HomeMy WebLinkAbout258277 05/06/16 9�� ",� CITY OF CARMEL, INDIANA VENDOR: 366239
® ONE CIVIC SQUARE MONICA HADDOCK CHECK AMOUNT: $********49.48*
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CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 258277
a,;;oN CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 041916 49.48 TRAVEL FEES & EXPENSE
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.
366239 Haddock, Monica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/19/16 Reimb Travel Expenses IN Afterschool Summit $ 49.48
Mileage 1/14- 3/18/16
Total $ 49.48
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
366239 Haddock, MonicaAllowed 20
�In Sum of$
$ 49.48
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb 4343000 $ 49.48 II hereby certify that the attached invoice(s), or
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
April 27, 2016
1pkolln��
Signature
$ 49.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Circle Centre Mail
Indianapolis, IN
Fel: Computer Number: 12
Cashier: 188 Id #188
Tr31isaction Number: 303839
Entered: 04/11/2016 011:17
Exited: 04/11/2016 16:34
Ticket #66217 Dispenser #4C
Lot: World Wonders
Area: Area I
Rate: Daily LR
Parking Fee: $ I7.00
Total Fee: $ 1;.00
Visa A $ 17.00
Credit Card Number: ******* ****8452
Total Paid: $ 17.00
Thank You
Denison Parking
Harry & Izzy's Circle Center*
153 S Illinois Street
317-635-9594
Server: Barbie 04/12/2016
Cashier: Nikki
B27/2 12:27 PM
Guests: 0
#40048
Reprint #: 1
Half Prime Rib Sandwich 12.00
Sandwich
Complete Subtotal 12.00
Subtotal 12.00
Tax 1 .08
Total 13.08
Ba 1 ar-ice DLAe 1 3 . 08
Thank you for-
visiting us today!
Reservations can be made at:
www.harryandizzys.com
Harry & Izzy's Circle Center
153 S Illinois Street
317-635-9594
Server: Barbie DOB: 04/12/2016
12:34 PM 04/12/2016
B27/2 4/40048
SALE
VISA 4194310
Card #XXXXXXXXXXXX8452
Magnetic card present: Yes
Card Entry Method: S
Approval : 063512
Amount: � $13.08
` i+ TiP: Z-
=
Total : .—.��.^�b__
I agree to pay the above
total- amount according to the
card issuer agreement.
X
******Gues'c s Copy******
Circle Centre Mall
Indianapolis, IN
Fee Computer Number: 12
Cashier: 188 Id #188
Transaction Number: 304274
Eller ed: 04/12/2016 08:39
Exited: 04/12/2016 11':26
Ticket 93509 Dispenser #41
Lot: - - - — — ----Wor--lel Wonders
Area: Ama 1
Rate: Wily LR
Parking Fee: $ 17.OG
Total Fee: $ 1;.OG
Visa A $ 11'.00
Credit Card Number: ************8452
Total Paid: $ 1,.00
Thank You
Denison Parking
Carmel Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt, Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
t4h I 1 Ib, GICC'9" Com. Mall- I y31+3 0b o -' 6 �- ILP-00 oo (afYI a
12 I l b a- y o �, �� s ?, OB kj V
y 1(21 I lQ - y3 3 vexes J Exomvs 2..(Jb C Z��l. _ o►��
14/ 21I GrC�Q.C64a Mall vel (k?� � �c ,o� V
TRANEL ax P nSF-S Fob
I A FTE-YR QCL- 30"1rm
All receipts should be attached in the same order as listed above. ,f
No sales tax will be reimbursed. TOTAL: $ �'�0 0 1 x r w
Employees Name(print) APR L 1 2016,c ��(�}�_� ac��C;_-
Address-IVJ U TVUW6A CCC Q� BY:
Check
payable to: City, St,Zip-Ty-la d ar'o-mL
Signature:M'1 66 --,- Approved by:
Date: I I -�nlS� •= Date: t
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3