247743 07/15/15 u ��q
Mf CITY OF CARMEL, INDIANA VENDOR: 00352672
;, ® ONE CIVIC SQUARE ADAM SCHRINER CHECK AMOUNT: $**.....134.31*
4 a° CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 247473
a„�pN�. C/O DOCS CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 134.31 TRAVEL FEES & EXPENSE
f).0cean Creek
RESORT
North Kings Hwy, Myrtle Beach, South Carolina, 29572, USA, Tel:843-272-7724 Fax:843-272-9627 E-mail: info@oceanci
GUEST FOLIO
Adam Schriner
Plan Review Institute
17017 Lakeville Crossing ACCOUNT NAME Schriner,Adam
WESTFIELD,IN ACCOUNT NO. IN 410913 ARRIVAL 08/02/15
46074 FOLIO TYPE Current DEPARTURE 08/08/15
USA
NO.GUESTS 2
ROOM NO.
Prop. Seq. Date I Transaction Description Ref/Comments Room No. Q Amount I TX S/F
1 07/03/15 Ant#:003214/XXXX XXXX XXXX 1 (134.31) I A
TOTAL (134.31)
I
I
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))
07/03/15 $134.31
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adam Schriner
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$134.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-430.01 $134.31]
I hereby certify that the attached invoice(s), or
I I
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
Friday, July 10, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund