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324430 04/25/18
[qq %` '• CITY OF CARMEL, INDIANA VENDOR: 00350363 ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $********39.69* CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK NUMBER: 324430 9M.._.. C/0 MAYOR'S OFFICE CHECK DATE: 04/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4239099 15.69 OTHER MISCELLANOUS 1160 4343003 24.00 TRAVEL & LODGING VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00350363 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PETTY CASH IN SUM OF$ CITY OF CARMEL C/O MAYOR'S OFFICE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. C/O MAYOR'S OFFICE Payee $39.69 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Mayor's Office Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT RECEIPT 43-430.03 $24.00 1 hereby certify that the attached invoice(s),or 11/30/17 RECEIPT $24.00 1160 101 Prior Year 1160 101 RECEIPT 42-390.99 $15.69 bill(s)is(are)true and correct and that the 1/10/18 RECEIPT $15.69 1160 101 materials or services itemized thereon for 1160 1 101 which charge is made were ordered and received except l Monday, April 23,2018 Kibbe, Sharon Executive Office Manager 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 , 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer HILTON INDIANAPOLIS HOTEL&SUITES ' 120 West Market Street I Indianapolis,IN 46204 Hilton T:317 972 0600 1 F: 317 972 0660 INDIANAPOLIS HOTEL&SUITES W:indianapolis.hilton.com NAME AND ADDRESS: GUEST PARKING Room: H 4030 Arrival Date: 7/22/2017 12:00:00 AM Departure Date: Adult/Child: UNITED STATES OF AMERICA Room Rate: Rate Plan: -�c Car: 11/30/2017 DATE DESCRIPTION ID REF.NO CHARGES CREDITS BALANCE Hilton 11/30/2017 PARKING-VALET MATTMATTM 4293441 PARK TRANSIENT ATI-530 11/30/2017 AX*8007 MATTMATTM 4293442 ($24.00) WALDORF ATT530 oa« **BALANCE** $0.00 CONRAD can CURK) DOUetETRae EMEAB SY RUITEa Hama Garden Inn• LN°�W�U ACCOUNT NO. DATE OF CHARGE FOLIO N0./CHECK NO. AX*8007 11/30/2017 882485 A —�- CARD MEMBER NAME AUTHORIZATION INITIAL HOMESUOrOD GUEST PARKING 147040 ESTABLISHMENT NO.&LOCATION ESTABLISHMENT AGREES TO TMNSMITTO CARD HOLDER MR PAYMENT PURCHASES&SERVICES HOME© TAXES Hilton TIPS&MISC. Grand Vacations CARD MEMBER'S SIGNATURE TOTAL AMOUNT H. -24.00 HILTON HHONORS MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT 72, i,mlou� Cash _ � Ottktr' �purclnaSed - byGftyNoh' eAac u�� _. ro er Pacers; official Grocery Store of the Indiana Pacers; 1217 S. RANGELINE RD. 317-846-4818 Your cashier was LORI MR MONEY ORDERS SOLD NP 15.00 MR WU MO FEE NP KROGER PLUS CUSTOMER *******9465 SC MS .10 OFF MO FEE 0.10- # # BALANCE [15.69] CASH 20:00 CHANGE 4.31 TOTAL NUMBER OF ITEMS SOLD = 0 KROGER SAVINGS $ , 0.10 TOTAL SAVINGS (0 �) $ 0.10 01/10/18 01:22pm 959 31 33 450 Tell Us How We Are Doing! Earn 50 BONUS FUEL POINT! Plus enter our monthly Sweepstakes: for 6NE OF 100 - $100 gift cards and ONE $5,000 gift card grand prize! Go to www.krogerfeedback.com within 7 days. Enter the information below: Date: 01/10/18 Time: 01:22pm Entry ID: 021-211-33-959-31-64 Limit one 50 fuel pt bonus per 7 days. No purchase necessary to enter sweepstakes. See website for official sweepstakes rules. Remaining December Fuel Points:571 JANUARY FUEL POINTS FUEL POINTS THIS ORDER = 0 THIS MON TFIS POINTS EXPIRE 2/28/18. With Our Low Prices, You Saved $0. 10 Annual Card Savings_ $35.60_ Now Hiring -- Apply Today! jobs.kroger.com www.kroger.com