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Home My WebLink About329713 09/10/18 %'�_,q,�F. CITY OF CARMEL, INDIANA VENDOR: 369473 ONE CIVIC SQUARE MICHAEL ALLEN CHECK AMOUNT: $*******215.82* s =,. CARMEL, INDIANA 46032 15122 PORCHESTER DRIVE CHECK NUMBER: 329713 9M�[TON G�';9 NOBLESVILLE IN 46062 CHECK DATE: 09/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 215.82 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 369473 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Allen, Michael Payee 15122 Porchester Drive Noblesville, IN 46062 In Sum of$ Purchase Order# 369473 Allen, Michael Terms $ 215.82 15122 Porchester Drive Date Due Noblesville, IN 46062 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PON or INVOICE NO. ACCT#f TITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount Travel Expenses for NRPA Directors 1125 Reimb 4343000 $ 10.90 Board Members 9/5/18 Reimb School $ 10.90 Travel Expenses for NRPA Director's 1125 Reimb 4343000 $ 204.92 9/5/18 Reimb School $ 204.92 I 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 $ 215.82 Total $ 215.82 September 6,2018 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance P {�r" withIC5-11-10-1.6 Cost distribution ledger classification if 7/�L 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 8/26/2018 Chicago area toll no receipt 1125-1-13 4343000 Toll Road $ 3.00 Chicago area tolls- 'Avgruxb"C- 8/31/2018 McDonalds 1125-1-131 4343000 Travel Expenses $ 4.90 breakfast 8/31/2018 Chicago area toll Cno receipt 1125-1-13 4343000 Toll Road $ 3.00 Chicago area tolls AV A l LALVdE AIR &� All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $10.90 Employee Name(print) Michael Allen Address 15122 Porchester Drive Check payable to: City, St, Zip Noblesville, IN 46062 Signature: Approved by: Date: 9/5/2018 Date: Business Services Division,Revised 7-7-08 PIT,IM EIVIM D FILE: Shared\Forms\Business Services\Employee Exp Reimb Request SEP 0 5 201 ]BY: 121 BUY ONE GET ONE FREE ANY SANDWICH! Visit www.mcdvoice.com within 7 days. Fill out a brief survey and rate us HIGHLY SATISFIED! You will receive a code to use on your next visit! We look forward to serving you in the future!- Validation Code: Expires 30 days after receipt date. Valid at participating US McDonald's. Survey Code: 33302-01210-83118-09451-00049-0 McDonald's Restaurant #33302 1939 E 80TH AVE MERRILLVILLE, IN 46410 TEL# (219) 769-1329 KS# 1 08/31/2018 09:45 AM Side2 Order 21 1 Bag 0.00 1 Bac-.Egg Ch Biscuit 3.39 1 S Coffee 1.19 Subtotal 4.58, Tax - - — -—0-:32 = - -- Take-Out Total 4.90 Cashless 4.90 Change 0.00 MER# 067620 CARD ISSUER ACCOUNT# VISA CREDIT SALE ************2380 TRANSACTION AMOUNT 4.90 CHIP READ. AUTHORIZATION CODE - 031099 SEQ# 071700 AID: AOOOOO00031010 McDonald's Restaurant of Hobart Now Hiring Smiling Faces! https://restaurantiobs.mcdonalds.com Denise Beatty-General Manager Thank You For Visiting! PRESCRIBED By STATE BOARD OF ACCOUNTS GENERAL FORM NO.191(1986) City of Carmel MILEAGE CLAIM Michael Allen I S/a2 �bNchtS�e�-T.�y NOIJ6011/e /Nb�2 ¢6 (GOVERNMENTAL UN1T) Carmel Clay Parks&Recreation ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE.BOARD.DEPARTMENT OR.WSUTUT10N) DATE FROM TOSPEEDOMETERREADG AUTO MILEAGE MILESzjl 18 PORT POINT I STARFINISH NATURE OF BUSINESS TRAVELED ® .545 c PER MILE _Aug MCC Chicago,IL Hyatt Lodge I c ors c o0k 1 -1 188 Aug 31 Chica o IL MCC NPRA Directors School 188 . AUTO LICENSE NO. TOTALS 204.92 + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legs duer a�g all just credits. and that no part of the same has been paid. Date 9/5/18 RECE, IVSD SLP 052018 Pyr: