160466 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358695 Page 1 of 1
ONE CIVIC SQUARE SUZANNE MAKI
CARMEL, INDIANA 46032 1300 HELFORD LANE CHECK AMOUNT: $874.03
CARMEL IN 46032 CHECK NUMBER: 160466
CHECK DATE: 6/10/2008
DEPARTMENT A CCOUNT PO NU MBER INVOICE NU MBER AMO DE SCRIPTION
601 5023990 782.33 EMPLOYEE PEN BENEFI
601 5023990 91.70 OTHER EXPENSES
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DAY NIGHT CAB.
3769 S. College Street College Park, Georgia 30337
767 -7464 A 6k J D
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Manager Signature Date V
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Table Sales
5/2 1/2008
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50173 ll 216 7 bO Pm
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Food Sub-Tntu| 22U0
I HEDGES CH3 GL 8.0O
Beverage 3,ib—Total 3.0U
SU8 TUT AL 31.00
Sales Tax 2.20
TO TA 33.20
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CITY OF CARMEL Expense Report (required for all travel expenses)
M
EMPLOYEE NAME: _Suzanne Maki DEPARTURE DATE: Q TIME: AM M
DEPARTMENT: _Utilities, Water RETURN DATE: TIME: AM PM
REASON FOR TRAVEL: _Seminar DESTINATION CITY: Atlanta Georgia
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5/20/08 $211.00 $25.89 $150.00 $386.89
5/21/08 $29.20 $29.20
5/22/08 $10.00 $19.50 $336.74 1 $366.24
$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
0.00
Total $211.00 i $0.00 $10.00 $19.50 $336.74 $0.00 $0.00 $55.09 $0.00 $0.00 $150.00
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.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 5/30/2008 Page 1
For advance payments, claim form must be submitted ten (10) business days in advance of travel.
Claim will not be processed without the following documentation:
1) Conference or course registration form, if applicable
2) Travel itinerary or car rental agreement, if applicable
3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt)
Prorated meal allowance:
For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the'purpose of purchasing meals
while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to:
1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and
2) Return all unused funds to the office of the Clerk- Treasurer
I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first
paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date:
City of Carmel Form ER06 Revision Date 5/30/2008 Page 2
Maki, Sue
From: travel @expedia.com
Sent: Monday, April 28, 2008 12:18 PM
To: Maki, Sue
Subject: Expedia travel confirmation Atlanta, GA May 20, 2008 (Itin# 123580069647)
Travel Confirmation
Thank you for booking your trip with Expedia. This email is your receipt for the travel item(s) you just
booked; a complete itinerary that includes all applicable ticket numbers, reservation IDs,etc. will follow
in the next 4 days.
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Your ticket purchase has not been confirmed by the airline. Please check your complete itinerary after 24 hours
have eassed for ticket confirmation information.
Flight: Indianapolis to Atlanta Total ticket cost: $211.00
(incl taxes fees)
LYM veler name: Suzanne Maki
Airfare total: $211.00
Indianapolis (IND) to Atlanta 5/20/08 2:10 pm 3:41 pm AirTran Airways
(ATL)
Atlanta (ATL) to Indianapolis 5/22/08 6:47 pm 8:24 pm AirTran Airways
(IND)
View your itinerary for complete and up -to -date trip details, or to make changes online.
Customer Support
Itinerary number: 123580069647
If you have questions about your reservation, fill out our iti nerary assist form We'll respond within
24 hours: For immediate assistance call Expedia at 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 -728-
8787 and have the itinerary number ready.
What else can we help you with?
SSave on hotels in Atlanta
Sh eraton Atlanta Downtown Se arch for more hotels
From $206.10 per night
The Glenn Hotel
From $194.65 per night
Best Western Hotel Suites Airport South
From $78.20 per night
Save on cars in Atlanta
At the airport 0- Search_for more cars
5/20/2008
Georgia Georgia Water Wise Council Worksho
As socia t ion of b p
.A
Water Can Water Efficiency Really Work for a Water System's Bottom Line?
t s32
Professionals Atlanta, GA GICC
May 21-22, 2008
it or before May 13 After May 13
$150.00 $175.00
$35.00
c
Lunch only option is provided for those only
attending the key note luncheon Wednesday, April
21. Lunch is included with full registration.
Exhibit Opportunities If you are interested in exhibiting at this
workshop please contact Morgan Floyd at
(770) 618 -8690 or mfloyd @gawp.org
First Name: sl Zol n q Middle Initial: Last Name: m ci k I
Nickname: (for name badge printing leave blank if same as first name)
Employer: C l �o� CG rYVl I (Ati f l I eS
Address: 7 R0 L k r 66 A✓C
City/State /Zip: G�
Telephone: e I �l �J Fax Number: 7 7 t 5 Q Q 1p S
E -Mail (REQUIRED)
Home Address: (if desired)
Make this my mailing address: Work _Home
Dy
TOTAL: Do you have a special need that may require accommodation to participate?
METHOD OF PAYMENT: GAWP Fed. IDN 23- 7170185
1. Company Check ll: Personal Check N:
2. Visa V MasterCard Amex: Card N t� 1 �i o Exp. Date lJ
Name as it appears on card: S YnL'
MAIL TO: GAWP 2121 New Market Pkwy, Suite 144, Marietta, GA 30067
Phone (770) 618 -8690 FAX (770) 618 -8695 Ph (770) 618 -8690
Faxed registrations MUST be accompanied by credit card payment information. Only employees of Corporate or Utility Members will be
permitted to request invoicing or to forward payments after submission of registration. Registrations must be postmarked or faxed to the
GAWP office on or before May 13, 2008 to receive the pre- registration rate. After May 13, 2008, the on -site rates will apply.
REFUNDS CANCELLATIONS: All cancellations must be received in writing, on company letterhead, and sent to the GAWP office via mail
or fax. Phone cancellations are not accepted. All cancellations postmarked /fax -dated by May 13, 2008 will receive a REFUND minus a
25% administrative fee. After May 13 registrants are no longer eligible for refunds: however, substitutions are welcome. Call.(770) 618-
8690 for substitutions. NO REFUND FOR THOSE WHO REGISTER AND FAIL TO ATTEND.
I f=
05 -22 -08
Suzanne Maki Folio No. Room No. 423
1300 Helford Lane A/R Number Arrival 05 -20 -08
Carmel, IN 46032 Group Code Departure 05 -22 -08
us Company Conf. No. 67842872
Membership No. Rate Code IGCOR
Page No. 1 of 1
Date Description Charges Credits
35 -20 -08 'Accommodation 149.00
)5 -20 -08 State Tax Room 10.43
)5 -20 -08 City Tax Room 8.94
)5 -21 -08 'Accommodation 149.00
)5 -21 -08 State Tax Room 10.43
)5 -21 -08 City Tax Room 8.94
Total 336.74 0.00
Balance 336.74
guest Signature:
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
)ersonally 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
i credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
i
Holiday Inn Express Atlanta Airport College Park
4601 Best Road
College Park, GA 30337
Telephone: (404) 761 -6500 Fax: (404) 763 -3267
Atlanta, GA Expedia
Booked items
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Flight: Indianapolis to Atlanta back to top
Expedia itinerary number: 123580069647 Main contact: Suzanne Maki
Airline ticket number(s): Same as Airline Confirmation Code E -mail: smaki @carmel.in.gov
AirTran Airways confirmation code: N45QGV Home phone: (317) 575 -0768
Traveler and cost summary
Adult
Suzanne Maki (incl taxes Add Frequent Flyer number(sl $204.00
fees)
Booking Fee $7.00
Total (Visa) $211.00
Change this flight View cancella informati
Flight summary
Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior
for flights to Hawaii and international destinations). You may check your flight status and departure
gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests
must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special
meals are not available on many flights.
