HomeMy WebLinkAbout330900 10/09/18 { "Aa CITY OF CARMEL, INDIANA VENDOR: 372838
ONE CIVIC SQUARE CODY MCCOLLUM CHECK AMOUNT: $********48.28*
:� _� CARMEL, INDIANA 46032 8766 GARONNE TERRACE CHECK NUMBER: 330900
'Ma:oa�°` APT 3C CHECK DATE: 10/09/18
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMB 48.28 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# -� Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
t
McCollum, Cody 5 l a Payee
8766 Garonne Terrace Apt. 3C
Indianapolis, IN 46250 In Sum of$ Purchase Order#
McCollum, Cody Terms
$ 48.28 8766 Garonne.Terrace Apt. 3C Date Due
Indianapolis, IN 46250
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/1ITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4343000 $ 48.28 Board Members 9/25/18 Reimb Travel Expenses for NRPA Conference $ 48.28
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
$ 48.28 Total $ 48.28
October 1,2018
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
Cost distribution ledger classification if IPAM,41�
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��D--escription Amount Purpose of Expense
9/25/2018 Fogo De Chao �� W01 373000 F-eaS r $ Lunch
N�p�A
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 48 aS
Employee Name(print) Cody McCollum ` 77,: ` '; '
Address 8766 Garonne Terrace Apt. 3c SEP 2 8 201 3
Check
payable to: City, St,Zip Indianapolis, IN 46250 �'....................
...........
ASignature: — Approved by:�//
Date: 9/25/2018 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
- FOGO DE CHAO
fogo.com
m 117 E Washington St
Indianapolis, IN 46204
(317) 638-4000
FOGO DE CHAO Server: Pool DOB: 09/25/2018
fogo.com 12:58 PM 09/25/2018
117 E Washington St Table 25/1 2/20002
Indianapolis, IN 46204
(317) 638-4000 SALE
Server: Pool 09/25/2018 VISA 2097158
Table 25/1 12:55 PM Card #XXXXXXXXXXXX0940
Guests: 1 Magnetic card present: MCCOLLUM CODY M
'��� Card Entry Method: S
Lunch 36.95 Approval : 092513
1 Items - Amount: $40.28
Subtotal 36.95 + Tip:
Tax 3.33
Total :
Total 40,28 =
Balance Due 40 . 28 X
For your convenience: For your convenience:
18% Gratuity = 6.65 18% Gratuity = 6.65
20% Gratuity = 7.39 20% Gratuity = 7.39
8,13 22% Gratuity = 8.13
- Reservations at fogo.com
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