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HomeMy WebLinkAbout210264 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365410 Page 1 of 1 ONE CIVIC SQUARE BRIAN BALLARD CARMEL, INDIANA 46032 CHECK AMOUNT: $346.00 28 W. EVENING ROSE WAY WESTFIELD IN 46074 CHECK NUMBER: 210264 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 346.00 ORGANIZATION MEMBER CITY OF CARMEL Expense Report (required for all travel expenses) M ���NDIANj EXHIBIT A EMPLOYEE NAME: fLrR of !�A DEPARTURE DATE: TIME: AM PM DEPARTMENT: RETURN DATE: TIME: AM PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem r� i i t i 4 r Total f 4 DIRECTOR'S STATE T: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Direc Signatures Date: City of Carmel Form ER06 Revision Date 10/17/2006 Page 1 Page 1 of 1 Your Payment has been Approved! THIS IS YOUR PAYMENT RECEIPT Thank you for renewing your membership in the PGA of America. This is your payment receipt. Please PRINT IT NOW for your records. Your membership credentials will be mailed separately. If you do not receive them within a few weeks, please contact the PGA Membership Services Department at 800474 -2776. Name: Brian S. Ballard, PGA ID: 27392746 Reference A02apt Card Type: VAWW Card Number: xxxxxxxxxxxxon Card Holder: Brian S. Ballard, PGA Payment Amount: $346.00 Payment Date: 06/15/2012 Description Amount 055 Member Sectional Dues $175.00 Member National Dues $100.00 Life Insurance Premium $26.00 Liability Insurance Premium $30.00 Building Assessment $15.00 Total: $346.00 Click here to return to PGALinks. https: extranet .pgalinks.com /memberonly2 /017 /pgamemssadues.validcc_ page 6/15/2012 Capital One Online Banking Transaction Details Page 1 of 1 Close Window capif Print this page M- Transaction Details Transaction Date: 06/15/2012 Posted Date: 06/16/2012 Amount: $346.00 Details: PGA MEMBER INFO SRVCS 800 474 -2776 FL BUSINESS SERVICES NOT ELSEWHERE CLASSIFIED Category: Other Services 02011 Capital One The trademarks used herein are owned by Capital One. All rights reserved. Close Window https /servicing.capitalone.com/C 1 Accounts Print. aspx? q= dHJ4RGFOZTOwNi8xNS8yMDEyDQpwb3 6/18/2012 VOUCHER NO. WARRANT NO. ALLOWED 20 Brian Ballard IN SUM OF 5863 Scott -Ian Court Indianapolis, IN 46254 $346.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I I 43- 553.00 I $346.00 I 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 Wednesday, June 20, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 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)) 06/15/12 Dues $346.00 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