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HomeMy WebLinkAbout257381 04/08/16 0J�/ \ CITY OF CARMEL, INDIANA VENDOR: 360083 ® �l ONE CIVIC SQUARE PAMELA LUX CHECK AMOUNT: $*******482.08* dy /?� CARMEL, INDIANA 46032 684 YORK PLACE CHECK NUMBER: 257381 ''a.or;�, FISHERS IN 46038 CHECK DATE: 04/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 040616 222.08 TRAVEL FEES & EXPENSE 1192 4343004 040616 260.00 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. ALLOWED 20 PAMELA LUX 684 YORK PLACE IN SUM OF$ FISHERS, IN 46038 $482.08 ON ACCOUNT OF APPROPRIATION FOR Dept of Community Service } PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT ° Board Members 0 43-430.04 $260.00 1 hereby certify that the attached invoice(s), or 1192 101 0 43-430.01 $222.08 bill(s) is(are)true and correct and that the 1192 101 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, March 30, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund `l OF �FRry'o Cqq� . 4 , y CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Pam Lux DEPARTURE DATE: 3/20/2016 TIME: 8:20 AM DEPARTMENT: Building and Code Services RETURN DATE: 3/23/2016 TIME: 3:55 PM REASON FOR TRAVEL: Conference DESTINATION CITY: _Las Vegas EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_X_ TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/20/16 $9.00 $53.76 $65.00 $127.76 3/21/16 $9.00 $53.76 $65.00 $127.76 3/22/16 1 $9.00 $53.76 $65.00 $127.76 3/23/16 $24.80 $9.00 $65.00 , $98.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $009 OOO $0:00 $0;00 $0:00 ;p0o Total $0.00 $0.00 $24:80 $36.00 $161.28 $0.00 $0.00 $000 1 $0.00 $260.00 $0.00 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. Director Signature: Date: City of Carmel Form#ER06 Revision Date 3/25/2016 Page 1 i PASSENGER RECEIPT I THE ORLEANS HOTEL&CASINO TID: 001OF33A4EOA 4500 W. TROPICANA AVENUE CAB ID: 7 6 8 6 Airport . LAS VEGAS;.NkVADA 89103 DATE: 03/23/16 {1 Drive FOR RESERVATIONS.CALL(800)675-3267 START TIME: 06: 54 '1 www.orI6anscasino:com END TIME: 07: 07 >- TRIP NUMBER; 6122 39 DISTANCE: 4. 10 108 Id #108 FoliolD: 423723626493 RATE; 1 21320 Arrival Date: 03/20/2016 ___F_ARE_AMOUNT: $17. 07 (20/2016 06:38 — "23/20:16 16:09DepartureDate:, 03/23/2016 Dispenser #41 LOtEi3ECOn Room No: T1 214 Area 6 -038 Guests: 1 Eroni)% Group Code: A6EDC03 $ 36.00 $ 36.00 I $ 36.00 Credit Card Number: *******+-e***1114 I '"+ DESCRIPTION �=-�F�AftGE' S BALANCE Total Paid: $ 36.00 Thank You have a nice day RESORT FEE x:,•6.:7.24 (311) 487-5017 RESORT FEE aa`'�r..,.. , .S ROOM CHARGE T1 214 42,00; TAX2 i�21C�Sa5 0 a �P'rL*T■'k'FT7�T7F� . :�Y' 4 7.0 - ************1114 RESORT FEE 6.72 RESORT FEE ROOM CHARGE T1 214 42.00 TAX2 03/22/2016 424509100143 RESORT FEE 6.72;`;. RESORT FEE 03/22/2016 424509000969 ROOM CHARGE T1 214 42.00_,,_ TAX2 5:04 03/23/2016 424516209629 FRONT DESK MASTERCA , ************1114 _77 1. I agree that my liability is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part of the full amount of these charges. GUEST SIGNATURE ',-. BALANCE DUE: .00 APPROVED BY THANK YOU FOR CHOOSING THE ORLEANS HOTEL k'&A.SINO