Loading...
HomeMy WebLinkAbout252940 1 2/29/1 5 CITY OF CARMEL, INDIANA VENDOR: 00350735 ONE CIVIC SQUARE BOB VANVOORST CHECK AMOUNT: $*******619.29* s a CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK NUMBER: 252940 SHERIDAN IN 46069 ,oN� CHECK DATE: 12/29/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343003 619.29 TRAVEL & LODGING ** **** How'd We Do? *** ** * * Tell us about your *Cracker Barrel Old Country Store* *visit and you'll be entered into* * a monthly drawing to win * your choice of either a * Cracker Barrel Rocker or * $100 Cracker Barrel Gift Card * ONLINE at: * crackerbarrel-survey.com * or by PHONE * 1-800-651-6565 * ENTER YOUR ACCESS * CODE:=084-348-617-418 *(Access Code expires in 7 days) * Visit crackerbarrel .com for * official sweepstakes rules. * Encuesta disponible en espanol * * * No purchase necessary. * Open to..legal US & DC resid8nts, 18 and older. * Void where prohibited. IIIIIID III I IIIIII 0061 -74 - -- Cracker-Barrel 'Store #84 - — Merrillville, IN 871763 Terry H ---------------------------------- TBL 161/1 6174 GST 7 DEC14'15 7:09AM --------------------------------- 1 WATER 0.00 1 STEAK SKILLET 8.69 SCRAMBLED 1 WATER 0.00 1 SMKHOUSE BAC 6.99 SCRAMBLED 1 COFFEE 2.19 1 AP CINN OAT BK 5.29 1 ICED TEA UNSWEET 2.39 1 STEAK SKILLET 8.69 SCRAMBLED 1 WATER 0.00 1 STEAK SKILLET 8.69 SCRAMBLED 1 COFFEE 2.19 1 SAU BIS & SIDE 4.59 Subtotal 49.71 State&Local Tax 3.48 Total 53 - 19 REF:113987 AUTHCODE:30994P, XXXXXXXXXX MASTER 53.19 ---84212 CLOSED DEC14 7:39AM--- Thank You Please Come Back www,CrackerBarrel .com ac eR el s Old Country Store Merchandise refunds gladly given within 90 days of ' purchase when merchandise is accompanied by original receipt. After 90 days, an exchange or merchandise return card will be issued for the current selling price for returns with an original receipt. For returns without a receipt, an exchange or merchandise return card will be issued at the current selling price. When.returning merchandise paid for by personal check, allow 10 business days from the date of - purchase for a refund;within 10 business days or less of the original purchase, an exchange or merchandise return card will be issued. G c eR el Old Country Store Merchandise refunds gladly given within 90 days of purchase when merchandise is accompanied by original receipt. After 90 days, an exchange or merchandise return card will, be issued for the current selling price for returns with an original receipt. _For returns without a receipt, 'an exchange or merchandise return card will be issued at the current selling price, When returning merchandise paid for by personal check, allow 10 business days from the date of purchase for a refund;within 10 business days or .less of the original purchase, an exchange or merchandise return card will be issued. - aceR el Old Country Store Merchandise refunds gladly given within 90 days of purchase when merchandise is accompanied by original receipt. After 90 days, an exchange or merchandise return card will be issued for the current selling price for returns with an original receipt. For returns without a receipt, an exchange or merchandise return card will be issued at the current selling price. When returning merchandise paid for by personal check, allow 10 business days from .the date of purchase for a refund;within 10 business days or less of the original purchase, an exchange or merchandise return card will be issued. ac eR • ei = CITY OF CARMEL Expense Report (required for all travel expenses) Y �NiI ANS EMPLOYEE NAME: Bob VanVoorst DEPARTURE DATE: TIME: ca2pm DEPARTMENT: FIRE RETURN DATE: \`�-\�-�S TIME: AM/PM REASON FOR TRAVEL: Pierce Manufacturing Pre-Construction Mtg DESTINATION CITY: Appleton, WI EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT ✓ TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 12/14/15 $53.19 $53.19 12/15/15 566.10 1 $566.