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256183 03/11/16
CITY OF CARMEL, INDIANA VENDOR: 00353344 ® ;•: ONE CIVIC SQUARE OMNI SHOREHAM HOTEL CHECK AMOUNT: $*****1,030.52* CARMEL, INDIANA 46032 2500 CALVERT ST NW CHECK NUMBER: 256183 WASHINGTON DC 20008 CHECK DATE: 03/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 40023062426 1,030.52 ASHLEY ULBRICHT VOUCHER NO. WARRANT NO. ALLOWED 20 OMNI SHOREHAM HOTEL 2500 CALVERT ST NW IN SUM OF$ WASHINGTON, DC 20008 $1,030.52 ON ACCOUNT OF APPROPRIATION FOR Department of Law PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 0 I 43-430.02 I $1,030.52 1 hereby certify that the attached invoice(s), or 1180 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 Thursday, March 10, 2016 �� Co v n se 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) .03/09/16 0 $1,030.52 1180 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 Omni Hotels Page 1 of 2 Your confirmation number 19.46023062426 Thank you for using omnihotels.com.A confirmation email has been sent to aulbricht@carmel.in.gov.We look forward to seeing you at the Omni Shoreham Hotel. Jas Omni Shoreham Hotel Ashley Ulbricht 2500 Calvert Street Northwest 433 Autumn Drive Washington,DC 20008 Carmel,IN 46032 Telephone: 202-234-0700 5742507002 Fax: 202-756-5145 nalw Stay Information [Change] Billing Information Arrive: 04/15/2016 Visa *********** Depart: 04/19/2016 Expires: 11/2018 Fh `� , �S y O— Ai (— Total Nights: 4 Name on Card: ASHLEY M. Number of Rooms: 1 ULBRICHT ROOM-SUMMARY ROOM] Deluxe Room-2 queen Beds 1 Adult ROOM RATE Sun Mon rue Wed Thr Fri sat f $225 $225 I int ' $225 $225 K Subtotal (4 Nights) $900.00 USD Taxes $130.52 USD Cancellations Cancel by 12PM on 04/12/2016 to avoid$257.63 penalty. Room Total $1030.52 USD Guarantee Po/icy ......_. ....... ._. . ... . .._ ... . ..... ........,. Credit Card used for Guarantee. Addition/Items Deposit Po/icy A deposit is not required Grand Total $1030.52 USD Taxes,charges,and gratuities are calculated based on room rate and additional items purchased above.Additional charges may apply.Read complete terms and conditions. https://ssl.omnihotels.com/Omni 3/2/2016 Omni Hotels Page 2 of 2 BLOG ABOUT OMNI HOTELS&RESORTS CAREERS TRAVEL AGENTS MEDIA CENTER SHOP OMNI ���Ih@1�1@ziC PRIVACY POLICY TERMS OF USE SITE MAP ©2016 OMNI HOTELS&RESORTS https://ssl.6mnihotels.com/Omni 3/2/2016