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Home My WebLink About323697 04/06/18 4� •.�4q\ . CITY OF CARMEL, INDIANA VENDOR: 357976 ONE CIVIC SQUARE BENJAMIN JOHNSON CHECK AMOUNT: $"""'241.62' CARMEL, INDIANA 46032 11182 HARRISTON DRIVE CHECK NUMBER: 323697 FISHERS IN 46037 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 241.62 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 357976 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Johnson, Ben Payee 11182 Harriston Drive Fishers, IN 46037 In Sum of$ Purchase Order# 357976 Johnson, Ben Terms $ 241.62 11182 Harriston Drive Date Due Fishers, IN 46037 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#ornvoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 Reimb 4343000 $ 241.62 Board Members 3/30/18 Reimb Travel Expenses for NAA Conference $ 241.62 I hereby certify that the attached invoice(s),or 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 $ 241.62 Total $ 241.62 April 4,2018 1 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title Carmel Clare 'arks&IRecreat'on Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 3.18.18 Uber 1081-99 4343000 Travel Fees & Expenses $ 39.68 NAA Conference 3.18.18 Tin Lizzy's 1081-99 4343000 Travel Fees & Expenses $ 13.88 NAA Conference 3.18.18 Metro Cafe Diner 1081-99 4343000 Travel Fees&Expenses $ 31.12 NAA Conference 3.19.18 Stk 1081-99 4343000 Travel Fees& Expenses $ 65.00 NAA Conference 3.20.18 Caribou Coffee Store 1081-99 4343000 Travel Fees & Expenses $ 3.54 NAA Conference 3.20.18 High Velocity 1081-99 4343000 Travel Fees& Expenses �(0,7'� NAA Conference 3.21.18 Caribou Coffee Store 1081-99 4343000 Travel Fees& Expenses $ 3.04 NAA Conference 3.21.18 Uber 1081-99 4343000 Travel Fees&Expenses $ 22.14 NAA Conference 3.21.18 Atlanta Bread Cc 1081-99 .4343000 Travel Fees&Expenses $ � 10.45 NAA Conference 3.21.18 Receipt(Indy Airport- Economy Parking) 1081-99 4343000 Travel Fees& Expenses $ 36.00 NAA Conference All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: /. Employee Name(print) Ben Johnson4•�0L Address 11182 Harriston Drive Check payable to: City, St, Zip 4 Fishers, IN 46037 Signature: - Approved by: Date: 3.30.18 Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request R c V Ft D APR 0 3 2018 RY! - - s � N pt{„ftp�''d@981. - °.+ ''� �'ems, S+ °&V'r�'` ."`+�'c �• �;�. f,��a .� ,�': @ '��`,� c� �, �. t� �:' •s�.e �,, � ��,� �"�+- �,c �� r f.'��.�'S°q•� � � � �'�'� �' c' '�.#*�� 'y. s s ��•�`yma �, 5 ad�� .. ��.:.�° s ,� �.�sy �,.. s '� •a `�'��'” ��a �� s� 4 �".r„a g" gar ar:a 4 c8` �. r, g y =F sa : �.S' �, r _ �., '+an'R � _ � ; - 'S��r", y`'� kr #t p '"�✓ a. � w �-" 4 ��s �, ,:• S wP'. •g 4� '4"P�N R � • $7e h� q •? �" "� `..� �.er�.y y 8 a # '� ��, �A '& �°' 3 �.i .. S le •y a, d ;+�� a�"-' a`P�4��e r� ap�. �sy��, ,x�"° '. f at* � ,-r° a e� ,�c7 "" ra` IMP ��'•, � "+'asGe,.& x�..:..�?��Ra,�«_�',�_g ��..P"�'i�a�� _ r�F' � `3'�"�. ' tom, w�.^s.. °-s,. ,;�.. c u B - i Ben Johnson From: Uber Receipts <uber.us@uber.com> Sent: Wednesday, March 21, 2018 12:48 PM To: Ben Johnson . Subject: Thanks for tipping! We've updated your Wednesday afternoon trip receipt A' FS t 155 3.78 v 9 T� r; 42lS '- . i -"! 7d 4T ,. k 55 A. T fdr 5 vaa T3 { Map data @2018 GaWls 3. $22. 14 Thanks for tipping, Ben March 21, 2018 1 uberX 12:26pm 1265 Peachtree St NW, Atlanta, GA 12:47pm 14000, 6000 N Terminal Pkwy, Atlanta, GA 1 -Tin Lizzy's Cantina 95-1 229:Peach:tree'StINE Atlanta Ga, 30303 Server: Shaquala DOB: 03/18/2018 04:21 PM 03/18/2018 91/6 1/10042 SALE Tin LizzY's Cantina 051 229 Peachtree St NE Visa 3145765 Atlanta Ga, 30303 Card #XXXXXXXXXXXX6916 03/18/2018- Magnetic card present: JOHNSON BENJAMIN Server; Shaquala 405 PM Card Entry Method: S 91/6 10042 Approval: 00648D Guests: 7 Reprint #: 1 Menu: Server Amount: $10.88 Shrimp Skillet 9.99 + Gratuity: ___3 Complete Subtotal 9.99 = Total: 1 Items 9.99 I agree to pay the above Subtotal 0.89 total amount according to the Taxca d issuer agreement. 10.88 Total X— Due 10 .88 20% OFF Bal arce Your next visit when you :20% OFF Take a quick survey Your next'-viz it mrlryv q /( www.tinlizzysfeedback.com Take6°a ,ick survey www.tinlizzYsfeedbaek.com For your convenience we are providing the following gratuity calculations: 18%=== 1 .80 20%=== 2:00 22%=== 2.20 Guest Copy Metro Cafe Diner 229 Peachtree St NE B-17 METRO CAFE DINER Atlanta, GA 30303 229 Peachtree St (404) 577-1420 Atlanta, GA 30303 03/18/2018 23:40:05 404-577=1420 SubTotal USD $ 27.77 03/18/2018 o Server: Robert Tip USD •� Table 62/2 11:31 110103 Guests: 4 Total USD $ Menu: Server CHASE VISA Entry Method. Chip Cheese Stix 8.50 CARD #: XXXXXXXXXXXX6916 Beef Stragonof 17.00 PURCHASE - APPROVED AUTH CODE:02562D Complete Subtotal 25.50 Issuer Mode: AID. AOOO0000031010 2 Items TVR: 0000008000 25.50 IAD: 0601OA03602002 Subtotal2.27 TSI: F800 ARC: 00 Tax MID: 87478$0 TID: 636282 RRN: 122199 Total 27.77 Signature: Balance Due 27 . 77 7Z- Thank You For Dining With Us I agree t� -pay-above• total amount_ according to card issuer agreement. (Merchant agreement if Credit Voucher) g Retain this copy for your records CUSTOMER COPY ' THANK YOU FOR SHOPPING WITH 'US! i fSIK' A T L A N T A STK A i L A N i A i. .# . 1075 Peachtree St 1075 Peachtree St Atlanta, GA 30309 Atlanta, GA 30309 1044 Sarah L Mar19`1"8 •09" 05PM 4 5 ° 0:0+ Date,:..- __. ----- __ a Card Type: Visa --------------------------------Chk 5923 Gst 1 10 . 00+ Acct #: XXXXXXXXXXXX6916 Tbl 205/1 Mar 19"18 07:50PP1 55 - 001,1 Card Entry: SWIPED *** Reprint Memo Check *** I Trans Type: PURCHASE ---------------------------------------- Trans -Key: KIK006941853910 ;. ; �� 55 - 00-x ®i ne In ° Check: 5923 Seat-6 9 Table: 205/1 2 Stella Artois 7�JN� 14.00 4 ° 9 5 Server: 1044 Sarah L 1 16oz Sirloin 45.00 1 Jal Grits 10.00 Subtotal: 4 . 8 Subtotal 69.00 4 ° 95+ 4 Tax 5.87 59 - 95 ' A Gratuity for the food 09:01PM Tots 74 . 87 service team has not been our check. If 5 5 ° to your 2.0 - % you are happy with the service A Gratuity for the food We can add: service team has not been 1 1 ° 00 T added to your check. If 18% is $13.48 you are happy with the service �. 59 ° 95 + 20% is $14.97 We can add: i 22% is $16.47 1 1 . 0,0 + Please intial next to selection 18% is $13.48 7.0 - 9 5 Thank You! ?, 20% is $14.97 Tip: S 22% is $16.47 i Please intial next to selection Total: L'� - Thank You! -------------------------------- Keep for your records Thank you for joining us *CUSTOMER COPY* @ STK Atlanta!!! To join our friends with benefits program —� - -- or for event inquiries Please contact us @ eventsatlanta@togrp.com. & & & 408 & & & COPY COPY COPY COPY COPY COPY COPY COPY * * CREDIT CARD VOUCHER ***** Caribou Coffee Store #221 & .p 404-681-0208 & & & 408 & & ,. ,! ATLANTA MARRIOTT MARQUIS _... •�,�` ATLANTA MARRIOTT MARQUIS Table 2 ATLANTA, GA P *** HIGH VELOCITY ** CALLIE M SvrCk: 59 7:47.03/20/19' HIGH VELOCITY * t 72051 Vincent 1 20 Ma•r'18 11:57 PM ---------------- REG Two -------------- 2.79 Check: CHK 454b ? CHK 4546 T B L �1 -4/1 1 OAT-MPL BRWN SGR GaS T l 2 CUP CHARGE 0.50 .. Table: 14,11 20-Ma 10:40 PM Server: 22038 Heath i Sub Total: 3.29 Card Type: VISA ' 1 DR SAM SEASON 20 8.50 foo: 0.25 i Acct Num: ************69161. (,HIKN. . �. TENDR 13.00 G. 03/20 07:47 TOTAL: 3.54 Autf Code: 02134D i Customer: BENJAMIN JOHNSON -..•w Subtotal: $21.50 $5.00 AMT-TEND CHANGE TALLY trio . nt $ 3 . 41 Tax: j VISA 3.54 3.54 Total : �'�3 . ------ 3.54 10 . 00 3.54 CHARGE TIP $ $5.00 GRATUITY $ $28.41 ---- VISA (Rec:67) Memo: 01501D,xxxxxxxxxxxx6916, TOTAL $ ?. ************6916 3,54 _. 03/20/18 07:47 -•----- Check Closed ----------- SIGNATURE - - ---- 3 70 Mar'18 11:57 PM x x o + - + + � M .o• .0! ` please leave signed copy M. .p . "o p . - ko C- =m cu o , . . with your server N M N �o COPY COPY COPY COPY COPY copy copy COPY Caribou Coffee Store #221- 404-681-0208 Table 2 VICTORIA I SvrCk:217 9:55 03/21/18 REG One 1 OAT-MPL BRWN SGR 2.79 Sub Toi•al: 2.79 foo: 0.25 —03/21 09:55 TOTAL:- 3.04 - — RMT-TEND CHANGE TALLY VISA 3.04 3.04 3.04 3.04 (Rec:355) Memo: 05251D,xxxxxxxxxxxx6916, 3.04 03/21/18 09:55 OPERATED BY ATLANTA .`BREA.D CO ATLANTA INT,ERNA:TIO"NAL AIRPORT ;; Receipt27003'5 Aminta ._ L/R #45 A Payment N0.00034891 i ------------- '47----- __ = ,-_-- �� T/D #38 Ticket No.083223 CHK 629 i Entry Time 03/18/2018 (Sun) 10:03 MAR 21 18 1 33'0:M' { Exit Time 03/21/2018 (Wed) 17:56 ------- - Mays 753---------------- Parking Time DINE IN Parking Fee Rate F $36.00 BEN 1 VISA 1 GUEST NAME 0 .00 Account # *****************6916 i 1 SAND CHX WLDRF 8 . 39 Slip # 38215 1 FRUIT BANANA Q 1 .29 Auth Code � 000 -! - Credit Card Amount $36.00 SU B T O TA,L -8 --7 FO.ODTX:_AD'D207001- . 0'.17'';7 Total $36.00 A M O U N T 'P A ID' 1,0 4 5 i; Thank You for Your Visit A Tf0 0 6 8 20 ..X XIX I5 916 Please Come Again ! 10 . 45 ______________________________________________ _* =270.035 Ca osetl MR21 01 :34PM-- WE WANT TO HEAR YOUR FEEDBACK ! PLEASE `,CO,NTACT 1 -877-672-7467 OR CUSTOMERSE_RVICE@,H,MSH,O.ST GOM TO SHARE YOUR EX`PE`RIENCE . STOREID : ATLABC01 . � S