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HomeMy WebLinkAbout166270 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1 ONE CIVIC SQUARE CARRIE KEAVENEY 0 CHECK AMOUNT: $398.05 CARMEL, INDIANA 46032 13789 FIELDSHIRE TERRACE off WESTFIELD IN 46074 CHECK NUMBER: 166270 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER IN VOICE N UMBER AMOUNT D ESCRIPTION 1047 4343000 398.05 TRAVEL FEES EXPENSE T E E i e I Car Mel a Clay n (Parks &Recreation %v -vtce Employee Expense Reimbursement Request a i Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1 11x/09 Nolida {hn 3 Y313um (S11`.(o9 (!arr,r 111(/0 c ry f (I� 1�� Tray d �-x ll�y b LCU's f (3. UD luncti II�y Ouf6zCk Sfzo- Lko u.'st drnntr (cz c/v 6 rez ETosl ll�s� F perrn,lls (6 CQ,nru,� I I S` La:5m, kID a .10 ice, toy vc3n All receipts should be attached in the same order as listed above. TOTAL: No sales tax will be reimbursed. 3�g D Employee Name (print) (Zo y" r� K 2 2 vje,:'\Z �1 =BY: Address 13'1iq ri'eid Zr(CLCA Check payable to: City, st, Zip (yeS {v �r (dv Signature: Approved by: Date: 1(� g G Date: (I b I Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request f 4 =�t� ®TELS� �RESCDR =T� 11 -05 -08 Carrie Keaveney Folio No. 56308 Room No. 282 13789 Field Shireterrace A/R Number Arrival 11 -04 -08 Westfield Indiana Group Code Departure 11 -05 -08 Usa, 46074 Company Conf. No. 66160120 Membership No. Rate Code IGCOR Page No. 1 of 1 Date Description Charges Credits 11 -04 -08 'Accommodation 139.99 11 -04 -08 State Tax 8.40 11 -04 -08 Occupancy Tax 2.80 11 -04 -08 Convention Tax 2.10 11 -04 -08 Room Tax 1.40 11 -05 -08 XXXXXXXXXXX 154.69 Total 154.69 154.69 Balance 0.00 Guest Signature: I have received the goods and or services in the amount shown heron. 1 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. Purchase xx Description L( P.O. AJ A P or F G.L. y7 f 0QD gW(32 Budget %�lil/& Line Descr Purchaser Date Approval G Datejl"Z Z 7��i Holiday Inn Southgate Banquet Conference Center 17201 Northline Road Southgate, MI 48195 Telephone: (734) 283 -4400 Fax: (734) 283 -6855 11 -05 -08 Calie Keaveney Folio No. 56307 Room No. 157 13789 Fieldshire Terrace A/R Number Arrival 11 -04 -08 Westfield, IN 46074 Group Code Departure 11 -05 -08 us Company Conf. No. 66160121 Membership No. Rate Code IGCOR Page No. 1 of 1 Date Description Charges Credits 11 -04 -08 'Accommodation 139.99 11 -04 -08 State Tax 8.40 11 -04 -08 Occupancy Tax 2.80 11 -04 -08 Convention Tax 2.10 11 -04 -08 Room Tax 1.40 11 -05 -08 JM XXXXXXXXXXXXOM 154.69 Total 154.69 154.69 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. Purchase /1 Description ���1�fUC� nkg4w P.O. _fita PorF G. L. L I1 SOV i 000 Budget Line Descr yd r a' Purchaser Date Approval_ Date d Holiday Inn Southgate Banquet Conference Center 17201 Northline Road Southgate, MI 48195 Telephone: (734) 283 -4400 Fax: (734) 283 -6855 Carrie Keaveney From: Mark Frushone [MFrushone @fitlinxx.com] on behalf of Service Certification ServiceCertification @fitlinxx.com) Sent: Thursday, November 06, 2008 3:27 PM To: Service Certification tSubject: "FitLinxx Service Certification Level 2 Exam by FitLinxx You have been invited to view a presentation titled "FitLinxx Service Certification Level 2 Exam authored by FitLinxx. Please use the link below to view the presentation: http:// www .brainshark.com /fitlinxx /vu ?pi= 724061074 Please complete exam by November 24 2008. FSC j Q-S�C��A4�lz i ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly of t hours, d rate perhhourknumber service, where performed, price per unit, dates service rendered, by whom, rates per day, number Payee Purchase Order No. Terms 361255 Keaveney, Carrie 13789 Fieldshire Terrace Westfield, In 46074 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/8/08 Reimb Meals /lodging for Fitlinxx service certification 398.05 Total 398.05 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 Voucher No. Warrant No. 361255 Keaveney, Carrie Allowed 20 13789 Fieldshire Terrace Westfield, In 46074 In Sum of 398.05 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members Dept 1047 Reimb 4343000 398.05 1 hereby certify that the attached invoice(s), or 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 -Nov 2008 Signature 398.05 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund