309910 04/04/17 9r"���AM
u' s` CITY OF CARMEL, INDIANA VENDOR: 00351024
ONE CIVIC SQUARE POTAWATOMI INN CHECK AMOUNT: $"'`""146.04`
r =Q CARMEL, INDIANA 46032 6 LANE 100 LAKE JAMES CHECK NUMBER: 309910
'Mii�N.- ANGOLA IN 46703 CHECK DATE: 04/04/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 358901 146.04 TRAVEL FEES & EXPENSE
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Page 1 of 1
6 Lane 100A Lake James
Angola, IN 46703 MAR 2 7 2017
260-833-1077/260-833-408' TAX ID:
potawatomiinn@dnr.in.gov
Attn: Michael Allen
Carmel Clay Parks& Recreation (358900)' 358901 02i26i2017 146.04
1411 E. 116th Street -
Carmel, IN 46032 Master Folio
Poi YA-48
Room Taxable 83.00 0.00 83.00
j Group-Breakfast 12.25' 0.00', 95.25
Group-Lunch 13.251 0.00', 108.50
Group-Dinner 16.95 0.00! 125.45
I Service Charge 7.65, 0.00; 133.10
Sales Tax 8.79; 0.00! 141.89
Tax Rate 2-County Room Tax j 4.15 0.001 146.04
Balance Due 146.04
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iSummary and Taxes
! Taxable Sales 125.451
Sales Tax-7% 8.79 1
Tax Rate 2-County Room Tax-5% 4.15
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SK Make reservations at www.indianainns.com
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Potawatomi Inn _- T.I Account Statement
6 Lane 100A Lake James
Angola, IN 46703 Page 1
260-833-1077/260-833-4087 MAR 27 2017
potawatomiinn@dnr.in.gov
Account .- ....1485
Statement Date 03/25/2017
Balance Due 146.04
Last Payment
Existing
Attn: Michael Allen Credit 0.00
Carmel Clay Parks& Recreation
1411 E. 116th Street
Carmel, IN 46032
Net 10 days.
Payable upon receipt.
Open Balance 31-60 days 61-90 days 91-120 days Over 120 days
146.04 0.00 0.00 0.00 0.00
Invoice Original Payments Finance Open
Date Check In/Out Voucher Invoice Reference Amount Received Charges Amount
03/07/17 02/28 Carmel Clay Parks&Rec F 358901 146.04 0.00 0.00 146.04