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HomeMy WebLinkAbout191341 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 361349 Page 1 of 1 ONE CIVIC SQUARE ERIC ROBINSON CHECK AMOUNT: $19.40 CARMEL, INDIANA 46032 6119 DADO DRIVE NOBLESVILLE IN 46062 CHECK NUMBER: 191341 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 19.40 EMPLOYEE PENSIONS B Submit by Email' i Prmt FForm Prescribed by State Board of Accounts General Form No. 181 (1955) v MILEAGE CLAIM UTILITIES TO ERIC ROBINSON, 6119 DADO DRIVE NOBLESVILLE DR. (Governmental nit SEWER WWTP On Account of Appropriation No. for (Offi Board, Department or nstitution DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE $0 20 Point Point Start Finish TRAVELED PER MILE 10/7/2010 WWTP 10 S. CAPITAL ,o t WWTP OP. CERT. EXAM 1 a A 9 70 10/7/2010 10 S. CAPITAL WWTP 19.4 38.8 19.4 9 70 Auto License No, TOTALS 0 0.00 19.40 SPEEDOMETER READING 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 just and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. Date n 1 Lk k C -W �Z fiC l7 rT 1 CITY OF CARMEL Expense Report (required for all travel expenses) �D I A7i� 2010 mileage reimburse rate is 50 cents /mile EMPLOYEE NAME: Eric Robinson DEPARTURE DATE: 10/7/2010 TIME: DEPARTMENT: Utilities /Sewer RETURN DATE: na TIME: REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X_ TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental I Other Parking Breakfast Lunch Dinner Snacks Per Diem 10/7110 op erator cert. exam $25.00 $25.00 $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 $0.00 $0.00 $0.00 0.00 Total 1 $0.00 $0.00 $0.001 $25.001 $0.001 $0.001 $0.00 $0.001 $0.001 $0.001 $0.110 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 Cannel Form ER06 Revision Date 10/14/2010 Page 1 Indiana Departiment of Environmental Management 100 N. Senate Avenue Mail Code 65-42 Indianapolis, IN 462042251 esr. August 26, 2010 Eric S. Robinson 6119 Dado Dr Noblesville IN 46062 Re: Admission Slip to Municipal Class[ 10/07/2010 Wastewater Certification Exam Dear Eric S. Robinson: Your application for the municipal wastewater treatment plant operator examination has been approved. This is your admission slip to the 10/07/2010 wastewater certification exam at: Indiana Government Center South 1 st Floor Conference Center, Rooms A, 0 and C 302 W. Washington Street Indianapolis IN 46204 The exam will begin promptly at 9:00 am local time. Registration begins at 8:30 am local time. Please note, It is your' responsibility to ascertain If the exam site location Is In a different time zone than that of your home address. If your name, address or certification class is not correct as indicated on this letter, you should contact this office as soon as possible. If you are unable to attend your scheduled exam, please notify this office in writing, no later than 14 days prior to the examination date, to reschedule for the spring 2011 exam. Application fees are not refundable. Please bring this letter and a picture I.D. to the exam site. You will also need #2 pencils and a simple calculator (text capability not permitted). A formula and conversion sheet and scrap paper will be provided. Use of cell phones during the exam, even during a break, is not permitted. If you are late, you may not be allowed to take the exam so allow adequate time to arrive at the test location. You may leave the room for a short break, no longer than ten minutes, by leaving your complete exam packet and picture I.D. with a monitor. If you do not return to the room within the allotted time, you will not be allowed to resume taking the exam. If your testing location is Indianapolis, please use the following Wetrsite for a map showing parking locations in downto lridlanapolis: htto:/ �wwi :h.aov/ldemffiles/in�vinaa.baf `Indfaroapotls ®xam sits oNy' flew security bteasures requir+� all" visitors to the Indiana Government Center South to use the 302 W. Washington Street entrance located on the southeast side of the building. There will be a metal detector used so please notify the Capitol Police Officer at the entrance if you have a pacemaker, defibrillator or other medical device. If you have any questions, please contact me at (317) 232 -8791. Sincerely, Rebecca McMonigle 0 Compliance Evaluation Section Office of Water Quality Page 1 of 1 MAPQ%JF.'ST Notes Trip to 10 S Capitol Ave Indianapolis, IN 48204 -3400 19.42 miles about 29 minutes i All rights reserved. Use subject to License/Copyright Map Legend Directions and maps are informational only. We make no warranties on the accuracy of their content, road conditions or route usability or expeditiousness. You assume all risk of use. MapQuest and its suppliers shall not be liable to you for any loss or delay resulting from your use of MapQuest. Your use of MapQuest means you agree to our Terms of Use 10/14/2010 VOUCHER 106438 WARRANT ALLOWED T1004 IN SUM OF ROBINSON, ERIC CARMEL WASTEWATER Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 100710 01- 7042 -06 $19.40 Voucher Total $19.40 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1004 ROBINSON, ERIC Purchase Order No. CARMEL WASTEWATER Terms Due Date 10/19/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/19/201( 100710 $19.40 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 Date i r