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232166 05/07/14 CITY OF CARMEL, INDIANA VENDOR: 368198 ® 4r ONE CIVIC SQUARE CARMEL SISTER CITIES INC CHECK AMOUNT: $*****2,296.12* ?q CARMEL, INDIANA 46032 C/O BARBARA MOSHIER,PRESIDENT CHECK NUMBER: 232166 12064 CLUBHOUSE DRIVE CHECK DATE: 05/07/14 FISHERS IN 46038 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 RC10034 2,296.12 FESTIVAL COMMUNITY EV CARMEL SISTER CITIES, INC. INVOICE May 5, 2014 Carmel Sister Cities, Inc. c/o Barbara Moshier, President 12064 Clubhouse Drive Fishers, IN 46038 For reimbursement—April 27, 2014, Carmel/Kawachinagano City, Japan 201h Anniversary Celebration Dinner with Carmel Citizens Ritz Charles Facility, Carmel, IN 46032 Total: $ 2,296.12 - - Please remit to the-above address. - -- Thank you! Barbara Moshier, President Ritz Charles Carmel EVENT CHECK:RC10034 12156 N.Meridian Street Event Date: Sunday,April 27,2014 Carmel,IN 46032 Event Name: CARMEL SISTER CITIES DINNER Telephone Number:(317)846-9158 Ext:17 Site: Ritz Charles Carmel Fax Number:(317)575-2253 Salesperson: Elise DeJean E-mail:edejean@ritzcharles.com Contact: Barb Moshier Daytime Phone: (317)845-5797 Mailing Address: Carmel Sister Cities Inc Fax Number: 12064 Clubhouse Dr. On-Site Contact: Barb Moshier Fishers,IN 46038 E-mail: barbmoshier@att.net Referred By: EG2 Day/Date Start/End Time Location Function Est Gte_ Set Rental Sun.,4/27/14 5:00PM-10:00PM Carmel Room D Dinner 55 62 64 $0.00 FOOD QTY_ PRICE TOTAL Seared Pork Tenderloin Medallions with Peppered Bacon and Mustard Glace served with Wild Rice 62 $33.00 $2,046.001 Pilaf and Green Beans with Almonds i BEVERAGE QTY PRICE TOTAL ` SET-UP&SERVICE I QTY_1 PRICE TOTAL TOTAL CHARGES Charges Service Charge Subtotal Tax 1 Tax 1 Total 22.00% Rate Facility Rental $0.00 $0.00 $0.00 7.0000% $0.00 $0.00 Food $2,046.00 $450.12 $2,496.12 9.0000% $0.00 $2,496.12 Beverage $0.00 $0.001 $0.001 9.0000% $0.00 $0.00 Set-Up $0.00 $0.00 $0.00 7.0000% $0.00 $0.00 Grand Totals $2,046.00 $450.12 $2,496.121 $0.00 $2,496.12 Payments Received $$200.00 Method of Payment:In Advance Balance Due $2,296.12 i VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Sister Cities, Inc. IN SUM OF$ 12064 Clubhouse Drive Fishers, IN 46038 $2,296.12 t ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT � Board Members 1203 RC10034 43-590.03 $2,296.12 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 Monday, May 05,2014 Director, Com ity Relations/Economic Development 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)) 04/27/14 RC10034 $2,296.12 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