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
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IIIIIID
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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
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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