HomeMy WebLinkAbout243789 03/31/15 •F�q
CITY OF CARMEL, INDIANA VENDOR: 359461
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $*******170.14*
i' CARMEL, INDIANA 46032
13 HIGHLAND PLACE
CHECK NUMBER: 2437897LS
CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 170.14 TRAVEL FEES & EXPENSE
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request ,
N _ O2-HCOL. As-cC
Date of Fund Account Account CON C�
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
3/8/2015 Starbucks 1081-99 4343000 Travel Fees'&Expenses $ 7.30 A Food
3/8/2015 National Pastime Resturant @ Gaylord 1081-99 1 4343000 Travel Fees&Expenses $ 23.14 Food
3/9/2015 Cocoa Bean House 1081-99 4343000 Travel Fees&Expenses $ 8.75 Food
3/9/2015 McLoone's Pier House 1081-99 4343000 Travel Fees & Expenses $ 34.72 ID Food
3/10/2015 Cocoa Bean Express 1081-99 4343000 Travel Fees&Expenses $ 2.92 Food
3/10/2015 Resturant Associates 1081-99 434000 Travel Fees& Expenses $ G,lig Food
3/10/2015 Ben&Jerry's 1.081-99 434000 Travel Fees&Expenses $ 5.83 Food
3/10/2015 Gaylord National Resort 1081-99 434000 Travel Fees&Expenses $ 20.00 Travel
3/10/2015 Fiorella Pizzaria 1081-99 434000 Travel Fees&Expenses $ 15.00 T Food
3/11/2015 Cocoa Bean House 1081-99 434000 Travel Fees&Expenses $ 8.48 Food
3/11/2015 Rosa Mexicano 1081-99 434000 Travel Fees&Expenses $ 20.00 Food
3/11/20151 Capital Teas 1081-99 434000 Travel Fees& Expenses $ 5.25 Food
F3/11/20151 Tagliare 1 1081-99 434000 Travel Fees& Expenses $ 9.67 Food
0.00
All receipts should e a ace Int a same order as listed above.
No sales tax will be reimbursed. TOTAL: nb,14 -4maal
77 Employee Name(print) Nikeesha Pittman --
Check Address 2713 Highland Place MAR 2 O 20155
payable to: City, St, Zip I diana olis, IN 46208 :
r
Signature. Approved by:
Date: 3/16/2015 Date: ,® al
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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)- GAYLORt. HA—'10.n
FOR= P
Online Ticket Receipt
When purchasing a ticket in advance,please confirm times before travel.Travel times are subject to change.
vel on the dates specified to and fi•om the locations s pecitied.Tickets are non-refundable.
Travel dates and locations are not flexible.You i n ttst travel p I
Billing Information:
cash(Acct #1735774)
,t
Phone:--
Fax:--
L-mail Address:
Order Number:2']68403
Order Date:3/10/2015 Io:oo:11 AM Eastern Time
Order Processed By:Chariots For Hire(703-790-5466)
Agent Payment Type: POS(Cash)
Authorization Code:
AVS:
_ Product Cost,_
�--- ------- -- _,.�� .— cash's ticket $20.00 -'-- ---- - ' ------ —
Round Trip,Adult
From Gaylord:National Resort,MD to Washington DC(Reagan Building),DC
Departing on 03/10/2015 10:30 AM,CFH DC 1030
Returning on 03/10/2015 04:00 PM,CFH DC1500
Iv/o hags
Sales Tax $o.00
Total Amount Paid $20.00
Your boarding pass(es)should print on the stibsc quent page(s).ifyou d0 not see anY other p,agcs with the words"BOARDING PASS"on them,
p1C0SC C.aal1 703-790:5466 t:o speak to a customer service agent.
CHARIOTS FOR HIRE 2768403A-1
BOARDING PASS
o FROM: GAYLORD NATIONAL RESORT MD DEP: 10Mar15 10 : 30am
TO: WASHINGTON DC (REAGAN BUILDING) DC SCHED CFH DC1030
RT ADULT CASH
_N
—� INTERNET TICKET AGENT: !':12P 173HA. PA.P i S (CF'H OFFICE)
.— TICKET FOR SCHEDULE CFH DC1030 / 10NJar.l5
FARE $20.113 CONFn: PCS (CASH) (AGENT)
N
Q, TAX ;;X 2768503 GAYLORD NATTONAI, RESORT MD
-i TOTAL $20.'00 10MarlD 10:OOam
N
o MILES ll OF 22 TKT OiilG: GAYLORD NATIONAL RESORT MD
COUPON 01 OF 02 TKT T*.:T: WASHINGTON DC: (REAGAN BUTI,DING) DC
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NON'
CHARIOTS FOR HIRE .2768403A-2
BOARDING PASS
o FROM: WASHINGTON DC (REAGAN BUILDING) DC DEP: lOMarlS 04 : OOpm
TO: GAYLORD NATIONAL RESORT MD SCHED CFH DC1500
RT ADULT CASH
_—o rN7f-.RNET T-CFF.T Ar, : ::.L•�.P I , pgi:i3 (;'F!! OFF:CF)
=N TICKET FOR SCHEDULE CFH DC1500 / 101,lar. 15
N ----
FARE 520.JD CONc4: .. .S (CASH) (AGEN'l')
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—Q TAX XX 2768"x;
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Gaylord National Harbor&Convention Center p Washington, DC
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Afterschool Alliance
.11MC...L FOR ALL
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.
359461 Pittman Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number or note attached invoices or bills PO# Amount
3/16/15 Reimb Travel expenses for NAA Conference $ 170.14
Mileage 8/4- 9/30/14, 1/14- 1/29/15
Total Is 170.14
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 170.14
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE.
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 170.14 1 hereby certify that the attached invoice(s), or
bili(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
h
March 25,2015
Signature
$ 170.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund i
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