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HomeMy WebLinkAbout175721 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $625.78 „a CARMEL, INDIANA 46032 CHECK NUMBER: 375721 CHECK DATE: 81612009 DEPA �T AC COUNT PO NUMBE I NUMBE AMOUNT D 1160 W 4343002 REIMB 308.58 EXTERNAL TRAINING TRA 1160 4343004 REIMB 317.20 TRAVEL PER DIEMS ,r PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM ND. 101 (1986) Q-A b4i MILEAGE CLAIM 1 l�lf� (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER T R AUTO MILEAGE NATURE OF BUSINESS MILES a POINT POINT�d. START FINISH TRAVELED PER MILE i 2 C,t J n i T r AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the rovisions and p enalties of Chapter 155 Acts 1953 I her certi that the foregoing account is just and correct, that the amount claimed is legally due, after allowi all just credits P P P Y Y g Y 4 and that no part of the same has been paid. Date 4 Claim X& Warrant No I have examined thewthncl mandhereby IN FAVOR OF certify as follows: That it B in proper form. That a B duly authenticated as required by kw That it is ba _au o statutory authority, ƒ correct Taaaaprn7 mere! Disbursing Officer OnAccount of Appropriation No. for o W m 5k� 0 CD 0 Allowed ,19� 70 m i the sum of k 7 (D r 2 M o Eƒ§ M n 0 (aa«�m6m_) /2 0 k ƒ FI 7 m 0 a 0 Q E 2 D (Official mm 0 \M E k�� A:BOYam, INC. MUNCIE, _,m k FRE NCH L ICE. RESORT Name: NANCY HECK Arrival Date: 7/19/09 Cl Clerk SPARKER Address: 1326 COOL CREEK DR Departure Date: 7/21/09 CO Clerk AHAGGARD CARMEL IN 46033 Group Code: 07091CL Room EL 1216 Rest', 399671481920 Page 1 of 1 Date Reference Description; Charges Credrts 07119109 400129000002 FRENCH L!CK R �CF[f� R'vE� -f- 1 1 .10 0 —r\0 ROLLAWAY BED 07/19/09 400129000018 ROOM CHARGE FL 1216 139.00 TAX 1 9.73 TAX2 5.56 07/20/09 400139000001 REF NCH LICK ROOM CHARGE 11.10 ni ROLLAWAY BED 07/20/09 400139000017 ROOM CHARGE FL 1216 139.00 TAX 1 9.73 TAX2 5.56 07/21/09 400141986997 FL FRONT DESK 330.78 *` 22,2c� 3og. SS ►'C. M 1uLrS i Total Due .00 I agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5t' days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check -out date. If you are using a debit card, the hold on funds may last from 7 -10 business days after your check -out date, Guest Signature: OF A e CITY OF CARMEL Expense Report (required for all travel expenses) ,k EXHIBIT A EMPLOYEE NAME: W a_ n lj Qe.cy— DEPARTURE DATE: j 9 l oq TIME: AM/ PM DEPARTMENT: 61,17i rTV RETURN DATE: TIME AM PM REASON FOR TRAVEL: LEP 0„)f}Vtn DESTINATION CITY: Rtngj EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total. Taxi Tips Luggage Parking Breakfast Lunch Dinner Snacks Per Diem 2 t7 C DIRECTOR'S STATEMENT: I hereby affirm t at all a penses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature' Date: 0 "1 City of Carmel Form ER06 Revision Date 9/25/2008 Page 1 ^'r,,a r a ^^.ars h 0` zpri� iYw �"-tSi >i a 4 i �t�l 7 y r. W t t 3� 1. 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'k._. r,,."Y, K �g "n "Q 7777-t, N 7 V �Vz -W 3 ac 0 k A -1 nl �Ay S1 1 A yl� :r ,,I"- 77, -A, v �Y b, uy U y.-L W, Z o u n w:1 Gt l VWOM -X" I bu g -4 61 5 1 PA— NK --Vt 0 41-�Q' V'- ZE ww' �i Tubs d obrain'UPA tG4,114 v ZEW -'k4C It P Ow i scu-s"A i 6"n' 0"' p fi�'c 1- mi Z k u -W 2 wr �4-w VZUU9 L e "Ahlehahi fils'toth6Indian -i- a' Localtlianning ZoningblatuLt?,2,�.;--,P- �VM se §6 and;Z6N ,4.�.., -­47 VJ PV44 ��,i�"-� WT:'� A ang E M "k"' e Z' 'Decision': bfi A' -s uIscrelion im Ma b!jlrly �e ..�.,���tjnriiea,,ueveiopni6h!'Cbdet�' _Wdifio Zoning ornep SSOClal Ine.interaclimu X ol'Zoninguspmes U, gg y gi Robert Eh W6nmad,�,'�Qhair*-, i 911 eAC I J 'j LL "�'Tod 'q d A- k Attorney Atlaw dridianapOl-Si w� 17 1 c L' tu N ew �'A I Da n y N" R 1 47AM ll-AM-71c. p. sa tes xPC Evansville Qz t N �"q -OR 4 5 0 %�gq 17. 4 n t T 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. I Payee Purchase Order No. czc� C-fP_Z� l Ue_ Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 21 Wok =GrrG rre clG�, Og 5g 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 VO CHER NO. WARRANT NO. c i ALLOWED 20 IN SUM OF �-P 14 V-C— �rn� 1 ;��K y6033 ON ACCOUNT OF APPROPRIATION FOR XXX Board Members ao INVOICE NO. ACCT #/TITLE AMOUNT aEPr. I hereby certify that the attached invoice(s), or 3 I j 20 bill(s) is (are) true and correct and that the materials or services itemized thereon for 30v f which charge is made were ordered and received except 20 0 't-Signat r�r e Cost distribution ledger classification if Tltl�e claim paid motor vehicle highway fund