183031 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 359098 Page 1 of 1
ONE CIVIC SQUARE JANICE TYLER
CARMEL, INDIANA 46032 8063 FARMHURST LANE CHECK AMOUNT: $563.51
INDIANAPOLIS IN 46236 CHECK NUMBER: 183031
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 271.01 EXTERNAL TRAINING TRA
1115 4343004 292.50 TRAVEL PER DIEMS
\S.j OF &A
CITY OF CARMEL Expense Report (required for all travel expenses)
START DATE f"n TIME: AM/ M
Carmel Clay Communications Center RETURN DATE: ohs 1 G TIME: 3 b AM M
AR C �Y c b aS- LOCATION
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2/21110 $3.11 $32.50 $35.61
2122/10 $1.00 $65.00 $66.00
2/23/10 $1.00 1 $65.00 $66.00
2/24/10 $1.00 $65.00 $66.00
2/25110 $1.10 $65.00 $66.10
$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
a.00
Total $0.001 $0.00 $0.00 $7.211 $0.001 $0.00 $0.00 S0,001 $0.00 $292.50 $0.00
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.
E
Director Signature: Date:
City of Carmel Form ER06 Revision Date 2/26/2010 Page 1
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Student Registratio Form
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CLASSU TON
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Prescribed by Slate Board of Accounts General Form Ne. 101 (1955)
MILEAGE CLAIM
j
DR.
(6k,Fnmmental unit) f
6?&(a On Account of Appropriation No. for
(Office, oar Department or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINGSS AUTO MILES MILEAGE
20Q Point Pint Start Finish TRAVELED PER MILE
Al 1 C
rn n�eo 11 1 '7 r l t'
1 hmicaill 4 OAC 0 N ire
t` i Q r} e 1 1
F 0 0 s L NIArc Qo l) h
it a 6 L
44, 11 Wlp '7�z 60 r C
S l H(41 10 i�
o L
c i O F. Lo'
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is egally due, after
allowing all just credits, and that no part of the same has been paid.
�1
Date
Clam No. Wwrcnt No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form:
Thcrt it is duly authenticated cis required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
CL
Allowed 20 (D n
in the sum of o �-3-
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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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/01/10 $292.50
03/01/10 $263.80
03/01/10 $7.21
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Janice Tyler
IN SUM OF
8083 Farmhurst Lane
Indianapolis, IN 46236
$563.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $292.50 1 hereby certify that the attached invoice(s), or
1115 43- 430.02 $263.80
bill(s) is (are) true and correct and that the
1115 43- 430.02 $7.21
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 01, 2010
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund