184982 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 356491 Page 1 of 1
ONE CIVIC SQUARE TARA WASHINGTON
CARMEL, INDIANA 46032 4475 SILVER SPRINGS DR CHECK AMOUNT: $48.53
GREENWOOD IN 46142
CHECK NUMBER: 184982
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 041410 48.53 OTHER EXPENSES
1
l
CITY OF CARMEL Expense Report (required for all travel expenses)
GNU I AN
2008 mileage reimbursement rate is 58.5 cents /mile
EMPLOYEE NAME: Tara Washington DEPARTURE DATE: NA TIME: NA
DEPARTMENT: Utilities /Sewer RETURN DATE: NA TIME: NA
REASON FOR TRAVEL: NA DESTINATION CITY: NA
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch I Dinner Snacks Per Diem
419110 supplies for earth day 4124110 $2.99 $2.99
4114110 $36.96 $36.96
4114110 refreashments provided for IWEA lab committee meeting $8.58 $8.58
$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
$0.00
o.00
Totall $0.001 $0.00 $0.�0$ 0.0 0 1 $0.001 $0.001 $0.00 $0.00 $0.00t $0.00 $48.53
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 4/14/2010 Page 1
VOUCHER 105289 WARRANT ALLOWED
T1037 U�1�S fog, TA'C4 IN SUM OF
WASTEWATER PLANT
PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
041410 01- 7202 -05 $48.53
Voucher Total $48.53
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1037
RUBUSH TARA Purchase Order No.
WASTEWATER PLANT Terms
Due Date 4/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2010 041410 $48.53
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 Offi e