Tue 20- May -08
Indianapolis (IND) to Atlanta (ATL) 434 mi r r
Depart 2:10 pm Arrive 3:41 pm (698 km) 64.ir ran.'
Terminal NORTH Duration: 1 hr 31 mn Flight: 405
TERMINAL
Economy/Coach Class Seat assignments upon check -in [,l More Information Boeing 717
Total distance: 434 mi (698 km) Total duration: 1 hr 31 mn
Thu 22- May -08
Atlanta (ATL) to Indianapolis (IND) 434 mi r ti
Depart 6:47 pm Arrive 8:24 pm (698 km)
Terminal NORTH I Duration: 1 hr 37mn Flight: 497
TERMINAL
Economy/Coach Class Seat assignments upon check -in L More In formation Boeing 737 -700
Total distance: 434 mi (698 km) Total duration: 1 hr 37mn
Airline rules regulations
Tickets are nonrefundable. A fee of $75.00 per ticket will be charged for itinerary changes after the
tickets are issued, provided that the booking rules were followed.
httn www. exnedia ..com /nuh /agent.dll?ascr= oven &itid 235800696 &vwtu= 4 &fsi1 =1 4/28/2008
In addition to any penalties imposed by the airline, a processing fee of up to $30.00 per ticket will
be charged by Expedia for any changes you make to the flights in this itinerary. This fee is waived
for changes made online. Q _More info
o Tickets are nontransferable and name changes are not allowed.
o This price includes a nonrefundable $7.00 booking fee.
Please read important information regarding a irlin e Lia Limitations.
o Other penalties may apply.
o See an overview of all the rules and restrictions applicable for this fare.
s View the complete penalty__rules_for.changes and cancellations associated with this fare.
Customer Support
Itinerary number: 123580069647
If you have questions about your reservation, fill out our itinerary assistance form We'll respond within
24 hours: For immediate assistance call Expedia at 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 -728-
8787 and have the itinerary number ready.
f
httD: /www. ex nub /aaent.dll ?ascr =oben &itid =23 5800696 &vwt 4 &fsil =1 4/28/2008
Hilton HHonors Statement Page 1 of 2
cl I futon HHonors
Minimum Amount Due: $49.00
SUZANNE MAKI Payment Due Date 06/25/2008
1300 HELFORD LN
CARMEL IN 46032 -8334 *Payment must be received by 5 p.m. local time on 06/25/2008
XXXX- XXXX -XXXX -3299
Statement/Closing Date:
06/05/2008
Account Status
Total Revolving Available Revolving
Credit Line Credit Line Cash Advance Limit Available Cash Limit New Balance
$25,000 $21,716 $25,000 $21,716 $3,283.58
Amount Over
Revolving Credit Line Past Due Purch /Adv Minimum Due Minimum Amount Due
$0.00 $0.00 $49.00 $49.00
Transactions
Sale Post Reference
Date Date Number Activity Since Last Statement Charged To Amount
05/26 05/26 82175091 PAYMENT 2,775,32
05/29 05/29 LVH *2T99 STEIN MART #297 CARMEL IN
05/06 05/08 OCSFPNLW ARBY'S #5497 00054973 CARMEL IN Standard Purch
05/06 05/08 GWZF48ML MARSH #080 CARMEL IN Standard Purch 42.02
05/07 05/08 C7Y *ZRF8 MEIJER INC #130 Q01 CARMEL IN Standard Purch 61.0.0,
05/09 05/09 *HDRSBOO ESI *MAIL PHARMACY S 800- 451 -6245 MO Standard Purch 4.0..00
05/10 05/10 94VJHGOO BELLACINOS PIZZA GRINDECARMEL IN Standard Purch 30.72
05/10 05/10 *Q5C4YJ8 MACY *S SOUTH #80 INDIANAPOLIS IN Standard Purch 84:94.
