HomeMy WebLinkAbout204151 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365288 Page 1 of 1
ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $182.83
CARMEL, INDIANA 46032 15468 FOLLOW DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 204151
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 182.83 TRAVEL FEES EXPENSE
Carmel is Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Oct. 31 Delta 1091 4343000 Travel Exp. $25.00 A Baggage
Oct. 31 Qdoba 1091 4343000 Travel Exp. 9.68 13 Meal
Oct. 31 Marta 1091 4343000 Travel Exp. 3.50 C Transportation
Oct. 31 Ray's In The City 1091 4343000 Travel Exp. 45.00 Meal
Nov. 1 Georgia World Congress Center 1091 4343000 Travel Exp. 2.21 E Meal
Nov. 1 TJ's Sandwiches 1091 4343000 Travel Exp. 8.62 F Meal
Nov. 2 Azio 1091 4343000 Travel Exp. 37.21 Meal
Nov. 3 Wend 's 1091 4343000 Travel Exp. 6.09 ff Meal
Nov. 3 Georg World Congress Center 1091 4343000 Travel Exp. 4.48 1 Meal
Nov. 4 Marta 1091 4343000 Travel Exp. 2.50 Zvi Trans ortation
Nov. 4 Abica 1091 4343000 Travel Exp. 2.54 Meal
Nov. 4 Indianapolis Int. Airport 1091 4343000 Travel Exp. 36.00 L Parkin
All receipts should be attached in the same order as listed above.
No sales tax will be reimbu TOTAL:
Employee Name (print) Kurtis Baumgartner p �f
1 NOV 17 2011
Address 15468 Follow Drive
Check
payable to: City, St, Zip lesvill IN 46060 DY:
o
Signature: Approved by: n..
Date: 11/16/2011 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365288 Baumgartner, Kurtis Terms
15468 Follow Drive
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/16/11 Reimb Travel expenses for NRPA congress 182.83
Total 182.83
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.
365288 Baumgartner, Kurtis Allowed 20
15468 Follow Drive
Noblesville, IN 46060
In Sum of
182.83
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4343000 182.83 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
1 -Dec 2011
�V
Signature
182.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund