HomeMy WebLinkAbout324337 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 372387
® ONE CIVIC SQUARE CHARLSIE KRAUSS CHECK AMOUNT: $********70.19
?� CARMEL, INDIANA 46032 3251 EASE 7.9TH ST. CHECK NUMBER: 324337
�.y_roN APT D CHECK DATE. 04/25/18
INDIANAPOLIS IN 46240
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 70.19 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 3%38r? Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Krauss, Charlsie O� ((J� Payee
3251 East 79th St.,Apt D
Indianapolis, IN 46240 In Sum of$ Purchase Order#
Krauss,Charlsie Terms
$ 70.19 3251 East 79th St.,Apt D Date Due
Indianapolis, IN 46240
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE NO. ACCT#frITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 70.19 Board Members 4/12/18 Reimb Travel Expenses Indiana Summit 2018 $ 70.19
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
$ 70.19 Total $ 70.19
April 17,2018
1 hereby certify that the attached invoice(s),or bill(a)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 Cl : y �tQz _.de
Parks&Recreation 3 s
g }
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # ' 'e# Budget Description, Amount Purpose of Expense
a 100 _ ea Ve. D.P.-oo
of
All receipts should.be attached in the same order as listed above.
No sales tax will be reimbursed.' T�TAL:� :x $0:00
nz rte'
Employee Name(plj� 4, = dvGc?
Address-1
Check
payable to: City, St,ZIp��J:_ u is tri
Signature: WWI Approved by:
Dater �x. r _,� Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request ` .
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PLEASE.KEEP .THIS TICKET
WITH YOU I Rech!Dt
Entered/Arriuee: A Payment No.00026180
2818/04/10 87:33 - L/R #04
T/D #06 Ticket No.006636
Ticket/Billet#:42135257 Entry Time 04/09/2018 (Mon) 7:04
Durd On/Paye4Le: 04/09/2018 (Mon) 17:14
Paid On/Paye Le: � Exit Time
21118/04/10 17=21 Parking Time 10:10
Paid/Paye:$ 26.1111 Parking Fee Rate A $26.00
Original Fee:$ 26.00
CST:$ BAD VISA
PST:$ O.DO
Account # *****************9984
Change:$ 11.110 Slip # 03493
-ses D,DD Authority # 0000051717
Credit Card Amount $26.00
Merchant ID:
aaF********4w9984 S
Total
RISA- Thank You for Your Visit
Please Come Again !
Seq# 2003°0017 812113 -
Purchase 18/04/111 17:28:44
Auth# 062117
APPROVED
f ! Thank You for dining wiTf1
P.F. 's China Sistra.
C� rig
#8400
=i a 317 9745747
I ' DOB:"04/10/2018
Server: Timothy _ 04/10/2018
Thank you for dining with i _ ' 12:t5 PM
P.F. Chang's China Bistro. Table 21/3 2/20011
#8400
317 974 5747 �, SALE
3145743
Server Timothy 04/10/2018 Visa I
XXXXX9984
Table : 1/3 12:00 PM Card #XXXXXXX
Guests 10 ; Magnetic card present: KRAUSS/CHARLSIE A t .
#200 1 1 � � Card Entry Method: S
Pibb Extra .2.95 ± Approval: 081512
Lunch loney Chicken 9.95 Amount: $15.16
Sub lup Fried Rice 1 .00
Subtot+ 1 13.90
o + Tip: C,00 3A
Tax 1.25 ; = Total:
Total 15.16
Bal - ince D u e 15 16 I agree to pay the above
total amount according to the (�
card issuer agreement.
I .F. Chang's Rewards Members:
Don't forget to give your phone X
lumber to your server to earn
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.
Gratuity Not Included
harms.