HomeMy WebLinkAbout190297 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 125575 Page 1 of 1
ONE CIVIC SQUARE MIKE HEINZMAN CHECK AMOUNT: $625.05
CARMEL, INDIANA 46032 C/O COMM CNTR
C/O COMM CNTR CHECK NUMBER: 190297
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1115 4343004 625.05 TRAVEL PER DIEMS
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CITY OF CARMEL Expense Report (required for all travel expenses)
4
DAVID M HEINZMAN, JR. START DATE 1- TIME. 1 q AM P
Carmel Clay Communications Center RETURN DATE: c ZE TIME. Z is-
LOCATION SOUTHFIELD AND PONTIAC MICHIGAN
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 P r Diem
9/21110 $30.00 $30.00
9/22/10 s $£►B-BO $60.00
9/23/10 $69-fl0 $60.00
9/24/10 $30.00 $30.00
$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
7 0.00
Totall $0.001 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 440-6e $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:
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City of Carmel Form ER06 Revision Date 9/26/2010 Page 1
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SPEEDOMETER READiNC 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 ;Ust and correct, that t`e amourE' claimed is legally due, aft
allowinc afl just credit and that no part of the same has been paid.
Date
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SPEEDOMETER READING columns are to be used on!y when distance between points cannot be determined by fixed mileage or official highway map. F03
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MORE ADDITIONAL COURSES
Detail for Course 183
Start Date: 9/22/2010 8:00:00 AM
End Date: 9/23/2010 5:00:00 PM I
Site: Oakland Police Academy
Location: Pontiac, MI
k Address: 17 S. Saginaw St.
City: Pontiac
State: MI
Postal Code: 48341
Hotel Name: Staybridge Suites
Hotel Phone 248 332 -4600
Address: 2050 Featherstone
City: Auburn Hills
State: MI
Postal Code: 48326
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Please use the contact information below to register for this course.
Person: Mary
Phone: 248 232 -4220
?&Wl approved
O 2010 PRIORITY DISPATCH CORP. HOME I LEGAL I TERMS OF USE I PRIVACY POLICY I TRADEMARKS I SITE MAP
https /courses.prioritydispatch. net /CourseDetaii.aspx ?courseNum =183 &disc -1 6/29/2010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mike Heinzman
IN SUM OF
18934 Planer Drive
Noblesville, Indiana 46062
$625.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 430.04 $430.05 1 hereby certify that the attached invoice(s), or
1115 43- 430.04 $195.00
bill(s) is (are) Prue and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, September 27, 2010
e,.—
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))
09/27/10 $430.05
09/27/10 $195.00
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