HomeMy WebLinkAbout308724 02/28/17 0i Cly'
��" CITY OF CARMEL, INDIANA VENDOR: 180865
j; ® ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $*********8.53*
?� CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 308724
, TON CARMEL IN 46032 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4230200 8.53 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 180865 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BARBARA LAMB IN SUM OF$ CITY OF CARMEL
C/O HUMAN RESOURCES An invoice or 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.
CARMEL, IN 46032
Payee
C�v
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
863658643355273 42-302.00 I hereby certify that the attached invoice(s),or 2/24/17 863658643355273 Reimburse Office Supplies-Walmart $9.13
53514 �' 53514
1205 101 bill(s)is(are)true and correct and that the 1205 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, February 28,2017
Lamb, Barbara
Director
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
IQYRSYEgTgi�
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Barbara Lamb DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: Human Resources RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
TRAVEL EXPENSES ARE FOR(check all that apply): ADVANCE REIMBURSEMENT PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
2/24/17 $9.13 $9.13
$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
$0.00
$0.00
$0.00
0.00
Total 1 $0.00 $0.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $9.13 $9.131 .
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.
Director Signature: �°`" � Date:
City of Carmel Form#ER06 Revision Date 2/27/2017 Page 1
Sec back of receipt for• !iuur chaince
to win 61000
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Save money. Live k►etl:er.
( 317 ) 844. 0096
MANAGER KYLE LANG;TON
2001 I_ 151:0, ST
CARMEL IN '16033
ST# 01601 OP# 0015424 TE:# '10 TR# 00644
DEC MRR HLDR 004'922'359744 1.167 X
DEI:-MRR HLDR 004922359;144 .1-.611 X
13X49 MIRROR 004,4021611377 5.all X
*iF VOIDED'ENTRY **
DEC MRR HLDR 0049223591144 1.167-X
8.11X11 DOC 0131!586402(111)
S VOT191. 8vil TAX 1 7.000 %
TOTAI. 9.13
DISICV TEM) 9,13
Dincover Credit ** mw :*if** 50916 1 2
APPROVAL # 0243812, _ -
REF # 705500504591
AID A000000-1523010
TC 21.3E6119322661481
TERMINAL # 289311591,6
iiNO SIGNATU13E REQUIRED
02/24/'17 15:15:26
CHANGE DIJI: 0.00
k ITEMS SlILD 3
TC# 86316 51864 3355 2755 3514,
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Oscar Suiidaa =eb 25 oK'RBC
02/24/17 15:15:26
***CUSTOMEi COPY11**
Store recelPts on-v3ur Phone. Wailmar•t P
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rem
Submitted To
FEB 2 8 2017
Clerk `treasurer