HomeMy WebLinkAbout198429 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365410 Page 1 of 1
ONE CIVIC SQUARE BRIAN BALLARD
CARMEL, INDIANA 46032 5663 SCOTT -IAN CT CHECK AMOUNT: $386.00
INDPLS IN 46254 CHECK NUMBER: 198429
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 386.00 REIM DUES
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INVOICE
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5 6 f, A—r7�4t p p,-,? 20 Bennett Rd.
CITY, STATE, ZIP CITY, STATE, ZIP Carmel, IN 46032
CUSTOMER'S ORDER SALESPERSON TERMS 7A F.O.B.
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8140
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: LEA DEPARTURE DATE: TIME: AM P M
DEPARTMENT: RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
,1.
ij
e y
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DIRECTOR'S STATEM T: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
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Director Signature. Date:
City of Carmel Form ER06 Revision Date'10/17/2006 Page 1
Page 1 of 1
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: Brian S. Ballard, PGA ID: 27392746
Reference A02AVP
Card Holder: Brian S. Ballard, PGA
Payment Amount: $386.00
Payment Date: 06/06/2011
Click here to return to PGALinks.
https:// extranet .pgalinks.com/memberonly2 /017 /pgamemssadues.validcc page 6/6/2011
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))
06/06/11 PGADUES6 -11 PGA Dues $386.0
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brian Ballard
IN SUM OF
5863 Scott -Ian Court
Indianapolis, IN 46254
$386.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 PGADUES6 -11 43- 553.00 $386.00 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, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund