HomeMy WebLinkAbout230454 03/26/14 ';f. CITY OF CARMEL, INDIANA VENDOR: 358411
d ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $**.....559.30*
f. _� CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK NUMBER: 230454
91j�1>UN�� INDIANAPOLIS IN 46220 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 559.30 TRAVEL FEES & EXPENSE
Carmel aClay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account pr S ern
Receipt Vendor listed on receipt # Line# Budget Description c-tAmount Purpose of Expense
IS -74L-, P` A n2�'
C)
311 IM bo r oo-yY e-cc-qk o
31 Mmf(� s
S)21M Gin` s 4S , 9 -4 ~r d �nt�er
3( 2-) H Qf ms\ 67. :\ (0 . a ° c? SnQc S
313 -�
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: :Is 03
Employeen Name(print) vel C,S�L fy-,oy�S I�
Address �Q J 1 l 01�� �1`� 5�•
Check \
payable to: City, St,Zip GAG no\\S
Signature: �f Approved by:
Date: 3 I`� �`j Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
V
Carmel 0 Clay
Parks&Recreati®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # iLine# Budget Description Amount Purpose of Expense
alai to �el SSI-q� 43'y3�0 r�ve,1 'C - Gc' cl�eckea bo,
s
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $
Employeen Name(print) J 2�)(11 -eAr l \G '( on S
Address
Check QQ
payable to: City, St, Zip ( \G(1 O 1 l 2-7-0
Signature: 1, Approved by:
Date: 3 l , Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Fortes/Employee Exp Reimb Request 2007-3
Sheraton New York Times Square Hotel S
811 Seventh Avenue
New York, NY 10019 p y�
United States Sherat®n®
Tel: 212-581-1000 Fax: 212-262-4410_ HOTELS&RESOHTS
Jennifer Hammons Page Number 1 Invoice Nbr : 410073
634 Northview Ave Guest Number 9741405
Indianapolis, IN 46220 Folio ID EX-A
Arrive Date 02-MAR-14 15:16
Email Has Not Been Depart Date 03-MAR-14
Asked For Email No. Of Guest 2
Room Number 1433
Room Rate 237.33
Club Account
Information Invoice
Tax ID
Sheraton New York 03-MAR-14 01:40 CYNTMUN1
Dates Reference _Description�_ °'_Amount , _�
02-MAR-14 RT1433 Room Chrg Retail 237.33
02-MAR-14 RT1433 Room Sales Tax 21.06
02-MAR-14 RT1433 Occupan/Tourism Tax 2.00
02-MAR-14 RT1433 NYS Javits Ctr Tax 1.50
02--MP_P.-14- --RT1433- City/Isocal Tax 13.94
03-MAR-14 -`^- -275.83 �.
*** Balance 0.00
For your convenience, we have prepared this zero-balance folio indicating a
$0 balance on your account. Please be advised that any charges not reflected
on this folio will be charged to the credit card on file with the hotel.
While this folio reflects a $0 balance, your credit card may not be charged
until after your departure. You are ultimately responsible for paying all of
your folio charges in full.
Continued on the next page
Sheraton New York Times Square Hotel
811 Seventh Avenue J �V,
New York, NY 10019
United States Shi lfear a,toir
Tel: 212-581-1000 Fax: 212-262-4410 ROOTELS&(RESORTS
Jennifer Hammons Page Number 2 Invoice Nbr : 410073
634 Northview Ave Guest Number 9741405
Indianapolis, IN 46220 Folio ID EX-A
Arrive Date 02-MAR-14 15:16
Email Has Not Been Depart Date 03-MAR-14
Asked For Email No. Of Guest 2
Room Number 1433
Room Rate 237.33
Club Account
Information Invoice
Upgrade to Sheraton Club on your next stay, where available. Enjoy a higher
level of comfort and convenience in Sheraton Club and discover a place to be
more productive, catch up with friends and enjoy complimentary breakfast,
drinks and all-day snacks. Learn more at www.sheraton.com/club
As a Starwood Preferred Guest, you could have earned 475 Starpoints for this
visit. Please provide your member number or enroll today.
Tell us about your stay. www.sheraton.com/reviews
EXPENSE SUMMARY REPORT
_' - -, -- r - —
yDate .w .. & Tax.._ Beu
02-MAR-14 275.83 0.00 0.00
-------------------- -------------------- --------------------
Total 275.83 0.00 0.00
Date Parking Other Total
02-MAR-14 0.00 0.00 275.83
-------------------- -------------------- --------------------
Total 0.00 0.00 275.83
Date Payment
02-MAR-14 0.00
--------------------
Total 0.00
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M Carmel, IN
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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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/8/14 Reimb. Travel expenses NAA Conference $ 559.30
Mileage 11/11 -12/27/13
To $ 559.30
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.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of$
$ 559.30
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb. 4343000 $ 559.30 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
20-Mar 2014
Signature
$ 559.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund