HomeMy WebLinkAbout185844 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00352754 Page 1 of 1
Q� ONE CIVIC SQUARE TED LENZE CHECK AMOUNT: $332.00
CARMEL, INDIANA 46032 5575 BUTTONWOOD DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 185844
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 332.00 EXTERNAL TRAINING TRA
q oc Cqq
CITY OF CARMEL Expense Report (required for all travel expenses)
!ND I AN A
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM
DEPARTMENT: RETURN DATE: 5 a- W TIME: AM PM
REASON FORT RAVE L: o�.����- o- ��Q'-' DESTINATION CITYC`���`��5��
��ass
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVE PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
4130110 $32.50 $32.50
5/1110 $65.00 $65.00
5/2/10 $169.50 $65.00 $234.50
$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 .0 0
Total $0.001 $0.00 so-001 $0.001 $169.H0] $0.001 $0.001 $0.00 $0.001 $162.50 $0.00
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 5/24/2010 Page 1
HOWELL RESCUE SYSTEMS, INC.
2673 Culver Avenue
Kettering, Ohio 45429
INVOICE
(937) 290 -0522 FAX (937) 290 -0528 INVOICE NO:
1. 800 228.7612 1 0 0 507
INVOICE DATE:
Mar 8, 2010
PAGE:
SOLD SHIP 1
TO:
TO:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Customer 0 Customer PO Payment Terms
CARdIN Net 30 Daye
Sales Rep ID Shipping Method Ship Date due we
CAR
1
i,. ;ad A �FIrY dK3a iYr F+ •Y r
1,00 REGISTRATION FEE FOR EXTRICATION 525.00 525.00
CLASS MAY 1ST AND 2ND 2010
1. THEODORE LENZE
CASH BALANCESOWING OVER 30 DAYS Subtotal 525.00
WILL BE SUBJECT TO 1.5 %CARRYING Sales Tax
CHARGE PER MONTH (18°x6 APR). Freight
Total Invoice Amount 525.00
Payment Received
Check No: TOTAL
Hawthorn Suites Dayton South Ma y 02, 2010
1 155 Prestige Place 6:53 am
Miamisburg, OH 45342
Telephone: (937)434 -7881 Fax: (937)434 -9308
TED LENZE Account 20190
5801 CORALSERRY CT Room Number: 523
Carmel, IN 46033 Rate: $75.00
Pay Method:
Arrival Date: Friday, April 30, 2010
Departure Date: Sunday, May 02, 2010
Member
Information:
Date Department Reference Voucher Room Debit Credit
4/30/2010 ROOM POSTINGS Auto Posted 523 $75.00
4/30/2010 OCCUPANCY TAX 7 Auto Posted 523 $5.25
4/30/2010 CITY TAX 3% Auto Posted 523 $225
4/30/2010 COUNTY TAX 3% Auto Posted 523 $2.25
5/1/2010 ROOM POSTINGS Auto Posted 523 $75.00
5/1!2010 OCCUPANCY TAX 7 Auto Posted 523 $5.25
5/1/2010 CITY TAX 3% Auto Posted 523 $2.25
5/1/2010 COUNTY TAX 3% Auto Posted 523 $2.25
5/2/2010 CHECKED- OUTMC8619 1 1523 1 1 $169.50
Balance: $0.00
l agree that my liability for all charges is not waived.
Signature
VOUCHER NO. WARRANT NO.
Ted �.enze ALLOWED 20
IN SUM OF
$332.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 430.02 $332.00 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
Y 2 A 2010
1 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))
$332.00
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