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HomeMy WebLinkAbout327518 07/18/18 CITY OF CARMEL, INDIANA VENDOR: 367453 h; ONE CIVIC SQUARE MARY EVANS CHECK AMOUNT: $*******246.73* CARMEL, INDIANA 46032 14831 BIXBY DRIVE CHECK NUMBER: 327518 WESTFIELD IN 46074 CHECK DATE: 07/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 246.73 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 367453 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Evans, Mary Payee 14831 Bixby Dr Westfield, IN 46074 In Sum of$ Purchase Order# 367453 Evans, Mary Terms $ 246.73 14831 Bixby Dr Date Due Westfield, IN 46074 ON ACCOUNT OF APPROPRIATION FOR 109-Morton Center PO#ornvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount ravel Expenses for 2018 IDEA World 1091 Reimb 4343000 $ 246.73 Board Members 7/5/18 Reimb Convention $ 246.73 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 $ 246.73 Total $ 246.73 July 11,2018 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance l� 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 711 C►2o c ��`l���D "C �� ,� 1$ V All receipts should be attached in the same order as listed above. �)©l o No sales tax will be reimbursed. TOTAL: Employee Name(print) '�.j,J 6=5 Address 1•-L$3 �j 1 { • 1 , V Check payable to: City, St, Zip Signature: Approved by: Date: Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Carmel ® Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt �.p# Line# Budget Description Amount Purpose of Expense F�Fan U&6z Y�"�Ap qa loovkl I Uq 3DOO 110(A M) 11434 300 14M -M0 l c .lv,3wb t 5�alt IOQI :7001D I► X11 �r 14`Z� q3q 300 dD All receipts should be attached in the same order as listed above. N n0 lt No sales tax will be reimbursed. TOTAL: i CRDNI� Employee Name(print) GVH WORLD " Address (D-V\,f- payable to: City, St,Zip ,jlelc� i� �Srp01�1 Signature: Approved by: Date: ��S j Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request „,. . 'J m 1)ago Pier Cafe GRAND I HYATT' a;, '±i=9,,i,” Ga ?i[�i MANCHESTER GRAND HYATT SAN DIEGO GRAND LOBBY BAR r =*' " = 1086 CHELSEA M jQ lr�-'• c?_i -------------------------------- _u s=_ - 1 i:;[r77 . 4 2 /1 9 1 4 9 GST 2 JUN28 ' 18 6 : 20PM -------------------------------- Y'r -L ° 1• G �H�C�tA1NlV�C�iP1B 0 0 -C,L. - FOOD SALES 20 . 00 _ -_ �b *#WINE SALES 9 .00x GLB 3% SURCHARGE 0 . 87 T,'-!lei,,'K YOU! � * TAX 2 . 32 �be.r to °Lif: !.= or. F cebo 1, PAYMENT DUE 3 2 1 9 CHECK INCLUDES A 3% SURCHARGE TO HELP OFFSET THE COST OF STATE & CITY MINIMUM WAGE ,( SURCHAGE IS NOT A TIP/GRATUITY . MANCHESTER GRAND HYATT SAN DIEGO ;. POOL BAR26POOL •BAR Manchester Grand Hyatt San Diego 2067 JAVIER CA -------------------------------- 3- 12 /1 3576 GST 1 , Hyatt-POS JUN29 ' 18 12 : 54PM 1 Market lace n Dieg ,CA -------------------------------- 92101 619-232-1234 1 ASMI S-A•N D W I C H`� 17-0 0 SERVER 2067 JA VIER FOOD SALES 17 . 00 TYPE PRE AUTH PLB 3% SURCHARGE 0 . 51 ACCOUNT TYPE Visa *TP 1 . 36 CARD NUMBER ************9576 PAY�MEN_T`DUE$$_�_8 8- DATE/TIME 06/29/2018 13 :01 REC # 150304 YOUR CHECK INCLUDES A 3% INV/CHK # 3576 SURCHARGE TO HELP OFFSET THE REFERENCE # MG1203270947 COST OF STATE & CITY MINIMUM SEQUENCE # 207 WAGE INCREASES . THE SURCHARGE IS AUTH . # 000216 NOT A TIP OR GRATUITY . ENTRY METHOD CHIP Tip ---- ---- --_----^- ---- ------------ ---- U TOTAL Total : _ -�----- --------- -------- Room : -------------------------- TIP : ---- Name : ------------------------- TOTAL Signature : ---------------------- APPROVED - THANK YOU Earn or Redeem Points for Dining EVANS/MARY L World of Hyatt# : Last Name : MODE Issuer Offer code(s) : VISA DEBIT Redemption Eligible : 18 . 87 AID A0000000031010 *Not point earning eligible . TVR 8080008000 #Not point redemption eligible . TSI 6800 ARC 00 ******************************** IMPORTANT -- retain this copy For your convenience we are for your records . providing the following gratuity calculations : CUSTOMER COPY 15% is $2 .55 18% is $3 .06 20% is $3 . 40 i Server: ALESSANDRO --------------------- f' Italia Mia Dine ri Table: PAT151 Guests: 4--- 825 Fourth Ave ------------------------------------------------ San Diego, CA 92101 1 POLENTA FUNGHI GORGONZ 15.95 (619) 238-1616 1 BARBERA BOTTLE 48.00 1 SALMON ALMON $$ 7.95 - 1 IDD ALa Spinaci Pere 10.95 Date/Time: 2018-06-29 08:24 PM Order Number: 33941 1 ADD SHRIMP $$ 5.95 Account Type: CREDIT 1 Insalata Spinaci Pere 10.95 > sub gorgonzola with goat cheese EDC Tran ID: 352045827 Server: ALESSANDRO dressing out 1 CARCIOFINI al FORNO 14.95 Table: 2 1E PARMIGIANA _ ----u-h----------------___------.___-- (CANNELLONI - _a 22 ' PURCWASE - - -- _ 1 INSALATA 'C APPRO��L-� 9: 1 INSALATA TRICOLO `-12.95 Entry Mode: Swiped SUB TOTAL: on 188.00 Card Number: XXXXXXXXXXXX4785 Tax 1 : en 14.57 Card Expire: XX/XX Card Type: Visa Cardholder Name: TAYLOR RESEARCH TEL: xk► �^ $202.57 Approval Code: 420885 Reference Number: >�sk 9/ 05 ***** *** ** * * * * * * PURCHASE; THANK YOU!' Gratuity; PLEASE COME AGAIN �. 20% Gratuity = $37.60 Total: 20% Gratuity = $37.60 u Cardmember acknowledges receipt of goods and/or services in the amount of the total shown heron and agrees to perform the obligations set forth by cardmember's agreement with issuer Signature: SALLY ' S FISH HOUSE & BAR 22SALLY REST (619) 40 Manchester Grand Hyatt San Diego One Market Pllaceace ,, SD 92101 CA f d San Diego Convention 1042 RICKY Center ------- 2804 ---------------- 7 1-/32 8 0 4 Hyatt-POS S t-a-r Hal l E JUN30 ' 18 11 : 56AM - 1 Market Place , San Die go , CA -------------------------------- 92101 111 W . Harbor Dr . San Diego , CA 619-232-1234 1016 Karina C . 