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Home My WebLink About304366 10/26/16 CITY OF CARMEL, INDIANA VENDOR: 367453 ONE CIVIC SQUARE MARY EVANS CHECK AMOUNT: $********76.96* CARMEL, INDIANA 46032 14831 BIXBY DRIVE CHECK NUMBER: 304366 WESTFIELD IN 46074 CHECK DATE: 10/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 100416 76.96 TRAVEL FEES & EXPENSE Voucher No. Warrant No. 367453 Evans, Mary Allowed 20 14831 Bixby Drive Westfield, IN 46074 In Sum of$ $ 76.96 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 Reimb 4343000 $ 76.96 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 19, 2016 'P*N"VXtAJ Signature $ 76.96 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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. 367453 Evans, Mary Terms 14831 Bixby Drive Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/4/16 Reimb Travel Expenses Conference $ 76.96 Total $ 76.96 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 5-11-10-1.6 120 Clerk-Treasurer Carmel e C a Parks&Recreation Employee Expense Reimbursement Request Date of fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 9/30/2016 DJ's Taco Bar 1091 gN300 0 CfCXKU vp� $12.35 Lunch at conference n 9/30/2016. DJ's � ,Taco Bar 1091 q3g3 $8.17 v Dinner at conference 10/1/2016 Starbucks 1091 t-{ 61gwb II $11.63 3 Breakfast at conference n 10/1/2016 Westin-Lobby Cafe 1091 q143=, $11.00 Lunch at conference 10/1/2016 Westin-Lobby Cafe 1091. : L3y3000 $9.00 Dinner at conference 10/1/2016 Starbucks 1091 it $6.51 Snacks at conference 10/2/2016 Starbucks 1091 (50 $13.80 I -Breakfast at conference M 9/30/2016 Illinois Tollway 1091 HM3 006 $4.50 � Tolls All receipts,should be attached in the same order as listed above. . No sales tax will be reimbursed. TOTAL: $76.96 Employee Name(pant) Mary Evans RECEIjD Address .14831 Bixby.Drive 0 C T 18 2016 Check payable to: City,'St,Zip Westfield, IN .46074 BY. Signature: [, A2�0 Approved by:Chi VIbU�. .a Date: 10/4/2016. . Date: DJ's Taco Bar DJ's Taco Bar Starbucks Fashion Outlets of Chicago Fashion Outlets of Chicago Westin O'Hare 5220 Fashion Outlets Way - Unit F05 5220 Fashion Outlets Way - Unit FC5 Chicago Rosemont, IL 60018 Rosemont, IL 60018 Thank You for Visiting Thank You for Visiting Customer copy ---------------------------------- TABLE: Marianna #5 - I Guest TABLE: Marianna #6 - 1 Guest------- , Merchant ID : 001060000019944 Your Server was MariannaYour Se'rver was Marianna Terminal ID : 1032401 9/30/2016 6:10:23 PM 9/30/2016 6:10:39 PM EmpID :910320074 Sequence #: 0000139 Sequence #: 0000140 1 EmpName :Jenny TblID/GrpID :0 /0 ID #: 0203621 ID #: 0203622 Card # XXXXXXXXXXXX3827 S ITEM QTY PRICE ITEM QTY PRICE ------------------------------------------ Card Type VISA Check # 4998 Chips & Guac, 1 $3.75 Polio Al Pastor (Chicken) 1 $7.35 Trans Time : 10/01/16 06:56 Polio Al Pastor (Chicken) 1 $7.35 Subtotal . $7.35 Trans Type SALE Subtotal $11,10 Total Taxes $0.82 Trace No, 011598 Total Taxes $1.25 --------I--------------------- Reference # : 406275069065 -------------------------- Grand Total $8.17 Auth Code 025607 Grand Total $12.35 This Payment $8,17 This Payment $12.35 Total Charged; $8.17 10:4288298477313827 Total Charged: $12.35 Paid by sale Credit Purchase Paid by sale Credit Purchase :EVANS/MARY L Subtotal USD 11,63 Name :EVANS/MARY L Name CC Type :VISA Tip USD C CC Type :VISA CC 'Num ;xxxx xxxx xxxx 3827 CC Num :xxxx xxxx xxxx 3827 Reference :578097 Total USD Reference :578090 Approval :011119 Approval :051019 ------------------------------------------ Approved With, Signature -------------------------------------------- Please Come Back! Please-Come Back! -------------- dgree to the terms of my credit agreement. Lobby Lounge Lobby lounge Westin O'Hare Westin O'Hare Rosemont IL Rosemont IL Westin O'Hare Customer Copy Customer Copy Starbucks 5100 N River Rd Merchant ID : 001060000019944 Merchant ID : 001060000019944 Ros",�nt, IL 6001e Terminal ID : 1032401 Terminal ID : 1032401 (8 698-6000 EmPID :910320098 EmPID :910320098 910320099 Stepahanib,, EmpName ;Alicia L, EmpName :Alicia L. ----------------------- _______________ TblID/GrpID :0 /0 TblID/GrpID :.0 /0 CHK 4302 Card # XXXXXXXXXXXX3827 S Card # XXXXXXXXXXXX3827 Sxkr REPRINT 1 Card Type VISA Card Type VISA -------------------------------- Check # 5701 Check # 5702 1 That's it Blueberries T* Trans Time : 10/01/16 14:32 Trans Time : 10/01/16 14:33 1 Buck Wild Chips 1.95. Trans Type SALE Trans Type SALE 1 One Potato 1.95 Trace No. 011872 Trace No. 011873 Subtotal $5.85 Peference # : 406275069598 Reference # : 406275069601 Tax $0.66 Auth Code : 043215 Auth Code : '053315 Payment $6.51 ID:4288298477313827 ID:4288298477313827 j Visa $6.51 0382716406275069378 Subtotal USD 11.00 Subtotal USD 9.00 f , ----------- Check Closed ----------- Tip USD Tip USD 10/1/2016 12:31 PM # XXXXXXXXXXXX3827 Total USD Total USD VISA 093113 Auth 6.51 Approved With Signature Approved With Signature I agree to the terms of my I agree to the terms of my credit agreement, credit agreement. Starbucks Westin O'Hare Chicago Customer Copy Merchant ID : 001060000019944 Terminal ID : 1032401 EmpID :910320074 EmpName :Jenny TblID/GrpID :0 /0 Card # : XXXXXXXXXXXX3827 S Card Type VISA Check # 4613 Trans Time : 10/02/16 07:47 Trans Type : SALE Trace No. :012090 Reference # : 406276070021 Auth Code ; 094108 ID:4288298477313827 Subtotal : USD 13.80 Tip USD Total USD Approved With Signature I agree to the terms of my credit agreement. Mary Evans From: Illinois Tollway <noreply@getipass.com> Sent: Friday, September 30, 2016 11:29 PM To: Mary Evans Subject: Unpaid Toll Payment Confirmation Thank You For Your Payment Authorization Code: 083221 Payment Submitted on: 10/01/2016 Below is a summary of your payment. MARY L EVANS 14831 BIXBY DRIVE WESTFIELD WESTFIELD, IN 46074 License Plate: 73190 License Plate State: Illinois Vehicle Type: Passenger Toll Payment Details Unpaid Toll Date: 09/30/2016 Approximate Time: 02:00:00 PM Plaza: 1-294 83RD ST(PLAZA 39 ) A'mount �$±1:50 Unpaid Toll Date: 09/30/2016 Approximate Time: 02:00:00 PM Plaza: 1-294163RD ST(PLAZA 41) Unpaid Toll Date: 09/30/2016 Approximate Time: 01:00:00 PM Plaza: 1-294 CERMAK RD (PLAZA 35 ) ArWo_u"nt $;1:50;; Total Charge to Credit Card LaNst4digfs;of'Cred'it;Card] xxxxxxxxxxxx382;7 Credit Card:VISA Charged to: IVIPiRYLEV-AN51 14831 BIXBY DRIVE WESTFIELD WESTFIELD, IN 46074 1 Mary FF: '�'qqprl A I � S C M Evans FRI 11 2G 3C 4B 5F f:NlQN�H Flnnrmommue . SAT 1 A Key 31 4G 50 6B SUN1A 2G 30 4H I' jKey= Keynote &Awards.Len Kravitz 9:30am Room A i