HomeMy WebLinkAbout155906 01/23/2008 CITY OF CARMEL, INbIANA VENDOR: 00351133 Page 1 of 1
ONE CIVIC SQUARE LUCI SNYDER
CARMEL, INDIANA 46032 CHECK AMOUNT: $34.00
CHECK NUMBER: 155906
CHECK DATE: 1/23/2008
DE,yARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4343004 34.00 TRAVEL PER DIEMS
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: CA DEPARTURE DATE: �S TIME: 1 AM PM
DEPARTMENT: i2OUJ RETURN DATE: 6 TIME: D� AM PM
REASON FOR TRAVEL: �CL lV b �r �t I DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT AZ TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. °'Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
P
5 3 R� n.iY��ff�tl3.i
Pa ^,y Est
r=
�wz R ,a
5: �"t.v.
4 a„uT a 4 X 0
ITT Qta� tic4'�a, 9,.. ..,`i""�tn ;$.�'ip�
DIRECTOR'S STAT NT: I hereby a irm that all expens s I' d confor o the City's travel policy and are within my department's appropriated budget.
Director Signature: I Date:
City of Carmel Form ER06 Revision Date 10/17/2006 Page 1
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
�r
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
L I X(mot Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
6 d �e�
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund