HomeMy WebLinkAbout176358 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: T361885 Page 1 of 1
ONE CIVIC SQUARE MELISSA MONTGOMERY CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 434 3RD AVE NW #8
s� CARMEL IN 46032 CHECK NUMBER: 176358
CHECK DATE: 8/1912009
D EPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1207 4357002 150.00 EXTERNAL TRAINING FEE
CITY OF CARMEL Expense Report (required for all travel expenses)
\��NOIpNa/ EXHIBIT A
EMPLOYEE NAME: _M opr6anM fir rnf[ S S DEPARTURE DATE: TIME: AM PM
DEPARTMENT: 13(? Qot�Sl -})!Z£ GC RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE .7".RF4�EL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc.
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
00 b"
7 N CA LAyu
1:
Total
s
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 10/17/2006 Page 1
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A N Event Rel4istration Confirmation Notice
For iofboou1ioo please co1| us at
(N00)474-2776
2757|0O8
k4dinu A Montgomery
2209 E. |5|stStreet
6p/4
Cu,mci IN 46033
-___--_(ocfiunoV»n#:-_J269/84_-___
Event 0#: 12814A Location: StonyCmokGo|[Club
mumc |28NA Stony Creek CC
Start Date: 07/27/2009 End Date: 07/27/2009
CHARGES:
DATE TYPE KE[EK[MCC DESCRIPTION /0TY STATUS /6K40UNT
BILL TO: 27571008 Ndica AK400tg»moy
05/302009 ITEM PAT xAT xCOvC $100.00
$|00.0O
Total Charge 000.00
PAYMENTS:
DATE I TYPE AND DESCRIPTION I PAID BY I AMOUNT
05B0/2009 5x Mastercard 27571008 Melissa xNnntgomcry $100.00
$|V0.00
rwa I'pu'm e- nm: —'-�k0��---
ACT aso[W|/2009
You are now registered for the event(s) listed above.
Please contact the PGA Membership Services Department to make changes to this registration 1'800474'2776.
Prescribed by State Board o1 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 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I 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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
7
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1Z0 7 S '9� S7o Q� �"a,G� bill(s) is (are) true and correct and that the
7 S�Q �a materials or services itemized thereon for
which charge is made were ordered and
received except
20 li
Signatur
Cost distribution ledger classification if 41- itle
claim paid motor vehicle highway fund