HomeMy WebLinkAbout327116 07/06/18 CITY OF CARMEL, INDIANA VENDOR: 372557
ONE CIVIC SQUARE RICHARD WAITE
`� CHECK AMOUNT: $*******339.00*
�d �; CARMEL, INDIANA 46032 3004 F.WARREN WAY CHECK NUMBER: 327116
M,�roN�. CARMEL IN 46033 CHECK DATE: 07/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 339.00 R WAITE PGA DUES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372557
RICHARD WAITE IN SUM OF$ CITY OF CARMEL
3004 F. WARREN WAY 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 46033
Payee
$339.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
R Waite PGA 43-553.00 $339.00 1 hereby certify that the attached invoice(s),or 6/28/18 R Waite PGA 2018 PGA DUES $339.00
DUES DUES
1207 101 bill(s)is(are)true and correct and that the 1207 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday,June 29,2018
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
CAq�F!
C RTY OF CARMEL Expense Repoel (required for all travel expenses)
N�iaNj/ iHaa0'�lH i!-� Its,
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
I
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/_ -- - - Meals
Date Parkin Lodging Mise.
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
1
t'
{
t
DIRECTOR'S STATEME reby affirm that all expenses listed conform to the City's travel policy//and are within�m/y department's appropriated budget.
Director Signature: Date: (� " o� ��a
MOW of r-1 C:nrt+t A GRnR n....:-t__
I MENU:
Your Payment has been Approved! .
THIS IS YOUR PAYMENT RECEIPT
Thank you for renewing your membership in the PGA of
America.This is your payment receipt.Please PRINT
IT NOW for your records.Your membership credentials
will be mailed separately.If you do not receive them
within a few weeks,please contact the PGA
Membership Services Department at 800-474-2776.
Richard E. Waite, 27047832
PGA
Name: °
A04cHr
Mastercard .
Pavane nt
Type:
0622
Car
Number:
Richard E. Waite
Care
Holder:
$339.00
Payment
Amount:
06/28/2018
-PaN merpt
Date:
Description Amount
055 Member Sectional Dues $175.00
Member National Dues $100.00
Life Insurance Premium $44.00
Liability Insurance Premium $15.00
Member.Assistance Program $5.00
Total: $339.00
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