319659 12/15/17 r Cqq .
CITY OF CARMEL, INDIANA VENDOR: 362732_-.,
ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $********41.28*
CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 319659
CARMEL IN 46032 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 BANQ TIP 41.28 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 362732 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PAMELA LISTER IN SUM OF$ CITY OF CARMEL
11598 MANSFIELD PLACE 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,numberof units,price per unit,etc.
CARMEL, IN 46032
Payee
$41.28
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
Banquet Tip 42-390.40 $41.28 1 hereby certify that the attached invoice(s),or 12/8/17 Banquet Tip Banquet Tip from Run in November 25 2017 $41.28
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
Friday, December 08,2017
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
Cqy
ZlyinRy,_
Sf CITY OF CARMEL Expense Report
(required for all travel expenses)H
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: aZG 2C,� -� 6( b 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. ; Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
1,7777777
�gtai .
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: 2
o �
City of Carmel Form#ER06 Revision Date 10/17/2006 n 4
1,006 Co
. ‹e► Invoice
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Date: 11/25/2017
'op CP* Bill To: Foremiler
Address: Marty Day
Brookshire Golf Course Phone: 317-331-0055 _
12120 Brookshire Parkway Email: martvP macdesignsiic.com
Carmel, Indiana 46033
brookshiregolf.com
Deposit Received 0
iiaiVA.si:l►. 'r.".....4.0, ,kg,tiD,C 7a � �.�. ��11 ueitiN?� !* Alant lgg. "-,.„.,A.-f.Mi
11/25/2017 Room $
Breakfast Foods for Runners $ 367.43
Coffee, Hot Choc.,&Orange Juice
Service Charge $ 82.57
Sales Tax is included in Food$ already
Subtotal $ 450.00
Tax Banquet @9%
Amount Due $ 450.00
Subtract Deposit 0
$ 450.00
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