HomeMy WebLinkAbout324311 04/25/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 364750
ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $********74.50*
CARMEL, INDIANA 46032 10830 TOOLEY CT CHECK NUMBER: 324311
APT IF CHECK DATE: 04/25/18
INDIANAPOLIS IN 46234
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER" AMOUNT DESCRIPTION
1081 4343000 REIMB 74.50 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 364750 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Ballinger,Jessica Payee
688 E Co Rd 450 N
Danville, IN 46122 In Sum of$ Purchase Order#
364750 Ballinger,Jessica Terms
$ 74.50 688 E Co Rd 450 N Date Due
Danville, IN 46122
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvoice Description
Dept# INVOICE NO. ACCT#(TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 Reimb 4343000 $ 74.50 Board Members 4/12/18 Reimb Travel Expenses 2018 Indiana Summit $ 74.50
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
$ 74.50 Total $ 74.50
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
T%,
Caf Cil., clad/ APR 1
Parks.&Recreation 2 2018
Employee Expense Reimbursement Request By2018
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
�' Plaza :PA,K Rankin v Gari a I®gi-R9 43'f3ooTravel -Fees + e 26.00 110IFr 5 'f-
41to l8 plaza mark ?art,iA %.Ca► e. IoSt-R4 gsg5006 tm\re I d- &Dense S Z& 0St/ 21M; f'
g1101( 3 5+ov-6tAck5 tool-9 i3y3ooc) bxojel -+ S. So aal S4mrn��'
N I,o I,g 1. F. C h t s Ghana SiS4ro tori-g Lfv3oo rave! + cx -7 l 018 S
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed.
Employee Name (punt) s
,�-; *W r-
Check t48- — ,
payable to: City, St,ZIpQ,� ,,1 tt1�1� {22
Signature: Approved b
Date ' '>f y�l�i' � Date:
��
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
- y Hyatt Regency Indianapolis
.E One South Capitol Avenue
USA 46204
Indianapolis, Indiana, ,
1 Tel: +1 317 632 1234
WCL.G019G TU i Starbucks
�. PLAZA PARK WeLUUM To
i
PLAZA PARK
PLEASE KEEP THIS TICKET j6115795 GeleenM
WITH YOU PLEASE KEEP THIS TICKET
WITH YOU i ---- -- ----___.___-•-----
Entered/Arriuee: - i ; CHK 12520
2018/04/09 07:40 1 Entered/Arriuee: 4/10/2018 12:47 PM
1
2018/04/10 08:17
------------------ _- _-----____-___-
; ___
Ticket/Billet#:42049283
Dur/Duree:9:36:40 i Ticket/Billet#:42137895 1 V Caff ee Mocha N 5'U5
Paid On/Paye Le: Dur/Duree:9:17:18
2018/04/09 17.17Paid On/Paye Le:
:1 2018/04/10 17:35 Visa:004712 5,50
Paid/Paye:$ 26.00 Credit Authorization
Original Fee:$ 26.00 Paid/Paye:$ 26.08
CST:$ 0.00Original Fee- 26.00
PST:$ 0.00 CST:$ 0.00 -- = Food Sales $0.45
PST:$ O.OB ' *Tax
Change:$ 0.00 i y/'11
Paent J . JQ
UISA Change:$ 0.00Q . Q Q
SC-$ 0.00 UISR Change Due $5.50
SC:$ D.BD Visa
Merchant ID:
************3687 S I Merchant ID•
************3687 S 9324/PF POS Visa
UISA j
UISA i ----------- Check Closed -----------
Seq# 470300028 01203_
Seq# 480300026 01203 4/10/2018 12:47 PM
Purchase 18/04/09 17:25:20
Purchase 18/04/10 17:42:54
Auth# 081717 I
Ruth# 053517 i
APPROUED
APPROVED
i
Thank you fo- dining .iitn
P.F. Cha} '„ China Bistiv.
#8400
317 974 5747
Server: Timothy DOB: 04/10/2018
12:12 PM 04/10/2018
Table 21/7 2/20015 Thank you for dining with
P.F. Chang's China Bistro.
SALE ? #8400
317 974 5747
Visa 3145738
Card #XXXXXXXXXXXX3687 Server Timothy 04/10/2018
Magnetic card present: BALLINGER/JESSICA C Table : 1/7 12:00 PM
Card Entry Method: S x Guests 10
' #20015
Approval : 081212 C
Wonton Cup 3.50
Amount: $14.17 Chickei Lettuce Wrap* 9.50
o-
+ Tip: { Subtoti l 13,00
Tax 1 .17
= Total: t7
t
�.� Total 14.17
I agree to pay the above r Bal - ince Dine 14 . 17
total amount according to the
card issuer agreement.
I .F.-Chang's Rewards Members:
X Don't forget to give your phone
lumber to your server to earn
******* * ******************************* points for today's meal.
P.F. Chang's Rewards Members:
Don't forget to give your phone Gratuity Not Included
number to your server to earn
.points for today's meal.
******************************************
Gratuity Not Included
Ti,ank 'fou?