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Home My WebLink About304521 10/31/16 1 Coq' `y u ''° CITY OF CARMEL, INDIANA VENDOR: 370216 V� t� ONE CIVIC SQUARE CHRISTINE PAULEY CHECK AMOUNT: $*******518.20* ?�; CARMEL, INDIANA 46032 87 11TH ST NW CHECK NUMBER: 304521 �'��roN�' CARMEL IN 46032 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 100416 518.20 TRAVEL PER DIEMS F VOUCHER NO. WARRANT NO. rescribed 6y State Board of Accounts city Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHRISTINE PAULEY IN SUM OF$ CITY OF CARMEL 87:11 TH ST NW An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, I N 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. .,Payee $518.20 . ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Clerk Treasurer 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 100416 43-430.04 I hereby certify that the attached invoice(s),or 10/4/16 100416 West Baden Springs Hotel $338.00 1701 101 1701 . 101 bill(s)-is(are)true and correct and that the 100416 43 430.04 - $338.00 10/4/16' 100416 Mileage to West Baden Springs Hotel $139.32 1701 101' materials or services itemized thereon for 1701 101 101516 4q-430.64. $.40.88 10/5/16 101516 Dinner. $40.88 which charge is Made were ordered and 1701 _ I I •: 101 1701 I 101 received except Wednesday, October.26,2016 Linda.Harvey Chief Deputy Clerk Treasurer 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. 120 Cost distribution ledger classification if claim paid motor vehicle highway fund: Clerk-Treasurer WEST BADEN SPRINGS H O T E L Name: CHRISTINE PAULEY Arrival Date: 10/03/2016 Cl Clerk VHAAG Address: 8711 TH ST NW Departure Date: 10/06/2016 CO Clerk MSTONE CARMEL IN 46032 Group Code: CMAB Room #: WB 4457 Resv 1 425440766354 1 Page 1 of 1 Date Reference Description Charges Credits 10/04/2016 426469100601 ROOM CHARGE WB 4457 169.00 TAX1 11.83 TAX2 $ 10.14 10/05/2016 426479100568 ROOM CHARGE W13 4457 169.00 TAX 1 1 1.83 TAX2 glr /11.83 10.14 10/05/2016 426472624823 W6 IN ROOM DINING 40.88 10/06/2016 426482630693 WB FRONT DESK VISA 422.82 ************0849 Total Due .00 I agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card,the hold on funds may last from 7-10 business days after your check-out date. Guest Signature: West Baden Springs Hotel 8538 West Baden Avenue West Baden, IN 47469 888.936.9360 frenchlick.com WEST BADEN SPRINGS H O T E L Name: CHRISTINE PAULEY Arrival Date: 10/03/2016 Cl Clerk VHAAG Address: 8711TH ST NW Departure Date: 10/06/2016 CO Clerk MSTONE CARMEL IN 46032 Group Code: CMAB Room #: WB 4457 Resv 425440766354 Page 1 of 1 Date Reference Description Charges Credits 10/10/2016 426522704031 FRENCH LICK ROOM CHARGE 43.94 TAX EXEMPT 10/10/2016 426522704036 WB FRONT DESK VISA 43.94 ***********'0849 Total Due .00 I agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card, the hold on funds may last from 7-10 business days after your check-out date. Guest Signature: West Baden Springs Hotel 8538 West Baden Avenue West Baden, IN 47469 888.936.9360 frenchlick.com Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995) CITY OF CARMEL An invoice or 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 ClP�1s1r7� �CI.LL/� Purchase Order No. pZ / I to Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �v 5 a s 1019 n iv S'4-Iw ' S C' . Q,vk- Am C�9 13 02 WM 5 Total - l \by certify that the attached invoice(s), or bill(s), is (a7re) a d correct=d'te in accor- �IC 5-11-10-1.6. r . 20 /0 -- -7— - Clerk-Trea er VOUCHER NO. WARRANT NO. ALLOWED low IN SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I 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 20 7(- Signature GSignature Cost distribution ledger classification if Title claim paid motor vehicle highway fund