HomeMy WebLinkAbout257672 04/22/16 0J�%��4`"� CITY OF CARMEL, INDIANA VENDOR: 358641
ONE CIVIC SQUARE JENNIFER BROWN
` CHECK AMOUNT: $********97.03*
,� a CARMEL, INDIANA 46032 400 JORDAN ROAD CHECK NUMBER: 257672
,.y«eN�:? INDIANAPOLIS IN 46217 CHECK DATE: 04/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 97.03 TRAVEL FEES & EXPENSE
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Voucher No. Warrant No.
358641 Brown, Jennifer Allowed 20
400 Jordan Road
Indianapolis, IN 46217
In Sum of$
$ 97.03
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ON ACCOUNT OF APPROPRIATION FOR j
108 -ESE
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PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT I
Dept# j
1081-99 Reimb 4343000 $ 97.03 1 hereby certify that the attached invoice(s), or
jbill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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April 14, 2016
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I
Signature
$ 97.03 Accounts Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund
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1
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358641 Brown, Jennifer Terms
400 Jordan Road
Indianapolis, IN 46217
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/13/16 Reimb Travel Expenses for IN Summit on Out of School $ 97.03
Learning
Total $ 97.03
1 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
Carmel 0Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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Iti .V '0ty k&A I � - 9 ` 'f 3q TD o es L, P noo 0 ate.
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: �.• 1
Employee Name(print) l�-r `V l 1 V o 1// 1 6 V" V '
Address. �.Y �u�'V l \Q—k
Check ty, p
payable to: Ci , St, Zi
Signature: . Approved by:
Date: � 1.� 1 � Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
910330033 Adriana S.
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CHK 8782 GST 1
11 APR'16 7:13 AM
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Dine In
1 RF Turkey Bacon Sandwich 3.45
1 Bottled Water 3.50
1 Caramel Macchiato Grande 5.00
Subtotal $11.95
Tax $1.08
Payment $13.03
Cash $20.10
-=--------- Check Closed -----------
11 APR'16 7:13 AM
FOR ROOM CHARGES ONLY
Gratuity:
TOTAL:
ROOM #
PRINT NAME
SIGNATURE
SPG #
Thank you for dinin0 with us!!!
ppppp-
Circle Centre Mall
Indianapolis, IN
Fee Computer Number: 12
Cashier: 188 Id 1r18E
Transaction Number: 303837
Entered: 04/11/2016 06:47
Exited: 04/11/2016 16:33
Ticket #66164 Dispenser #40
Lot: World Wonders
Area: Area 1
Rate: Dails, LR
Parking Fee: $ 1 .00
Total Fee: $ 1l.OG
Visa A $ 111.00
Credit Card Number:
Total Paid: $ I-1.00
Thank You
Denison Parking
Harry & Izzy's Circle Center
153 S Illinois Street `
317-635-9594 '
Server: Barbie 04/12/2016
Cashier: Nikki
B27/5 12:27 PM'
Guests: 1
#40,051
Reprint #:' 1
Sm Caesar 6.00
Seared Tuna, 16,00
Lunch Scallops 23,00
Soft Drink 2,95
Complete Subtotal 47,95
Subtotal 47.95
Tax 4.32
Total 52.27
Ba l ance Du 521. 27
Thank you for
visiting,us .today!.
Reservations can be made at:
www;.,ha r ryand i,z z ys.com
Circle Centre Mall
Indianapolis, IN
Fee Computer Number: B
Cashier: 102 Id #102
Transaction Number: 210175
Entered: 04/12/2016 06:39
Exited: 04/12/2016 16:37
Ticket 966539 Dispenser #40
Lot: World Wonders
Area: Area 1
Rate: Daily LR
Parking Fee: $ 17.00
Total Fee: $ 17.00
Cash: $ 20.00
Total Paid: $ 20.00
Change Due $ 3.00
Thank You
Denison Parking