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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 $0:00 nz rte' Employee Name(plj� 4, = dvGc? Address-1 Check payable to: City, St,ZIp��J:_ u is tri Signature: WWI Approved by: Dater �x. r _,� Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request ` . '1 I 4 i l i PLR2q PARK' PLEASE.KEEP .THIS TICKET WITH YOU I Rech!Dt Entered/Arriuee: A Payment No.00026180 2818/04/10 87:33 - L/R #04 T/D #06 Ticket No.006636 Ticket/Billet#:42135257 Entry Time 04/09/2018 (Mon) 7:04 Durd On/Paye4Le: 04/09/2018 (Mon) 17:14 Paid On/Paye Le: � Exit Time 21118/04/10 17=21 Parking Time 10:10 Paid/Paye:$ 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.