HomeMy WebLinkAbout240533 12/23/14 CITY OF CARMEL, INDIANA VENDOR: 364842
® �I ONE CIVIC SQUARE KATHLEEN VASIL CHECK AMOUNT: $********28.85*
CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK CHECK NUMBER• 240533
23/14
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 28.85 FOOD & BEVERAGES
CITY OF CARMEL Expense Report (required for all travel expenses)
a EXHIBIT A
�NDIANP EXIT
EMPLOYEE NAME: 1 DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
m I
Transportation Gas/Tolls/ Meals Mise. %Total'
Date Lodging ;
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem : ..,
t`�vlR y'•:.T..''IPai•: ,A•ri4.A.•y
•.4, yl,, 4 51
'DIRECTOR'S STATEMENT: .1-hereby affirm that all expenses listed conform.to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of'Carmel Form.#ER06 Revislon Date`10/17/2006 Page 1
Invoice
o r
C
Date: December 4,2014
'pF. A " Bill To: Sister City
Adress: Sandra Long
Brookshire Golf Course Phone: 418-1854
12120 Brookshire Parkway Email: sandralons@omnicentre.com
Carmel, Indiana 46033
brookshiregolf.com
Deposit Received 0
Hate DescOpWI ��� s PMUN. RM
12/4/2014 Banquet Room Rental 3 Hours $ -
Bar Tab $ 160.25
Tax Exemption does not cover bar tab.
Subtotal $ 160.25
Tax Banquet @9% $ 14.42
Gratuity 18% $ 28.85
Amount Due 1 $ 203.52
r
btract Deposit $ -
Grand Total $ 203.52
Thank you for letting us serve you!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kathy Vasil
IN SUM OF$ °
3779 Simmeraen Ct.
Carmel, IN 46033
$28.85
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I Sister City I 42-390.40 I $28.85 1 hereby certify that the attached invoice(s), or
R- 04
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
Thursday, December 18, 2014
Director, Brookshire,913VClub
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))
12/04/14 I Sister City Banque{ Tip $28.85
I
i
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