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HomeMy WebLinkAbout322063 02/19/18 Cqp . R .4�'. ''rr. . CITY OF CARMEL, INDIANA VENDOR: 372250 ® ONE CIVIC SQUARE HEATHER ZIOMEK CHECK AMOUNT: $********15.46* x ?Q; CARMEL, INDIANA 46032 2620 SOLANA PLACE#305 CHECK NUMBER: 322063 9.y�.__,..o, INDIANAPOLIS IN 46240 CHECK DATE: 02/19/18 4.�ror+� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 TIP 15.46 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372250 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HEATHER ZIOMEK IN SUM OF$ CITY OF CARMEL 2620 SOLANA PLACE#305 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. INDIANAPOLIS, IN 46240 Payee $15.46 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 $15.46 1 hereby certify that the attached invoice(s),or 2/6/18 Banquet Tip H Ziomek Banquet Tip $15.46 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 Wednesday, February 14, 2018 i 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 4'tlyiN�F! CITY OF CARMEL ExpensDeQ{Re�portt (required for all travel expenses) EMPLOYEE NAME: l-�ea�4her- -Ziy me�, DEPARTURE DATE: .2—�,�/� 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. Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem �t ' ..V.•: .'11.: ill+.. Total DIRECTOR'S STATEMjg reby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: Imo/` /W /8 City of Carmel Form#ER06 Revision Date 10/17/2006 K10 o Invoice 0 � C Date: 2/6/2018 4`10*0jF cv-'00► Bill To: Brookshire HOA Address: Brookshire Village HOA 12120 Brookshire Pkwy Carmel IN 46033 Brookshire Golf Course Phone: 317-902-1594 cell 12120 Brookshire Parkway Email: Carmel, Indiana 46033 Contact: Dixie Packard brookshiregolf-com Deposit Received 0 2.06.18 1 hour for HOA Meeting @ $50.00 per hr. $ 50.00 ORDER BROOKSHIRE VILLAGE HOMEOWNERS ASSOCIATION 20-667/740 2528 $ 50.00 PO B6X 202 CARMEL,IN 46082DALE $ 4.50 PAY TO THE $ 54.50 0 ORDER OF—. 8a BRKSHII 00 P�Y To IWE DER OF__ I Q Q L Sd 0 54.50 OLIAR, =F� THE NATIONAL BAWNDIANAPOLIS Our CitY.Your Bank. c MEMO-M,7Z- 613 a/ /I AO-1:07L.00sr' 741: 14 7006 ilia 25 28