160803 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00352429 Page 1 of 1
ONE CIVIC SQUARE MINDY COLLINS CHECK AMOUNT: $90.83
CARMEL, INDIANA 46032 ci0 cccc
o c/0 cccc CHECK NUMBER: 160803
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO N UMB ER INVOICE NUMBER AMOUNT DESCRIPTION
t ills 4343002 6.49 EXTERNAL TRAINING TRA
1115 4343004 84.34 TRAVEL PER DIEMS
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I ceilify that 1110 within bill is tille and corlecl;
and for which charge is made was ordered by ine
v ej bUsiness; and that the rate per mile is in accord
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CITY OF CARMEL Expense Report (required for all travel expenses)
PfJR-.
EMPLOYEE NAME: Nt
'r D i L l S DEPARTURE DATE: TIME: AM PM
DEPARTMENT: r U,`Cl A bl t,4 y RETURN DATE: TIME: AM/ PM
REASON FOR TRAVEL: DIA +1 ;W_ DESTINATION CITY:
I
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
6/21/08 $6.49 $6.49
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
r
$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 $0.001 $0.001 $0.00 $6.49 $0.00 $0.00 $0.001 $0.00 $0.00
DIRECTOR'S STATEMENT: I he that all exp ses e conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 6/22/2008 Page 1
APPLY ON LINE AT
WOW. me i nd i aria /3310
2910 W. THIRD
BLOOMINGTON, IN 47404 I
THANK YOU
WEST THIRD TEL# (812)332 -8950 i
35 KS #13 S# 1
ST ORE# 3310 Jun.21'O8(Sat)OB:19
MER# KB18194428001
1 LANE 1
1 CINNAMON MELTS 0.00
1 EGG MCMUFFIN 1.59
1 LRG ICED VAN COFFEE 2.29
.2,19
SUB TOTAL
TAKE OUT TAX 6.07
0.42
6.49
CARD ISSUER ACCOUNT
AMOUNT
AUTH CODE 07875E SEG# 9125 6.49
CASH TENDERED I
0.00
CHANGE:
0.00
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PELHAMTRAININ
G Invoice
EMERGENCY MEDICAL, TACTICAL WILDERNESS
Invoice 08- 100061
699 E Dillman Road Date 1/16/2008
Bloomington, IN 47401
(812) 824 -7975 Due Date 6/21/2008
brett @emtine.net
www.pelhamtraining.
Bill To
Mindy Collins
14819 War Emblem Drive
Noblesville, IN 46060
Quantity Description Rate Amount
I PHTLS (Recertification) 75.00 75.00
Total $75.00
Payments /Credits $0.00
Balance Due $75 00
V WARRANT -NO.
Mindy Collins ALLOWED 20
IN SUM OF
11429 Pegasus Drive
Noblesville, IN 46060
$90.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE N0. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $6.49 1 hereby certify that the attached invoice(s), or
1115 43- 430.04 $84.34 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
Monday, June 23, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor 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 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))
06/23/08 $6.49
06/23/08 $84.34
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