HomeMy WebLinkAbout324324 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 372385
f ONE CIVIC SQUARE JESSICA EIMERMAN CHECK AMOUNT: $********27.52*
9, CARMEL, INDIANA 46032 15097 RIVERDALE DR.N. CHECK NUMBER: 324324
*roN• APT 12 CHECK DATE: 04/25/18
CARMELIN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 27.52 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 31��365 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Eimerman,Jessica u Payee
15097 Riverdale Dr N Apt 12
Carmel, IN 46033 In Sum of$ Purchase Order#
Eimerman,Jessica Terms
$ 27.52 15097 Riverdale Dr N Apt 12 Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 27.52 Board Members 4/11/18 Reimb Travel Expenses Indiana Summit 2018 $ 27.52
1 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
$ 27.52 Total $ 27.52
April 17,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
r J.. F ar m
-
Carmel Clay APR 1
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
PT. Dow ' 07 A-
4. 5foAmc
009 4;q3ODO dd Y I.L41 6 IfflAku E
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTL`" i
Employee Name(pnntj
�-
Address 1-b"1 �r �� d i
Check
payable to: City, St, Zip
Signatur Approved by:
Dat Date:
Date:
�_
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
—�- — Tharp you for dinir itF;P.F. Chang's China Bistro.
#8400
J 317 974 5747 Hyatt Regency Indianapolis
One South Capitol Avenue
s' Server: Timothy DOB: 04/10/2018 Indianapolis, Indiana, USA, 46204
12:11 PM 04/10/2018 Tel: +1 317 632 1234
Thank you for dining with Table 21/1 3/30003 Starbucks
P.F. Chang's China Bistro.
#8400 SALE 6115795 GeleenM
317 974 5747 ---- ------- -- -------- -- -- - -
Visa 3145734 CHK 12523
Server Timothy 04/10/2018 Card #XXXXXXXXXXXX6754 4/10/2018 12:49 PM
Table ; 1/1 12:00 PM Magnetic card present: EIMERMAN/RANDALL P
Guests 10 Card Entry Method: S 1 Gum Peppermint
#30003 1 G GreenTeaLatte 2.25
4.55
Approval: 041112 ************6754
Tradit onal Iced Tea 3.25 Visa:045012
Signatire Lo Mein Shrimp 12.45 Amount: $17.11 Credit Authorization 7.41
3
Subtotal U 15.70 + Tip: 'vl� i Food Sales _ $6.80
Tax 1.41
v ! *Tax $0.61
O � rr11
=
Total: �U' I IPaym" ent $T . 4 1
Total �V`1 17.11 Change Due
Visa $0 - 00
D a 1 , in c e Due 17 1 1 I agree to pay the above
************6754 $7.41 f.
total amount according to the 9324/PF POS Visa i
card issuer agreement.
I .F. Chang's Rewards Members: ----------- Check••Closed -----------
Drn't forget to give your phone X 4/10/2018 12:50 PM
lumber to your server to earn j
points for today's meal . ******************************************
****** *********************************** P.F. Chang's Rewards Members:
Gratuity Not Included Don't forget to give your phone
number to your server to earn
points for today's meal . i
Gratuity Not Included
Thank You!