HomeMy WebLinkAbout258613 05/13/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 364750
ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $********85.88*
CARMEL, INDIANA 46032 10830 TOOLEY CT CHECK NUMBER: 258613
APT IF CHECK DATE: 05/13/16
INDIANAPOLIS IN 46234
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 042816 85.88 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
364750 Ballinger, Jessica Allowed 20
In Sum of$
$ 85.88
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 -Reifftb-- 4343000 $ 85.88 1 hereby certify that the attached invoice(s), or
GC LQ 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
May 5, 2016
IPACMP)1��
Signature
$ 85.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
364750 Ballinger, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/28/16 Reimb Learning $ 85.88
Mileage 1/5-2/18/15
Total $ 85.88
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
a
U
Carrel 0 Clay
Parks&Recreate®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor fisted on receipt # eine# Budget Description Amount Purpose of Expense
11 Vlazo%. ?ark IAA 00+3 000 -ifavcl kts & mX a.ca , 1N" QSr COWf-IRr1ern
y
);;Li It, Ce";+(f- 1 o'1, '0-11cci rag/1 7,00 1 N'-0-ST Cant
-��v1c�1�
34 ) to CArr" 4- �3z-z s �91 -Cis q3c43aoo 4rcue,( -fees4- LN_ 37, (eS 1IN- OSTCO)'&-
r
y l I (o G � FSS s -`i 93 4 3ov ve d- 5 5 2 3 1 VJ-US�c Csvnf-
All receipts should be attached in the same order as listed above.
No sates tax will be reimbursed. TOTAL.:
EmployeenName(print) Jess,'-o- &Wnq pj' 4C " VFD
Address-6 g-F- E (O per, 1450 0. 7MAY - 2016
Check _
payable to: City, St,Zip �anS 1l� I N q(0
Signature: ��,��`� Approved
Date: �/� 11 _ Date: - l CO
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
000r+ o
o ? "' r acj
mi
WGLG OI•IG TO CV
CC.
L[7cc) r- `� L aE 40
PLAZA PARK o o 3 ¢ •4 I
_ ct
o
`r° r' o
PLEASE KEEP THIS TICKET o cj N o
WITH YOUCn
CoN N p Co
or-, * ao
Entered/Arriuee: o o c
2016/U4/11 08:11 Y
o �
Ticket/Billet#:42310347
I Y
Dur/Duree:7:35:36 ¢ cco
Paid On/Paye Le: i X-- U)
2016/114/11 15:47 0 o
o
Paid/Paye:$ 26.80 y5 3 aLi
Original Fee:$ 26.UB i _ p
CST:$ 0.00 z z Ls aiLo a3 Cc
L o
PST:$ 0.110co w Ll G3 ` s
'N .r+ DO L.l- �
UISAge:$ 0.00 U Lai m Y U)m o
SC:$ 0.00 L C - J ¢ � o-
LL-
Merchant ID:
************9721 S
UISA
Seq# 132728048 01203
Purchase 16/U4/11 15:49:35
Auth# 024715
APPROUED
�,�;IJ:
/.li _
.. �[,ii.11'�.�
f�
' q.1 J ti.:�:el.?Zte..
. 'ir
y
. . '���1... �� .'r, lf'a'1 111/��
J7
a .,.::i�c:.L64;:.Ua..D+e
1
Harry & Izzy's Circle Center
153 S Illinois Street
317-635-9594
Server: Barbie DOB: 04/12/2016
12:35 PM 04/12/2016
B27/7 4/40053
SALE
VISA 4194312
Card #XXXXXXXXXXXX9721
Magnetic card present: Yes
Gard Entry Method: S
Approval : 013612
Amount: $32.65
Cl + Tip: e 0() --
= Total : 3 7,
I agree to pay the above
total amount according to the
card issuer agreement.
X
******Guest's Copy******
910330115 Shawna
-----------------------------------------
CHK 9318 GST 1
12 APR'16 2:43 PM
----------------------------------------
D i ne In
I Caf6 Mocha Grande 4.80
Subtotal $4.80
Tax v $0.43
Payment $5.23
Credit Card TPO $5.23
PrintingApp: XProcessorApp
************9624
Authorization: 679933
Balance: 1.70
----------- Check Closed -----------
12 APR'16 2:44 PM
FOR ROOM CHARGES ONLY
Gratuity:
TOTAL:
ROOM #— --
PRINT NAME
SIGNATURE
SPG #
Thank you for dining with us!!!