164417 09/30/2008 a CITY OF CARMEL, INDIANA VENDOR: 360472 Page 1 of 1
ONE CIVIC SQUARE LYNN RUSSELL
i CHECK AMOUNT: $209.67
CARMEL, INDIANA 46032 829 DESERT WIND COURT
ti o CARMEL IN 46032 CHECK NUMBER: 164417
CHECK DATE: 9/30/2008
DEPA ACCOUNT P N UMBER INV NUMBER AMOUNT DES
1125 4231400 77.64 GASOLINE
1125 4343000 132.03 TRAVEL FEES EXPENSE
Car Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
G asoline tor Admin
8!20/2008 Carmel Valero 101 4231400 Gasoline 41.04 C r/traveled to St. Louis
aso Ine for Admi
8/19/2008 S Gas and Wash 101 4231400 Gasoline 36.60 C r/traveled to St. Louis
8/19/2008 Panda 101 4343000 Travel Fees Expenses 7.96 Dinner while travelin
H otel tay or St. Louis
8/20/2008 Holiday Inn 101 4343000 Travel Fees Expenses 124.07%" visit
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 209.67
Employee Name (print) Lynn Russell
Address 1411 E 116th Street
Check
payable to: City, St, Zip QaTqnel, IN 4605.
Signatur Approved by:
Date: Date:
Business Services Division, Revised 7- 7- 08
FILE: Shared %Administrative%Forms%Staff Forms \Employee Exp Reimb Request
SEP 1 6 2008
F RE CF-UVED
EXPRESS'
HCOTEL t SUITIES
08 -20 -08
Lynn Russell Folio No. 39336 Cashier No. 25 Room No. 232
A/R Number Arrival 08 -19 -08
us Group Code Departure 08 -20 -08
Company Conf. No. 65477068
Membership No. Rate Code IGCOR
Invoice No. Page No. 1 of 1
Date Description Charges Credits
08 -19 -08 'Accommodation 109.00
08 -19 -08 Bed /Occupancy Room Tax 7.90
08 -19 -08 State Tax Room 7.17
08 -20 -08 qG231IMEW xxxxxxxxxwqm 124.07
Total 124.07 124.07
Balance 0.00
Guest Signature:
I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to perform the obligations set forth In the cardholder's agreement with the issuer.
200
Holiday inn Express Hotel Suites Fenton
1848 Bowles Avenue
Fenton, MO 63026
Telephone: (636) 349 -4444 Fax: (636) 305 -1234
i
I T Pointe At Ballwin Commons
d t!1 Ballwin Commons Circle
r Ballwin, MO 63021 -8845
R IVPkAA S E
LINDA A. BRUER, CPRP I
I I
Director of Parks &Recreation F E N T O N
Julie Miles
Recreation Manager
(636) 227 -8950 IbruerCbaliwin.mo.us 990 Horan Fenton, Missouri 63026
Fax: (636) 207 -2330 Telephone 636.343.0067 Facsimile 636.343.7635
www.ballwin.mo.us JMILES ®FENTONMO.ORG
PARKS RECREATION DEPAKIMI TP FWMN, CITY OF PARKS
i
d The Pointe At Ballwin C�mmont
d 1 Ballwin Commons Circle J
Ballwin, MO 63021.8845 Tele:(636) 227 -8950
Fax: (636) 207 -2330
Ballwin Perks
HEDY BOONE 6 Recreation
Recreation Superintendent AT BALLWIM COMMONS DePertmsnt
(636) 2 Tom Bettis
Fax: (6 36) 2 0 7 -2330 hboone®baflwin.mo.us Aquatic Manager
36) 27 www.baffwin.mo.us tbettis @ballwin. mo. us
#1 Ballwin Commons Circle Ballwin, MO 63021
D r
LuJi�r�
ar TICS wc�s to v is l .V /4-cvr
�aci Itties
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.
360472 Russell, Lynn Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/08 reimb. Gasoline 77.64
8/20108 reimb. Lodging, meals for tour of facilities 132.03
Total 209.67
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
Voucher No. Warrant No.
360472 Russell, Lynn Allowed 20
In Sum of
209.67
ON ACCOUNT OF APPROPRIATION FOR
101 General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb. 4231400 77.64 I hereby certify that the attached invoice(s), or
1125 reimb. 4343000 132.03 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
17 -Sep 2008
Signature
209.67 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund