183048 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 357093 Page 1 of 1
ONE CIVIC SQUARE MARCIA WALTON
l'i t
CARMEL, INDIANA 46032 7434 CARROLL ROAD CHECK AMOUNT: $292.50
INDIANAPOLIS IN 46236
CHECK NUMBER: 183048
CHECK DATE: 3/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 292.50 TRAVEL PER DIEMS
j 1
CITY OF CARMEL Expense Report (required for all travel expenses)
NAME m ft R( START DATE 7 TIME: 1 AM l M
Carmel i Clay Communications Center RETURN DATE. rD TIME: AM
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
2/21/10 Z. w
2/22/10 $65.00 $65.00
2/23/10 $65.00 $65.00
2124110 $65.00 $65.00
2/25110 $65.00 $65.00
$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 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 swe $0.00
ZeT 2.92_ 5t
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 2/27/2010 Page 1
.orm
Student Registration F
PLEASE PRINT CLEARLY, WITH BL:' -r BL INK
,5T_QQENTI1 MATTg
First Name Middlelnitial Last Name (exact is yo, rant it to ai)pear on your certillcate)
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Agency M ii ldress
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Would you like to )a 'did t t! InStltu!-� Listserv?0 Yes X No
Email add 'i_qvired for Web Classes) U
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gency 1 7, wbtr
Are you n rvn or r, ARCO? 171 Ye1x No if y your membership number
(Memberst: )e verified in order to receive tuition discount)
CLASS
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Class Nam, please) Class Number
L 22-
Location (G— 3 S' Date (L'arilh an. Day)
Class Tu Price 7 9 D i co Cod,;
Online C' ,Idd $50 Distance Learning fee
Total Till: i S
METHO. -ENT (USFUNDSONLY)
-:J1 tc APCO Class Registration
x OCheck -d t-' d=lz r copy QUIRED '351 N. V%!illiamson Blvd.
purcha.,�,�
Dayt na Beach, FL 32114
LIVISA .J 'asterCard Or CIAN. 0
C'I Exp. Date Fa x to: 386-,�22- 766
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3 or 4 Dinit Security Code:
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Card Hok ss:
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ture-
VOUCHER NO. 'WARRANT NO.
ALLOWED 20
Marcia Walton
IN SUM OF
7434 N. Carroll Road
Indianapolis, Indiana 46236
$292.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1115 43- 430.04 $292.50 1 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
Monday, March 01, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
03/10/10 I I I $292.50
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
20
Clerk- Treasurer