HomeMy WebLinkAbout195024 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 092500 Page 1 of 1
=s ONE CIVIC SQUARE JOSEPH FAUCETT CHECK AMOUNT: $36.50
CARMEL, INDIANA 46032 771 E 256TH ST
SHERIDAN IN 46069 CHECK NUMBER: 195024
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36.50 TRANSPORTATION EXPENS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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2010 milea reimbursement rate is 50 cents /mile
EMPLOYEE NAME: Joe Faucett DEPARTURE DATE: na TIME:
DEPARTMENT: Utilities /Sewer RETURN DATE: na TIME:
REASON FOR TRAVEL: Truck #7 #20 Titles 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 ICarRentall Other Parking I I Breakfast I Lunch Dinner Snacks Per Diem
2/16/11 Indiana Bureau of motor vehicles $30.00 $30.00
2/16111 fee $6.50 $6.50
$0.00
$0.00
$0.00
$0.00
$o.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 $0.00 $0.001 $0.001 $0.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $36.50
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 ER06 Revision Date 2/21/2011 Page 1
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Customer Copy
937 Carmel Drive OFFICIAL CHECK
Carmel, Indiana 024326855
Date 02/16/2011
Remitter CITY OF CARMEL
30.00
Pay To The INDIANA BUREAU OF MOTOR VEHICLES
Order Of
Drawer: KeyBank
TERMS
KEEP THIS COPY FOR YOUR RECORD OF THE TRANSACTION. TO REPORT A LOSS OR FOR ANY OTHER INFORMATION
ABOUT THE INSTRUMENT, CONTACT THE INSTITUTION FROM WHICH YOU RECEIVED THE INSTRUMENT.
FORM NO. 80- 0811 -T21 (4108)
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024326855 s? Zo
s37`' `Carr »el Drive
Date 02/16/2011 31
Carin Indiana„
Re
rriltter CITY CARMEL`
Pay` i They v
;O�der INDIANA BUREAU OF MOTOR VEHICLES
Pay THIRTY DOLLARS AND 00 CENTS
Drawer: KeyBank
Issued by;,Citibank N A One Penn's !1Vay New CastlesDE 19720
For information about this instrument !call. 1- 888 556 -5142 AUT, RIZED
SIGNATUR
11'02432 IA3SSn' 1:0 3 1 100 2091: 387742L2110
VOUCHER 107175 WARRANT ALLOWED
T9980 IN SUM OF
FAUCETT, JOSEPH
Wastewater
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
021611 01- 7502 -06 $36.50
Voucher Total $36.50
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
T9980
FAUCETT, JOSEPH Purchase Order No.
Wastewater Terms
Due Date 2/22/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2011 021611 $36.50
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 t
tellw
P; .l
Date IA ice