258819 05/26/16 �, CITY OF CARMEL, INDIANA VENDOR: 366663
CHECK AMOUNT: $*******140.86
°; ONE CIVIC SQUARE AMANDA GILLIM
® �a. CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 258819
+,;, /r CHECK DATE: 05/26/16
�roN co
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 042616 140.86 TRAVEL FEES & EXPENSE
Voucher No. Warrant No.
366663 Gillim, Amanda Allowed 20
In Sum of$
$ 140.86
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 R i 4343000 $ 54.64 1 hereby certify that the attached invoice(s), or
1081-99 Rei b 4343000 $ 86.22 bill(s) is(are)true and correct and that the
Q materials or services itemized thereon for
which charge is made were ordered and
received except
May 19, 2016
Signature
$ 140.86 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.
366663 Gillim, Amanda Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/26/16 Reimb Mileage Summit IAN Conference $ 54.64
4/26/16 Reimb Travel Expenses Summit IAN Conference $ 86.22
Mileage 8117-12/17/15
Total 1 $ 140.86
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
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Circle Centre Mall
Indianapolis, IN
Fee Computer Number: 9
Cashier: 104 Id 9104
Transaction Number: 397868
Entered: 04/11/2016 08:29
Exited: 04/11/2016 16:34
Ticket #3297 Dispenser #41
Lot: World Wonders
Area: Area"1
Rate: Daily LR`
Parking Fee: $ 17.00
Total Fee: $ 17:06
Discover, A $ 17.00
Credit Cai'd Number: ************3032
Total Paid: $ 17.00
Thank You
Denison Parking
Circle Centre Nall
Indianapolis, IN
. .Fee Computer Number: 1�
Cashier: 18E Id 1r18E
Transaction Number: 30427E
^' 04/12/2016 08:40
----Wor1C1-Won-der�
Area: Area I
Rate: Daily+ LF
Parking Fee: $'1'.O[
focal Fee:
Discover
Credit Card Number:
Total Paid: $ 1'.O(
Thank You/
Denison Parking .-
STARBUCKS Store #9561
9545 N. Meridian St.
Indianapolis, IN (317) 816-6279
CHK 687330
04/12/2016 08:12 AM
2091919 Drawar-:~2--Re"g: 3
-----------------------------------------
Drive TIh r-u
Gr Flat White 4.45
Quad 0.80
Mastercard 5.72
"XXX`,'`'vX XXXX8617
Subtotal $5.25 D
Tax 9%' $0.47
Tot-al $5.72
_
---- ---- Check Closed --------- -----
04/12/2016 08:12 AM
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transferred, assigned or sold.
Harry. & Izzy's.Ci rcle Center
153'S Illinois Street
i 317-635-•9594 -
Cerver: Barbie) 04/12/2016
327/1 12;41 PM
guests: 1
#40007
Reprint #: 2 .
3P 3-Pc Shrimp 7.00
3P Caesar 7.00
�P Prime Rib Combo 1'1 :00
I
oft Drink 2.95
,omplete Subtotal 27:95
.)ubtotal 27.95
Tax 2.52
Total30.47
Discover #XXXXX,XXXXXXX303?". 20.47
Tip :'OG
Total 25.41
Auth:01276R
CASH jo,00.
Bal a!16,er Duc,-�
Thank you. for
visiting us today!
Reservations..can' be made at:
www.liar ryand i zz ys,coni
- Check. C 1 o5ed --
t -
Westin Indianapolis
50-South Capitol Ave
Indianapolis, ,IN 46204
Phone; (3 17) 262-8100
12 APR'16 2:45 PM
Check: 9319
Server: 910330115 Shawna
Card Type: Mastercard
Acct Num: ************8617
Auth Code: 064580
ArHOLInt $5— 89
Gratuity. . -
Grand Total:
X. -
Cardmember agrees to pay the Grand tal
in
accordance with agreement governing
use of-such card.
Thank you, please come visit
with Us again!!!
e
Carel ! C a
Parks&Recreatio-h
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Pur ase of Expense
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All receipts should be attached in the same order as listed apove.
NO
sales tax Will be reimbursed- fiOfAl,�
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Empl9yeen Name(print) Ut '� -1 �1 ll . Q2./ , D
Address - O Z�J C�Tf -V��i�. �-�• -5-2 016
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payable tg;� City,st, p-_ d� l 5, ly — �v 'i
Signa . e' Approved hy; /
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