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Home My WebLink About331338 10/17/18 CITY OF CARMEL, INDIANA VENDOR: 370216 4.. j '• ONE CIVIC SQUARE CHRISTINE PAULEY CHECK AMOUNT: $*******451.13* CARMEL, INDIANA 46032 87 11TH ST NW CHECK NUMBER: 331338 CARMEL IN 46032 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4230200 REIMB 14.98 OFFICE SUPPLIES 1701 4343004 REIMB 436.15 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 370216 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHRISTINE PAULEY IN SUM OF$ CITY OF CARMEL 87 11TH ST NW 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. CARMEL, IN 46032 Payee $451.13 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Clerk Treasurer 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 588276462367180 42-302.00 $14.98 1 hereby certify that the attached invoice(s),or 10/9/18 58827646236718 LIGHTNING CAR CHARGER FOR NEW $14.98 1701 101 1701 101 PHONE OCTOBER 3-4 43-430.04 $147.15 bill(s)is(are)true and correct and that the 10/9/18 OCTOBER 3-4 ROUND TRIP TO WEST BADEN SPRINGS $147.15 1701 101 1 materials or services itemized thereon for 1701 1 101 FOR OCTOBER AIMS SUMMITT 433759100537 43-430.04 $189.00 10/9/18 433759100537 WEST BADEN SPRINGS HOTEL FOR AIMS $189.00 1701 101 which charge is made were ordered and 1701 101 SUMMIT OCT 3-4,2018 10/3-10/4/18 43-430.04 $100.00 received except 10/10/18 10/3-10/4/18 2 DAYS PER DIEM $100.00 1701 101 1701 101 Wednesday, October 17,2018 Quinn,Jacob Deputy Clerk of City Business 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 Christine 0 &a Ifillib"Emb, ii nmi SUMMIT Christine Pauley Clerk Treasurer City of Carmel �M U �N 1 C ,Iil � 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995) CITY OF CARMEL 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. Payee l°�le- Purchase Order No. Terms earwel _N aga Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 101-3-"o 14- Phone 14.qS 1013-101 y iAvu e I NI2sfi t den 5 n e !r4-00 oAIM &5Q0— Total I hereby certify that the attached invoice(s), or bill(s), is (are) u d correct and I Ledu ited same in accor- da(n�cenw�it�h1{IAC 55-11-10-1.6. r U J�1�LK1 , 20-0— Clerk-Treasu er i See back of receiPt.for�your chance ! to tdip $1-0000I0 A,7M5DF0 JTY V yDF0 JTY V 317-856-5748 11gr:ART iNTEN 8191 UPLAND ON" CA118Y•IN 4611:3 STf! p4417 0" 002605 TE1i :14 TRO 05990 T s �CaR CNRB lluP'I6fs113°il3'sl5t 'F 14;90 ` 1 3110Ta10L 34.57 _ ulSA ' TEND 6.71 A 042000314 TRANS H - 508216462367104 QALIDATION - B41611 NAYHENT SERUICE - E AID 60000000031010 TC_F3DD45046'M06C TERIIIMAL.. 11 SCoii2ag X190 SIBNQTURE REQUIRED lUl�3/18 00:50;39 C.QO s CHANGE i1tiC U ITEMS 501.1) 4 TC1i �t60 1514 .1o,i5 4:11656.03 1!�'llilli!I!��I II�!I►illllllllill�l��lllilll��lllill��ill�11111!�II!Ililll�!IIIIIIISIh ' ,,;• . 10J03tIR �' 50;39 Scan with NalOut aPP to`sous receivts qD iN WEST BADEN SPRINGS H O T E L Name: CHRISTINE PAULEY Arrival Date: 10/03/2018 Cl Clerk BNOTTINGHA Address: 87 1 1ST NW Departure Date: 10/04/2018 CO Clerk GMCCOY CARMEL IN 46032 Group Code: 1018AIM Roam # WB 4338 Resv 432916515624 Page 1 of 1 Dale Reference Description Charges : Credits 10/03/2018 433759100537 ROOM CHARGE WB 4338 189.00 10/04/2018 433761375074 WB FRONT DESK VISA 189.00 ************3090 Total Due .00 I 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-out date. Guest Signature: West Baden Springs Hotel 8538 West Baden Avenue West Baden, IN 47469 888.936.9360 frenchlick.com Prescribed by State Board of Accounts General Form No.101(1955) MI O-f-- Cyn-,, l Tn ca TO �f 5�8 �/Q --Banjen Aw L(p , Hks:� P47 �/I/ DR. (Governmental Unit)J On Account of Appropriation No. for (Office, Board, Department or Institution) DATE FROM TO NATURE OF BUSINESS AUTO MILES MILEAGE 201- Point Point _ TRAVELED PER MILE fols AAAA T 7— ! 581 Auto License No. TOTALS 15 *SPEEDOMETER READING columns are to be used only when distance between points cannot bileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregobrrect, that the amount claimed is legally due, after allowing all just credits,and that no part of the same has been paid. Date �00- :P�x"6j��