HomeMy WebLinkAbout188291 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $188.48
CARMEL IN 46033 -9501 CHECK NUMBER: 188291
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AM DE
1701 4343004 188.48 IACT- RISING SUN
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CITY OF CARMEL Expense Report (required for all travel expenses)
HOIANp EXHIBIT A
EMPLOYEE NAME: l/A DEPARTURE DATE: 7
Ito TIME: AM PM
DEPARTMENT: RETURN DATE: vC (l TITIM E: AM PM
REASON FOR TRAVEL: f`�`-'�/1 DESTINATION CITY: sr-... —�+v
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls! Meals
Date p Parkin Lodging Misc. Total
Taxi Tips Luggage g Breakfast Lunch Dinner Snacks Per Diem
a7/ S
Total
DIRECTOR'S STATEME"hereeby that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: 6
City of Carmel Form ER06 Revision Date 3/18I2009 Page 1
GILD VICTORIA
CASINO& RESORT
7
Date 07 -22 -10
DIANA CORDRAY Time 12:56 PM
CITY OF CARMEL Room 320
1 CIVIC SQ
CARMEL IN 46032 Cont No 673250
Tax ID Recpt No 112043
PAYMENT RECEIPT
Date Description App. Code Exp. date Amount
07 -22 -10 XX/ 548559 XX /XX 88.48USD
r.
Q
Signature
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev, 1995)
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.
P ee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
c
5
Total
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
VOUCHER NO. WARRANT NO.
t/ ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund