HomeMy WebLinkAbout321043 1/25/2018 4.
€� CITY OF CARMEL, INDIANA VENDOR: 364842
ONE CIVIC SQUARE KATHLEEN VASIL CHECK AMOUNT: S*'******72.52'
CARMEL, INDIANA 46032 3779 SIMMERMAN CT CHECK NUMBER: 321043
9M......-o' CARMEL IN 46033 CHECK DATE: 01/25118
t tON 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT . DESCRIPTION
1207 4239040 BANQUET 72.52 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
$72.52
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 1-17- 42-390.40 $72.52 1 hereby certify that the attached invoice(s),or 1/17/18 Banquet Tip 1-17- Banquet Tip $72.52
18 18
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
Thursday,January 18,2018
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
ll CITY OF CARMEL Expense Report (required for all travel expenses)
DIM"' EXHMTA&
EMPLOYEE NAME: 0.S 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. : Tofl .:,•,
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem -I;,O .:
Otfli
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
Page 1
WIPA co
o Invoice
C
Date: 12/13/2017
OF G evo BBIII To: Eric Helper
Address: Balance LLC
1060 East 86th St.Suite 65-B
Indianapolis,IN 46240
Brookshire Golf Course Phone: 317-341-3934
12120 Brookshire Parkway Email: eric.heloerta balancedclaims.com
Carmel, Indiana 46033
brookshiregolf.com
Deposit Received 0
Da"!u,:'^4T"' WIG,
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te° {x _, 7,,ait* ,>, �P :gDescri tionr�4;
1/17/2018 lRoorn Fee @$50.00 hr. $0.00
Buffett Luncheon @28 people $395.23
Sales Tax is Included in Fees
20%Setup and Clean up Fee $72.52
$
Subtotal $467.75
Tax $ -
Amount Due $ 467.75
Subtract Deposit 0
Grand Total $ 467.75
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