HomeMy WebLinkAbout324182 04/18/18 CITY OF CARMEL, INDIANA VENDOR: 362732-
ONE
62732ONE CIVIC SQUARE PAMELA LISTER CHECK AMOUNT: $ """148.41'
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CARMEL, INDIANA 46032 11598 MANSFIELD PLACE CHECK NUMBER: 324182
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CARMEL IN 46032 CHECK DATE: 04/18/18
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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
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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