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
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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