HomeMy WebLinkAbout301656 08/08/16 ,Cqq .
J/ CITY OF CARMEL, INDIANA VENDOR: 370930
i ONE CIVIC SQUARE CONVENTION HEADQUARTERS HOTEL DECK AMOUNT: S1,120.00*
?q CARMEL, INDIANA 46032 62960 COLLECTION DRIVE CHECK NUMBER: 301656
�,[TOtl G� CHICAGO IL 60693-0960 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359037 21879-1439 1,120.00 USCM ANNUAL MEETING 2
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CONVENTION HEADQUARTERS HOTEL LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
62960 COLLECTION DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CHICAGO, IL 60693-0960 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,120.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations 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
21879-1439 43-590.37 $1,120.00 1 hereby certify that the attached invoice(s),or 7/27/16 21879-1439 $1,120.00
1203 854 1203 854
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
Wednesday,August 03,2016 .
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
JW MARRIOTTO
INDIANAPOLIS
10 S.West St.Indianapolis,IN 46204
INVOICE
PO# �`�
Customer - �
Name City of Carmel Date 7/27/2016
W '< 8/26/2016
Address Rep Shawn O'Brian
City State Zip
Amount Description Unit Price TOTAL
1 US Conf. of Mayors Room Drop $ 1,120.00 $1,120.00
i
JW Marriott Indianapolis
ACCT 255450-1170
62960 Collection Drive
Chicago,IL 60693-0960
Phone: 317-860-4906
Fax: 3174160-5802
i
Payment Details
Q Cash
O Credit Card
OO Check Total:( $1,120.00
Name
Office Use . .
CC# Only
Expires
ROOM# DATE AMOUNT MISCELLANEOUS CHARGE
P0200018
DO NOT WRITE IN-ABOVE SPACE DATE t?? I &
NAMEROOM OR p q
CJS C//�n'FErWC G� ACCT.NO. p 1
DATE SYMBOL AMOUNT
DO NOT WRITE IN ABOVE SPACE
EXPLANATION
22 L4 J
FORM#3-3891 SIGNED BY