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HomeMy WebLinkAbout253490 01/15/16 +p,_C�q�f iCITY OF CARMEL, INDIANA VENDOR: 364842 t ONE CIVIC SQUARE KATHLEEN VASIL CHECK AMOUNT: $"`"`""•"28.80' s, �� CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 253490 �.y`,«oN�` CARMEL IN 46033 CHECK DATE: 01/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239099 BANQ TIP 28.80 OTHER MISCELLANOUS VOUCHER NO. WARRANT NO. ALLOWED 20 KATHLEEN VASIL 3779 SIMMERMAN CT IN SUM OF$ CARMEL, IN 46033 $28.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. ACCT#%Fund AMOUNT Board Members I Banquet Tip 12-13-I 420-390.99 I $28.80 1 hereby certify that the attached invoice(s), or 15 1207 101 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 Tuesday, January 05, 2016 (l r Cost distribution ledger classification if claim paid motor vehicle highway fund G'ZµT GogbFe CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: c- vkeRc� V"NA DEPARTURE DATE: l a' i3 -l S TIME: AM/PM DEPARTMENT: a01 RETURN DATE: TIME: AM/PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem t2L-13-I I e ag: .yt ,1f ul, 'Qta�, 1 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. i Director Signature: Date: C1ty of Carmel Form#ER06 Revision Date'10/17/2006 Page 1 off`' Invoice o r Mc c aw Date: 12/13/2015 OF:.CM►'�11 Bill To: Brookshire HOA Address: Brookshire HOA 12120 Brookshire Pkwy Carmel IN 46033 Brookshire Golf Course Phone: 12120 Brookshire Parkway Email: Jason Ran@Hotmail.com Carmel, Indiana 46033 brookshiregolf.com Deposit Received 0 a e escri,tion -- M.WRIVOMMA,- 12.14.2015 Cookies with Santa $ 160.00 Gratuity $ 28.80 Subtotal $ 188.80 Tax Banquet @9% $ 14.40 Amount Due I $ 203.20 Subtract Deposit 0 Grand Total $ 203.20 Thank you for letting us serve you!