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Home My WebLink About324773 04/30/18 ,.Cqq \� CITY OF CARMEL, INDIANA VENDOR: 368259 r ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $*******136.42* CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 324773 NOBLESVILLE IN 46062 CHECK DATE: 04/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 136.42 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 368259 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Lewallen,Shauna Payee 15066 Redcliff Drive Noblesville, IN 46062 In Sum of$ Purchase Order# 368259 Lewallen,Shauna Terms $ 136.42 15066 Redcliff Drive Date Due Noblesville, IN 46062 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or invoice Description Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount Travel xpenses or xecutive 1091 Reimb 4343000 $ 136.42 Board Members 4/20/18 Reimb Development Program $ 136.42 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 $ 136.42 Total $ 136.42 April 23,2018 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 0 Clay Parks&Recreati®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 4/16/2018 Village Deli �Q� y33aoa � S 14.39 P food 4/16/2018 IMU Starbucks I 4.96 food 4/16/2018 Dagwoods $10.93 Ci food 4/16/2018 Abe Martin Lodge I $20.00 D food 4/17/2018 Bloomington Bagel Co $12.15 food 4/17/2017 the ROOST $18.12 food 4/17/2018 FARM bioomington ` $29.00 C, food 4/17/2018 BLU Boy I $7.21 food t 4/18/2018 Village Deli $10.59 d food 4/18/2018 IMU Starbucks $5.09 food 4/18/2018 Sugar&Spice $3.98 food All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $136.42V rn�,L. �Vp�u� Employee Name(print) Shauna Lewallen �Dgl�calrV-N Address 15066 Redcliff Dr v Check payable to: City, St,Zip Noblesville, IN 46062 Signature: Sid UAZA L Approved by: Date: 4/20/2018 Date: L� i Business Services Division,Revised 7-7-OS4+9 E� FILE: Shared\Forms\Business Services\Employee Exp Reimb Request APR 2 3 2018 ��:FMAY 0 9 2010 / V ` ' ' -- ' Tb\ lO/l 8080 Get 2 _ Ap[16`18 07:23AM ' ___ _ _-_-_ __------------ 08t8: ApF16'18 07:34AM Card Type: Master Card l� DIO1ng Services' - ��c ' Acct ¢: XXXXXXXXXXXX1741 Starbucks 4.65 C8� Entry:^ SWIPED Paxton | l Coffee [uxo 3.95 Trans Typo' PURCHASE 374 JB-son F\ Cuffaa .l �3b AUth Cuda' 05048P ' Subtotal 1O.n5 Check: OOSO Chk Aor16'18 07:4/kI, Tax 0.84 Table: 18/1 \ "~ al Due � � , �� N, \ S0FV8[: 272 L8X1O N ' ` 1 ~JJmG 4'59 1 0Hl Granola 0'OO Oubt0td] : 1 1 ^ 39 '[��^- ��nd 4gh [KT & PLN YOGURT T.95 ,? . _ 1 Coffee l 'S5 �� : �� J�tO��l 4 5g 9.90 ��__� . Subtotal C 37 Tax039lFc»t�� : �� id 4'gb � � �� . -Total Ck� _ � **�** All Signature w� --'------------- ----- - -- 20.45 Subtotal Tax 1 :64 CuutoNo/- Copy --- Total Due 22 ' 09 Thank y8V � � t�=( ' « OU[ SERVER ' ' ll \/�\ \h �� / LJ/ /[Y Please pay Y ' , ` , / Na serve Breakfast ALL DAY NNw.villanadoli.biZ _ Dagwood ' s Deli 116 . 5 S Indiana A.ve Bloomington , IN 47408 HEix-tin Lodge TBLit SVR# : 7 P) Bcx B47 Guests : 0 1 E!„ IN 47448 p,l wrl.in Lodge : 45 am E47 EmP# : 7 1E,, IN 47448 Ord# : 266 04/16 Ck 11 Da-:�;, ji ii ,,Yl rk E P1111 FIGS ff p, --- --------------- 7.39 04,''C SELECTS COMBO ULTIMATE TURKEY 04 Tnw e: OE ------------- <no> TOMATO PC13 r <no> CHIPOLTE MAYO 16.0C SPECIAL SAUCE2,61". RE':,!!I r No COMBO 1.80 9(11)f1]I 1 i;,i "1 24 OZ FOUNTAIN 16. IN STORE DRINK1 .12 Ty 1i Ma.:; SUB $ 9.19 DISC $ 0,00 -20.oc TAX $ 0.74 r,: TOT $ 9.93 bjn( _.._--------------- -- MASTERCARD TEND $ 9,93 011"'I'll I(: ORDER TOTAL $ 9.93 '1..S1"C0C.R COPY TIP AMOUNT $ TOTAL AMOUNT $ D RCD. BY: Bloomington, IN 47408 812-333-2700 Server: Finn DOB:. 