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HomeMy WebLinkAbout304301 10/20/16 CITY OF CARMEL, INDIANA VENDOR: 363713 ® ONE CIVIC SQUARE ERIC MEHL CHECK AMOUNT: $*******190.42* CARMEL, INDIANA 46032 10240 CUMBERLAND POINTE BLVD CHECK NUMBER: 304301 _��''�rdN`�°'9 NOBLESVILLE IN 46060 CHECK DATE: 10/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 101016 140.42 TRAVEL FEES & EXPENSE 1091 4344100 101016 50.00 CELLULAR PHONE FEES Voucher No. Warrant No. 363713 Mehl, Eric Allowed 20 14490 Simplicity Pkwy, Apt 2G Carmel, IN 46033 In Sum of$ $ 190.42 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 50.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4343000 $ 140.42 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 October 12, 2016 IpAdi'L"�� Signature $ 190.42 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Carmel . Ciay Parks&Recreation - Employee. Expense Reimbursement Request Date of Fund'. Account Account. Receipt Vendor listed on receipt #_ Line# Budget Description Amount Purpose of Expense 9/23/2016 Verison Wireless. 1091. 4344100 Cell Phone Charges $ 50.00 Cell Phone-Oct All receipts should be attached in the same order as listed above: No sales tax will be reimbursed. OTAL ' z ..� $SO:QO Employee Name(print) c,Nletil Check . Address _ (14490�-Slmpllcity Pkviiy, Apt 2G .: payable to: City, St, Zip t,- , Car`mel,, IN 4:6033,_ Signature: . Approved by:. d Date: /e)/i o RECEIVED Business Services Division,.Revised 7-7-08. FILE: Shared\Forms\Business Services\Employee,Exp Reimb Request . OCT 1 0 2016 BY: Irl A-1 III .� Gmail - Thank you for your payment. Page 1 of 2 Mail Eric Mehl <emehl84@gmail.com> Thank you for your payment. 1 message at Verizon Wireless <VZWMail@ecrmemail.verizonwireless.com> Fri, Sep 23, : M 1:10 10 PM To: EMEHL84@gmail.com View payment details. View online 9 ■ verizo . Shop Support My Verizon We've received. your payment. Account ending in#2384-00001. Payment details Payment.date: 9/23/2016 Payment.amount: $149.67 Payment method: Bank account ending in 1193. View last payment: Thanks for choosing Verizon Wireless. Enroll in auto.pay > Shop Deals Plans Phones I Tablets Accessories Locations ©2016 Verizon Wireless This email-was sent to EMEHL84@GMAIL.COM;. https://mail.google.com/mail/u/0%?ui=2&ik=371071 a486&viev�.pt&search=inbox&th=1... 10/10/2016 Carmel_- ®Clay -Annual QRS Parks&Recreation. �nc� Employee Expense Reimbursement Request 1(315— D101 to Date of Fund Account - Account Receipt Vendor listed on receipt # Lin_e# Budget Description Amount Purpose of Expense _ L=XPElrniS� � 10/2/2016 Main Gas,&Grocery � Inc. 1091 4343000 Travel Expenses $ 7.03 FO �PdQl t2s1✓ 10/3/2016 Chick-fil-A 1091. 4343000 Travel Expenses $ Z 4.87. Meal 10/3/2016 Q'doba 1091. 4343000 Travel Expenses $ 3 11.78 if Meal 10/4/2016 Chick-fil-A 1091 4343000 Travel Expenses $ 4.87 Meal 10/4/2016 Jack Patricks Bar and Grill 1091 4343000 Travel Expenses $ 10.75 Meal 10/5/2016 Marriott Starbucks 1091 4343000 . Travel Expenses $ 7.57 Meal 10/5/2016 Mon!ms Sandwich Co 1091 4343000 Travel Ex enses $ 10.35 Meal 10/6/2016 Sauce on the Side 1091 4343000 Travel Expenses $ 12.12 Meal 10/6/2016 Baileys'Range 1091 4343000 Travel Ex enses $ 9 17.87 Meal 1017/2016 Marriott Starbucks 