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
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Ill
Melvill!
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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