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Home My WebLink About304287 10/20/16 y u!.E4gM CITY OF CARMEL, INDIANA VENDOR: 355133 `� �� CHECK AMOUNT: $********81.72* .s ;• ONE CIVIC SQUARE AUDREY B KOSTRZEWA Q CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK NUMBER: 304287 ''��'r'oN�O' CARMEL IN 46032 CHECK DATE: 10/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 101016 81.72 TRAVEL FEES & EXPENSE i Voucher No. Warrant No. 355133 Kostrzewa, Audrey Allowed 20 2592 Turning Leaf Lane Carmel, IN 46032 In Sum of$ $ 81.72 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 Reimb 4343000 $ 81.72 1 hereby certify that the attached invoice(s), or 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 Signature $ 81.72 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I 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. 355133 Kostrzewa, Audrey Terms 2592 Turning Leaf Lane Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/10/16 Reimb Travel Expenses for NRPA Conference $ 81.72 Total Is 81.72 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 Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Receipt Date of Fund Account Account # Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 1 10/4/2016 TGI Friday's-Effingham, IL 1125 4343000 Travel Fees&Expenses $ 10.59 2 10/4/2016 Lucas Park Grille-St, Louis, MO 1125 4343000 Travel Fees& Expenses $ 2 29.04 � 3 10/5/2016 Courtyard by Marriott-St. Louis, MO 1125 4343000 Travel Fees& Expenses $ 3 8.26 Meals purchased whileattending the National � 4 10/5/2016 America's Center Concess-St.Louis, MO 1125 4343000 Travel Fees&Expenses $ 4 8.00 Recreation&ParkAssociation Annual #5 Conference 5 5 10/6/2016 Courtyard by Marriott-St. Louis, MO 1125 4343000 Travel Fees&Expenses $ 79 in St. Louis, MO 6 10/6/2016 America's Center Concess-St.Louis, MO 1125 4343000 Travel Fees& Expenses $ '(O 8.00 Oct.4-7,2016 7 10/7/2016 Courtyard by Marriott-St. Louis, MO 1125 4343000 Travel Fees&Expenses $ '�7 8.26 8 10/7/2016 Burger King-Marshall, IL 1125 4343000 Travel Fees&Expenses $ 8 3.78 All receipts should be attached in the same order as listed above. / No sales tax will be reimbursed. TOTAL: $81,7-2 v Employee Name (print) Audrey Kostzew Address 2592-�Turhing=Leaf-L"3rieI Check _ payable to: City, St, Zip CarrnelINLT46432'__ `- Signature: Approved by: L Date: rr7 D Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Full 47390200 2016 ANNUAL CONFERENCE 9 GREAT IDEAS START HERE Audrey Audrey_ KostrZeWa Business setvices Director B parks &Recreation Carmel Clay Carmel, IN III 1 I i � f I j r j r 1 •1 tlr l'.' 'U L7 L7 ,-�L'�I Imo, 105 Trefz' Drive Marshal 1, 'IL 62441 i FOOD PURCHASE. i ! 0,1in 7) 826-2�o�'�.H {� DETAILS ON BACK. VER DETALLES AL DORSO. X10%7/2016 12=56:28 PM j` rr, er 303738 Res 3 - IN employee: 394692 Name: Ashley r JUNIOR 1.'89 j 1 - Mayo r r i Med COKE _ 1.89 ! Whpr JUNT'OR-SCM 4.49; j ; 1 + CHS Amer 0.30 1;--Sm FR'IES'�( �l [Sm SODA] rn °i l�fy r.ri�•i��',n_ S��I�rv7n9�� I �, m, Sub'Tota'1 8.157 0. I` 16"2)i I ` i WITH FTSUa 4'UHCHASE. 9.19 SEE DIVATsaS ON BACK. 9.119 VER-DE=gh3ngj DORSO Your ordernumber is: 338 f1 w,,tn:,,idty'bke t ii•t d�. efix,tJ i".'l I 1 IAcct•-xxxxxxxxxxxx5.747 Authorization: 08736D WHOPPER_Saodwi-ch foryouur thoughts www.mybkexperience.com .:-1Survey Code 18156-03326 00737 308127 f Check on reverse for food af_fer ti��JVi V10�I1 del 'E^:.�..e�.P r.[,P.%.,O.l,f:1i For management and team member ,1 `emp l`oyment-opp or tun'i-t'i-e5:— o a 4 � d-I A', n! �,Vttt�Carrols�comI orluse n !! u � r—J u�. M j theu Qf code',' above.:,d „ ,i cul WITH FOOD PURCHASE. SEE DETAILS ON BACK. VER DETALLES AL DORSO. fries at regular price after completing our brief survey. I. Go online to www.mybkexperience.com anytime within 48 hours. 2. Complete survey and get validation code. 3. Write code here Return this receipt to a participating BURGER KING° restaurant to receive offer.Food purchase required. Validated receipt good for one month from date of purchase.Not valid with any other offer,including senior or value meal pricing or value menu item pricing.Not available to employees&their families. One survey per guest per month.Cash value I/1000. Visite www.mybi(experience.com y siga las instrucciones. Go To www.mybkexperience.com One Free WHOPPER'Sandwich 9657 or Original Chicken Sandwich 9640 with purchase of small,medium or large size drink and fries at regular price after completing our brief survey. 1. Go online to www.mybl<experience.com anytime within 48 hours. 2. Complete survey and get validation code. 3. Write code here Return this receipt to a participating BURGER KING° restaurant to receive offer.Food purchase required. Validated receipt-good for one month from date of purchase.Not valid with any other offer,including senior or value meal pricing or value menu item pricing.Not available to employees&their families. One survey per guest per month.Cash value I/100¢. Visite www.mybkexperience.com y siga las instrucciones. One Free WHO PPER°Sandwich 9657 or Original Chicken Sandwich 9640 with purchase of small,medium or large size drink and fries at regular price after completing our brief survey. 1. Go online to www.mybl<experience.com anytime within 48 hours. 2. Complete survey and get validation code. 3. Write code here Return this receipt to a participating BURGER KING° restaurant to receive offer.Food purchase required. Validated receipt good for one month from date of purchase.Not valid with any other offer including senior or value meal pricing or value menu item pricing.Not available to employees&their families. * TGI FRIDAY'S #1896** EFFINGHAM Date: OctO4'16 01 :04PM Card Type: VISA Acct #: XXXXXXXXXXXX5747 Card Entry: SWIPED Trans Type: PURCHASE Trans Key: LIL000373236066 Auth Code: 02142D Check: 3012 Table: 16/1 _ Server: 5 JESSICA Subtotal : 8 0 59 T.IP $ TOTAL **Your Copy** Keep For Your Records * TGI FRIDAY'S #1896** EFFINGHAM 5 JESSICA Tb,l 16/1 Chk 3012 Gst 1 OctO4'16 12:28PM ** Memo Check *** Seat:2 1 Pick 2 $7..99 TURKEY SOUP 7.99 LN YUC SALAD On Side CHIP CREMA On Side AVOCADO. VIN Food 7.99 Sales/MB Tax 0.60 12:58PM Total Due: 8 . 5 9 For your convenience we are providing the following gratuity calculations: 15% is $1.20 18% is $1 .44 20% is $1 .60 . QUESTIONS OR COMMENTS? PLEASE CONTACT US AT WWW.TGIFRIDAYS.COM OR Am 1-600-FRIDAYS LUA PARK LUCAS PARK GRILLE THANK YOU COME AGAIN!! ! server: Nikki 10/04/2016 able 109/2 9:22 PM aUEStS: 4 70021 ;lass Merlot 0 shrimuRice Bowl 22.00 subtotal ��in —0-0, 31 .00 ax 3.7c,7�ar c2.6 4 otal T7 p Ll-4 ® 34.78 3a 'l ar-ice DuCA- �`® 34. . 78 www.lucasparkgriIIe.com r r LUCAS PARK GRILLE THANK YOU COBE AGAIN!!! server: Nikki DOB: 10/04/2016 )9:26 PM 10/04/2016 'able 109/2 7%70021 SALE LISA 7340050 ;ard #XXXXXXXXXXXX5747 iagnetic card present: KOSTRZEVIA AUDREY ;ard Entry Method: S approval : 00510D Amount: $ 34,78 � + Tip: = Total: n 7 I agree to' pay the above total amount according to the card issuer agreement, Guest Copy COURTYARD BY MARRIOTT Downtown/Convention Center n 823-827 Washington Avenue J� St. Louts, MO, 63101 314 231-7560 B I S T R O eat drink connect 55119 ENISHA 3 1 ---------------------------------------- CHK 27402 TBL 6/3 5 OCT'16 8:18 AM ---------------------------------------- 1 TOAST 1 .75 WHEAT 1 YOGURT 2.15 1 GRND COFFEE VERONA 2.10 SUBTOTAL $6.00 TAX $0.76 8 : 20 ANI TOTAL DUE $6 . 76 PLEASE COMPLETE FOR ROOM CHARGES GRATUITY /,_16, TOTAL ROOM NUMBER_ PRINT LAST NAME___-__.._�� Y SIGNATURE COURTYARD BY MARRIOTT Downtown/Convention Center 823-827 Washington Avenue 6 St. Louis, MO, 63101 314 231-7560 B I S T R O eat drink connect 55119 ENISHA 3 1 ---------------------------------------- CHK 27488 TBL 1 /2 6 OCT'16 7:30 AM ---------------------------------------- 1 GRND COFFEE BLONDE 2.10 1 YOGURT 2.15 SUBTOTAL $4.25 TAX $0.54 7 : 31 AM TOTAL DUE $4 . 79 PLEASE COMPLETE FOR ROOM CHARGES GRATUITY_ TOTAL ROOM NUMBER —� PRINT LAST NAME__, SIGNATURE COURTYARD BY MARRIOTT Downtown/Convention Center 823-827 Washington Avenue St. Louis, MO, 63101 314 231-7560 B I S T R O eat drink connect 55119 ENISHA 3 . 1 ---------------------------------------- CHK 27626 TBL 1 /2 7 OCT'16 8:00 AM ---------------------------------------- 1 YOGURT 2.15 1 GRND COFFEE BLONDE 2.10 1 TOAST 1 .75 WHEAT SUBTOTAL $6.00 TAX $0.76 S : O1 AM TOTAL DUE $6 . 76 PLEASE COMPLETE--fR00M CHARGES GRATUITY TOTAL 8_ a ROOM NUMBER �3cS PRINT LAST NAME Je--sliz— SIGNATURE