169601 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361349 Page 1 of 1
ONE CIVIC SQUARE ERIC ROBINSON CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 6119 DADO DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 169601
CHECK DATE: 3/412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30.00 EMPLOYEE PENSIONS B
OF
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CITY OF CARMEL Expense Report (required for all travel expenses)
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2008 mileage reimbursement rate is 58.5 cents /mile
EMPLOYEE NAME: ERIC ROBINSON DEPARTURE DATE: 2/12/2009 TIME:
DEPARTMENT: Utilities /Sewer RETURN DATE: TIME:
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch I Dinner I Snacks Per Diem
2/12/09 RENEW CDL LICENSE $30.00 $30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 2/12/2009 Page 1
Bureau of Motor Vehicles II
F III VIII III IIIIIIIIII VIII IIIIIIIIII VIII IIIIIIIIIIIII
Transaction Receipt
BMU State Form 51717 (4 -04)
Branch: CARMEL STARS (527) Date: 2/12/09 Time: 10:46:23 am EDT
Visit ID: 146594956 Visit Duration: 00:03:47
Visit Customer: ERIC S ROBINSON Visit Duration is the time elapsed from check in to
transaction completion.
This time does not include testing time.
Transactions
Trans ID Trans Type Trans Subtype Amount
161390103 Driver Renew CDL License Renew $30.00
Subtotal: $30.00
Sales /Use Tax: $0.00
Total: $30.00
Payment Method Amount DL Number Authorization Number Name
CREDIT $30.00 T8822B
Total Due: $30.00
Amount Paid: $30.00
Change Due: $0.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed,- dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1004
ROBINSON, ERIC Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 2/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2009 021209 $30.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date evl
Y
VOUCHER 095098 WARRANT ALLOWED
T1`004 IN SUM OF
ROBINSON, ERIC
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
021209 01- 7042 -06 $30.00
Voucher Total $30.00
s
Cost distribution ledger classification if
claim paid under vehicle highway fund