HomeMy WebLinkAbout158361 04/15/2008 •1
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CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
t ONE CIVIC SQUARE TIFFANY DETERS
CARMEL, INDIANA 46032 6264 N CENTRAL CHECK AMOUNT: $181.16
INDIANAPOLIS IN 46220 CHECK NUMBER: 158361
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT
1046 4343000 181.16 TRAVEL FEES EXPENSE
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Claim No. Warrant No. 1 have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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A BOYCE CO., INC. MUNCIE, IN 01136 0
PRESCRIBED BY STATE BOARD OF ACCOUNTS R C-EI e/ n n GENERAL FORM NO. 101 (1986)
MAR 2 1 2008MI IT
SAGE CLAIM
to T �l� CI AUo T
(GOVERNMENTAL UNIT) Z
9 S ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE r Q�
DATE NATURE OF BUSINESS MILES x
1 POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS l�
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1 8 I 1 D
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due,. a er allowing all just credits
and that no par of he same has been paid.
Date W 240�
Carmel 0 Clay P�-EC IVED
Parks &Recreation MAR :2 Y 2008
Employee Expense Reimbursement Request
BY:
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
3 Z 54-&Cbu c i M U 43L fi'avd kcs �aww, 08 d,n n k
X12 LuLv Iexi 5J�1ac g- i 10 oo
1 3 /drjvt /4
3 12 Ir or i 0' S I to 04 ./d n n 4
`>h? '1� ra-v o 00 4� Id-r n k
All receipts should be attached in the same order as listed above. See Gl fi� GJ
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) (i *My 5
Address 5 13 0 m rOSe— Ay
Check
payable to: City, St, Zip �l� IGr{/j(.1/7(? 15 AZ
Signature: MAXA Approved by:
Date: O Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Carmel Clay C
Parks &Recreati
Employee Expense Reimbursement Request MAR 2 1 2008
BY:
Date of Fund Account Account
Receipt Vendor listed on recei t Line Budget Description Amount Purpose of Expense
P ifa Lt 3060 }�a�e �e cis q.02
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employeen Name (print) 150.asy O-S S Y lf-Li -1—
Address
Check
payable to: City, St, Zip
Signature: Approved by:
Date: Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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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.
Tiffany Deters Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/08 Reimb Req Travel for conference 86.67
3/21/08 Reimb Req Mileage 94.49
Total 181.16
1 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.
Tiffany Deters Allowed 20
In Sum of
181.16
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1046 Reimb Req 4343000 181.16 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
14 -Apr 2008
Signature
181.16
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund