HomeMy WebLinkAbout236585 08/27/14 j.S�\f`
CITY OF CARMEL, INDIANA VENDOR: 00352753
® ONE CIVIC SQUARE HOLIDAY INN HOTEL AND SUITES CHECK AMOUNT: $*******497.70*
9� Baa, CARMEL, INDIANA 46032 DES MOINES-NORTHWEST CHECK NUMBER: 236585
.y,�TON��. 4800 MERLE HAY ROAD CHECK DATE: 08/27/14
DES MOINES IA 50322
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343003 497.70 TRAVEL & LODGING
Boliday Inn-
&Suites
08-12-14
Adam Schriner Folio No. Room No.
United States A/R Number Arrival 11-02-14
Group Code ICC Departure 11-04.14
Company Conf. No. 62036303
Membership No. : Rate Code
Invoice No. Page No. 1 of 1
Date I Description I Charges I Credits
11-02-14 *Accommodation 82.95
11-03-14 *Accommodation 82.95
Total 165.90 0.00
Balance 165.90
Guest Signature:
I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If
a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Owned and Operated
by Kinseth Hospitality Corp.
Holiday Inn Hotel&Suites Des Moines-Northwest
4800 Merle Hay Rd.
Des Moines, IA 50322
Telephone: (515)278-4755 Fax: (515)278-2846
Holidayinn
&Suites
08-12-14
Adam Schriner Folio No. Room No.
United States A/R Number Arrival 11-02-14
Group Code ICC Departure 11-04-14
Company Conf. No. 67946748
Membership No. : Rate Code
Invoice No. Page No. 1 of 1
Date I Description I Charges I Credits
11-02-14 *Accommodation 82.95
11-03-14 *Accommodation 82.95
Total 165.90 0.00
Balance 165.90
Guest Signature:
I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If
a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Owned and Operated
by Kinseth Hospitality Corp.
Holiday Inn Hotel&Suites Des Moines-Northwest
4800 Merle Hay Rd.
Des Moines, IA 50322
Telephone: (515)278-4755 Fax: (515)278-2846
RK,
lH®lida inn
&suites
08-12-14
Adam Schriner Folio No. Room No.
United States A/R Number Arrival 11.02.14
Group Code ICC Departure 11-04-14
Company Conf. No. 67946354
Membership No. Rate Code
Invoice No. : Page No. 1 of 1
Date I Description I Charges I Credits
11-02-14 *Accommodation 82.95
11-03-14 *Accommodation 82.95
Total 165.90 0.00
Balance 165.90
Guest Signature:
I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If
a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Owned and Operated
by Kinseth Hospitality Corp.
Holiday Inn Hotel&Suites Des Moines-Northwest
4800 Merle Hay Rd.
Des Moines, IA 50322
Telephone: (515)278-4755 Fax: (515)278-2846
VOUCHER NO. WARRANT NO.
ALLOWED 20
Holiday Inn Hotel & Suites Des Moines - North
IN SUM OF $
4800 Merle Hay Road
Des Moines, IA 50322
$497.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 67946354 43-430.03 $165.90 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1192 67946748 43-430.03 $165.90
materials or services itemized thereon for
1192 62036303 43-43 .03 $165.90 which charge is made were ordered and
received except
Monday, August 25, 2014
e
D i rector
Title
Cost istribution 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))
08/12/14 67946354 When Disaster Strikes $165.90
08/12/14 67946748 When Disaster Strikes $165.90
08/12/14 I 62036303 I When Disaster Strikes I $165.90
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