HomeMy WebLinkAbout330846 10/09/18 /` 4� CITY OF CARMEL, INDIANA VENDOR: 369473
® ONE CIVIC SQUARE MICHAEL ALLEN CHECK AMOUNT: $*******160.31
:q` _�; CARMEL, INDIANA 46032 15122 PORCHESTER DRIVE CHECK NUMBER: 330846
MUTON. ` NOBLESVILLE IN 46062 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMB 160.31 TRAVEL FEES & EXPENSE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369473 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Allen, Michael Payee
15122 Porchester Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
369473 Allen, Michael Terms
$ 160.31 15122 Porchester Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4343000 $ 81.75 Board Members 9/28/18 Reimb Mileage for NRPA Conference $ 81.75
1125 Reimb 4343000 $ 78.56 9/28/18 Reimb Travel Expenses for NRPA Conference $ 78.56
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
$ 160.31 Total $ 160.31
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
claim paid motor vehicle highway fund Signature -.20_
Accounts Payable Coordinator Clerk-Treasurer
Title
PRESCRIBED BY STATE BOARD OF ACCOUNTS CaENFAAL FORM NO.101(1986)
MILEAGE CLAI II rr ��1
xo Azc�jl�In 1 S 122 Parc va �r ,I Q•10 o Ig� (o(��,Z
.- - ,.(GOVEHNMENIAL UNIT)
ON ACCOUNT OF APPROPRIATION NO.. FOR
(OFFICE,BOARD,.DEPARTMENT O&INSTIT IPM
FROM' TO SPEEDOMETER
DATE' AUTO MILEAGE
READING.�-
NATURE'OF'BUSINESS MILES p�S
POINT POINT START FINISH TRAVELED
PER MILE
V43 Com rwc— 2
s T rA acwti o 2 pp--1-rn 4-r% 2 S
G P a �,o -Cocw�x rcl C� dei �at�-vl o M f-P A- Ann-,A CQ n c-R-
t (o 6 [�$ V-e r -k Z
I. F- 2 E a&Lk. Cc. CarwuL (4-a-,Fcr N K 9 11- A nelwo-X C ,- ZS
AUTO LICENSE NO. TOTALSISO $ I �
+ SPEEDOMETER REFiDING columns are to be used only when distance between points cannot be determined by:fixed mileage orofficial,highway map.
Pursuant to the provisions and penalties'of Chapter 155,Acts 1953,Thereby certify that the foregoing account.is just and correct,that the amount claimed is legally due,after allowing all just credits,-
end
redits,-end that ho-part of the same has been paid.
Date, ,Z-2-
SEP 2 8 201
$y:
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
9/25/2018 Chick-fil-a 1125401 4343000 Travel Fees and Exp $ 8.56 ✓ lunch @ NRPA
9/25/2018 Plaza Park 1125401 4343000 Travel Fees and Exp $ 26.00 V parking
9/26/2018 Circle Center Mall 1125401 4343000 Travel Fees and Exp $ 18.00 parking
9/27/2018 Plaza Park 1125401 4343000 Travel Fees and Exp $ 26.00 parking
All receipts should be-.attached in the same order as listed above.. /
No•sales taxwill'be r'eimlursed: TOTAL: $78.56 V
Employee Name(print)" Michael Allen
f Address 15122 Porchester Drive
Check
payatile-to: ' City,.St, Zip. Noblesville, IN 46062
Sighature:, / Approved by:
9/28/2018 Date:
Business Services Division,Revised 7-7-08 p,gr, % r 7.7M D
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
SLP 2 8 2018
�t:
I
.- A. - 46 Maryland 5t: 1,
Indianapolis, In 46204 -.
I
A1 PLAZA PARK WELCOME TO F/C #08 A Payment No.00012310
lal I cl:arlr:: kc: I,Iri i:;I�.°'I'i 1 4Ticket N_o.042276
f`er":I��e Mall f:N,114.iCl,l T/D #42 ` ' .-If)-#107
1.1''IJ'I,'.II'1i1p'L1Hs' I,�� PLEASE KEEP THIS TICKET• Cashier I
WITH YOU Entry Time 19/26/2018 (Wed) 11:35
9/26/2018 (Wed) '23:01
fII)I;!ri;lti;; ': 1 cll'1'I:1 1111001'EEntered/Arriuee: Paid Time 11:26
2U18/09/27 16:36 Parking Time
'I::::,t:i::i:L,_j pP j Parking Fee' Rate C =$18:00
Ticket/Billet#:224627973 l
i','�f IFsY
OUT
Dur/Ouree:0:0U:00 $18 00'
Crd:3r i�ll•11ai;•'; ;;`.';;I;!�i;i} Paid on/Page Le:
2018/09/27 16:86 Cash Amount _ -
--------- -- -------- ----------=----
______ -.---.------ l r----------$18.oc'.
Paid/Paye:$ 26.00 Total ; {
>1.c;rCl IP.I original Fee:$ 26.00 Thank you and Hadeya Nice Day±
::'i 1f 1C CST:$ 0.00 World Gara.�a.Boo .8.
I'C' „ I'IJ — PST:$ 0.00
(A- ...I I;I I'I) Change:$
MASTERCARD -
iUl}. 1:T,f3....`�':i'1� r.: SC:$ 0.00
,,
Fax: Ijl,l, �'� Merchant ID:
T01:3 r:; ************6719 S
I MASTERCARD
Seq 200600017 00906 ICLOOM TO
'hill-;j:: I;ij Of,l Purchase 18/09/27 16:45:12 PLAZA PARK
Ruth 517262 1
APPROUED 000/ PLEASE KEEP THIS TICKET
Feg i st:I'I: i l`c'I"I :7ir:C1 14 CI; Z�J•,IO i. WITH YOU
Casiii::r
f ,dl:i a I71i:;:15Lf'k: ci:•I"'v+'ll1!;; y0U„ -. :.: Entered/Arriuee:
2018/09/25 09:08'
1'11',E: ii I'I:;If'Ci=a"LI1 iJay
Ticket/Billet#:56656149
CLII I_EI:iII;! Dur/Duree:12:22:00
Paid On/Paye Le:
2018/09/25 21:30
:J Paid/Paye:$ 26.08
Original Fee:$ 26.00
Tero'ina 14E1°;3q:;'°lala;ei;l(:I!:' CST:$ B."D
PST:$ 10,100
�eq.leru_c! IC003:;7
i Change:$ U.OU
MASTERCARD
SC:$ 0.00
Merchant ID:
***********+6719 S
MASTERCARD
`S.eq,48 0*1111633.111203
Pa.rchase,'18%.69/25..21:39';'45
- 1"- `•Ruth .11252UZ._:;'.. - -
::._ 4PPROUED.{11111/ :,
Circle Center Mall
46 Maryland St
Indianapolis, In 46204
Ili,1 ll''Ij I II-1dF�l 1 1.5 . I.h( - t WELCOME TO
A Payment No.00012310c(rr : to PLAZA PARK F/C #08 Ticket No.042276
T/D #4ID #107C PLEASE KEEP THIS TICKET Cashier
(31'0c �� ;,' WITH YOU Entry Time 9/26/2018 (Wed) 11:35
LLi .LL�iI•)I.
q:rr relt • l;�uii:.l I'Imare! Entered/Arriuee: Paid Time 9/26/2018 (Wed)'23:01
C;IJ::I'ia 2018/89/27 16:36 in Time 11:26
_ ., Park
"i1,:9D IE 'I;;::;e`:I'.:i:'[.'i'F'hl Parking Fee Rate.+'C - . $18:00
I.,`1„IFi� I,IIIT. ricket/Billet*:224627973
Crdhr 1CU"Ilai.;”, our/Duree:B:00:00 $18.00'
I�! I,I: i' Paid On/Paye Le: Cash:Amount
2018/09/27 16:36
1 '4E;�I;I-.fl:,;;�r[)";<{•I��..I 7'.8!::� Paid/Paye:$ 26.00 Total $18.00
Original Fee:$ 26.06 Thank you and Have_,a Nice Day!
DST:$ 0.00 World GaraFo-Booth 8
PST:$ 0.00
Fr
Change:$ 0:00 _
MASTERCARD
SC-.$ 0.00
-1:13.71 Merchant IO:
T(r1:i3
rrrrrrawwraw`6719 S
j1"' MASTERCARD
Seq 200600017 00906 WCLOUnr To
.hil1�O:i I;I,I,Of•I Purchase 18/B9/27 16:45:12 PLAZA PARK
Auth 517262
11(I: 2�};3O��., APPROUED DUO/ PLEASE KEEP THIS TICKET
WITH YOU
CasliE r
t Entered/Arriuee:
a I]lii!�ISLr'kl l=.Ij;I"u'1I1C you"
14-v2018/09/25 09'08
FE: ii p:IRC!!I'"I11 :63;y�, .
Ticket/Billet#:56656149
Dur/Duree:12:22:00
Paid.On/Paye Le:
2018/09/25 21:30
Nas:erf_ar�a
'.,Cad IdLn . ;;}�„{}I'„{r.Kali},1:1'1'::1 Paid/Paye:$ 26.00
Terolrr3 , I�;EI";3t1 "'I�IG;�9;)(1!5 Original Fee:$ 26.00
CST:$ 0.00
'Appl'(wa* 11521::•�. PST:$ 0.00
Eeq.aerice
Change:$ 0.00
MASTERCARD
SC:$ 0.00
Merchant ID:
aarwsra****a6719 S
MASTERCARD
Seq 480300033 01203
Purchase 18/09/25 21:39:45
Auth 025202
APPROUED BOB/