05/10 05/10 XG5C4YJ8 MACY *S SOUTH #80 INDIANAPOLIS IN Standard Purch 2..05..44
05/11 05/11 RHXZ392Q DSW SHOE WAREH00290528 INDIANAPOLIS IN Standard Purch 122.94,
05/11 05/11 JM46492Q DSW SHOE WAREH00292102 CARMEL IN Standard Purch ..2..19.
05/11 05/11 6G10H *L8 KOHL'S #0107 INDIANAPOLIS IN Standard Purch 39.81_
05/12 05/12 YSQPBJCO JOE'S BUTCHER SHOP FISHCARMEL IN Standard Purch 42,1_Q
05/14 05/14 C7ML6BP8 MEIJER INC #130 Q01 CARMEL IN Standard Purch 57.24
05/14 05/14 0602LVOO L2G *IN BMV BRANCH #227 317 233 -6000 IN Standard Purch 421_25.
05/14 05/14 PD105J5J SOUTHWESTAIR5262304174375DALLAS TX Standard Purch 228...0...0.,
05/16 05/16 NVROTOV8 MEIJER INC #130 Q01 CARMEL IN Standard Purch 2..3....0..7
05/18 05/18 924 *QPW8 STEIN MART #297 CARMEL IN Standard Purch 97,89
05/18 05/18 NZ3 *QPW8 STEIN MART #297 CARMEL IN Standard Purch 278,_87
05/18 05/18 MF98SCX8 MEIJER INC #130 Q01 CARMEL IN Standard Purch 6...3...00
05/18 05/18 CD98SCX8 MEIJER INC #130 Q01 CARMEL IN Standard Purch 125..5.5
05/19 05/19 LP8GQ810 USPS 1712769550 CARMEL IN Standard Purch 1,00
05/19 05/19 21TlSF34 FABRIC MASTERS CARMEL IN Standard Purch 49_31_
05/20 05/20 W6P3LT30 MARRIOTT 33749 ATL AP- F /BCOLLEGE PARK GA Standard Purch 3.3..89
05/23 05/23 HZN2K7C3 HOLIDAY INN EXPRESS COLLEGE PARK GA Standard Purch 336 -.74
05/24 05/24 ML0904H3 8384 SHOWPLACE 12 TRADER'INDIANAPOLIS IN Standard Purch 27.75
05/28 05/28 ROPDLBJL BEKAH'S SALON SPA CARMEL IN Standard Purch 1..0.5,_00
05/28 05/28 L2MZ2JXG AIRTRANAIR 3320050579742ATLANTA GA Standard Purch 21 3.50
05/29 05/29 VDKS5BPW KIM ALTERATIONS CARMEL IN Standard Purch 19...0.0
05/29 05/29 7HRO *QGV ARBY'S #7113 00071134 CARMEL IN Standard Purch 6.,6.3
05/29 05/29 CXFRGHOO MDA INDIANAPOLIS IN 3641 317 8244800 IN Standard Purch 10.00.
05/29 05/29 OG5VGH00 RIVERWATCHER STUDIOS 217 3551555 IL Standard Purch 175.09
05/29 05/29 LYDSRHYL PAPA MURPHY'S CARMEL IN Standard Purch 8.99
ITRAQTnNT— V'PQR >QTOTPA/fP ITT nA
Hilton HHonors Statement rage L of L
05/29 05/29 6TH *2T99 STEIN MART #297 CARMEL IN Standard Purch 85
05/30 05/30 1GIRDRD4 FABRIC MASTERS CARMEL IN Standard Purch 1.7..
05/30 05/30 SZ *B1Z *9 POWERNET GLOBAL COMM 513 645 -4914 OH Standard Purch 5,93
05/31 05/31 NVOQ7RL2 TARGET 00013664 CARMEL IN Standard Purch 56,,,12
06/01 06/01 HWPXQFMJ RED ROBIN 680 CLAY TERRACCARMEL IN Standard Purch 31.67
06/03 06/03 7F3V48ML MARSH SUPERMARKET ZIONSVILLE IN Standard Purch 98.91
Statement Messages
Sign up for All- Electronic today.
