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
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w CITY OF CARMEL Expense Report (required for all travel expenses)
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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
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T a ROSTER LAW ENFORCEMENT TRAINING
STATE FORM 46167 (8 -93)
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LOCATION OF TRAINING C NTACT PERSON AT TRAINING SCFE
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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
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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
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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
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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