04/17/2018 12:35 PM 04/17/2018 Table 24/1 2/20003 the ROOST Bloomington Bagel Co. -Dunn St. 514 Kirkwood Ave 113 N Dunn St Apr 17,2018 SALE Bloomington, IN 47408812-333-2700 Bloomington,IN 47408 7:27 AM Vic 2097153 (812)333-4653 Card #XXXXXXXXXXXX1741 Server: Finn 04/17/2018 Magnetic card present: LEWALLEN SHAUNA R Table 24/1 12:24 PM Authorization 03482P MasterCard 1741 Card Entry Method: S Guests: 2 ##20003 Receipt M5OK Approval : 40844P Egg&Cheese(f) $4,25 Amount: � 15.12Seat 1 Coffee, Medium(b) $2.40 MARGIE 14.00+ Tip; Subtotal 14.00 Fandango $3,65 �,�2 Tax 0.98 = Total: Con Center Tax 0.14 Banana $0.95 Total 15,12 Subtotal $11.25, I agree to pay the above Indiana sales tax $0.79 total amount according to the Complete Subtotal 14.00 County Tax $0,11 card issuer agreement. Subtotal 14.00 Total $12.15 X Tax 0.98Con Center Tax 0.14 MasterCard 1741(Swipe) $12,15 For your convenience, Shauna R Lewallen the following calculations Total 15.12 for suggested tip amounts are as follows: Balance Due 15 . 12 18%= 2.52 20%= 2.80 Like us on Facebook 22%= 3.08 to see our daily specials and current events! This Is Your Copy FARMbloomington FARMbloomington 108 E Kirkwood 108 E Kirkwood Bloomington, IN Bloomington, IN 812-•323-0002 812-323-0002 DOB: 04/17/2018 Server: Adam-Service 04/17/2018 Server: Adam-Service 04/17/2018 07:11 PM 4/40018 Table 31/2 7:08 PM Table 31/2 Guests: 1 SALE ##460 1 8 Reprint #: 1 2097162 22.00 MC Big Salad Card#XXXXXXXXXXXX1741 Magnetic car present LEWALLE.N SHAUNA R Complete Subtotal 22.00 Caird Entry Method: Subtotal 22.00 Approval: 28771P Tax 1.54 $ 23.76 County Tax 0.22 Amount: + Tip: Total 23.76 Total: Balance Due 23 . 76 = _ " GOURMET CLUB" the above TASTE OF THE PHILIPPINES I agree to pay APRIL 26TH AT 6:30PM totalamount rissueraccording agreement the X_— ******Guest's COPY****** �� . � � •i.'.I, ,, �,, .� �. •�a .fir, '.�a i „I � i ' � � ,i � t • i• -e, o e U BLU Boy Chocolate Cafe 3jLJ,aY._G. 112 E.Kirkwood Ave. Apr 17,2018 ---.----...._....-._...............----.._._._..__.....__ .__.._...__. ........._.. Bloomington, IN 47408 7:20 PM ;;11 Chk 8304 list 2 (812)334-8460 Date:- Apr18'18 07:27AM Apr18'18 07:03AM Card Type: Master Card _._.._..___.._._____..._____........._--.--..... .........-. ._._.-.- www.bluboychocolate.com Acct #: XXXXXXXXXXXX1741 Fest . @bluboychocolate Card Entry: SWIPEDedt' =ko * Trans Type: PURCHASE 1 B & G W/ 2 EGGS 7.45 Authorization 66993P MasterCard 1741 Auth Code: 95105P Over Easy Receipt XGSV Check: 8304 1 Coffee 1 .:15 Table: 18/1 1 Wheat Toast 1 .5 MasterCard Server: 345 Jay G Subtotal 10,•15 Tax 0,88 AID AO 00 00 00 04 10 10 Subtotal : 8 . 59 T,tal Due _. .. -- v—**.sea 4, ,: **� 2 Piece Box $5.75 T i p ; C) 1 Waffle _ 1j~v"_ ` 6,45 A11 Fruit Subtotal $5.75 1 .50 Tota 1 : t 0Subtotal 7.95 Sales Tax $0.40 Tax 0.634 Food and Beverage Tax $0.06 Signature Total Due 8 . 19 Tip $1.00 * *** All ***** d Total $7.21 Customer Copy Subtotal 18.90 Tax MasterCard "'"'^" $7.21 Total Due 20 . 4-1 Shauna R Le.. as1±`°ply kofiC SEf'.-RPI ri !!!! We serve Breakfast AL- DAY !!!? www.villagedeli .biz I%W Dining Services - Sa.jt::Xc IMU Dining Services - Sodexo Starbucks Sugar & Spice 384 ley R667 Madison Cho; 4.1 Apr18'1f3 07:43N Chk 427 Apr18'18 10:09AM _._5.. -- -------------------------------------- Tax 2 x,09 2 Chocolate @ 1 .99 3.98 V ,09 Credit Card 3.98 : :,,ard E,09 Subtotal 3.98 r'(19 Amount Paid 3.98 'TI: ari-: -aid