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HomeMy WebLinkAbout157088 03/05/2008 a ,\f CITY OF CARMEL, INDIANA VENDOR: 351604 Page 1 of 1
ONE CIVIC SQUARE BRENT HARDING CHECK AMOUNT: $45.62
9,� CARMEL, INDIANA 46032 12432 WINDING CREEK LANE
INDIANAPOLIS IN 46236 CHECK NUMBER: 157088
CHECK DATE: 315/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1202 4343002 45.62 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
'�N01 AN%
EMPLOYEE NAME: P DEPARTURE DATE: Z/ r1 TIME: u /PM
DEPARTMENT: 1� RETURN DATE: ZA TIME: S AM/PM
REASON FOR TRAVEL: PIS con�Qs— CLe DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT j TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
2/19/08 $12.00 $21.62
2/20/08 $12.00 $1 >2.00
$0.00
0`00
$0:00
;$000
MOO
$.0;00
$0:00
$0'UO
$0: "UO
$0'00
'00
$0 :00
x$0:00
$0:00
$0:00
0
Total
$0.001 $O.OQ $0:00 $24:00 $0:00 $0.00„ $21 62 $0:00 ,$0.00 $0.00 $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: y, yZ —.61
City of Carmel Form ER06 Revision Date 2/22/2008 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 Signature: Date:
City of Carmel Form ER06 Revision Date 2/22/2008 Page 2
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PINNACLE FUGRO EARTHDATA VMOOLPERT
T[CMNpL00
Claddagh Irish Pub Ciaddagh Irish Pub
234 S. Meridian St 234 S. Meridian St
Indianapolis IN Indianapolis IN
317 -822 -6274 317 -822 -6274
j Server: Cap 02/19/2008
Server: Cae DOB: 02/19/2008 Table 508/2 1;03 PM
01:11 PM 02/19/2008 guests: 3
Table 508/2 6/60009 #60009
Order Type; ORDER
5242885
Card Seat 2
Magnetic card present:
Approval: 004500 Diet Coke 2.25
Irish Beef and Guiness St 14.99
Amount: 1B.E2 Subtotal
17.24
On Tax 1.38
Tip: Total 18,62
Total:
Corrrplete SI.Ibtutal 17,24
X_ Subtutal 17.24
Tax 1.38
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Pub Quiz!!! Total 18.62
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Dpesenkol.dcIaddaghirishpubs.com
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GUEST COPY Pub Quiz!!!
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i Cy
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
Brent Harding Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
20
Clerk- Treasurer
VOUCF� %F,j�f�Q�_WARRANT NO.
ll:: /1111..33
Brent Harding ALLOWED 20
IN SUM OF
$45.62
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Informatin Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
it A 9 IM 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
20
tnatte
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund