HomeMy WebLinkAbout228824 1/29/2014 CITY OF CARMEL, INDIANA VENDOR: 364842 Page 1 of 1
ONE CIVIC SQUARE KATHLEEN VASIL
CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK AMOUNT: $72.00
CARMEL IN 46033 CHECK NUMBER: 228824
CHECK DATE: 1/29/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 72 . 00 TIP
/Y oP C4R?s�•\
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: _ DEPARTURE DATE: TIME: AM /PM
DEPARTMENT: b2 l�G RETURN DATE: TIME: AM / RM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals Misc.
DateLodging
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
.Eq
1'
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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.
/ Date:
Director Signature: < <� Da '
City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1
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))
01/29/14 I K Vasiljan14 I Banquet Tip I $72.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kathy Vasil
IN SUM OF $
3779 Simmeraen Ct.
Carmel, IN 46033
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 .I K Vasiljan14 I 42-390.40 I $72.00 1 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, January 29, 2014
Director, Brooks i Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund