HomeMy WebLinkAbout304729 10/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350363
ONE CIVIC SQUARE PETTY CASH CHECKAMOUNT: $**'*****36.00*
CARMEL, INDIANA 46032 C/0 MAYOR'S OFFICE CHECK NUMBER: 304729
C/0 MAYOR'S OFFICE CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 102616 36.00 TRAVEL FEES & EXPENSE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
PETTY CASH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O MAYOR'S OFFICE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
C/O MAYOR'S OFFICE rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$36.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office 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
RECEIPT 43-430.01 $10.00 1 hereby certify that the attached invoice(s),or 10/20/16 RECEIPT $10.00
1160 101 1160 101
RECEIPT 43-430.01 $26.00 bill(s)is(are)true and correct and that the 10/25/16 RECEIPT $26.00
1160 1 1 101 1 materials or services itemized thereon for 1160 1 101
which charge is made were ordered and
received except
Wednesday, October 26,2016
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
RECEIPT
TRAN IN TIME OUT TIME FEE CC#*
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OMNI HOTELS &. RESORTS,
severin I indianapolis
40 West Jackson Place
Indianapolis, IN 46225
Phone: 317-634-6664 • Fax: 317-687-3612
Reservations: 800-843-6664
TOWNE PARK OCT 2016, PERM Room Number:
OMNI SEVERIN HOTEL Daily Rate: 0.00
Room Type: ROHDLX
No. of Guests: 0/0
ARRIVAL DEPARTURE CREDIT CARD RATE PLAN, CATEGORY ACCOUNT
10/1/2016 11/1/2016 OTHER QDIS 12701056068
DATE ROOM NO: DESCRIPTION REFERENCE AMO.UNT.-
10/25/2016 VALET DAY PARKING VALET DAY PARKING 991 $26.00
10/25/2016 CASH CASH ($26.00)
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TOTAL DUE: $0.00
TERMS: DUE AND PAYABLE UPON PRESENTATION. I AGREE THAT MY LIABILITY FOR THIS
BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE
INDICATED PERSON,COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL
AMOUNT OF THESE CHARGES.