Loading...
HomeMy WebLinkAbout321525 02/13/18 0Cqq %' 'f. CITY OF CARMEL, INDIANA VENDOR: 372248 r" b ONE CIVIC SQUARE RACHAEL FLECK CHECK AMOUNT: S**......23.00* ,a CARMEL, INDIANA 46032 1427 E.116TH ST. CHECK NUMBER: 321525 ,�irtiN a°' CARMEL IN 46032 CHECK DATE: 02/13/18 DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 23.00 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 1 �qo Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Fleck, Rachael Payee 1427 E 116th St Carmel, IN 46032 In Sum of$ Purchase Order# Fleck, Rachael Terms $ 23.00 1427 E 116th St Date Due Carmel, IN 46032 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO#or Invoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount Travel xpenses for 2018 IPRA 1125 Reimb 4343000 $ 23.00 Board Members 2/2/18 Reirrib Conference $ 23.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 23.00 Total $ 23.00 February 7,2018 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 motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense &-4f-( Gc"Cc- itZ's \5 . �axl< r\n -�rrygA I �tc�rc�smn S ere ac.. � 1 ZS g . 0 0 F+. VVILAM, All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: `app Employee Name(print) `l,&NaeA Address Check \n 1 payable to: City, St,Zip C uvVE A -V v LA 60 2 Signature: Approved by: �- Date: V21 Date: 2/2 Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request . "- _ FEB 0 6 2010 BY:. r ILy'CUnlcr J 123, 123 Single Exi 01/37/18 10:50 Receipt C100405 Harrison Square Garage Short-term parking tkt Harrison Exit I - No. 001586 DATE :02/01/18 01./31118 09:05 TIME :04:10 PM 0'1/31/'.1.8 16:59 Period 0d7h55' Receipt No. 15/346/86 $15 GO * Original * Total ---------- Ticket: 214555 Entry 02/01/18 08:40 AM Payment Received LPR -------------------------- I TAX included $•�� � sale Date: 01/31/18 16:59 Credit 8.00 Terminal. Td: 00018 ti Trans ID : 570816629 rrans.Ref, : 0482 Card No. xxxxxxxxxxxx7467 Auth code: 263950 Card Type: VISA Entry Type: swipe PAN: xxxxxxxxxxxx7467 Please Drive Safely Amount: _1.5.00 LJSD APPROVED i SUh total. $15.G0 All Amounts in USD. Deliv. Date-Receipt Date