You'll get your statement online and pay your bill
electronically, too. No more paper statements... or checks.
We'll notify you by email when your statement is ready
each month.
TRANSFER YOUR HIGH -RATE BALANCES AND SAVE! Enjoy a promotional 0.000% APR on
transferred balances until 01/01/09. After that your purchase APR will apply.
There is a finance charge of 3% of the amount of each balance transfer, but not
less than $5.00. Check valid until 08/03/08.
Save Now, use the attached check, or visit us at
www .hhonorscard.accountonline.com.
Account Summary
Previous Purchases Payments FINANCE
Balance Advances Credits CHARGE New Balance
PURCHASES $2,775.32 $3,478.27 $2,970.01 $0.00 $3,283.58
ADVANCES $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL $2,775.32 $3,478.27 $2,970.01 $0.00 $3,283.58
Rate Summary
Days This Billing Period: 029
ANNUAL
Balance Subject to PERCENTAGE
Finance Charge Periodic Rate Nominal APR RATE
PURCHASES
Standard Purch $0.00 0.04107 %(D) 14.990% 14.990%
ADVANCES
Standard Adv $0.00 0.05477 %(D) 19.990% 19.990%
For questions concerning your account, visit us or contact Customer Service at 1- 888 977 -6687.
Close this window
tiff„,• /Airi .i, rnm /CtataniPntc`IPRTNT VF.ROTnN= VF.Ck.CTATFMFNT DA_ 6/6/2008
Hilton 11vnors' Visa Srg^wtu: e 011
Account Number
Customer Service Revolving Available Revol4lnq
1- 866- 517 -7795 Credit line CreditU6g Cash Advance Limit Availa le a Li it New Balance
PO Box 44167 $2:5,00;0 $22,2?" 4 $25000 $22224 $2775.32
Statement/ Amount=0ver Purch /Adv Minimum
Jacksonville, FL Closmq Revolving Credit LL11% Past Due Minimum Due Amount Due
32231 -4167 05AO07/2,,0:08
$41 .;00 $41.00
Sale Date Post Date ReferencR,NU�,' ActivityfSfncetLash3tatement Amount
P.aynen s, Gr�edtts ,Adjustmen
4/21 80739173 PAYMENT THANK YOaf 1;625.95
4/24 4/24 LR156F90 THE HOME DER O,T� #2037` CARMEL IN 128 27
s 4 standard Purcfi�
4/06 4/06 VLB *SG30 J MENARDS 368311g;r� CARMEL IN
4111 4111 P1CP,SP,4HV CAFE NORA SM�t� INDIANAPOLIS IN c,'0Fs
4/13 4/13 DBD908ML�IR a MARSH SUPERMARKET Z ION SVILLE: IN
4/14 4/14 QQ1PW81 USPSM 1712s7�6955'1 CARMEL IN x -35 -40
tTl*�L�7 T;OMWOOUJAGUAR`' INDIANAPOLIS
4/15 4/15 077H IN
4/16 4/16 TRY FdEDEX KrINKOCS #07304 CARMEL IN
4/19 4/19 65NDWTY SHELL OIL57424353704 DAYTON= OH'
4/20 4% €20s �JGM88RL2 T3A'RGET 000136`64 Y CARMELP� IN w 3 tf9
4/20 4/20 2XGP�7 V2 �TARGEsT��� X0001'053 +7 CARMEL+s IN" �6- EE
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4/24 4/24,a D3N6YHZ7 SPEEDWAtY' x7329,, g CARMEL;. IN Lg9�96
4/26 4126 DOL�M58ML MARSHSUP,ERMARKE�T ZIONSVILL'E IN
4/26 4126 5ZT,K6K281' MEI�J ER IN C� #13;0 QOl CARMEL IN
4/26 4/26. 61S MEIIJER .isNC #1x30 QOl CARMEL' IN IO9 -7,0
4/26 4/26 W6SK$K28 MLIKIb INC #130 001 CARMEL IN 4Z&-57
4/26. 4/26' GCYB4FWQ "'tQDOB AN #001" CARMEL;:. IN
4./27 4/ QWXK3G06, TFIr IRIS" LION °LOCMIlIGTO It1 frFr�'
4/28 4/28 59QKHXF3T, Fg`ABRTG MASTERS CARMELt IN t5mtU`'
4/28 4/28 3TFP49XG A hR� ,3320049083571ATL "ANTA' GA 29�
4/29 4/29i M3V63 V,5 r CR0MN ffIQUORc�k CARMEL IN 6
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4/29 4/29 YDHQ6300 %T &XeRUDIkfSERyT E FEES s 800,u367 -3476 NV
