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221070 06/18/2013 °,. CITY OF CARMEL, INDIANA VENDOR: 366940 Page 1 of 1 ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: $40.00 4®+a CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 221070 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25 . 00 CELLULAR PHONE FEES 1095 4239099 REIMB 15 . 00 OTHER MISCELLANOUS Carmel e Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # gLine# Budget Description Amount Purpose of Expense 5/21/2013 ServSafe l I e 1 C) q $ 15.00 Training I All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $15.00 [jMWEmployee Name(print) Nichole Haberlin , Address 9958_Worthington Blvd MAY 29 2013 Check payable to: City, St, Zip Fishers, In 46038 L'�___�_.-__., Signature: Approved b ' �j 2 Pp Y v Date: ` "J Date: jj Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Nichole Haberlin From: ServSafe - National Restaurant Association [ServiceCenter @restaurant.org] Sent: Tuesday, May 21, 2013 7:54 AM To: Nichole Haberlin Subject: National Restaurant Association Order Confirmation Number 1937620 Dear Nichole Haberlin, Thank you for your order,we greatly appreciate your business. Your confirmation number 1937620. Please reference this number when making inquiries. . . e w SSECT5 ServSafe Food Handler Online Course and Assessment BUNDLE 1 $15.00 $15.00 Sub Total $15.00 Shipping/Handling $0.00 Sales Tax $0.00 Grand Total $15.00 Payment method: Credit Card Bill to: Nichole Haberlin 1235 Central Park Drive East Carmel, IN 46032 UNITED STATES Shipping Method: Unknown Ship to: Nichole Haberlin 1235 Central Park Drive East Carmel, IN 46032 UNITED STATES You will receive an email notification to inform you when your order ships. If you need any assistance or have any questions, visit Customer Assistance on ServSafe.com. Please see below for the National Restaurant Association contact information and business hours. Service Center National Restaurant Association 175 West Jackson Boulevard, Suite 1500 Chicago, Illinois 60604-2814 Business hours: 8:00 a.m. to 6:30 p.m. CST Phone: (800)765-2122 ext. 6703 In Chicagoland (312) 715-1010 ext. 6703 Email: ServiceCenter(o)restaurant.org 1 Certificate of Achievement idd Ill Melvill! cahe-' You ANSI ACCREDITED PROGRAM bervb'afe, Food tiandler CERTIFICATE ISSUER #0655 Employee Food Safety Online Course and Exam NATIONAL RESTAURANT -111.0-997- 5/2-1/201.3 ASSOCIATION, Carmel Clair Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 5 -I UVA 2- 1091 4344100 Cell Phone Charges $ 25.00 J& All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Address99Glj Check MAY 2 9 2013 payable to: City, St, Zip S i • BY: Signature: !� Approved by:, Date: ✓ � Date: dg In Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 5/28/13 BiIIPayer I Payment Center 1 (.� 1t�(,P (/)t/� Biller Name Account Amount Pay Date Contirmation Status VERIZON WIRELESS *38009 $106.12 05/29/2013 FVT7M-R17DF Pending phone *00001 This bill payment is pending. The payment will be processed in time for the biller to receive it by the pay date. View Bill Due Date Amount Account Balance 06/14/2013 Due:$106.12 MAY 2 9 2013 https://bi I I payl.pscufs.corr cw411/V,ps?rq=ov&sp=17028&oss=44eeO78Od l OOf7e4bOb7f6868Od6554b&osn= 1/1 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. 366940 Haberlin, Nichole Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 5/21/13 Reimb Training $ 15.00 5/29/13 Reimb Cell phone reimbursement Niay'13 $ 25.00 Mileage 1/28/13 Total $ 40.00 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. 366940 Haberlin, Nichole Allowed 20 In Sum of$ $ 40.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 Reimb 4239099 $ 15.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4344100 $ 25.00 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-Jun 2013 P&kftrnmvv Signature $ 40.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund