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Home My WebLink About197345 05/11/2011 e CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1 pq ONE CIVIC SQUARE NIKEESHA PITTMAN s CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $195.17 INDIANAPOLIS IN 46208 CHECK NUMBER: 197345 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 195.17 TRAVEL FEES EXPENSE Carmel 0 clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 4/15/2011 King David Dos 1081 -99 4343000 Travel Fees Expenses 1.73 Food 4/15/2011 Mears Motor Shuttle 1081 -99 4343000 Travel Fees Expenses 38.00 Rnd Trip Shuttle Airport Hotel 4/15/2011 Gaylord Palms -Villa de Flora 1081 -99 4343000 Travel Fees Expenses 39.78 Food 4115/2011 Publix 1081 -99 4343000 Travel Fees Expenses t� 21.62 Food 4/16/2011 Hagen Das 1081 -99 4343000 Travel Fees Expenses 3.75 Food 4/16/2011 Mears Motor Shuttle 1081 -99 4343000 Travel Fees Expenses 20.00 Transportation 4/16/2011 Bubba Gump Shrimp 1081 -99 4343000 Travel Fees Expenses 25.63 Food 4/17/2011 Cantina del Sol 1081 -99 4343000 Travel Fees Expenses 28.68 Food 4/17/2011 Lo ans 342 1081 -99 4343000 Travel Fees Expenses 10.04 Food 4/18/2011 Sbarros Main 1081 -99 4343000 Travel Fees Expenses 5.94 Food All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $195.17 Y ;V1 Employee Name (print) Nikeesha Pittman Address 2713 Highland Place Check payable to: City, St, Zip lndiaTr&jaQlisjN 46208 Signature: Approved by: Date: 4/19/2011 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff FormslEmployee Exp Reimb Request Fix w I �x a tM k r Vul 511' AAA lJ�L N. �N Apri,l�i,6 1�8 Gaylord tina, s Res�o�rt Orlando, P. 011 NAA ANN Aiter5chol 1 r k I I. I I I I I I 11 I 1 t l I II I I I I I I I 6 r .a Mow IrT I••'IP t W A 3 1 0 W A t. A NAA Invoice 8 a 2.16.2011 'P,t From: National AfterSchool Association 8400 Westpark Drive, Suite 200 McLean, VA 22102 To: Serra Garske Purchasing Administrator Purchase Carmel Clay Parks Recreation Description ffizX&R y' P.O.# p tF Administrative Office G.L.It 141 1 E. 1 l 6th Street Budget Carmel, IN 46032 Line Descr Purchaser Date Reference PO 281.98 Approval Date Activity: 2011 NAA Convention Registration Individual registrations, .loin Now/ Renew 2 Day 1 I1 Y ',;f 7E Quantity: 9 F E-B 1 1 6 201 Price Per Individual: $410 F E 9 Z Total Due: $3690 For more information please contact NAA accounts receivable at amiller @naaweb.org. AflO %AL April 16-18 kx Gaylord Palms Resort 8 Convention Center c A G a�w IfTf cut Kt' oic�) Register Today!��` Complete requested information and mail /email /fax registration with payment to: National AfterSchool Association, c/o MMG fook__ j k P W_. W �rIC MIS Name t �1 1 r le Y f `r I Badge Name Organization SL- d Program /Agency (if applicable) c�, Address Iq I I E. f l 6'm J+• City (or Military Base) CAMEL State (or County of Province) zip (0 a Email Q JI��S �W&IJCIAV IV. C Phone ItI_ _5;lLg Fax 111 7�� Step 3 Advanced On -Site Early Reg Reg Reg Sept 1 Dec 18 Apr 17- Your position (select one of the following): Step 1 Step 2 Dec 31, 2010 Mar 20, 2011 2010 31, 2011 Member Rate Afterschool Program $335 $385 $410 Full Convention AdministratorlDirector !Coordinator Trainer /Consultant/Curriculum Specialist Member Rate SatlSun $290 $340 $365 College Instructor /Professor /Researcher 2 Days SunlMon Public School Administrator /Principal /School Board Join Now or Renew $395 $445 $470 Government Employee Your Membership Join Full Convention Renew For Afterschool Program Staff, please indicate Join Now or Renew Join $360 $410 $435 the type of program from the list below. Your Membership Renew 2 Days Sat/Sun Youth Serving Organization Sun /Mon Teacher /Frontline Staff on-Member i�' $455 $505 $530 DirectorICEO Full Convention Supporter /Researcher Non member Sat/Sun $415 $465 $490 X Parks and Recreation 2 Days SunrMon Private, for profit Private, not for profit Public School Please do not send me convention related materials from NAA authorized exhibitors. Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime. C Card (Visa, MC, AMEX, Discover) Check to NAA TOTAL Registration NKMPAW 10 N Make Checks Payable c ational Afterschool Association c/o Meetings Management Group Card Number Exp.. 8400 Westpark Dr., 2 Floor McLean, VA 22102 Card Name (printed) Phone: 703 -610 -0257 Fax: 703 -610 -0203 registration@naaconvention.org Billing address ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 359461 Pittman, Nikeesha Terms 2713 Highland Place Date Due Indianapolis, IN 46208 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4!21111 Reimb Natl Afterschool Assoc conference 195.17 Mileage 311 3131/11 Total 195.17 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 359461 Pittman, Nikeesha Allowed 20 2713 Highland Place Indianapolis, IN 46208 In Sum of 195.17 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 195.17 1 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 4 -May 2011 Avaw� Signature 195.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund