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251730 11/18/15 1 �N. *� CITY OF CARMEL, INDIANA VENDOR: 368793 1 ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $********47.04* s G'Q CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 251730 9,;,,__/_' CARMEL IN 46032 CHECK DATE: 11/18/15 «ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 REIMB 47.04 TRAVEL FEES & EXPENSE Account Information- Citibank Page 1 of 2 c tibank As of 1115115,we will be updating the browsers we support.We encourage you to upgrade to the latest version for the best online... Account Details Citi®!AAdvantage®Platinum Select®World Mastert Cltl AAdvantage k. — Total Available Miles: Current Balance i Minimum Amount _ ' Due Dec.07,2015 Last Statement Balance Available Revolving Credit: Nov.10,2015 Transactions Statement Ending On Nov. 10,2015 _.___- ------ � j PaymentslAdj/ Enter Keyword Show All I Pending Purchases ; Fees/Interest Credits — — s Date Description Amount Nov.07,2015 Nov.02,2015 ORLEANS HOTEL&CASINO LAS VEGAS NV $47.04 Additional Details Transaction Type: Purchases _.1...1 1. .11 11 11.11 1 1—-1......1 . , .. :.1111... .......... Posted Date: Nov.02,2015 Category: LodgingCOAST HOTELS Reference Number. K7KXMT30 Merchant Country: United States Oct.19,2015 ' Oct.18,2015 Oct.17,2015 Oct.16,2015 Oct.16,2015 Oct.15,2015 https:Honline.citi.com/US/CBOL/ain/caraecdet/flow.action?instancelD=abd51 cd9-ceca-4... 11/16/2015 VOUCHER NO. WARRANT NO. ALLOWED 20 Michael Sheeks IN SUM OF$ C/O One Civic Square Carmel, IN 46032 $47.04 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I 43-430.01 $47.04 I hereby certify that the attached invoice(s), or 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 Monday, November 16, 2015 IV Directdo 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)) 11/16/15 $47.04 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