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CITY OF CARMEL, INDIANA VENDOR: 368883
ONE CIVIC SQUARE JANETTE GENGENBACH CHECK AMOUNT: $*******192.78*
CARMEL, INDIANA 46032 5011 WESTWOOD CIRCLE CHECK NUMBER: 239723
CARMEL IN 46033 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 BANQUET TIP 192.78 FOOD & BEVERAGES
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CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: iaV _ �•� C�t' �Ae c•4 DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: foZO'I RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
:..•.:.......... :....:..!-
Transportation Gas/Tolls/ MealsLodging Mise.
Date Air-fare Car Rental Other g Parkin Breakfast Lunch Dinner Snacks Per Diem
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'�Ota� I} �. 1t5 !b',..'„1f ii ,'.,: fs i 1..:•'v t r+ t_ .5.it, !itix,.,. t} r 1! .,J , . `..t it i
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DIRECTOR'S STATEMENT--) hereby affirm th,t all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
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Date:
for ature:
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Direc Sign
City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1
Invoice
Date: 11/1/2014
Bill To: Nicole Brink
Address:
Brookshire _
Golf Course Phone. -
317 379 2269
12120 Brookshire Parkway Email: nbrink@mexom
Carmel Indiana 46033 '. .
brookshiregolf.com
Deposit Received
##### Room Rental 4 hrs.@ $100.00 per hr. $400.00
Food Anti Pasto. $130.00
Chicken/Bacon Jalp[ Skewers $130.00.
Shrimp Cocktail $150.00
Chicken Cornucopia $120.00
Veggie Tray $100.00
Snack Mix $60.00
Beef Wellington $160.00.
Brie W/ Raspberry Sauce $160.00
300 Drink Pkg $1,200.00
12 Drinks@6.50- $78.00
Subtotal
� $ 21688.00
Tax. Banquet @9% $ _ -
�K— Gratuity 18% - . $ 483.84
Amount Due $
Subtract Deposit $0.00
Grand Total $ 31171.84
Thank you for letting us serve you !
VOUCHER NO. WARRANT NO.
ALLOWED 20
Janette Gengenbach
IN SUM OF $
5011 Westwood Circle
Carmel, IN 46033
$161.28
ON ACCOUNT OF APPR PRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I Banquet Tip I 42-390.40 I $161.28 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, December 01, 2014
Director, Brooks 6 Golf Club
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))
11/01/14 Banquet Tip Banquet Tip $161.28
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