1091 4343000 Travel Expenses $ �'D 7.57 Meal 10/7/2016 McDonalds 1091 4343000 Travel Expenses $ 6.34 Meal 10/7/2016 CC Food Mart-Shell 1091 4343000 Travel Expenses $ 39.30 Gas { �� LNo receipts should be.attached in the same order as listed above. . sales tax will be'rei.mbursed.: TOTAL: . Elf 140'42 R L�'.fl:.,1 lTFD OCT 10 2016 BY: Welcome to Chick-f11-A j South County FSR (# 03499) Qdoba Mexican Eats St.Louis, MO 90 S. Count;, Center Way Operator: Christopher Torres St. Loui ., MO 63129 10/0,i'-/20.16 7:30:04 PILI 314-845-3499 314-416-9800 Fle!ais'ter. 1 Trans #: 8t16 I:I{: iD: E i YUur C1::S111er; 1.EEIiE CUSTOMER COPY TM 1196 TNITIX PNT BUTTE:f; $1 ,8's 1 i 10/3/2016 6:58:48 AM K14; DABYRUTH X31..8:: 1 CARRY OUT IZIITI.)E:ItJ $1..7!; 1 Order Number: 245731 Host: Drawer 1 10;03!7016 :•;.;'fdTllE:!'1 931..00 1 TM1196 6:33 PM -- - ---- 1 Meal-CFA Bisc 4.55 10196 Sut.ltcatll = $36 `i7 CFA Bisc Tax = S30„ 11: j Hsh Brn - - -- Swt Tea MD $7,.0;: Sub. Total: $4.55 (',Mange OLIC 430.,01' Tax: $0.32 Total: $4.87 3Taco Combo 9.00 -d $7 0:: . ....._..._.--.-.--...._......__..._..---._...,___._...._.:._.._!:! ; (3)- Taco Chicken Change $0.00 Chips & Salsa 2.00 VIISA $7.rC13 Visa: $4.87 Acc:t;'Card #: Xr;X*:j(X'r()0t'{K,-:E�31 Register•6q Tran Se No: 245731 41JI-h #: 0'14014:1 Cashier:Christine -- - -••-•,-�-----TTTT��*�— — Rel : 19724036 It was a pleasure to serve you! I',esp Code: 000 Have a wonderful day. Term ID: 00100 S ti r: 04771288 308 ' ' Visa Subtotal SITE I1:3: 87388;33 Card Num XXXXXXXXXXXX1631 lax 11.00 0.78 ClJf:zi:I�U::R COPY Terminal KA29149104006 TO GO Total Approval : 095807 11 . 78 Sequence 045516 Visa V* 8p 4cc::t/C:rrd #: ;�;;;Xi(:�;;(XXl)(�k;'6:;1 I Auth:083219 78 Sti:lri: 1)!4771288,308 j Maier Gas; & Gr-ocery Inc. --- Check Closed --- 11D"1:1 N HA.I:N ST C.OVEItI:ALE, 41 16121) Welcome to Chick-fil-A South County FSR (# 03499) & & & 430 & & & St,LsMO Operator: Christopher ** * CREDIT CARD VOUCHER ***4:* topher Torres JACK PATRICKS BAR & GRILL *************** *************** 314-845-3499 1000 OLIVE ST MARRIOTT ST. LOUIS GRAND HOTEL SAINT LOUIS MO 63101 ST, LOUS, MO 314-436-8879 **** STARBUCKS *** CUSTOMER COPY Terminal ID: 01284745 2281 5 OCT'16 8:12 AM 10/4/2016 7:02:49 AM -------------------------------- DINE IN 10/4/16 6:52 PM Check: 6538 Order Number: 246996 VISA - SWIPE Server: 66054 ASHLEY ACCT 8: Card Type: VISA 1 Meal-CFA Bisc 4.55 CREDIT SALE Acct Num: ************1631 CFA Bisc UID: 627817484063 REF #: 1672 Auth Code: 011209 Hsh Brn BATCH it: 533 AUTH 0: 015219 Customer: ERIC R MEHL Swt Tea MD AMOUNT $8.75 537: � m SUt1. i UId i: moianl_�4.�� TIP $_�__C� Tax: $0.32 Total: $4.87 TOTAL $ _ (0 $0.00 Change APPROVED 0 GRATUITY $ Y� — Visa: $4,87 TOTAL $ Register:6 Tran Seq No: 246996 CUSTOMER COPY Cashier:Christine SIGNATURE It was a pleasure to serve you! nA -Have a wonderful day. I Visa Please leave signed copy Card Num : XXXXXXXXXXXX1631 with your server Termini:' : KA29149104006 Aper(,%-! 0.0208 Sequent-,e 046080 .I i Monty's Sandwich Co, 200 N. Broadway, ste 110 314-241-7900 113 Stan K -------------------------------- Chk 555 18. -'Gst 0 OctO5'16 12:48PM Sauce on the Side 411 N. 8th Street 1 Favorite Combo 8.49 H r e St. Louis, Missouri 63101 314.241.5667 Adult GC Host: Tomorrow 10/06/2016 Provolone *2016 AM 42 11: Monterey Jack 42 AM Fries 1.. 