318994 11/22/17 s Cqq"
4.
CITY OF CARMEL, INDIANA VENDOR: 371285
.; � '• ONE CIVIC SQUARE NIKKI VASIL CHECK AMOUNT: $********42.05*
CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 318994
(raN CARMEL IN 46033 CHECK DATE: 1 1/22/11
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER . AMOUNT DESCRIPTION
1207 4239040 TIP 42.05 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371285 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NIKKI VASIL IN SUM OF$ 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
$42.05
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
Banquet Tip 11-11- 42-390.40 $42.05 1 hereby certify that the attached invoice(s),or 11/11/17 Banquet Tip 11- Banquet Tip 11-11-17 N Vasil $42.05
17 11-17
1207 101 bill(s)is(are)true and correct and that the 1207 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, November 21,2017
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
r�t�of Cq
_ CITY OF CARMEL Expense Report
(required for all travel expenses)
•���N�IANw �dOY ���� U bsi.
EMPLOYEE NAME: 7 06 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 Misc. : ToYI
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem -`-�
llll -1114 2..o c, , J
'd l
.4t
fig
Total
�5
7777
DIRECTOR'S STATEMEN • I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: t Date:
City of Carmel Form#ER06 Revision Date 10/17/2006 0.._