HomeMy WebLinkAbout171988 04/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 360624 Page 1 of 1
ONE CIVIC SQUARE TESS PINTER
i CHECK AMOUNT: $338.68
�•.�,�a CARMEL, INDIANA 46032 13046 DOLPHINS LN
«per FISHERS IN 46037 CHECK NUMBER: 171988
CHECK DATE: 4129/2009
6EP ARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUN DESCRIPT
104'1 4343002 923 338.68 EXTERNAL TRAINING TRA
Carm
arks &Recreati ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget D escription Amoun Purpose of Expense
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09 N o vyvdn L, s� l 3.09 V $rea k tf
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L\ �kt I oq t y7. ln 3�1300�1 er er� 15 25 4h.
LNo ll receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL: 33 (!tg a 39 u�
'off
Employee Name (print)
7e5S j() r APR 17 2009
Address 1300to )0/ h %its L7 Check Y:
payable to: City, St, Zip
Signature: `Appro y
Date: 44117109 Date:
Ll
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
4
INDIANA
MEMORIAL UNION
INDIANA UNIVERSITY
Biddle Hotel Conference Center
Ms. Tess Pinter Bloomington
1235 Central Prk Dr. E Arrival 04 -05 -09
Carmel, IN 46032 Departure 04 -08 -09
United States Cashier No. 14
Room No. 121
Folio No. 79103
Page No. 1 of 2
Date Text Charges Credits
USD USD
04 -05 -09 Room 89.00
04 -05 -09 County Occupancy Tax 4.45
04 -05 -09 Sales Tax 6.23
04 -06 -09 Room 89.00
04 -06 -09 County Occupancy Tax 4.45
04 -06 -09 Sales Tax 6.23
04 -07 -09 Room 89.00
04 -07 -09 County Occupancy Tax 4.45
04 -07 -09 Sales Tax 6.23
04 -08 -09 Adj -Sales Tax -18.69
Tax Exemption
04 -08 -09 Adj- County Occupancy Tax -13.35
Tax Exemption
04 -08 -09 411110 267.00
XXXXXXXXXXXX XX /XX
Total 267.00 267.00
Balance 0.00
900 E. Seventh Street Bloomington, IN 47405 (812) 856 -6381 fax (812) 855 -3426 www.imu.indiana.edu
INDIANA
MEMORIAL UNI ®N
INDIANA UNIVERSITY
Biddle Hotel Conference Center
Ms. Tess Pinter Bloomington
1235 Central Prk Dr. E Arrival 04 -05 -09
Carmel, IN 46032
United States Departure 04 -08 -09
Cashier No. 14
Room No. 121
Folio No. 79103
Page No. 2 of 2
Date Text Charges Credits
USD USD
Signatu
I agree that I am personally liable for the payment of this account
and if the person, company or association indicated does not
settle within a reasonable period, my liability for payment should
be joint and several with such person, company or association.
900 E. Seventh Street Bloomington, IN 47405 (812) 856 -6381 fax (812) 855 -3426 www.imu.indiana.edu
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.
360624 Pinter, Tess Terms
13046 Dolphins Lane
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4117109 Reimb. Conference expenses 338.68
Total 338.68
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.
360624.. Pinter, Tess Allowed 20
13046 Dolphins Lane
Fishers, IN 46037
In Sum of
338.68
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4343002 338.68 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
22 -Apr 2009
Signature
338.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund