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HomeMy WebLinkAbout331326 10/17/18 y u'�,A� CITY OF CARMEL, INDIANA VENDOR: 372848 (= ONE CIVIC SQUARE ROGER MANSFIELD CHECK AMOUNT: $ 20.72 ''' 25 BEXHILL DRIVE CHECK NUMBER: 331326 �� /,r CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK DATE: 10/17/18 M�[J'ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 20.72 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. Mansfield, Roger Payee 25 Bexhill Dr Carmel, IN 46032 In Sum of$ Purchase Order# Mansfield, Roger Terms $ 20.72 25 Bexhill Dr Date Due Carmel, IN 46032 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 $ 20.72 Board Members 1014118 Reimb Travel Expenses for Core Exam $ 20.72 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 $ 20.72 Total $ 20.72 October 9,2018 1 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 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 I OT31;0 101:�poelialo �il /, 0-7 (�M-tf &40 10(3 j$ 1 o(3C(o t4rwfipE A2601A)K c� J�, (7 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $0.00 Employee Name(print)( OC 6a3a- ......1 .. .. 20 Address . .Check BY. payable to: City, St,Zip /,Pj Signature: . Approved by: Date: Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request V - - ------ ---------- ette o. Subway#1103-0 Phone 765-743-0889 ILafa"y tt ��IN�� 01 Lafa��ette, IN 4�9G1 135 South Chauncy Ave Suite 2S 165-742-2591 385 Nest Lafayette, IN, 47909 www.lafayettebreutingco.com Served by: 21214 10/3/2.018 11:52:13 am Term ID-Trans# 1/A-495373 TABLE # 31 SPLIT 1 BUY ONE GET ONE FREE QUARTER POUNDER Qty Size Item Price CHECK# 385373.1 W/CHEESE OR EGG MCMUFFIN --- - .";; ""--- ----- QATE/TIME: 10/3/'2018 5:49:24 PM Go to www.mcdvoice.com within 7 days 1 6 Cold Cut Combo Sub 4.39 S RAR: Daniel and tell us about your visit. 1 -Fresh Value Meal (21-1) 2.60 STATION: 03 - -21oz Fountain Drink PARTY SIZE: 2 Validation Code: Expires 30 days after receipt date. -Chips Iteal'count: 1 Valid at participating US McDonald's. S Survey Code: ih Total 6.99 1 .000 IN CLUB* GE-;neral Sales Tax (7�) 0.49 $9"'0 04848-03851-00318-07557-00010-7 , +al VL Subtotal (Fat Tn) 50 7.48 $9 VV Tax � 0 McDonald's Restaurant #4848 Cash 8.00 Total before trip: C'7 Change 0.52 613 SAGAMORE PKWY W Tip amount: WEST LAFAYETTE, IN 47906-1441 Was it Perfect? — — -- �-�c7 TEL# 765 497 4663 MAKE IT A GREAI DAY Grand total : Brittany KS# 3 10/03/2018 07:55 AM 765-743 uaiW) Sidel Order 85 Host Order 7.D: �a'hl:�.��? j IiiCi3115213 SALE 1 Sausage Biscuit 1 .00 Hungry for iru iu' 1.0.-sls know how we did VIS ********* * - :�00 ENTRY METHOD: CHIP Subtotal today by taking our 1 �ri�iiutr Survey at j Tax 0.07 wttw.subwayiistens.cam, and receive a DATE: 1OJ03J2018 TIME: 17:49:27 Take-Out Total 1 07 Subprise offer to use with your next INVOICE: 6810 purchase. REFLi"FNCE: 0040 2.00 � Arf► CODE: 08229C Cash Tendered AMOUNT US Ds 0.93 USD$ i0. ; I'OTAL USD$ 1'i MCDona l d'.s.,Restac!r�nt::. - APPROVED IHANK YOu _ = I AGREE TO PA'.` ilii :. . ..:.. I Ar,i TO i;:i`l� NG ... ......_