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Home My WebLink About254015 01/28/16 CITY OF CARMEL, INDIANA VENDOR: 364842 ONE CIVIC SQUARE KATHLEEN VASIL ® CHECK AMOUNT: $********66.38* �= •;•; r CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 254015 +.;��TON�, CARMEL IN 46033 CHECK DATE: 01/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239099 BANQUETTIP 50.00 TIP 12/11/15 1207 4239099 BANQUETTIP 16.38 TIP 12/8/15 Invoice Date: 12/11/2015 Bill To: Kids Only Address: Nancy Moore P O Box 80867 Fort Wayne, IN 46898 Brookshire Golf Course Phone: 260-609-3469 12120 Brookshire Parkway Email: Carmel, Indiana 46033 brookshiregolf.com Deposit Received Dae Desc option A ou 12/11/2015 Room Rental $600.00 8:30AM -4:OOPM Service Charge $50.00 Subtotal $ 650.00 Tax Banquet @9% $ - Gratuity 18% Amount Due $ 650.00 Subtract Deposit $0.00 Grand Total $ 650.00 Thank you for letting us serve you! Subtotal $ 207.38 Tax Banquet @9°l0 $ 8.19 Amount Due $ 215.57 Subtract Deposit 0 Grand Total $ 215.57 Thank you for letting us serve you! r o Invoice � C Date: 12.08.2015 �'oF:c�r►4 .. Bill To: Sister City REVISED Address: Sandra Long Brookshire Golf Course Phone: 317-418-1854 12120 Brookshire Parkway Email: sandra@omnicentre.ore Carmel, Indiana 46033 brookshiregolf.com Deposit Received 0 a_ IWOMIZ7 a ount 12.08.2015 Room $ 100.00 Bar Tab $ 81.00 Tea &Water $ 10.00 Gratuity $ Tax Exempt Subtotal $ 207.38 Tax Banquet @9% $ 8.19 Amount Due 1 $ 215.57 Subtract Deposit 0 Grand Total 1 $ 215.57 Thank you for letting us serve you! I �I CITY OF CARMEL Expense Report (required for all travel expenses) ��MO-IANC• j EXHIBIT A I/ i EMPLOYEE NAME: K AT IA L.rr m UA5 iL DEPARTURE DATE: I TIME: AM/PM DEPARTMENT: I a0- 1 I RETURN DATE: i TIME: AM/PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM I Transportation Gas/Tolls/ Meals Date LodgingMISc. Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 1 I I i I '•".;r.I.•:Vii! i 'ot I:77 - _ :- 7777774777771 DIRECTOR'S STATEMENT:_I hereby affirm that a ,exp Inses listed conform to the City's travel policy and are within my dep a rtment's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 10/17/2006 Page 1 of Cq/ F ►�x�w� CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: K ATt-1 LEEN Vas ttr DEPARTURE DATE: TIME: AM/PM DEPARTMENT: 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 Parkin Lodging Misc. -1,70 Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 12.-5.15 7777777,1711, c.. :gY`?4.JitG•� � Ota- DIRECTOR'S STATEMENT:: hereby affirm that a ;expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 10/17/2006 Page 1 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 12/08/15 I Banquet Tip 12-8- Banquet Tip I $16.38 15 1207 101 12/11/15 Banquet Tip 12-11- Banquet Tip $50.00 15 1207 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. KATHLEEN VASIL ALLOWED 20 3779 SIMMERMAN CT IN SUM OF$ CARMEL, IN 46033 $66.38 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members I Banquet Tip 12-8- 1 42390.99 I $16.38 1 hereby certify that the attached invoice(s), or 15 1207 101 Prior Year bill(s) is (are)true and correct and that the Banquet Tip 12-11- 42 -390.99 $50.00 1207 15 101 Prior Year materials or services itemized thereon for which charge is made were ordered and received except Friday, January 22, 2016 l / Cost distribution ledger classification if claim paid motor vehicle highway fund