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HomeMy WebLinkAbout185226 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364131 Page 1 of 1 ONE CIVIC SQUARE BETH EARLYWINE CARMEL, INDIANA 46032 4931 N KITLEY AVENUE CHECK AMOUNT: $159.57 INDIANAPOLIS IN 46226 CHECK NUMBER: 185226 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4343002 22.07 EXTERNAL TRAINING TRA 1115 4343004 137.50 TRAVEL PER DIEMS V\t� FTM1Cp9Rl f rQ sts iA w CITY OF CARMEL Expense Report (required for all travel expenses) ft�W Elizabeth Earlywine START DATE 4/27/2010 TIME: 8:30 AM PM Carmel Clay Communications Center RETURN DATE: 4/29/2010 TIME: 4:00 AM PM LOCATION 200 S Main St Edinburgh, IN 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 4/27/10 $8.45 $8.45 4128110 $6.00 $6.00 4/241/10 $7.62 $7.62 $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 0.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.07 $0.00 $0.00 $0.00 $0.00 DIRECTOR'S STATEMENT: I h r 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 5/112010 Page 1 �i� G l/!� v! emu, 7. Z. s T a ROSTER LAW ENFORCEMENT TRAINING STATE FORM 46167 (8 -93) is PLEASE TYPE OR PRINT CLEARLY PROVIDER OR INSTRUCTOR TELEPHONE NUMBER �:T= 4, A. C/- LOCATION OF TRAINING C NTACT PERSON AT TRAINING SCFE Pb COURSE TITLE FRIMA.RYINSTRUCTOR j 12 s uc:CESSFULLY COMPLETED INCOMPLETE FAILED OTHER I AFFIRM THAT THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BEELIEF- SIGNE PRINTED NAME OEy t D ATE TRAINING DATE(S) PROVIDER OR INSTRUCTOR COURSE NUMBER INSERVICE MM- DD- YY MM DD YY NUMBER CREDIT -O. —t .���IRS 1. T O U 2. 3. 5. �viiF s. V 7. ko'r?S' �C 0.nctiU'n I �c. �Grho�OmZl C Gih 9. Q er J ,o. L-4 Y T V P- 0Atl `I I L 1i t r I 12. 11 f A'. T/ Al 13. i4. i W w i5. j� rl C Inc, c' Ind lei C e TjO V o i a n�E�,) co O C is. 17. ll 18. 19. 20. .SCI.tTrf -ate .>J (bL e i Prescribed by Slate Board of Accounts MILEAGE CLAliill General Form No- i 01 0955) L TO s�G y-[� DR. (Governmental unit) On Account of Appropriation No. for (Office, Board. Department or Institution) DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE s 20 Point Point Start E TRAVELED PER MILE 2-7 mss' 1� tip; Imo. 1 At' CAs s1 I 5 L 3 t DAe_ C o_ LI (i� ti d s Wl r t t Ki'r 3 f 2pr�s �tW3t K lc o 1 s i3s2 r Auto License No. TOTALS v 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 legally due, after allowing all just credits, and that no part of the same has been paid. Date 1 Clam No. Warrant No. I have examined the within cicdm and hereby certify as follows: IN FAVOR OF That it is in proper form; That it is duly authenticated as required by law; That it is based upon statutory authority; That it is apparently correct S L incorrect On Account of Appropriation No. for Disbursing Officer Q Allowed 20 m n o in the sum of Q M 0e Ch q i Q J Q ID (l A �r* N tp C (Baud or comnvssin) Q O FI= ID 0 o a. a CD n m fD ,CD (Official Tits) G CD 5� CD .,(u� VOUCHER NO. WARRANT NO. ALLOWED 20 Beth Earlywine IN SUM OF 4931.N. Kitley Avenue Indianapolis, IN 46226 $159.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 43- 430.02 $22.07 1 hereby certify that the attached invoice(s), or 1115 43- 430.04 $137.50 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 Wednesday, May 05, 2010 Director Title Cost distribution ledger classification if claim paid motor 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 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)) 05/04/10 $22.07 05/04/10 $137.50 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