HomeMy WebLinkAbout259992 06/24/16 _,Cggh
a` <! CITY OF CARMEL, INDIANA VENDOR: 00350735
j-; ONE CIVIC SQUARE BOB VANVOORST CHECK AMOUNT: $*******324.30*
s. ;?� CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK NUMBER: 259992
9M��tON�� SHERIDAN IN 46069 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343003 061616 324.30 TRAVEL & LODGING .
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
BOB VANVOORST ALLOWED zo ACCOUNTS PAYABLE VOUCHER
23402 MULE BARN ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SHERI DAN, IN 46069 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$324.30 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-430.03 $324.30 1 hereby certify that the attached invoice(s),or 6/16/16 0 Lodging Pierce Trip $324.30
1120 D b k�o (p 101 1120 101
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
Monday,June 20,2016
David Haboush
Fire Chief
I 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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CITY OF CARMEL
FIRE DEPARTMENT
DATE: June 16,2016
TO: Patricia Brown
FROM: David Haboush,Fire Chief
Attached you will find a reimbursement request for Bob VanVoorst for hotel charges in Appleton,
Wisconsin. Chief VanVoorst, Technician Jason Force,Lieutenant Scott Osborne,Firefighter Bruce Frost,
Captain Steve Frye and myself attend the Pierce Manufacturer for the final inspection of our 2 new engines.
Please reimburse this charge.
If you have any questions,please feel free to contact me.
x �
Holy y
06-14-16
Robert Vanvoorst Folio No. Cashier No. 100 Room No. 332
Carmel IN 46069 A/R Number Arrival 06-13-16
United States Group Code Departure 06-14-16
Company Pierce Conf. No. 63588519
Membership No. Rate Code : ILTNO
Invoice No. Page No. 1 of 1
Date I Description I Charges I Credits
06-13-16 Accommodation 94.00
06-13-16 Room State Tax 4.70
06-13-16 Room Local Tax 9.40
06-13-16 *Accommodation Routed From Vanvoorst Robert Of Room#411 94.00
06-13-16 Room State Tax Routed From Vanvoorst Robert Of Room#411 4.70
06-13-16 Room Local Tax Routed From Vanvoorst Robert Of Room#411 9.40
06-13-16 *Accommodation Routed From Vanvoorst Robert Of Room#412 94.00
06-13-16 Room State Tax Routed From Vanvoorst Robert Of Room#412 4.70
06-13-16 Room Local Tax Routed From Vanvoorst Robert Of Room#412 9.40
Total 324.30 0.00
Balance 324.30
Guest Signature:
I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges. If
a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
Holiday Inn Appleton
150 S. Nicolet Road
Appleton,WI 54914
Telephone: (920)735-9955 Fax: (920)735-0309