156624 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 359178 Page 1 of 1
ONE CIVIC SQUARE CHRISTINA HOTZE CHECK AMOUNT: $1,301.52
CARMEL, INDIANA 46032 14705 WHITETAIL RUN
a� a� NOBLESVILLE IN 46060 CHECK NUMBER: 156624
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4343000 401.52 TRAVEL FEES EXPENSE
1047 4357004 900.00 EXTERNAL INSTRUCT FEE
I
I
Carmel e Clay
Par s &Recreation i
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/7/2008 Aunt Chiladas 47
eo i ce 900.00 Safety School
1111012007 Southwest Airlines 7 A r 107 -e ✓198.20 Airline ticket
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
2
Employeen Name (print) Tina Hotze
Address 14705 White Tail Run
Check
payable to: City, St, Zip Nob Isville, IN 4 060
Signature: J yna L j Approved by:
Date: �Lf Date: V 0
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
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the departure gate area at least ten minutes prior to scheduled departure time may have their
reserved space cancelled and will not be eligible for denied boarding compensation.
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Invoice
'JEFF PELLIS ASSOCIATES, INC.
508 GOLDENMOSS LOOP
OCOEE, FL 34761
PH. (800) 742-8720
www.jellis.com 11/30/2007 20034522
BILLTO:
Carmel Clay Park Rec
Tina Hotze_
1411 E. 116th Street
Carmel, IN 46032 DEC 0 2007
R
I Net 30
DESCRIPTION
I._._ Ron Rhinehart lntcrnatiohal Safety School 900.00 900.00
Tina Hotze 2008
Out -of -state sale, exempt from tax 0.00% 0:00
t
N
y
_p
p
2
Thank you for your business Katie Ptakowski
TOTAL $900-00
548167 (3107)
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.
Tina Hotze Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/08 Reimb Req Conference reimbursement 1,301.52
Total 1,301.52
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.
Tina Hotze Allowed 20
�0 In Sum of
13
ON ACCOUNT OF APPROPRIATION FOR
404 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb Req 4343000 401.52 1 hereby certify that the attached invoice(s), or
1047 Reimb Req 4357004 900.00 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
13 -Feb 2008
gnat
4,301.52 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund