186354 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
ONE CIVIC SQUARE MATTHEW HOFFMAN
's CHECK AMOUNT: $54.15
}o CARMEL, INDIANA 46032 11711 CAMERON DRIVE
'y; toN FISHERS IN 46038 CHECK NUMBER: 186354
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1120 4343004 54.15 TRAVEL PER DIEMS
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ENTERED BY
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(311)511 -2600
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01 1 Large 15.99
Hand toss
Meat Lvr
02 1 Large 15.99
Hand toss
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03 1 Large 15.99 r
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04 1 Large 15.99
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COUPON (HM) 23.96 z
Subt- 40.00 m
SALES TAX 3.20
Balance Due 43.20 0
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Taken at 11:24AM
Pick Up at 12:OOPM
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RFN# 0323 1033 0608 1005 -2520
COKE DT 20OZ A 8.94
6 1.49
D /FLD TRD O/C 16OZ lA 1.29
SUBTOTAL 10.23
A =7% SALES TAX .72
TOTAL 10.95
10.95
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1111111111 IN 111111111
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RETAIN THIS RECEIPT FOR YOUR RECORDS
MAY 25, 2010 12:08 PM
CITY OF CARMEL
FIRE DEPARTMENT
DATE: June 1, 2010
TO: Cindy Sheeks
FRONT: Fire Chief Keith Smith
Attached you will find claims for reimbursement for expenses incurred during the Carmel Fire Department
Promotion Process Interview Board which consisted of members from surrounding departments. The
expenses incurred May 19, 20, 21 and then again May 24, 25, 26.
If you have any questions, please feel free to contact me.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Matt Hoffman
IN SUM OF
$54.1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 430.04 $54.15 I 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
JUN -'7 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
$54.15
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
20
Clerk- Treasurer