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Home My WebLink About171988 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 q tglm fqa sitr&c uwtes y7. too. loo 3.12 13 k� I1 DI T Qav m 2•w Lu,n L4 to log i ck;s ti -I- r Minn el 6 o\ e1 r Usk y 3 8rca k u 09 N o vyvdn L, s� l 3.09 V $rea k tf fL lnAi().no. 2-U7.00 "Ok-e-\ 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