160819 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361415 P89@ 1 of 1
ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $2,904.98
=o CARMEL, INDIANA 46032 520 SUPERSTAR COURT
CARMEL IN 46032 CHECK NUMBER: 160819
CHECK DATE: 6/25/2008
DEPA RTMEN T T ACC OUNT PO N INVOICE NUMBE AM OUNT DESCRIPTION
601 5023990 2,904.98 OTHER EXPENSES
i
v-A 4-
I CITY OF CARMEL Expense Report (required for all travel expenses)
N
`��rounea EXHIBIT A
EMPLOYEE NAME: _Penny Daley DEPARTURE DATE: TIME: C4) AM /e-7M
DEPARTMENT: Distribution RETURN DATE: f L4 V (5 TIME: AM /(PM
REASON FOR TRAVEL: Bentley class DESTINATION CITY: _Ft. Lauderdale
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6/14108 $2,428.98 $2,428.98
6/14/08 $56.00 $56.00
6/8/08 1 1 $60.00 $60.00
6/9/08 $60.00 $60.00
6/10/08 $60.00 $60.00
6/11/08 $60.00 $60.00
6/12/08 $60.00 $60.00
6/13/08 $60.00 $60.00
6/14/08 $60.00 $60.00
$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 $0.001 $0.00 $0.00 $56.001 $2,428.981 $0.00 $0.001 $0.00 $0.00 $420.00 $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 ER06 Revision Date 6/16/2008 Page 1
For advance payments, claim form must be submitted ten (10) business days in advance of travel.
Claim will not be processed without the following documentation:
1) Conference or course registration form, if applicable
2) Travel itinerary or car rental agreement, if applicable
3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt)
Prorated meal allowance:
For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals
while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to:
1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and
2) Return all unused funds to the office of the Clerk- Treasurer
I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first
paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Si natur
9 Date:
City of Carmel Form ER06 Revision Date 6/16/2008 Page 2
THE TRAVEL AGENT tel 317846.9619 800.347.2512
3 tea eGaGw+e fax 317848.3998
E Fs bWied1979. email info @thetravelagent.travel VIRTUOSOMEMBER
11562 Westfield Boulevard Carmel, Indiana 46032 web www.thetravelagent.travel SPECIALISTS IN THE AITOF EL
SALES PERSON: A09DT ITINERARY /INVOICE NO. 47660 DATE: MAY 10 2008
ACCOUNT CPD XRDRRW PAGE: 01
FOR,:
DALEY /PENNY
TO: CITY OF CARMEL CITY OF CARMEL- UTILITIES
ONE CIVIC SQUARE 3RD FLOOR ATTN:LISA KEMPA
CARMEL IN 46032 760 3RD AVENUE SW
SUITE 110
CARMEL IN 46032
08 JUN 08 SUNDAY MILES- 1005 ELAPSED TIME- 2:45
AIR LV INDIANAPOLIS 1240P NORTHWST AIR FLT:4726 COACH CLASS CONFIRMED
AR FT LAUDERDALE 325P NONSTOP
RESERVED SEATS 9A
AIRLINE CONFIRMATION:NW 33MO8U
14 JUN 08 SATURDAY MILES- 1005 ELAPSED TIME- 3:00
AIR LV FT LAUDERDALE 410P NORTHWST AIR FLT:4727 COACH CLASS CONFIRMED
AR INDIANAPOLIS 710P NONSTOP
RESERVED SEATS 10A
AIRLINE CONFIRMATION:NW 33MO8U
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH CONF. TICKET IS NONREFUNDABLE IF UNUSED.
MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY.
CONF NORTHWEST 33MO8U
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
-FFES AND PENALTIES EXIST. FOR REISSUES REFL7=S AND CHANGES
FOR AFTER HOURS EXISTING RESERVATION EMERGENCY CALL
877 645 6373 CODE A09. A $15.00 PER CALL FEE WILL BE CHARGED.
A FEE OF 5PCT ON THE TOTAL COST APPLIES TO ALL CANCELLATIONS
FOR BOOKED TOURS CRUISES OR LAND HOTEL PACKAGES.
THE TRAVEL AGENT THANKS YOU -317 846 9 WWW.TTA.TRAVEL
TICKET NUMBER /S:
DALEY /PENNY 7168828932 CARD 385.99
ELECTRONIC
AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER..
FORTERMS AND CONDITIONS, REFERTO: WW W.TTA.TRAVEL/rERMS
THE TRAVEL AGENT tel 317846.9619 800.347.2512
v fisaueGaa7e 1 fax 317848.3998
Estaabhshed1979. email info @thetravelagent.travel VIRTUOSOMEMBER
11562 Westfield Boulevard I Carmel, Indiana 46032 web www.thetravelagent.travel SPECIALISTS IN THE AETOF TK"EL
SALES PERSON: A09DT' ITINERARY /INVOICE NO. 47660 DATE: MAY 10 2008
ACCOUNT CPD XRDRRW PAGE: 02
FOR_
DALEY /PENNY
TO: CITY OF CARMEL CITY OF CARMEL— UTILITIES
ONE CIVIC SQUARE 3RD FLOOR ATTN:LISA KEMPA
CARMEL IN 46032 760 3RD AVENUE SW
SUITE 110
CARMEL IN 46032
AIR TRAN 339.53 TAX 46.46 TTL 385.99
PlkOCESSING FEE 35.00
SUB TOTAL 420.99
CREDIT CARD PAYMENT 420.99
TOTAL AMOUNT 0.00
AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER..
FORTERMS AND CONDITIONS, REFERTO: %YWW TTATRAVEUTf2JMt
From: bentley.institute @bentley.com [mailto :bentley.institute @bentley.com]
Sent: Friday, April 18, 2008 10:06 AM
To: Daley, Penny J
Subject: Penny Daley Registration Information for the Classroom Learning: Hands -on course
Essential MicroStation V8 2004 Edition
Dear Penny Daley:
Thank you for submitting your registration for Essential 1VlicroStation V8 2004 Edition.
Please consider this email confirmation of your registration.
The course offering you have chosen is instructor -led. Details of the course offering are:
Facility: FL- Pompano Beach ModernTech SI
City: Pompano Beach (Fort Lauderdale), FL
Course Start Date and Time: 6/9/2008 8:30 AM
Course End Date and Time: 6/13/2008 4:30 PM
Distance Learning classes: Please note that all times are North America Eastern Time.
You will receive separate email notification providing details both to prepare for class
and for joining the virtual classroom.
For Classroom Learning you will receive separate email notification containing all of
the details related to attending the class.
Information regarding class start and end times and location of the training facility or
method of delivery is provided in the "Currently Registered Training" tab on the home
page of the Bentley LEARN Server. Simply click the course title to review the details
located at the bottom of the page or follow this link to review the course details:
Course Details
Contact the Bentley Institute at 888 968 -1000 or email bentley.institute @bentley.com
with any questions you might have.
Review the Terms and Conditions for this course, particularly the cancellation policy, at:
http://w
Thank you for registering with the Bentley Institute.
Bentley Institute
Bentley. instituteAbentley. com
888 968 -1000
American Express /Cards /Cards Registered with American Express Online Services Page 1 of 2
11 ut�Rr PERSONA!. CA D S Site Help I Search I Contact Us I Log Out j(t VIEW ACCOi
T
Manage Your Account Explore Rewards Benefits Additional Products Services Apply for a Card
CARD ACTIVITY For PENNY J DALEY
I
Green Card Closi D Jun 19, 2008
9
Card: Green Card View Your Billing
Statement
Time Period: Recent Activity May 21, 2008 to Present Print Options
Display: All Transactions" f Download Card Activity
Go Paperless
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Features
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TRANSACTION DETAIL
LIST` t,ILW GRAPH VIEW
Activity for PENNY J DALEY -
Show or 0 Hide all details
Firm_ I I °r. vious Displaying 1 -3 of 3 Transactions Next Last
Date Description Amount
F w....._m_
06/15/2008 MARRIOTT 337C6FTLDHBFT. LAUDERDALE FIL 1,158.84'
06/15/2008 MARRIOTT 337C6FTLDHBFT. LAUDERDALE FL 1,270.14
06/14/2008 Q INDIANAPOLIS AIRPORTINDIANAPOLIS IN 56.00
4
Fr 4 I r re io.l4 Page 1 of 1 Next Last
i
I':
Dispute a Charge /Check Dispute Status Due in Full Charges: 56.0
Flexible Charges: 2,428.9
Credits: 0.0
Payments: 0.0
PAY BILL
SUMMARY
Previous Payments New Charges/ Outstanding
Balance Adjustments S Balance
i
Due in Full 0.00 0.00 56.00 56.00
Flexible 0.00 0.00 2,428.98 2,428.98
Total 0.00 0.00 2,484.98 2,484.98
https: /www99. americanexpress .com/myca/cstatement /us/ action ?request_type= authreg_St... 6/17/2008
American Express /Cards /Cards Registered with American Express Online Services Page 2 of 2
View Your Billing Statement Closing Date: Jun 19, 2008 f'AY BILL
About American Express Careers American Express I Affiliate Program I Fraud Protection Center i
View Website Rules and Regulations, Trademarks and Privacy Statement of American Express. Copyright 1995 2008 American Express Company. All
American Express Web Site Rules and Regulations.
https: /www99.americanexpress .com/myca/estatement /us/ action ?request type= authreg_St... 6/17/2008
Aamott. GUEST FOLIO
HOTELS RESORTS
931 DALY /PENNY 188.00 06/14/08 12:52 8274
Room Name Rate Depart Time A C C T
KGOF 008/08 1615
119 760 3RD AVE SW SUT1 PASSPORT:
BOONE GROVE IN
R 46302 Payment MR XXXXX3195A
clot IDA T E REFERENCE CHARGES CREDITS .1 BALANCE DUE
06/08 ROOM 331, 1 167.00
06/08 STATE TX 331, 1 10.02
06/08 LOCAL TX 331, 1 8.35
06/09 ROOM 331, 1 167.00
06/09 STATE TX 331, 1 10.02
06/09 LOCAL TX 331, 1 8.35
06/10 ROOM 931, 1 167.00
06/10 STATE TX 931, 1 10.02
06/10 LOCAL TX 931, 1 8.35
06/11 ROOM 931, 1 167.00
06/11 STATE TX 931, 1 10.02
O6 /11 LOCAL TX 931, 1 8.35
06/12 ROOM 931, 1 188.00
06/12 STATE TX 931, 1 11.28
06/12 LOCAL TX 931, 1 9.40
06/13 ROOM 931, 1 188.00
06/13 STATE TX 931, 1 11.28
06/13 LOCAL TX 931, 1 9.40
06/14 CCARD -AX 1158.84
SETTLED TO:
.00
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
PRIGDON @VERaZON.NET
SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
Earn 20,000 Marriott Rewards (R Bonus Points and a Free Night Stay
e- certificate with the Marriott Rewards Visa Signature(R) card. Plus,
receive 3 Marriott Rewards points per $1 spent at Marriott. Please
visit MarriottRewards.com /visa to learn more and apply.
Earn Up to 25,000 Bonus Points
To learn more, visit www.JoinMarriottRewards.com /Friend
__Marr.iott Rewards Account
Date 06/08/08- 06/14/08 Est. Eligible Revenue 1044.00
Est. base points Earned: 10440
For account activity: 801 468 -4000 or www.Marriott.com
r This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
7 -2955 Rev. 09/07 To secure your next stay, go to Marriott.com.
BE REWARDED FOR YOUR TRAVEL PERFORMANCE.
A arnott Earn valuable points toward free vacations or airline miles every time
R E W A R D S. you stay with the Marriott® family of hotels. With more than 2,700 locations
worldwide, you're bound to rack up the Rewards quickly. Stop by the front
desk, call guest services at 1.800.249.0800 or log on to
MarriottRewards.com to enroll.
o WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY.
4— N4 Follow these simple steps to streamline the check -out process:
Call the front desk to inform us you'll be using Express Checkout.
0 Leave your key in the room or in one of the drop boxes at the front desk.
O 3 Keep the attached receipt for your records. It includes charges as of
2 a.m. today. (For charges incurred after 2 a.m., you can pay at the
point of sale, the front desk or, at your request, we'll mail you an
updated bill within 24 hours of your departure.)
o .y.
M r Thank you for choosing Marriott. We hope your stay was as comfortable as
it was productive.
MAXIMIZE YOUR REWARDS
WITH A MARRIOTT REWARDS VISA CARD.
With the Marriott Rewards® Visa Signature Card you'll earn:
A FREE night e- certificate upon account opening
20,000 bonus points after you make your first card purchase
3 Marriott Rewards points for every $1 spent at over 2,700 Marriott locations
1 Marriott Rewards point for every $1 spent on purchases elsewhere
w Automatic Silver Elite status in Marriott Rewards
No annual fee for the first year, then a low annual fee applies
t Log on to MarriottRewards.com /visa to apply or to learn about the benefits of other
Marriott Rewards Visa cards.
Aamo
Accounts subject to credit approval.
Restrictions and limitations apply. R E i4 R S•
5 The Marriott Rewards Visa Signature credit
card is issued by Chase Bank USA, N.A.
and may be serviced by its affiliates. r'
See MarriottRewards.com /visa for pricing �0
and rewards details. The Marriott Rewards r
Visa Signature credit card is available
44
to U.S. residents only._ jj /ar
�a�dott. GUEST FOLIO
HOTELS RESORTS
353 RIGDON /PAT /MR 188.00 06/14/08 13:00 12676
Roam Name Ram Depart Time ACCT
KGGOF 008/08 1611
73 760 3RD AVE SW SUT1 PASSPORT:
BOONE GROVE IN
46302 Payment MR XXXXX3195
CJa# Address
DATc_ 'REFEREN CE CHARGES CREDITS I BALANCE DUE
06/08 ROOM 353, 1 167.00
06/08 STATE TX 353, 1 10.02
06/08 LOCAL TX 353, 1 8.35
06/09 ROOM 353, 1 167.00
06/09 STATE TX 353, 1 10.02
06/09 LOCAL TX 353, 1 8.35
06/10 SELF PK BC 22.26
06/10 SELF PK 1 22.26
06/10 ROOM 353, 1 167.00
06/10 STATE TX 353, 1 10.02
06/10 LOCAL TX 353, 1 8.35
06/11 SELF PK 1 22.26
06/11 ROOM 353, 1 167.00
O6 /11 STATE TX 353, 1 10.02
06/11 LOCAL TX 353, 1 8.35
06/12 SELF PK 1 22.26
06/12 ROOM 353, 1 188.00
06/12 STATE TX 353, 1 11.28
06/12 LOCAL TX 353, 1 9.40
06/13 SELF PK 1 22.26
06/13 ROOM 353, 1 188.00
06/13 STATE TX 353, 1 11.28
06/13 LOCAL TX 353, 1 9.40
06/14 1270.14
TO BE SETTLED TO:
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK -OUT,
PLEASE CALL EXTENSION 6558 OR PRESS "MENU" ON YOUR
TV REMOTE CONTROL TO ACCESS VIDEO CHECK -OUT.
EXP. REPORT SUMMARY
06/08 ROOM &TAX 185.37
06/09 ROOM &TAX 185.37
06/10 SELF PK 44.52
ROOM &TAX 185.37
06/11 SELF PK 22.26
ROOM &TAX 185.37
06/12 SELF PK 22.26
I�
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
7 -2955 Rev. 09/07 To secure your next stay, go to Marriott.com.
BE REWARDED FOR YOUR TRAVEL PERFORMANCE.
A arnoff Earn valuable points toward free vacations or airline miles every time
REWARD S you stay with the Marriott" family of hotels. With more than 2,700 locations
worldwide, you're bound to rack up the Rewards quickly. Stop by the front
desk, call guest services at 1.800.249.0800 or log on to
MarriottRewards.com to enroll.
WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY.
0
Follow these simple steps to streamline the check -out process:
lO Call the front desk to inform us you'll be using Express Checkout.
t ql 2O Leave your key in the room or in one of the drop boxes at the front desk.
0 Keep the attached receipt for your records. It includes charges as of
2 a.m. today. (For charges incurred after 2 a.m., you can pay at the
point of sale, the front desk or, at your request, we'll mail you an
a: updated bill within 24 hours of your departure.)
Thank you for choosing Marriott. We hope your stay was as comfortable as
it was productive.
MAXIMIZE YOUR REWARDS
WITH A MARRIOTT REWARDS VISA CARD.
With the Marriott Rewards® Visa Signature® Card you'll earn:
42 A FREE night e- certificate upon account opening
r
20,000 bonus points after you make your first card purchase
3 Marriott Rewards points for every $1 spent at over 2,700 Marriott locations
1 Marriott Rewards point for every $1 spent on purchases elsewhere
Automatic Silver Elite status in Marriott Rewards
No annual fee for the first year, then a low annual fee applies
Log on to MarriottRewards.com /visa to apply or to learn about the benefits of other
Marriott Rewards Visa cards.
Accounts subject to credit approval. M
Restrictions and limitations apply.
The Marriott Rewards Visa Signature credit A R S
K
,Ai
R,E_' MY
card is issued by Chase Bank USA, N.A.
and may be serviced by its affiliates.
See MarriottRewards.com /visa for pricing 4t
and rewards details. The Marriott Rewards
Visa Signature credit card is available
w to U.S. residents only. 6
AaffIOtt. GUEST FOLIO
HOTELS RESORTS
353 RIGDON /PAT /MR 188.00 06/14/08 13:00 12676
Rome Name Rate Depart Time ACCT
KGOF 0608/08 16:11
Type Arri Time
73 760 3RD AVE SW SUT1 PASSPORT:
BOONE GROVE IN
R n 46302 Payment MR XXXXX3195
Clerk Address
CRE -1 BALANCE DLIE
EXP. REPORT SUMMARY
06/12 ROOM &TAX 208.68
06/13 SELF PK 22.26
ROOM &TAX 208.68
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
PRIGDON @VERIZON.NET
SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
Earn 20,000 Marriott Rewards R) Bonus Points and a Free Night Stay
e- certificate with the Marriott Rewards Visa Signature(R) card. Plus,
receive 3 Marriott Rewards points per $1 spent at Marriott. Please
visit MarriottRewards.com /visa to learn more and apply.
Earn Up to 25,000 Bonus Points
To learn more, visit www.JoinMarriottRewards.com /Friend
Marriott Rewards Account-4
Date 06/08/08- 06/14/08 Est. Eligible Revenue 1155.30
Est. base points Earned: 11553
For account activity: 801 468 -4000 or www.Marriott.com
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
7 -2955 Rev. 09/07 To secure your next stay, go to Marriott.com.
BE REWARDED FOR YOUR TRAVEL PERFORMANCE.
Allha-moll Earn valuable points toward free vacations or airline miles every time
R S. You stay with the Marriott® family of hotels. With more than 2,700 locations
worldwide, you're bound to rack up the Rewards quickly. Stop by the front
desk, call guest services at 1.800.249.0800 or log on to
MarriottRewards.com to enroll.
WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY.
Follow these simple steps to streamline the check -out process:
0 Call the front desk to inform us you'll be using Express Checkout.
2O Leave your key in the room or in one of the drop boxes at the front desk.
Keep the attached receipt for your records. It includes charges as of
2 a.m. today. (For charges incurred after 2 a.m., you can pay at the
point of sale, the front desk or, at your request, we'll mail you an
a, updated bill within 24 hours of your departure.)
Thank you for choosing Marriott. We hope your stay was as comfortable as
it was productive.
MAXIMIZE YOUR REWARDS
WITH A MARRIOTT REWARDS VISA CARD.
With the Marriott Rewards® Visa Signature® Card you'll earn:
w,.
r A FREE night e- certificate upon account opening
20,000 bonus points after you make your first card purchase
3 Marriott Rewards points for every $1 spent at over 2,700 Marriott locations
1 Marriott Rewards point for every $1 spent on purchases elsewhere
Automatic Silver Elite status in Marriott Rewards
No annual fee for the first ear, then a low annual fee a
Y PP Iles
y' 'r
Log on to MarriottRewards.com /visa to apply or to learn about the benefits of other
Marriott Rewards Visa cards.
y
Accounts subject to credit approval.
Restrictions and limitations apply. R l� aSg-
The Marriott Rewards Visa Signature credit aR
card is issued by Chase Bank USA, N.A.
and maybe serviced by its affiliates.
See MarriottRewards.com /visa for pricing
and rewards details. The Marriott Rewards f3
Visa Signature credit card is availabler' t
e� to U.S. residents only.
Prescribed by State Board of Accounts
For, No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
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
Mo. Day Yr. 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.
Mo. Day Yr. Officer Title
Voucher No Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT,
NO.
CARMEL, INDIANA
Favor Of
�PNti y ,d9 /e 6y/h10 �I� I 7 5
Total Amount of Voucher
Deductions
go
Amount of Warrant
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325