1—C.A-R-N_I V-A-L—R-O-L L 1_6`0 4 SERVER 1042 RICKY -------------------------------- SUBTOTAL 16 . 00 TYPE PRE AUTH 5 O O O ACCOUNT TYPE Visa 1 JUN30 ' 18 - 4 : 17PM SAL 3% SURCHARGE . 48 CARD NUMBER ************4785 -------------------------------- * TAX 1 .28 DATE/TIME 06/30/2018 12 : 59 PAYMENT DUE $ 17 -76 REC # 117196 1 *Open Drink 5 .25 -- INV/CHK # 2804 Tip : --------------- 0 REFERENCE # MG1206107562 BEVERAGE 5 . 25 __- -- "__ jjj_ ySEQUENCE '# 233 Total : ��� ��' PAYMENT 5 - 2 �i _ -- RUTH . # 221577 XXXXXXXXXXXX957V/ ' --------- ENTRY METHOD SWIPED Visa 5 .25 Room : ----------------- ---1016 Closed JUN30 04 : 18PM---- ------ ------- Name : ---- ------- ------------ TOTAL $17 . 76 S B U X E _W S 1 Signature : ' _ CHECK INC ES o SURCHARG TO TIP : HELP OFFSE MIN . WAGE INCREASE . --------------- TOTAL : COMMENTS , PLEASE CONTACT : ---------------- JONATHAN . BLOSEOHYATT . COM APPROVED - THANK YOU ******************************** RESEARCH/TAYLOR -- - For your convenience we are providing the followir:; IMPORTANT -- retai gratuity cal , :ii :,l ,: ::: : for your recon' _ j 22SALLY RP,JT Manchester Grand Hyatt San Diego SALLYtt S FISH HOUSE & BAR CA (619) "358-6740 One Market Place , SO 92101 Hyatt-POS C411 1028 DAVID _---__--- 1 Market Place , San Diego ,CA ------------------ 92101 6 4 /1 2 0 2 6 619-232- 1234 JUN30 - 18 7 :28***** ***** MEMO CHECK SERVER 1028 DAVID ------------------------------ TYPE PRE AUTH ACCOUNT TYPE Visa SEAT :3 14 .04 CARD NUMBER ************9576 1 BLACK&BLU MOJ� t X0)0 DATE/TIME 06/30/2018 21 : 12 1 BE'EF---SK-E-WzF-RREC # 122563 B_U F FAL O- C A U12 ',=0.0� INV/CHK # 2026 1� _ wL I �2 9 J0 F-OOD—SAL-E-S REFERENCE # MG1207117617 1 .29 SEQUENCE # 182 SAL 3% SURCHARGE 3 .44 AUTH . # 021200 * TAX $ 47 _ 73 ENTRY METHOD CHIP PAYMENT DUE � Tip : -------- ---�--- 5�7------ TOTAL --------47.73- -- Total : -.�- � TIP : -- -------- -so - Room : ;L ° -- � � TOTAL : __ _____�•_ Name : __ _- ------------- APPROVED - THANK YOU Signature - SURCHARGE TO EUANS/MARY L CHECK IN LU E WAGE INCREASE . HELP OFFSET MI. COMMENTS , PLEA . ,;T ,..;„t4i� JONATHAN .BLOSEt- '_ ' 32Brew3O Manchester Grand Hyatt San Diego CA i I ..' MANCHESTER GRAND HVATT SAN DIEGO I BREW 30 Hyatt-POS �� Market P1ace ,San Diego , CA 92101 2064 ;ERIN 619--232-1234 ---_----- CHK 5731 -..-----C4------ GST 1 JUI-01 ' 18 �8 :30PM SERVER 2064 ERIN TYPE PRE AUTH ; ACCi)UNT TYPE Visa 1 'tE CALI CREAMIN 8 .00 CARD NUMBER ************95781 aUAC & CHIPS 7 .00 DATE/TIME 07/01 , 2018 21 : 28 REC # 147823 FOOD SALES 7 .00 INV/CHK #. 