HomeMy WebLinkAbout260420 07/07/16 +°%S�Ab
® CITY OF CARMEL, INDIANA VENDOR: 085325
ONE CIVIC SQUARE STEVE ENGELKING CHECK AMOUNT: $*******341.72*
s =�; CARMEL, INDIANA 46032 6221 iWINFORD DR CHECK NUMBER: 260420
9��TON�; INDIA I APOLIS IN 46236 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4358500 990069022098 341.72 CENSUS & ELECTION FEE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
STEVE ENGELKING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
6221 WINFORD DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46236 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$341.72 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
990069022098116 43-585.00 $69.86 1 hereby certify that the attached invoice(s),or 6/26/16 990069022098116 Reimbursement At Home $69.86
06261330 06261330
1205 101 bill(s)is(are)true and correct and that the 1205 101
0124-2568-1051- 43-585.00 $271.86 6/28/16 0124-2568-1051- Reimbursement Bed Bath&Beyond $271.86
0628-1600 materials or services itemized thereon for 0628-1600
1205 —101 which charge is made were ordered and 1205 ---01
received except
Tuesday,July 05,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Aa C44
l CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Steve Engelking DEPARTURE DATE: 6/25/2016 TIME: AM/PM
DEPARTMENT: 1205-Administration RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
TRAVEL EXPENSES ARE FOR(check all that apply): ADVANCE REIMBURSEMENT x PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6/25/16 $167.86 $167.86
6/25/16 $69.86 $69.86
$0.00
$0.00
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$0.00
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$0.00
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$0.00
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Total $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $237.721 $237.72
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 6/27/2016 Page 1
i
This Receipt Expires on 08/25/-16
7/16 TENSION ROD NP 4.99 T,
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7/16 TENSION ROD NP 49.90 T'
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7/16 TSN ROD BRASNP 4.99 T
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7/16 TSN ROD BRASNP 19.96 T1
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TAX 4,89
'TRX .EXEMPTION 4.89-TT
BALANCE 69.86
Cash 100.00
CHANGE 30.14
TOTAL NUMBER OF ITEMS SOLD = 14
06/26/16 13;30 69 22 981 671029
99006902209811606261330
Returns only If unused with original receipt and
packaging,and within 60 days of purchase.
Returns of Christmas merchandise after Dec.25
refunded at current selling price.
No returns on mattresses,foundations,futons,
pre-cutfabrlc,and items ticketed"all sales final."
No exchanges-and no price ustme_'nts.
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;,:n,our emall Ilst&recelve 10%offyour next purchase
1 as ways to Join
1..Visit athome.com and click"Ennall Signup'
2. Sign up at the register.
Thanks for shopping with usl
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Submitted To
JUL 0 5 2016
Clerk Treasurer
BED BATH & BEYOND #1242
14139 TOWN CENTER BOULEVARD SUITE 800
NOBLESVILLE, IN 46060
(317) 773-7004
01242 10 06/28/16-1922 465827 51-5681
RVN # 0124-2568-1051-0628-1600
POSITANO PRNT LAG IN
67571638857 OUR PRICE 29.99
PROMO 40% N 12.00-
STR $ OFF N 2.32-
YOUR PRICE 15.67
POSITANO PRNT LAG IN
PRICE 20.91
POSITANO PRNT LAG IN
67571638867 OUR PRICE 39.99
PROMO 40% N 16.00-
STIR $ OFF N 3.08-
YOUR PRICE 20.91
POSITANO PRNT LAG IN r�
67571638867 OUR PRICE 39.99
PROMO 40% N 16.00-
STIR $ OFF N 3.08-
YOUR PRICE 20.91
SUBTOTAL 271 .86
TOTAL 271 .86
SALE - APPROVED
Visa Credit
? — ENTRY: Chip Read
ACCT#: XXXXXXXXXXXX6254
AID: AOOOOO00031010
CVMR: Signature Captured
MODE: ISSUER
RUTH#: 028055
AMT: USD$ 271 .85
CHANGE
Submitted To
YOUR TOTAL SAVINGS S 248.00 JUL., 4 5 2016
COUPONS APPLIED: 8 1
8- $5 OFF TRANS $ 40.00 �i�rk Treasurer
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RUN # 0124-2568-1051-0628-1600
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>>> Tax Exempt Transaction. . . . . . . <<<
»> Id# 0031201550 <<<
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