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HomeMy WebLinkAbout324310 04/25/18 <- CITY OF CARMEL, INDIANA VENDOR: 360484 i dI ONE CIVIC SQUARE AMY BALDAUF CHECK AMOUNT: $***'***183.23` CARMEL, INDIANA 46032 126 LARK DR CHECK NUMBER: 324310 APT D . CHECK DATE: 04/25/18 CARMEL W 46032 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 183.23 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 360484 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Baldauf,Amy Payee 126 Lark Dr.,Apt D Carmel, IN 46032 In Sum of$ Purchase Order# 360484 Baldauf,Amy Terms $ 183.23 126 Lark Dr.,Apt D Date Due Carmel, IN 46032 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#ornvoice Description Dept# INVOICE NO. ACCT#f TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 Reimb 4343000 $ 183.23 Board Members 4/3/18 Reimb Travel Expenses NAA Annual Convention $ 183.23 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 $ 183.23 Total $ 183.23 April 17,2018 1 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 Carmel . Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 1 r6 N' s �Oo t s-ficl(bau:ks osf-q� 46'-X66 v I'C Wli FdPSt , I I o vp 1 31W Ips q) UZZ 's CCLKfin ►�I►g -, cam . �-� II-9 19 CVS �WMQS �0 � , 9 UV 3hq jj� r ff b LAL S .,S5, r- AMAI 035- F 1�1 19 Nl a n�eA- ffic R Z-0 3�:35�- 14 2� I� �woo�fi C0f jam.lave, G C� All receipts should be attached in the same order as listed above. -�, No sales tax will be reimbursed. TOTAL: :�3,w!: � d Employee Name(print) G. Gt Address �'- - � Check /� payable to: City, St, Zip /C-3x- Signature: C-31 Signature: ' Approved by: 4 Date: its, Date: d,4 Business Services Division,Revised 7-7-08 F 4' � s FILE: Shared\Forms\Business Services\Employee Exp Reimb Request APR 1 6 2018 BY: Carmel ® Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 1 Ipl�� 3 G6O ��GtY�I � ��X zbIt Lk C% MCA, 7 2- -13 Z l< i o afAa-rte 7® �s -3(( W�*C� �-A C, -IV m PaYT-'k P2 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $9:9 Employee Name(print) Address �� Check payable to: City, St, Zip CO����.I ► ,�/ �T lL1�J� Signature: I J Approved by: ,(? q Date: `�T Date: �" I J 4 Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request METRO CAFE DINER g345WO 229 Peachtree St ° Atlanta, GA 30303 #*CVS p h'e'r m Cavy 404-577-1420 Metro Cafe Diner 229 Peachtree St NE 6-17 235 PEACHTREE STREET NE Server: Robert 03/18/2018 Atlanta, GA 30303 ATLANTA, Gn 30303 Table 62/1 11:31 PM (404) 577-1420 go4;577.4054 Guests: 4 30156 Menu: Server 03/18/2018 23:39:14 REG#06 TRN#5812 CSHR#1513943 STR#10043 SubTotal .y SL9�USD 7.02 Straw Short Ca 6.45 Helped by: DONNA h �Co Al T USD $�I A ExtraCare Card # # * # #*$351 Complete Subtotal 6.45 All Tip ! Total - USD $ D PRSD STWBRY 1.2Z 2,098 1 Items Entry Method: Chip Z,09 EACH 3 DR MORE 2.00 ERti 4 VISA DEBIT XXXXXXX XXX31 I ICE BRKR CP SPRM 40CT 4.498 l 6.45 E CARD #: - APPROVED I 9` Subtotal 0,57 i PURCHASE 1 CVS FIRST RID KIT 30CT 2.99T _�'� Tax AUTH CODE:014723 i 3 ITEMS Total ' 7.02 Issuer SUBTOTAL 9.57 Mode: Aoo00000031010 GR 8,9% TRX .27 AID; 8000008000 GA 4,9% TRX Balance Due 7 . 02 32 TVR: 06010A03602000 TffAL 10.16 10.16 Thank You For Dining With Us IAD' ARC: 00 DEBIT CH TSI: 6800, ** * s141 MID. 8747880 TID: 636282 RRN: 122199 US DEBIT * *** * 3141 REF# 068128 TRAN TYPE: SALE Signature: RID: 80000000980840 TC: DE21642ER0273EO9 I agree to pay a ove total amount TERMINAL# 69066689 according to card issuer agreement. PIN VERIFIED ONLINE (Merchant agreement if Credit Voucher) CVM: 420000 TVR(95): 8080048000 Retain this copy for your records TSI(9B): 6800 i CUSTOMER COPY CHANGE .00 THANK YOU FOR SHOPPING WITH U III��IIi.II �I��i�� ► . .:.. SHOPP III�II�II . . Ips `1 f Res -T1-CLv1 Pe-t e� s Market Welcome to Chick-fil-A Hyatt Regency Atlanta & & & 405 & & & Peachtree Center (#00238) A t 1 a n t a, G A ATLANTA MARRIOTT MARQUIS Atlanta, GA * ** STARBUCKS **** (404) 577-4194 136245 VERONICA Operator: Gary Branch Hyatt-POS •-----------•------------'-"------------- I' CUSTOMER COPY � 265 Peachtree St N E•,A t 1 a n t a, G A CHK 51623/19/2018 10:47:43 AM 30303 C� e� 19 Mar'18 11:04 AM �' ,j � CARRY OUT �: . ' �' 404-577-1234 -------•--------------------------------- TAZO TEA BTL 3.15 r Order Number: 4504915 1 j.. 1 .95 l` SERVER 2309 Yayineab 1 CHIPS l 1 Meal-Nugg 8ct 6.49 TYPE PRE AUT H ACCOUNT TYPE Visa FOOD $5.10 NuggstMBct CARD NUM37R ** * ** *3141 Tax: $0.45 0.26 DATE/TIME 03/19/2018 09 : 15 Tota l ; $5 . 55 Lmnde MD 4;0 : gg { REC # 001887 iChar-lge Due , STAF;BUCKS REDEEM $5.55 Sub. Total: $6.75 INV/CHK # 4 0 3 0 ' Tax: $0.60 REFERENCE # MG0934232165 ************1466Tota 1: $1.�b f SEQUENCE # 507 Authorization: 284399 AUTH . # 071509 Balance: 5.85Change $0.00 ENTRY METHOD CHIP Visa: $7.35 ____ ___ Register:? Tran Seq No: 4504915 ----------- Check Closed --- ----------------- 19 9 2 6 E` Mar'18 11:04 AM - Cashier:Jeanette TOTAL It was a pleasure serving you! Have a wonderful day. _ Forgot to scan the app? TIP : --------- www.chick-fil-a.com/forgot2scan 3 TOTAL : ---- " Visa �• Card Num XXXXXXXXXXXX3141 APPROVED - THANK YOU U Terminal KA13348984007 BALDAUF/AMY E Approval : 044710 ,E Sequence : 009821 M DDE Issuer PP VISA DEBIT . — AID A0000000031010 TVR 8080008000 TSI 68nn ARG � gyf3oao iia vel Fees t� i� ; avel �-Tv' L ; r' I 5I1K N 1 1075 Peachtree St Arlan+.,. 13A 30309 � � �- 1075 Peachtree St Atlanta, GA 30309 e: Mar19'18 09:06PM 044 Sarah L Dat E .._. _______ . _ Card Type: Visa 205/1 Chk 5523 u. 1 Acct #: XXXXXXXXXXXX3141 Mar19'18 07:50PM Card Entry: SWIPED C� L *** Reprint Memo Check *** Trans Type: PURCHASE _ ____________________ ----------- Trans Key: KIK006941857705 ,v O n e I n l Auth Code: 000621 Seat:8 Check: 5923 Stella Artois� ' 7.00 f Table: 205/1 1 8oz Skirt 27.00 Server: 1044 Sarah L 1 STK 2.00 Mac & Cheese 10.00 Subtotal: 49 . 9 2 Subtotal 46.00 Tax 3.92 { A Gratuity for the food 09:01PM Total 49 . 92 service team has not been added to your check. If you are happy with the service �I � A Gratuity for the food We can add: �(� service team has not been added to your check. If 18% is $8.99 you are happy with the service 20% is $9.98 Wer , add: 22% is $10.98 Please intial next to selection ;. 2w 18% is $8.99 Thank You!� 20% is $9.98 Tip: r 22% is $10.98 Please int'ial next to selection ! Total: -_Thank You! ' Keep for your records *CUSTOMER COPY* 1 q-3 Tave.,i Edgewood Corner Tawe rn 464 Edgewood Avenue Edgewood Corner Tauer�n Atlanta GA 30312 464 Edgewood Avenue 404- 77-2310 Atlanta GA 30312 404-t77-2310 j 1007408 Yanna STable: 32 Yanna S Table: 32 03/20/2018 03/20/2018 Gst 7 05:57 PM 05:52 PM 1007408 Sale Num: 772323 Seat: 7 - ___ _ ---- --- ---- ------ Name AMY E BALDAUF 1 MN On a Boat 16oz5 J0 � CC Tyype Visa 1 Frychos 5.50 Accnt No: xxxxxxxx3141 - �J Auth No 095717 ( G7 Source Swiped 1 SubTotal: 13.50 ' Sales Tax: .71 1 Almunt 16A1 91 Total: 14.21 ° 20% Sry Charge: 2.70 Tip W Grand Total : 116.91 Total $ -116,_q_ G . i I Ai' TO PAY ABOVE TOTAL AMOUNT Tip Guide ACCORDING TO CARD ISSUER AGREEMENT 15%: 2.20 (MERCHANT AGREEMENT IF CREDIT VOUCHERED) 20%: 2.93 25%: 3.66 Y Thank Yoii: 163 -`I JI 5q3e a rix a�rs� 10-Cl I 433 06 South City Kitchen Buckhead 404.815.6677 3350 Peachtree Road South City Kitchen Buckhead Atlanta, GA 30326 404.815.6677 404-615-6677 3350 Peachtree Road Atlanta, GA 30326 Server: Jodie DOB: 03/20/2018 ,1 404-815-6677 09:22 PM 03/20/2018 3/30043 Table 41/2 Server: Jodie 03/20/2018 s Table 41/2 9:15 PM SALE Guests; 0 30043 Order Type: ORDER Mastercard 2097168 �' Area: Restaurant Card #XXXXXXXXXXXX8148 Magnetic card present: BALDAUF AMY E GateCityCopperheadDftl?e � 6.00 Card Entry Method: S Fried Chicken 20.00 Angel Pie 9.00 Approval: 36857W Amount: $ 38.12 Complete Subtotal 35.00 3Items + Gratuity: ��b x Subtotal 35.00 Total: _— Tax 3.12 Total 38.12 I agree to pay the above total amount according to the Balance Due 38 . 12 car issuer agreement. Visit us at: X www.fifthgroup.com Visit us at: www.fifthgroup.com # GUEST COPY �IL30�r� --avec lyAVeA Fees tEilix R3 Atlanta Breakfast Club 249 Ivan Allen Jr, Blvd NW e e Atlanta, Georgia j United States, 30313 Tel:470-428-3825 Atlanta Breakfast Club Printed March 21, 2018 at 11:27 AM 249 Ivan Allen Jr, Blvd NW Atlanta, Georgia - Order ID: 36515 United States, 30313 Type: Authorize Tel:470-428-3825 DateMme:3/21/18 11:27 AM Printed March 21, 2018 at 11:18 AM Server: Ivan March 21, 2018 at 11:18 AM Table: 10, , 6 guests i Card Number: XXXXXXXXXXXX3141 Waiter: Ivan Account Type:VISA Seat(s): 4 I Auth ft:092611 Ref#: Peach Cobbler French Toast $10.95 I Chicken Sausage Gravy $3.00 Biscuits (2) $2.50 �. APPROVED -THANK YOU Regular Coffee $2.25 c Split Items (1/6) ! �{ 7(D Subtotal:$23.73 Food Total $18.70 Sub Total $18.70 �. Tip: Sales Tax 8.9% $1.66 Service Fee (18%) $3.37 Total:_ J 3 Total23.73 $ Important-retain this copy for your records In ATL eat ABCI ...CUSTOMER COPY.— Thank you for dining with us. 54SO00 OPERATED ON �I q , rvces 1`L K zl .��II IIlri,llr�l�1l i WELUU ME TO IMCPL PINO GELATO ATLANTA INTERNAT"'.ONAL AIRPORT ' PLEASE KEEP THIS TICKET WITH YOU 210079 N e k 1 s 1 C 1 + Entered/Arriuee: _ __ __ . -_ -_- ____ 2018/03/12 11:25 C H K 200 Ticket/Billet#:39643575 MAR 21 ' 1 EI ;? :5 2 F M Our/Duree:2:23:38 ------- _,.-.------ -,- --- _--_ i Paid On/Paye Le: --------- 2018/113/1213:49 TO GO I. Paid/Paye:$ 3.00 „ 1 LG CUP L 15 .99 'l original Fee:$ 3.00 GST:$ 0-00 I PST:$ 0.00 SUBTOTAL �-1 .913 FOODTX ADD207001 0 .56 change:$ D.00 r r UIS$ AMOUNT PAID -7 -� -�� sc:$ 0.1111 AT025214 XXX3' 41 VISA CC 2 .5 7 Merchant ID:****"******6235 ****"******6235 S --210079 Closed MAR21 (:2 :';.2PM--- UIS$ WE WANT TO HEAR YOUR FEECIBACK! Seq# 000023 884 PLEASE CONTACT 1 --1377--1:72-74.57 OR CUSTOMERSER4'I(;E(�HM;:HOST .1-IOM Purchase 18/03/12 14-07.21 TO SHARE YOUR EXPERIENCE . Auth# 958454 STOREID : AT LPGO(, 1 APPROVED