182100 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 357380 Page 1 of 1
1,`- 0 el. ONE CIVIC SQUARE CHRISTOPHER STUBBS CHECK AMOUNT: $30.00
k i s CARMEL INDIANA 46032 24745 SIX POINTS ROAD
-a, SHERIDAN IN 46069 CHECK NUMBER: 182100
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30.00 CDL RENEWAL
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Of. OP. Cqq F
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CITY OF CARMEL Expense Report (required for all travel expenses)
�DIAN�
2010 mileage reimbursement rate is 50 centslmile
EMPLOYEE NAME: Chris Stubbs DEPARTURE DATE: 1/14/2010 TIME:
DEPARTMENT: Utilities /Sewer RETURN DATE: na TIME:
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking J Breakfast I Lunch Dinner Snacks Per Diem
1/14/10 CDL renewal $30.00 $30.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.0o
$0.00
$0.00
$0.00
$0.o0
$0.o0
$0.00
$0.0o
$0.00
$0.0o
$0.00
$0.00
$o.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.00`?` "$30.00
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.
Director Signature: Date:
City of Carmel Fo:?n ER06 Revision Date 1/14/2010 Page 1
v` w aroR
a �y�c� Bureau of Motor Vehicles
id1 b y Transaction Receipt 11111 I II 101 11311,11 II
State Form 51717 (4 -04)
Branch: INDPLS -NORA STARS (534) Date: 1/14/10 Time: 9:13:29 am EDT
Visit ID: 154303260 Your Visit Time Today:
Visit Customer: CHRISTOPHER AARON STUBBS
Transaction Time 00:21:14
Total time 00:21:14
Hrs. Min.Sec
Transactions
Trans ID Trans Tvoe Trans Subtype Amount
173920603 Driver Renew CDL License Renew $30.00
173920758 Customer Amend Customer Amend $0.00
Subtotal: $30.00
Sales /Use Tax: $0.00
Total: $30.00
Payment Method Amount DL Number Authorization Number Name
CREDIT $30.00 288726
Total Due: $30.00
Amount Paid: $30.00
Change Due: $0.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
If you have questions or comments, please call our Customer Service Center at 888 -myBMV -411.
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II Ill 1111 I'II I LIIII 111111111111
5 1 7 1 7 1 7 3 9 2 0 7 5 8
`VOUCHER 097164 :WARRANT ALLOWED
T1033 IN SUM OF
STUBBS, CHRISTOPHER
WASTEWATER PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
11410 01- 7042 -06 $30.00
Voucher Total $30.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts C Xy 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
T1033
STUBBS, CHRISTOPHER Purchase Order No.
WASTEWATER PLANT Terms
Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 11410 $30.00
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
Date Of.