4/30 4/30 74401J' 58ML MARSH t #'014 r CARMEL IN
4/30 4/30 DMZtX5C68 PO ER GL06'AL COMM 513 X 645 -4914 OH
5/01 5 /Olt XZFYtORQD 7LF *G'hLBERW6. Q1 EH— INDIANAPOLIS IN
5/02 5/02: 4 *�5Z *7aN98 MEIJER'sINC #106
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5/02 5/02 ,OI�9M G.AWP��s MARIETTA GA Z?
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5/05 5J05 3`2M *SQN3 FA'BRI•C: MASTERS ;CARMEL IN AL-aD
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transferred balances�un i1 12 /wi /08. A that .yourp Purchase APR will apply.
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Table Sales
5/21
Check Tab Cov Server lime
50173 11 1 216 7:30:50 PM
Salmon 22,00
Food Sub -Total 22.00
404
HEDGES CMS GL 9.00 *SOUTHSIDE
422 MON
Beverage Seib -Total 9.00
SUB TOTAL 31 .00 TBL 70 5290 GST 1
20MAY'08 604PM
Sales Tax 2,20
1 NAPA CHICKEN 19:00
TOTAL 33 20� 1 GL ROSE CAB 8.00
dD ff SLib- Total: 2 0
SALES TAX i,89
6 :32 TOTAL DUE 2 8 8 9
VOUCHER 082011 WARRANT ALLOWED
T0,713 IN SUM OF
MAKI, SUE
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
060908 01- 6040 -08 $782.33
Voucher Total $782.33
j Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995).
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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
T0713
MAKI, SUE Purchase Order No.
Carmel Utilities Terms
Due Date 6/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/2008 060908 $782.33
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 0-ificer
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Pre- registration required by May 30, 2008
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No re fund after May 30, 2008
Make Checks Payable to:'.� j O
Hoosier Heartland RC &D Council Inc.
Payment Type Check MasterCard
Cardholder name as it appears on card Please Print):
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Credit Card s
0 Hendricks County
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Exp. Date: mmlyy 3 -digit security code Government Center
Signature: v. ROOM 4 5
(as it appears on card) N 355 S. Washington Street
Address: i 0 rs4 Danville, IN 46122
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Date: Hoosier 1-1'e land RC &DbEducaCon
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Mail completed registration form with a check or d cr)
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credit card information to:
Hoosier Heardand RC &D Council Inc. Hendricks_County
Her County Extension
6041 Lakeside Boulevard
Indianapolis, IN 46278 -1989 tiendrick� Partnership for' 'ra er
w Quality;
VOUCHER 082003 .WARRANT ALLOWED
T0713 IN SUM OF
MAKI, SUE
Carmel Utilities
f
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
060908 01- 6040 -08 $65.00
060908 01- 6360 -08 $26.70
Voucher Total $91.70
.c;ost 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.
v
Payee
T0713
MAKI, SUE Purchase Order No.
Carmel Utilities Terms
Due Date 6/2/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2008 060908 $91.70
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 Officer