308723 02/28/17 ±..4Qgyf
a; CITY OF CARMEL, INDIANA VENDOR: 357304
`\ CHECK AMOUNT: $********22.13*
.� ® �• ONE CIVIC SQUARE JAMES HOBBS
:. �� CARMEL, INDIANA 46032 11180 E.111TH STREET CHECK NUMBER: 308723
-9'tii,_�� FISHERS IN 46038 CHECK DATE: 02/28/17
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 22.13 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 357304 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JAMES HOBBS IN SUM OF$ CITY OF CARMEL
11180 E. 111 TH STREET 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.
FISHERS, IN 46038
Payee
$22.13
ON ACCOUNT OF APPROPRIATION FOR. Purchase Order#
Street Department 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
0 43-430.02 $22.13 I hereby certify that the attached invoice(s),or 2/27/17 0 $22.13
2201 201 '2201 201
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, February 27,2017
Huffman, Dave
Director
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
{ ."�• .,I
wI
CITY OF CARMEL Expense Report (requlred.for all"travel expenses)
EMPLOYEE.NAME: Jim.Hobbs: DEPARTURE DATE: 2/23%2017 . TIME: 8:QOam. AM 1 PM
DEPARTMENT: STREET RETURN DATE: 2/23/2017 . TIME: 16:30 .AM)PM
Research store a containers' D.ESTINi4TION CITY:,.'. ChicagoIII .' .
TY: .' C
TRAVEL.EXPENSES ARE FOR
(check all that apply):. ADVANCE . . REIMBURSEMENT• XXXXXXX: PER DIEM
Transportation" Gas/Tolls/ Meals .
Date Lodging Misc. Total `
Air-fare Car Rental Other ; Parking Breakfast. Lunch, Dinner Snacks Per Diem
2/23/17; . . ' $4.3S .- $17:78 $22_,13
"
$0,00
,$0:00.
$000
$0:00
$0�00
$0:00
$0 X00
$08'00
$0.00
$000
"
$0:00
$0:;00
$0:00
' w0,00
Total $0:00. ` $0.00 $0.00. $0.00 „$0.00: $4:35 .i $17.78 $0.00 $0.00 $0`.00 $0:00.�$22?51F3'.
DIRECTORS STATEM I:hereb affirm'that all exDensbs.listed conform to the.City's travel'-policy.and are within:my department's a
ppropnated'b,Udget.,
Director Signature: Date:
City of.Carmel Form#ER06 Revision Date"2/24/2017. : Page,1 ' "
:x
THE
±� tFARMS,RESTAURANT IT FAIR OAK
FARMHOUSE. RESTAURANT
0-056b Table 46 #Party O
ELIZABETH L SvrCk: 11 1:07p 02/23/17
SERVER LEFT 3
Separate checks: 3-of -3
1 COKE 3.00
1 PORK TENDER SAND 11 .00
Sub Total : , 14.00
Tax 0.-98
02/23 2:08pT O T A L : 14 9 8
Suggested- Gratuity "
GRATUITY%'l ?.10 ,
G %id 2:;2
U11` .;1r, 2.80
3 5bmm
BUY ONE GET ONE FRE= QUARTER, POUNDER .
W/CHEESE OR EGG MCMUFFIN
Go 'to www.mcdvoice.com within 7 days
and tell us about your visit.
Validation Code:
Expires 30 days after receipt date.
Valid at participating US McDonald's.
Survey code:
25238-03560-22317-08586-00043-5
1514 W SOUTH ST
LEBANON
IN
46052
! ! ! THANK YOU !
TEL# 765 485 0489 Store# 25230
KS# 3 Feb.23'17 (Thu) 08:58
Side2 KVS Ordar 56
QTY ITEM TOTAL
1 2 Burrito Ml-Hb 3.99
2 No Sauce
1 L Sweet Iced Tea
Subtotal 3.99
Tax 0.36
Take--Out Total 4.35
Cash Tendered 20.00
Change 15.65
McDonald's Restaurant