5731 REFERENCMG120983203g #BEER SALES 8 .00 SEQ11ENCE°"# 285 RED 3% SURCHAR, 0 . 45 TAX 1- .20 AUTH . # 092800 , PAYMENT DUE 1 �+ ENTRY METHOD CHIP I YOUR CHECK INCLUDES A 3% TOTALX16 . 65 SURCHARGE TO HELD OFFSET THE COST OF STATE & 'CITY MINIMUM SWAGE INCREASES , THE SURCHARGE IS TIP : 2 r NOT A TIP OR GRATUITY . - ------C.1--__.___ �1 c TOTAL i T i p APPROVED - THANK YOU Total . ____•---_-_.__ EVANS/MARY I_ � Room __-------- MODE Tssuar APP VISA DEBIT AID Name : ---- J - _� TVR ; Signature : .------.____.._______• ___-- k Earn or Red( A �f u v 26POOL BAR Manchester Grand Hyatt San Diego CA Hyatt-POS VILLAGE CAFE h� k -:c, P ****so - Sar k�)i(:!90kk*** � *� 1 Market Place , San Diego, CA LOCATED IN SEAPORT VILLAGE GE: a 1�4!radis!7 - Sar :li!::ao 92101 (619) 544-9444 789 id. Harbor Drive ii 117 Order 8720 619-232-1234 ;1�r1 Diego CA 9210.1 DATE 07/01/2016 SUN TEd. 6192280307 SERVER 3047 DA 'VIE TYPE PRE AUTH CHECK# 46 MEXICAN OMLE1 T1 $g,25 'r'�1/113 4:413 PM ACCOUNT TYPE Visa SGL MOCHA $4.50 k� l#kk� Kk �� k�kkkkkk * * � 1* CARD NUMBER ************9576 *** FOR HERE *** DATE/TIME 07/01/2018 14 :50 TAX] AMT $0.64 REC # 078236 T®TAIL_. *13 -39 1 :sande Copetta $,fi,*15 5.75 INV/CHK # 3787 CASH $15.00 m REFERENCE # MK1209064450 CHANGE $1.61 lion•.TE!xcd: 5.75 * ORDER# 0125 * ______ __ SEQUENCE # 166 NO.176025 REGO1 ANCIEL TIME 09:11 �, 5,75 AUTH . #ENTRY METHOD C 085017 �ub••:atl:•1; CHIP ------------ S . 7 5� 6.00 TOTAL $26 . 64 ' ------------ C1114NGE DUE, 0.25 Gf:1..4TO OI:►SESSED% You ;:auntTIP :1 ike our kind ----- - -- ()i` 3R:cplE�... TOTAL . ___-- l,lpi,�. acelaook.co�/gEal.':alr:.radiso APPROVED - THANK YOU ln.:>tagram gela•tcparar i:lo1 F;•'d us an yelp! EVANS/MARY L MODE Issuer APP VISA DEBIT AID AOOOOO00031010 TUR 8080008000 TSI 6800 ARC 00 IMPORTANT -- - . - SuperShuttle Reservations Page 1 of 2 `5Super5hutllle Thank you Mary!Your reservation with SuperShuttle has been saved. Ride from SAN Confirmation#5449465 Pick-Up Location:San Diego Airport(SAN) Drop-Off Location:Manchester Grand Hyatt San Diego 1 Market PI,San Diego,CA,US 92101 Flight Arrival Time:Wed,Jun 27,2018 1:40 PM Ride Type:Shared Ride Ride to SAN Confirmation#5449464 Pick-Up Location:Manchester Grand Hyatt San Diego 1 Market PI,San Diego,CA,US 92101 Drop-Off Location:SAN Flight Date&Time:Mon,Jul 2,2018 6:35 AM Pick-Up Time:Mon,Jul 2,2018 4:44 AM Ride Type:Shared Ride Passenger/Payment Total$18.88 USD Passengers 1 Wheelchair:No Discount:_$4,00 USD Payment Type:•`•`9576Visa — -- � Rewards:Southwest Rapid Rewards Discount Code R5KE6 _ Price Details^ From SAN $10.00 USD Gratuity: $1.44 USD To SAN $10.00 USD Gratuity: $1.44 USD Total Round-Trip Cost $18.88 USD https:/Ibooking.supershuttle.com/confirmation 6/26/2018