17 waffle — Meat Me in St. Louie 9,00 20oz Soda MONTYS SANDWICH COMPANY Fountain Soda 2.00 Credit Card 9,35 200 N BROADWAY SAINT LOUIS MO 63102 Subtotal 11.00 Subtotal 8.49 314-241-7900 Tax 1.12 Tax 0.86 'F*REPRINT-*w DINE—IN Total Payment 9.35 12 . 12 urinal ID: 01853865 5646 ------------------------------.--- 5/16------------------------- VISA #XXXXXXXXXXXX1631 12.12 Thank you for your Business! 12:49 PM Auth:024212 A - SWIPE www.STLmontys.Com r #' ************1631 )IT SALE Thank you for joining us! 627918570784 REF #: 1343 Please visit us at A it: 018 AUTH A: 024913 www.eatcalzones.com AMOUNT $9.35 --- Check Closed --- TIP $----�=- _ _ TOTAL $------106 APPROVED CUSTOMER COPY I \ & & & 430 & & & MARRIOTT ST. LOUIS GRAND HOTEL **** STARBUCKS **** Baileys' Range I 37054 L'ATICE Burgers and Shakes Baileys' Range CHK 6049 920 Olive Burgers and Shakes 7 OCT'16 7:47 AM St. Louis, MO 63101 I 920 Olive ---------------- ------------------------ 314-241-8121 St. Louis, MO 63101 1 VENT ICED TEA LEMONADE 4.00 DOB: 10/06/2016 314-241-8121 I 1 BANANA LOAF 2.75 Server: Alex 10/06/2016 10/06/2016 07:30 PM 7/70026 Server: Alex 7;26 PM Subtotal : $6.75 801/9 801/9 70026 Tax: $0.82 Guests: 1 7 : 48 AM SALE 5.50 TOTAL DUE : $7 . 57 7340068 Large Shake VISA Cookies'n'Cream Card #XXXXXXXXXXXX1631 Salted Caramel Magnetic card present: MEHL ERIC R Mac5.00 � PLEASE COMPLETE FOR ROOM CHARGES 'n'Cheese 3.00 Card Entry Method: S Small Fries GRATUITY Approval: 043020 Subtotal 13.50 1 1 ,37 TOTAL_ Amount: $ 14.87 Tax E' 14.87 ROOM NUMBER + Tip: �� Total , 14 . 87 PRINT LAST NAME = Total: Balance Due Thank you for joining us! SIGNATURE--------------- Please Visit Us at Our Sister Restaurants I agree to pay the above Bridge Tap House total amount according to the Rooster crepe.sandwich.cafe i card issuer agreement. I Baileys' Chocolate Bar The Fifth Wheel at Four Hands Brewery X i Customer Copy BUY ONE GET ONE FREE QUARTER POUNDER W/CHEESE OR EGG MCMUFFIN Go to www.mcdvoice.com within 7 days and tell us about Your visit. I Welcome to Shell Validation Code: WELCOME Expires 30 days after receipt date. I CC FOOD MAR T Valid at participating US McAonald's. SHELL 1600 SOUTH STREET,ROUTE 127 GREENVILLE SHELL 1236000017 IL RT 14,3/I 70%PIER 62246-9516 I H I G H L A N N 2 2 4 9 I L 1 1 1 THANK YOU 1 1 1 R e O A TEL# 618 664 0302 Store# 6418 DATE 10/07/16 11:38 p Z PUAP# 0660323 za�° SERVICE LEVEL: SELF ° KS# 13 Oct-07'16 (Fri) 12:00 PRODUCT: Unleaded y o GALLONS: 17.094 T , r t PRICE/G: 2.299 p 1 MFY SIDE 1 KVS Order 72 FUEL SALE 39.30 -ft c� cf Z Credit Car $39.30 p m QTY ITEM __ - M TOTAL XXXX XXXX XXXX 1631 � -- 1 2 Chsburger M 1-Lrg 5.88 VISA °: H CD T 2 Cheeseburger SWIM 3 N = -. NO Pickle APPED _ 1 L Coke INVH##1450602 03 CDCD n Subtotal o 5.88 Bonus Savings � I Tax Join Fuel Rewards. . . ny 'fl 0.46 and_ earn $0. 10/gal when you buyy Shell Take�Out Total 6.34 V-Power NITRO+. See www. fuelrewards. com I for terms/conditions .Cashless6 34 - Offer ends 1/1/17. w Change 0.00 I I MER# 22174602 Please come again 1 CARD ISSUERTHANK Y 0 U _ ACCOUNT# COME BACK SOON ! Visa SALE ************1631 AUTHORIZATION CODE - 040413 SEQ# 140686 McDonald's Restaurant