HomeMy WebLinkAbout168897 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 361703 Page 1 of 1
ONE CIVIC SQUARE SARAH CARLING
CARMEL, INDIANA 46032 9215 PARK AV CHECK AMOUNT: $778.71
INDPLS IN 46240 CHECK NUMBER: 168897
CHECK DATE: 2/1712009
DEPARTMENT ACCOUNT PO NUMBE INVO NUMBER AM OUNT DES CRIPTION
1047 4343002 778.71 EXTERNAL TRAINING TRA
CEIVED
FEB 1 1 2009
PRESCRIBED BY STATE BOAR) OF ACCOUNTS B 1 GENERAL FORM NO- 101 (986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UN1T1
ON ACCOUNT OF APPROPRIATION NQ FOR
(0MCE, BOARD. DEPARTMENT OR INSTITUTION)
DATE FROM TO I R +A AUTO MILEAGE
CT READING NATURE OF BUSINESS MILES
POINT POINT START FINISH TRAVELED PER MILE
I
E
I
AUTO LICENSE NO. TOTALS 2 ZL I �Lry
SPEEDOMETER READING, columns are to be used only when distance between paints cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after alio all s�Or its
end that no art oft e sa has been paid.
Dat
L-D
0
Carmel M Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
q 81 c w' �3 `i A-4--
q�L,3
g3 11 111 09 t e �'p j. aea. I�� y T stiftrL p� Die /9! g3
j JZ O�j rDWV Ld 100-10o.43Li Fmve f r' gem 3 ae
HI YPOA 00 ve 1
D y e (4 oLI '.t0, 2mq TrAv
t��y C�r��� CDIubCC� cane? �i �v�. �c �,�>P fret
6a
L�� Gh c�yt
q,,7 It)O, V, 76
All receipts should be attached in the same order as listed above. 1
No sales tax will be reimbursed. a TOTAL_ 5 O
Employee Name (print) l 2
Address l Z 1t) Pa�1�
Check
payable to: City, St, Zip 5 W L P 2
Signature: Approved by:
Date: j 2(-)/(21 Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdminis \FOrms \Staff Forms\Employee Exp Reimb Request 7
1
i
1
r p
�4 c�a¢asi¢a Qoccr�t�da
caarca400w Q¢G'14¢l3
4wis UM you 2 thQ
GG�SiII l�Cs �1�4 0 0 0' e
Last Name First Name Folio I Page I
CARLING SARAH
S treet Room 634
9215 N PARK AVE Rate
115.00
Arrivai 01/11/09 SUN
City Slate I Zip Code Departure
INDIANAPOLIS IN 46240 01/14/09 WED
Bonuses [ype CCARD
(317) 473 -5934 1/0
Account
XXXXXXXXXXXX0663 XX /XX
DATE DESCRIPTION CHARGE /CREDIT DATE DESCRIPTION CHARGE /CREDIT
01 /11 GROUP ROOM 115.00 *In a Hurry? Please utilize our Express Self Check Out Kios
01 /11 *ROOM TAX 19.26 The Express Self Check Out Kiosk are located in the front corn r
01/12 GROUP ROOM 115.00 hotel lobby,
01/12 *ROOM TAX 19.26
01113 GROUP ROOM 115.00
01/13 *ROOM TAX 19.26
01/14 XXX XXXXXXXXX'V663 ExXX/ X 402.78
Total Due .00
t
MAST 67040670010 x 9
ldt pi —U-111
No frequent traveler account has been creel ed fbr this stay
To enroll in Gold Passport, call 1- 800 -51 MATT.
If you have any questions or comments, please contact me directly
via tel hone at 614- 280 -3032 or email Eri cz .uberroth hyatt.co
For bit ing inquiries contact Accounti:.-g at 14- 463 -1234 Ext 3 6
Since ely, Erik Uberroth, Executive Assistant Manager
I.
I agree that m liability /or this bill is not waived and agree to be held personally liable in the
Signature event that the indicated person, compant or association Jails no pay lb ot part or the fill
amount q/ these changes.
C�Qt�I'oQ GY
KYWU
t�op171 [s c3 vsd !1�,M�ltvolrri co f"eoIn'�`o yonf r frw immin --too M.
HYATT EXPRESS CHECK -Ifs KIOSK
I I The Hyatt Express Check -in Kosk located in the hotel lobby, allows you to check in and check out with the simple touch of a
screen.
HYATT FAST BOARD TIM
Make travel easier by printing your airline- boarding pass in the lobby at our Fast Board terminal.
HYATT &CONCIERGE
Plan spa and dinner reservations, destination activities or in -room indulgences weeks in advance online with Hyatt E- Concierge. To
e.co n le rge
access this service, request an email confirmation when making your reservation.
HYATT WEB CHECK -IN
J Hyatt Gold Passport" members can check -in for their next Hyatt stay in advance of arrival through the Internet. PDA or any web
FiZT enaoled device.
WE6 CHECK -IN
HYATT GOLD PASSPORT"
l u
HYATT M-13 PASSPORT Earn free nights and enjoy exclusive membership benefits with Hyatt Gold Passport. To join our global frequent guest program,
please call 800 51 HYATT or visit goldpassport.com.
f r a'�r ede npt. cl �'va" G�Id f'�ti•.:; r' as HmC ita!- o compute leans and conditions. Hyatt Web Check-in is available at participating Hyatt Hotels Resorts in the U.S. and Canada and may not be used with certatr gaa
A,•, rLle t lyati I mspai t Will aroes oc the day of an,wl starting at 1.00 pm EST and to Nalinum and Diamond members at 9:00 am EST until 11:59 prr EST Visit goldpassport corn for complete r ilr. rlv
..HET ova table at pai6opi rioters wr to guests wno make the, reservation on Hyatt com and provide an email address or request an email Confirmation offerings vary by location. All reservations for activities are subject to availability of all venues v
_n °w!, r A,r,re cnecn m using Fast Boom'" volect to the applicable airline's terms and conditions and is available for particpating airl nes only Express Check -m Kiosks availability may vary by location. HYATT name design and related marks are trabrr
Hyatt Corporabon Q2CCb Hyatt Corporation. All i Eht, reserved
ASH 37918 (Rev 08/08)
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.
Terms
361703 Carling, Sarah
9215 Park Ave
Indianapolis, IN 46240
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
221.86
1/20/09 Reimb Mileage OPRA Conf 1/14/09 556.85
1/20/09 Reimb OPRA Conference expenses
Total 778.71
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.
361703 Carling, Sarah Allowed 20
9215 Park Ave
Indianapolis, IN 46240
In Sum of
778.71
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb 4343002 221.86 1 hereby certify that the attached invoice(s), or
1047 Reimb 4343002 556.85 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
13 -Feb 2009
Signature
778.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund