HomeMy WebLinkAbout193343 12/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361349 Page 1 of 1
ONE CIVIC SQUARE ERIC ROBINSON
CARMEL, INDIANA 46032 6119 DADO DRIVE CHECK AMOUNT: $26.00
NOBLESVILLE IN 46062 CHECK NUMBER: 193343
iJpy
CHECK DATE: 12129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26.00 PARKING
CITY OF CA FL Expense Report (required for all travel expenses)
2010 mileage reimbursement rate is 50 cents /mile
EMPLOYEE NAME: Eric Robinson DEPARTURE DATE: na TIME:
DEPARTMENT' Utilities /Sewer RETURN DATE: na TIME:
REASON FOR TRAVEL: IDEM operators exam 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 Other Parking Breakfast Lunch Dinner Snacks Per Diem
10(7110 $26.00 $26.00
$0.00
$0.00
$0.00
$0.0.0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.
$0:00
$0.00
$,0.00
0.00
Total $0.00 $0.00 $0.00 $26.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.001 $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:
City of Carmel Form 9 ER06 Revision Date 12/21/2010 Page 1
CRIC S ROBNSON Valued Cardmmber Sinct: 2005 1101jscholdl tank Gold N43stcrCard ACCOU111 Slatcto743
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payment Address: ti58C Card Scrvitzs. PO f3ox 4155. Carol. Strc:tm, LL
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Form Prescrd
No. ibe 1995) ccoun is ACCOUNTS PAYABLE VOUCHER
Form 301 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
19
Signature Title
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.
19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA NO.
(1 I Favor Of
WWTP
Total Amount of Voucher
Deductions
�co 6 0
C) o u -0
Amount of Warrant
Month of 19
Acct
VOUCHER RECORD No,
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800382 -8702 325