HomeMy WebLinkAbout185733 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 363862 Page 1 of 1
r ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: $296.40
CARMEL, INDIANA 46032 30 SLEEPY HOLLOW COURT
WESTFIELD IN 46074 CHECK NUMBER: 185733
CHECK DATE: 5126/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
1120 4231300 100.00 DIESEL FUEL
1120 4231400 66.40 GASOLINE
1120 4343003 130.00 TRAVEL LODGING
CITY OF CARMEN
FIRE DEPARTMENT
DATE: May 20, 2010
TO: Cindy Sheeks
FROM: Fire Chief Keith Smith
RE: Expenses
Attached you will find expenses for Bob VanVoorst and Jason Force, On Sunday, May 16`
through Monday, May 17` I sent them to Ephrata, Pennsylvania to the American LaFrance
Manufacturing Plant to return Engine 42 for repairs. Their expenses are reimbursable. If you have
any questions, please contact me.
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAM DEPARTURE DATE TIME: (AM' PM
DEPARTMENT: RETURN DATE: 5 V`\ TIME: AM PD
REASON FOR TRAVEL: c �Q \��v�. DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.05
5/16/10 $131.60 $65.00 $1.96.60
5/17/10 $34.80 $65.00 $99.80
$0.00
$0.fl0
$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.flo
Total $0.00 $0.001 $0.001 $166.401 $0.001 $0.00 $0.00 $0.00 $0.00 $130.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed con�orm to the City's travel policy and are within my department's appropriated budget.
Director Signature: r s— i
Date: appV 6�_�n n
City of Carmel Forin EROS Revision Date 5/20/2010 iyrFSr ��c Page 1
VOUCHER NO. WARRANT NO.
Jason Force ALLOWED 20
IN SUM OF
$296.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 430.03 $130.00 1 hereby certify that the attached invoice(s), or
1120 42- 313.00 $100.00 bill(s) is (are) true and correct and that the
1120 42- 314.00 $66.40
materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 242010
n
Fire Chief
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))
$130.00
$100.00
$66.40
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