HomeMy WebLinkAbout165938 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 361349 Page 1 of 1
ONE CIVIC SQUARE ERIC ROBINSON
i4�lo CARMEL, INDIANA 46032 6119 DADO DRIVE CHECK AMOUNT: $190.50
NOBLESVILLE IN 46062 CHECK NUMBER: 165938
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBE IN VOICE NUMBER AMO DESCRIPTION
651 5023990 190.50 OTHER EXPENSES
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CITY OF CARMEL Expense Report (required for all travel expenses)
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2008 mileage reimbursement rate is 58.5 cents /mile
EMPLOYEE NAME: ERIC ROBINSON DEPARTURE DATE: 10/20/2008 TIME: 1:00PM
DEPARTMENT: Utilities /Sewer RETURN DATE: 10/22/2008 TIME: 4:30PM
REASON FOR TRAVEL: CONFINED SPACE TRAINING DESTINATION CITY: FINDLAY, OH
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM _X_
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
10/20/08 $32.50 $32.50
10/21/08 $65.00 $65.00
10/22/08 $65.00 $65.00
10/22/08 $28.00 $28.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $28.00 $0.00 $0.00 $0.00 $0.00 $0.00 $162.50 $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.
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Director Signature: Date:
City of Carmel Form ER06 Revision Date 10/23/2008 Page 1
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for Successful Completion* of
CONFINED SPACE ENTRY BASIC RESCUE WORKSHOP
(FOLLOWING 29 CFR 1910.146)
8 HOURS OF TRAINING
OCTOBER 22, 2008
INSTRUCTOR
EXECUTIVE DIRECTOR
THE UNIVERSITY OF FINDLAY
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for Successful Completion of
CONFINED SPACE ENTRANT /ATTENDANTI SUPERVISOR WORKSHOP
(FULFILLS THE REQUIREMENTS OF 29 CFR 1910.196)
8 HOURS OF TRAINING
OCTOBER 21, 2008
EXECUTIVE DIRECTOR` INSTRUCTOR
VOUCHER 086575 WARRANT ALLOWED
T1004 IN SUM OF
ROBINSON, ERIC
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
102008 01- 7042 -06 $190.50
Voucher Total $190.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
Y
T1004
ROBINSON, ERIC Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 102008 $190.50
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date ffic