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HomeMy WebLinkAbout324182 04/18/18 CITY OF CARMEL, INDIANA VENDOR: 362732- ONE 62732ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $ """148.41' 1 0 CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 324182 d, � CARMEL IN 46032 CHECK DATE: 04/18/18 k tON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 148.41 ORGANIZATION & MEMBER 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,number of units,price per unit,etc. CARMEL, IN 46032 Payee $148.41 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 Alcohol Permits 43-553.00 $148.41 1 hereby certify that the attached invoice(s),or 4/12/18 Alcohol Permits Alcohol Permits for Eason,Briscoe and Baker $148.41 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 Thursday,April 12,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer r 4 r. PT Ci, `t! 1 'W y ) CITY OF CARMEL Expense Report (required for all travel expenses) OWN EMPLOYEE NAME: /e}'Ln i STS DEPARTURE DATE: —�o� '�� TIME: AK /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/ Lodging Meals Date Misc. :'Togl Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 219 -7 Total I. 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 10117/2006 ���- Application Submitted Your application has been submitted and all fees have been applied to your credit card. Please print this page as your proof of submission and receipt of payment. Employees are valid to work using this receipt for 90 days from the date submitted. Application Information Date Submitted: 12 April 2018 Applicant Name: KeAsia Raishaun Baker License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 625717 Received Date: 4/12/2018 11:06:49 AM Transaction#: 86831398 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47 Application Submitted Your application has been submitted and all fees have been applied to your credit card. Please print this page as your proof of submission and receipt of payment. Employees are valid to work using this receipt for 90 days from the date submitted. Application Information Date Submitted: 12 April 2018 Applicant Name: Myranda Marie Briscoe License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 982184 Received Date: 4/12/2018 11:19:14 AM Transaction#: 86832082 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47 Application Submitted Your application has been submitted and all fees have been applied to your credit card. Please print this page as your proof of submission and receipt of payment. Employees are valid to work using this receipt for 90 days from the date submitted. Application Information Date Submitted: 11 April 2018 Applicant Name: darius eason License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 719773 Received Date: 4/11/2018 4:47:09 PM Transaction #: 86807900 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47