308441 02/22/17 / CITY OF CARMEL, INDIANA VENDOR: 371285
ONE CIVIC SQUARE NIKKI VASIL CHECK AMOUNT: $*******165.00*
,. CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 308441
M?Ftiri CARMEL IN 46033 CHECK DATE: 02/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 165.00 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371285 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NIKKI VASIL IN SUM OF$ CITY OF CARMEL
3779 SI MMERMAN CT 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.
CARMEL, IN 46033
Payee
$100.00
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
Shepard Center 42-390.40 $100.00 1 hereby certify that the attached invoice(s),or 2/16/17 Shepard Center Banquet Tip $100.00
Tip Tip
1207 101 bill(s)is(are)true and correct and that the 1207 101
materials or services itemized the`eon for
which charge is made were ordered and
received except
Friday, February 17,2017
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
9
CITY OF CARMEL Expense Report (required for all travel expenses)
,�(ND•IAN% EXHIBIT A
EMPLOYEE NAME: N !'k k-Iyo s I DEPARTURE DATE: — �P �� TIME: AM/PM
DEPARTMENT: RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. ;'Tof 1,
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
d 116t 17 Tj�j 1100 " i•::'
y"
l,•1 i..4•� '•Ir'
:l:"`:
Ot (h777777777
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 10/17/2006 Page 1
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371285 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NIKKI VASIL IN SUM OF$ CITY OF CARMEL
3779 SI MMERMAN CT 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.
CARMEL, IN 46033
Payee
$65.00
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
Pete Banquet Tip 42-390.40 $65.00 1 hereby certify that the attached invoice(s),or 2/11/17 Pete Banquet Tip Pete Banquet Tip $65.00
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
Thursday, February 16,2017
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CITY OF CARMEL Expense Report (required for all travel expenses)
��;NOIAN% EXHIBIT A
EMPLOYEE NAME: N�\\�- 0.S' DEPARTURE DATE: � ��/ TIME: AM/PM
DEPARTMENT: 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.
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
14,
i
-.777777
T*i
i
DIRECTOR'S STATEMENT• hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: a
City of Carmel Form#ER06 Revision Date 10/17/2006 . Page 1