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HomeMy WebLinkAbout329545 08/30/18 `%'��p'• CITY OF CARMEL, INDIANA VENDOR: 371303 ONE CIVIC SQUARE STEVE ZELLER ` . CHECK AMOUNT: $*******482.31* : � CARMEL, INDIANA 46032 16112 E 196TH ST CHECK NUMBER: 329545 s„��oN�. NOBLESVILLE IN 46060 CHECK DATE: 08/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4343002 482.31 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 371303 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STEVE ZELLER IN SUM OF$ CITY OF CARMEL 16112 E 196TH ST '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. NOBLESVILLE, IN 46060 Payee $482.31 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department 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 43-430.02 $482.31 1 hereby certify that the attached invoice(s),or 8/27/18 0 Reimbursement for travel. $482.31 2201 2201 2201 2201 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 Tuesday,August 28,2018 Huffman, Dave Director 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CITY OF. CARMEL'Expense Report(req:uired fo.r alljravel expenses) .. M - .. EMPLOYEE NAME:, : . Stephen.Zeller. DEPARTURE DATE:. .. 8/22/2018. . TIME: 1:00. : AM/PM DEPARTMENT: Street Department RETURN DATE: 8/23/2018 TIME: 4:30 AM%PM REASON FOR TRAVEL:.LTAP.Conference DESTINATION'CITY: French Lick; TRAVEL;EXPENSES.ARE FOR,(check all that apply): ADVANCE: REIMBURSEMENT. Yes.. PER'DIEM :Yes' Transportation Gas%Tolls/. Meals LI � s`E SwF Date Lodging Misc.. ToaAir-fare CarRental Other Parkih9 Breakfast Lunch Dinner. Snacks Per Diem .. 8/22/18: $236.17 . Y$23617 .8/22/18: : 15.7 miles . .545/.Mile, $85.57 = $85!57 157 miles :545/Mile $85.57n X%86_!57 .8/22/1.8 $25.00 $25e0;0 ,8123/18,: $50.00 $50 00 " - - $0 00 4 $0100 27 y$ 000 wok-. .. .. ��`�,.� $0'00 : .. " 0M$000 `$000 F a $� Ot0.0 1 . Totab ;= $00'0 $0 00 ;'i 0:00 236i1'a7 " 0 00' - Or00 " i> 0:001751N:1s4'! '_482131 DIRECTOR'S STATEM T. I herebyaff'm all'expenses.listed conform,to the City's travel policy and are within my,department's appropriated budget. , Director Signature: Date: . o�,� City of Carmel Form#ER06 Revision Date 8/24/2018 Page 1 . A II III III II FRENCH LICK RESORT Name: STEVE ZELLER Arrival Date: 08/22/2018 Cl Clerk KDELROSARI Address: 16112 E 196TH ST Departure Date: 08/23/2018 CO Clerk NOBLESVILLE IN 46060 Group Code: 2 4 f1 50 1 0 : .. ....;:: ::>::»>:«:»::>FL «:>:::><:>;>;>::>Res"::>:::>::s::>:> 4332502405 8 <>> » <<>t'a ................... . . ; ..:..::...: :. Qate.::..: Ref. rence. :;. .. .... ...:::>:::::.:;:::::::.>>:.;:Qescri tion.;>: C: es Credits h...r.. .::.::::::;:::....:.::::................:....... ...................................................................................................p.........:...::::::::::;»:;:::;:>.:::;::;::::;::>::;:;.:: ::>::.>::.:... ...... 9 08/22/2018 433339100305 ROOM CHARGE FL 2504 209.00 TAX 1 14.63 TAX2 12.54 08/23/2018 433340393876 FL FRONT DESK VISA 236.17 ************9751 Total Due .00 1 agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card, the hold on funds may last from 7-10 business days after your check-outdate. Guest Signature: French Lick Springs Hotel 8670 West St Road 56 French Lick, IN 47432 888.936.9360 frenchlick.com