HomeMy WebLinkAbout331443 10/25/18 Coq
%' ". CITY OF CARMEL, INDIANA VENDOR: 366731
® 1 ONE CIVIC SQUARE BRIAN POINDEXTER CHECK AMOUNT: $*******608.18*
9� �: CARMEL, INDIANA 46032 13921 WILDCAT DR CHECK NUMBER: 331443
a,,iTON� CARMEL IN 46033 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
506 4343004 REIMB 608.18 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 366731 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRIAN POINDEXTER IN SUM OF$ CITY OF CARMEL
13921 WILDCAT DR 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 46033
Payee
$608.18
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel City Court 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
200012759 43-430.04 $441.74 1 hereby certify that the attached invoice(s),or 9/17/18 200012759 External Training $441.74
1301 506 1301 506
Oct 10 18 43-430.04 $166.44
bill(s)is(are)true and correct and that the 10/12/18 Oct 10 18 mileage $166.44
1301 506 materials or services itemized thereon for 1301 506
which charge is made were ordered and
received except
r-0 / (
CA n
Tuesday, October 23,2018
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
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice No. 200012759 - Indiana State Bar Association Page 1 of 1
One Indiana Square, Suite 530
IN DIANA STATE BAR ASSOCIATION Indianapolis, IN 46204
Serving the legal prgfession and the public Phone: 800.266.2581
www.inbar.org
Indiana State Bar Association Invoice
Date Invoice#
- 9/17/2018 200012759
Bill To Ship To
Brian Poindexter Brian Poindexter
Judge, Carmel City Court Judge, Carmel City Court
13921 Wildcat Drive 13921 Wildcat Drive
Carmel, IN 46033 Carmel, IN 46033
United States United States
PO Number Terms Due Date
Due on 9/17/2018
receipt
Qty Description Price Totals
1 2018 Annual Meeting-ISBA Member Judge-Brian $175.00 $175.00
Poindexter
1 Discount(Early Bird AM Judge) ($50.00) ($50.00)
Poindexter
1 Discount(Early Bird AM Dinner) ($20.00) ($20.00)
Sub-Total $230.00
Total $230.00
PAYMENTS/ADJUSTMENTS
Qty Description Price Totals
1 Payment via Credit Card(using card xxxxxxxxxxxx8920) ($230.00) ($230.00)
Applied to invoice on 9/17/2018 12:29:47 PM
Total Payments/Adjustments ($230.00)
Balance Due
1 �J
https://www.inbar.org/members/invoice_view.asp?id=B901 CBA3-FEAO-46E3-B6BF-12... 10/13/2018
1
II III III II
FRENCH[ LICK.
RESORT
Name: BRIAN POINDEXTER Arrival Date: 10/10/2018 Cl Clerk KALOBATHAN
Address: 13921 WILDCAT DRIVE Departure Date: 10/12/2018 CO Clerk JDAVIS
CARMEL IN 46033 Group Code: 101 81S
Mxx
FL
1611
:<:':>....... #.......... :<> ::...... . . ................. 433590950053
10/10/2018 433829100135 ROOM CHARGE FL 1611 149.00
TAX 1 10.43
TAX2 8.94.
10/11/2018 433839100143 ROOM CHARGE FL 1611 149.00
TAX 1 10.43
TAX2 8.94.
10/12/2018 433841542368 FLTRONT DESK MASTERCARD 47 .31
336,q
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 ca ay las p to 3 business days past your check-out date. If you
are using a debit card,,e hold on fun rom - 0 business days after your check-out date.
Guest Signature:
French Lick Springs Hotel Wes Road 56 Fr Lick, IN 47432
888.936.9360 frenchlick.com
Prescribed by State Board of Accounts General Form No.101(1955)
11 /1 MILEAGE CLAIM
/(}}
l,At 0 C(�rrne` TO DR.
(Governmental Unit) \\
On Account of Appropriation No. for 30.0
Office,Board,Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @•S`/
20j_&_ Point Point Start Finish TRAVELED PER MILE
10-10-1� ',G I -1 t Q 1 enC ;c. Tarlo &Nna vo,�-e awKarn a\ M� 15a•*i Z
10- 11-IR ven L.'c i n E 1 of i cin \ Sia- < 1ann \n 1 3
Auto License No. TOTALS :30rj. 1&
*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 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after
allowing all just credits,and that no part of the same has been paid.
Date