/16 07:48 AM LPR :55048 Entry : 08/19/16 07:34 AM
TAX included 30.00 LPR :55048
TAX included 30.00 TAX included 30.40
Credit 30,00 Credit 30.00
Trans ID : 168663 Trans ID : 168942 Credit 30.00
Card No. xxxxxxxxxxxx9283 Card No. xxxxxxxxxxxx9283 Trans . : 169186
Card No.
Card Type: VISA Card Type: VISA : xxxxxxxxxxxx9283
Card Type: VISA