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.00 $0.001 $0.00 $566.10 $53.19 $0.00 $0.001 $0.00 $0.001 $0.00 DIRECTOR'S STATEMENT: I hereb a rm that all expense Ited conf rm to the City's travel policy and are within my department's appropriated budget. _ -- DEC 2 8 �q9a Director Signature: 9. Date: City of Carmel Form#ER06 Revision Date 12/18/2015 Page 1 CITY OF CARMEL FIRE DEPARTMENT DATE: December 28,2015 TO: Cindy Sheeks FROM: David Haboush,Fire Chief Attached you will find a reimbursement request for Bob VanVoorst. On December 14,2015,I sent Chief VanVoorst, Chief Bowles, Chief Buttler,Captain Stindle,Lt. Osborne and Jason Force to Appleton Wisconsin for a pre-construction meeting on our 2 new engines. I will be reimbursing actual expenses for this and receipts will be turned in. If you have any questions,please feel free to contact me. Thank you. Hoildayina 12-16-15 Robert Vanvoorst Folio No. Cashier No. 100 Room No. 623 Carmel IN 46069 A/R Number Arrival 12-14-15 United States Group Code Departure 12-16-15 Company Pierce Manufacturing Conf. No. 62707819 Membership No. Rate Code : ILTNO Invoice No. Page No. 1 of 1 Date I Description I Charges I Credits =1271-4_15-__*Accommodation— - 12-14-15 Room State Tax 4.25 12-14-15 Room Local Tax 5.10 12-15-15 'Accommodation 85.00 12-15-15 Room State Tax 4.25 12-15-15 Room Local Tax 5.10 Total 188.70 0.00 Balance 188.70 Guest Signature: I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Appleton 150 S. Nicolet Road Appleton,WI 54914 Telephone: (920)735-9955 Fax: (920)735-0309 floOdayina 12-16-15 Robert Vanvoorst Folio No. Cashier No. 100 Room No. 431 Carmel IN 46069 A/R Number Arrival 12-14-15 United States Group Code Departure 12-16-15 Company Pierce Manufacturing Conf. No. 62707703 Membership No. Rate Code : ILTNO Invoice No. Page No. 1 of 1 Date I Description I Charges I Credits - 12-14-15 Room State Tax 4.25 12-14-15 Room Local Tax 5.10 12-15-15 "Accommodation 85.00 12-15-15 Room State Tax 4.25 12-15-15 Room Local Tax 5.10 Total 188.70 0.00 Balance 188.70 Guest Signature: I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges. If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Appleton 150 S. Nicolet Road Appleton,WI 54914 Telephone: (920)735-9955 Fax: (920)735-0309 flolidayinn 12-16-15 Robert Vanvoorst Folio No. Cashier No. 100 Room No. 311 Carmel IN 46069 A/R Number Arrival 12-14-15 United States Group Code Departure 12-16-15 Company Pierce Manufacturing Conf. No. 64212458 Membership No. Rate Code : ILTNO Invoice No. Page No. : 1 of 1 Date I Description I Charges I=Cred=its 1'L-14-15 *Accommodation 85.00 12-14-15 Room State Tax 4.25 .12-14-15 Room Local Tax 5.10 12-15-15 'Accommodation 85.00 12-15-15 Room State Tax 4.25 12-15-15 Room Local Tax 5.10 Total 188.70 0.00 Balance 188.70 Guest Signature: I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Appleton 150 S. Nicolet Road Appleton,WI 54914 Telephone: (920)735-9955 Fax: (920)735-0309 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF 'CARMEL n 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)) $619.29 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Bob VanVoorst IN SUM OF $ 1 1 $619.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department 1 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.03 $619.29 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 DEC 2 8 HIS PM X-)- 77jFVVVX11Q Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund