HomeMy WebLinkAbout324439 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 359097
® 1 ONE CIVIC SQUARE R. SPILLMAN CHECK AMOUNT: $****'**393.15'
CARMEL, INDIANA 46032 8758 MARISA DRIVE CHECK NUMBER: 324439
FISHERS IN 46038 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
, 210 4357000 393.15 TRAINING SEMINARS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359097 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
R. SPILLMAN IN SUM OF$ CITY OF CARMEL
8758 MARISA DRIVE 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.
FISHERS, IN 46038
Payee
$393.15
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
0 43-570.00 $393.15 1 hereby certify that the attached invoice(s),or 4123118 0 Advanced driver instructor expenses $393.15
1110 210 1110 210
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
Monday,April 23,2018
Jim Barlow
Chief
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
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Scott Spillman DEPARTURE DATE: 4/13/2018 TIME: AM/PM
DEPARTMENT: CPD RETURN DATE: 4/15/2018 TIME: AM/PM
REASON FOR TRAVEL: Advanced Driver Instructor Training DESTINATION CITY: Glynco, GA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. ''`T•otal' _,'
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
3/31/18 $47.97 $145.07 $13.81 s.,.,,:;$206•,;8;5
4/1/18 „$0:00
4/2/18
4/3/18
4/4/18 f $0 00
4/5/18
4/6/18
4/7/18 $11.76
4/8/18 $31.03
4/9/18
4/10/18 ]
4/11/18
4/12/18 $14.06 $14 Ofi
4/13/18 $22.73 $22„73
4/14/18 $106.72 :$106 s7=2
7j
.0 00
OOi $A 00 $93:39 :`'$0 00 „.':$;0 00, $0:00: '
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 4/23/2018 Page 1
Hampton Inn Newport
( Qlllpt6lU 1020 Cosby Highway•Newport,TN 37821
Phone(423)532-8558 Fax(423)532-8559
If the debit/credit card you are using for check-in
is attached to a bank or checking account,a hold
SPILLMAN,LYNN name room number: 203/NKRR will be placed on the account for the full anticipated
address arrival date: 4/13/2018 4:36:00 PM dollar amount to he owed to the hotel,including
8758 MARISA DR departure date: 4/14/2018 4:31:00 AM
estimated inddentals,through your date of check-out
FISHER IN 46038 adult/child: and such funds will not be released for 72 business
UNITED STATES OF AMERICA room rate: 93.00 hours from the date of check-out or longer at the
Rate Plan: GVT I
discretion of your financial institution.
HH# 659871967 BLUE
AL:
Car:
Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value
Confirmation Number:93497105 unattended in your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is
not waived and agree to be held personally liable in the event that the indicated person,company or association fails
to pay for any part or the full amount of these charges. A fee of up to 250 U5D will be assessed for smoking in a
4/14/2018
non-smoking room.Please ask the Front Desk for locations of designated outdoor smoking areas.
. _ _
date reference description amount iJ
4/13/2018 55904 GUEST ROOM $93.00
4/13/2018 55904 SALES TAX $9.07
4/13/2018 55904 COUNTY LODGING TAX $2.79
4/13/2018 55904 CITY LODGING TAX $1.86
4/14/2018 55948 DS*3091 ($106.72)
**BALANCE** $0.00
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Grand V:rcatiuns
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for reservations call1;800.hampton or visit,us online athampton.com�: thanks.
account no. date of charge folio/check no.
DS*3091 4/14/2018 40836 A
card member name authorization initial
SPILLMAN,LYNN 01399Q
establishment no.and location establishment agrees to transmit to card holder for payment purchases&services
taxes
tips&mist.
signature of card member
X total amount 106.72
Hampton Inn Newport
ce.
1020 Cosby Highway•Newport,TN 37821
Phone(423)532-8558 • Fax(423)532-8559
If the debit/credit card you are using for check-in
is attached to a bank or checking account,a hold
SPILLMAN, LYNN name room number: 327/NKRR will be placed on the account for the full anticipated
address arrival date: 3/31/2018 6:24:00 PM dollar amount to be owed to the hotel,including
8758 MARISA DR departure date: 4/1/2018 8:12:00 AM estimated incidentals,through your date of check-out
and such funds will not be released for 72 business
FISHER IN 46038 adult/child: 26hours from the date of check-out longer at the
UNITED STATES OF AMERICA room rate: 1 .42
discretion of your financial institution.
Rate Plan: HIIP
HH# 659871967 BLUE
AL:
Car:
Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value
Confirmation Number:96535468 unattended in your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is
not waived and agree to be held personally liable in the event that the indicated person,company or association fails
to pay for any part or the full amount of these charges.A fee of up to 250 USD will be assessed for smoking in a
4/1/2018 non-smoking room.Please ask the Front Desk for locations of designated outdoor smoking areas.
date ` reference description amount
3/31/2018 54324 - GUEST ROOM-- — -- — - -$126.42 — — -
3/31/2018 54324 SALES TAX $12.33
3/31/2018 54324 COUNTY LODGING TAX $3.79
3/31/2018 54324 CITY LODGING TAX $2.53
4/1/2018 54384 DS*3091 ($145.07)
**BALANCE** $0.00
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41Ir�
noon CON RAG CCIFIC)fit.^ yy. p.( )( g/ t♦3111 a AI>Es Pv
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ASTORIA
FS' HDSL Eb10Cd? r
t„a•drn fJnnrpinir,' �fr dSl ILLS �'iU1�IC
}iiI[on
inn' ..... �} 1' �” ''s, .. `` Grand Vac ations
H Sttsl _ — ---
—HONORS
for reservations,call1.800.hampton, or visit us online'athampton.coriiJry`_ thanks.
account no. date of charge folio/check no.
DS*3091 4/1/2018 40679 A
card member name authorization initial
SPILLMAN,LYNN 03156Q
establishment no.and location establishment agrees to transmit to card holder for payment purchases&services
taxes
tips&misc.
signature of card member
X total amount -145.07
RUBY TUESDAY
2853
Brunswick, GA 31525
Credit Card Voucher
---- ---------------------------
Date: Apr07'18 05:53PM
Card Type: Discover
Acct 4: XXXXXXXXXXXX3091
Card Entry: SWIPED
Trans Type: PURCHASE
Trans Key: KIKOD7069913494
Auth Code: 007670
Check: 3141
Table: 704/5
Server: 1377 Shanno H
RICHARD SCOTT SPILLMAN
Subtotal : 5 _ 35
Gratui ty:---------____-- __--
Total :
Signature
GUEST COPY
(Please retain for your records)
Text JOINSOCO to 80565 to join
our e-club & receive a free appl
Ruby Tuesday 42853
513 Mall Blvd.
Brunswick, GA 31525
(912) 264-•5525
1377 Shanno H
-----------------------------------------
Tbl 704/2. Chk 31<36 Gst 0
Apr07'18 05:16PM
------------ ---------------------
I
------ - -----------------
1 APPL CRUM SKLLET 5.99
.Sub Tctal 5.99
Tax Ccllect 0.42
Total Due 6 _ 4 1
7CYC'K 1C r Yc r Yc Yf 7C>r Y:�C Yl YC CYI YYf 7t��YC�YC Yf�YC1C YC 7C
Choose a FREE App (up to $10) OR
a FREE Dessert with the purchase
of an adult entree
ON YOUR NEXT VISIT!
SHARE YOUR FEEDBACK WITH US AT
WWW.TELLRUBYTUE-*SDAY.COM
VIA COMPUTER OR SMARTPHONE
WITHIN THE NEXT 3 DAYS
ENTER SURVEY CODE:
7683-8150-7123-1319
VALIDATION CODE:
Redeem within 90 days at any
Ruby Tuesday.
Cne coupon per, visit.
Cannot be combined
With any other offer.
Excludes GUAM, Hawaii
Manhattan, airport, and
international locations.
Diecount applied to item of
least value.
NEED HELP? E-MAIL US AT
www_.rubytuesday.com/feedback
Y(Y!Y(wwx YCAYf XWX R ww*xl wiCY lxw*x llxRlxYf Y(KlxYC
Members only deals? No problem!
Join So Connected today
at rubytuesday.com
------------
For your convenience,
here are typical gratuity
percentages, based on your
check including taxes.
20%: $1.28
18%: $1.15
15%: $0.96
THANK YOU
it
I
4/16/ZU18 6:42:53 PM
Sequence #: 0000024
ID #: 0068018
QTY PRICE
-------------------------------------------
1 $0.00
heese Breadsticks 1 $4.99
)ip: Marinara
•sonal Pizza 1 $10.99
ropl: Pepperoni
Fop2: Itl Sausage
op3: Bacon
'op4: Green Pepper
:xtra Cheese, Light sauce!!!!
'ood 1 $2.00
'luten Free Upcharge
- - Subtotal $17,98
Total Taxes $1.75
----------------------------------
Grand Total $19.73
***FREE OFFER ON BACK!!***
Wendy's Restaurant #00005435
1071 COSBY HIGHWAY
(423) 625-3443
Host: April 03/31/2018
01167 7:15 PM
10169
Order Type: TAKE OUT
COMBO 8.29
Baconator Double
-Only- - — - - - -
Ketchup
Small Fries
MD Chocolate Frosty 0.30
Single Cheese 3.99
NO Mayo
NO Pickle
NO Onion
Total Items 4 12.58
Tax 1.23
TAKE OUT Total 13- 81
Discover #XXXXXXXXXXXX3091 $13.81
Auth:03165Q
How was your visit?
Call us at (423) 625-3443
--- Check Closed ---
See back of receipt for your chance
to uia $1000
I0 H: 7M2RJZ70OGM
----_-_ __-_.-_-_____-._..____
rt
Save money. Love better.
( 423 )•623 - 0429
MANAGER JUSTIN TAYLOR
1075 COSBY RUY —
NEWPORT TH 37021
STH 00670 OPH 006703 TEA 67 T 04152
25660 USO F 061965915504 47.97
SUBTOTAL
TAX 1 9.750 % 4.60
TOTAL 52.65
DISCU TEND 52.65
Discuuer Credit ** **** **** 3091 19
APPROUAL 0 031760
REF 0 009000140390
AID AOOOOOO1523010
TC 0903COAD500506D1
TERMINAL 0 203965344
*NO SIONATURE REQUIRED
03/31/10 19:05:34
CHANGE DUE 0.00
H ITEMS SOLD 1
TCH 9366 5615 3040 0624 2394
IIIIIIIIi�IIIINIIII�llllllllllrllllllllllllllllllllillllilllllllliilllllillllllllllllNll
03/31/10 19:05:34
***CUSTOMER COPY***
Use UaInart Pay to sane your receipts.
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