210264 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)
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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
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Total f
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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
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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
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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