HomeMy WebLinkAbout305807 12/07/16 J.j .a� f CITY OF CARMEL, INDIANA VENDOR: 371285
® d ONE CIVIC SQUARE NIKKI VASIL CHECK AMOUNT: $*******106.20*
s„ �_� CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 305807
�'��i6ri�°' CARMEL IN 46033 CHECK DATE: 12/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 N VASIL TIP 106.20 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
NIKKI VASIL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3779 SIMMERMAN CT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$106.20 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
N Vasil tip 42-390.40 $106.20 1 hereby certify that the attached invoice(s),or 10/22/16 N Vasil tip Smith Wedding tip $106.20
1207 101 1207 101
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
Monday, December 05,2016
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
+G1y`OF Cqq•��!
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: �C
r\ i 0.S DEPARTURE DATE: 1� -� Lam- TIME: AM/PM
DEPARTMENT: 426 RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Mise. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
45.-
1
..1:.
fiOta�-
DIRECTOR'S STATE . I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
'Director Signature: Date: ,Z12_Sl �/
City of Carmel Form#ER06 Revision Date'10/17/2006 Page 1