HomeMy WebLinkAbout198798 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365406 Page 1 of 1
ONE CIVIC SQUARE CHRISTOPHER VEACH
F CARMEL, INDIANA 46032 12170 RISING SUN WAY CHECK AMOUNT: $190.00
FISHERS IN 46037 CHECK NUMBER: 198798
CHECK DATE: 6/2212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 PGADUES 11 190.00 ORGANIZATION MEMBER
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9 CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
A! X
EMPLOYEE NAME: ��P C9s�fJ� L/f DEPARTURE DATE: TIME: AM PM
DEPARTMENT: RETURN DATE: TIME: AM i?M
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls Lodging Meals
Date Parkin g g isc. To tai
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
yf f
t, Toitai V 1 11 1,1 s.' _:1 +r- f...�} is s •;x
ei. 1.
DIRECTOR'S STATEMENT: I hereby aff'r that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: l(1
City of Carmel Form ER06 Revision Date 40117!2006 Page 1
THE PROFESSIONAL GOLFERS' ASSOGIATION QF AMERICA
P P O Box 31089
TM Palm Beach Gardens, FL 33420 -1089 (800) 474 -2776
Federal Employer Identification Number 59- 0785835
MAKE CHECK PAYABLE TO THE PGA OF AMERICA
Order PGAMEM- 221019
Invoice Total: $.00
Invoice Date: 05/01/2011 PAYMENT (Check appropriate method below)
Check Enclosed Master Card VISA AMEX
27016935 -2 EXP. DATE=
Christopher J Veach CARD NO.
12170 Rising Sun Way
Fishers, IN 46037 -3986 Print Name as it Appears on Card
Cardholder's Signature
Detach here and return
THE PROFESSIONAL GOLFERS' ASSOCIATION OF AMERICA
Customer Name Invoice Invoice Date Order
27016935 -2 Christopher J Veach 1523944 05/01/2011 PGAMEM- 221019
Date Description Quantity Unit Price Amount
05/01/2011 055 Apprentice Section Dues 1 $100.00
05 /01 /2011 Apprentice National Dues I $60.00
05/01/2011 Liability Insurance Premium 1 $30.00
05/21/2011 Payment 190.00
Total Invoice: 190.00
Total Adjustments: $.00
Sales Tax: S.00
Shipping: $.00
Payments: 190.00
Balance: $.00
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T
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Your Payment has been Approved!
THIS IS YOUR PAYMENT RECEIPT
Thank you for renewing your membership in the PGA of America. This is your payment receipt. Please PRINT IT NOW for
your records. Your membership credentials will be mailed separately. if you do not receive them within a few weeks, please
contact the PGA Membership services Department at 800 474 -2776.
Name: Christopher J Veach ID: 27016935
Reference A028up
Christopher J Veach
Payment Amount: $190:00
Payment Date: 05/21/2011
Click here to return to PGALinks.
https:// extranet .pgalinks.com /memberonly2 /017 /pgamemssadues.validcc_page 5/21/2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Christopher Veach
IN SUM OF
12170 Rising Sun Way
Fishers, IN 46037
$190.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 PGADUES5 -11 43- 553.00 $190.00 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
Wednesday, June 15, 2011
Director, Bro shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199°_
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/21/11 PGADUES5 -11 PGA DUES $190.0
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
20
Clerk- Treasurer