319678 12/15/17 CITY OF CARMEL, INDIANA VENDOR: 364842
d ONE CIVIC SQUARE KATHLEEN VASIL CHECK AMOUNT: $ *******41.29*
CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 319678
CARMEL IN 46033 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 BANQ TIP 41.29 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 364842 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KATHLEEN VASIL IN SUM OF$ CITY OF CARMEL
3779 SIMMERMAN 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
$41.29
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
K Vasil 42-390.40 $41.29 1 hereby certify that the attached invoice(s),or 12/8/17 K Vasil Banquet Tip from Run in November 25 2017 $41.29
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
`44tl OF C'qg��! .
) CITY OF CARMEL Expense Report (required for all travel expenses)
NDIAN�
EMPLOYEE NAME: i�La Q`�t� DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: — Y)r 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.
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem c
-a5-
zli
C:iY
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 In—
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te► Invoice
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Date: 11/25/2017
loi as
`o>F cagy* Bill To: Foremiler
Address: Marty Day
Brookshire Golf Course Phone: 317-331-0055 —
12120 Brookshire Parkway Email: martv@macdesignsific.com
Carmel, Indiana 46033
brookshiregolf.com
Deposit Received 0
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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 Deposit0
$ 450.00
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