334243 1/4/2019 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# 372351 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Petrulis, Chris Payee
9802 Willa Bonn Ct
Noblesville, IN 46062 In Sum of$ Purchase Order#
372351 Petrulis,Chris Terms
$ 157.45 9802 Willa Bonn Ct Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#(TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
Travel xpenses tor Playground
1125 Reimb 4343000 $ 157.45 Board Members 12/14/18 Reimb Maintenance Technician Training $ 157.45
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
$ 157.45 Total $ 157.45
January 2,2019
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 'PAk4o"Lou
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel • Clay
Parks&Recreation plroun 1 u Yea n
Employee Expense Reimbursement Request t
TrO d W M
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
12/11/2018 Illinois State Highway , 113 o $ A 1.10V Tolls
12/11/2018 Illinois State Highway $ 3.80 Tolls
10of, C 37.58
12/11/2018 Hilton Gardens Grill + $ 4432 Meals while traveling
12/12/2018 Hilton Gardens Grill $ 16.991/ Meals while traveling
12/12/2018 Hilton Gardens Grill $ 25.60 Meals while traveling
FART ENT V ICL.E
12/12/2018 Shell Gas $ 35.33 Gas
12/13/2018 Illinois State Highway $ 1.10 Tolls
12/13/2018 Illinois State Highway $ 1.90 Tolls
norc ,pr 11
12/13/2018 Illinois State Highway $ I Tolls
12/13/2018 Hilton Gardens Grill $ S 15.99 Meals while traveling
12/13/2018 Culver's $ 5.44 Meals while traveling
12/13/2018 Culver's $ L 12.62 Meals while travelin
All receipts should be attached in the same order as listed above. !'
No sales tax will be reimbursed. TOTAL: 6
Employee Name(print) (7�
Address 90� l��" �-cJ AVI , C�
Check
payable to: City, St,Zip wbl o vt lle .J.1v L16U6 Q.,
Signature: (��"' 'C Approved by: ( �� -
Date: "R I J'i l $ Date: /Z/2() Llf
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
ILL I NO IS STAT'IE TO L L
H I GHWAY AIU'T-IH,IDR 1 TY
P 1 aza �99-71
ILLINOIS STS --= TOLL
HIGHWAY AUTfil:: RITY
Plaza
CA SHI IPA I D
1.2/11 /1.B
CASH PP-.--- ::
$3 _ .80
12 / 13 / 18 V
04 = 32 : 32PIV
I. _ l C i _
� � i �� nom`
The Great American Grill ST. CHARLES' RESTAURANT
4070 East Main St . 4070 EAST MAIN ST.
St . Charles , IL 60174 SAINT CHARLES, IL 60174
(6 3 0) 584-0700 6301584-0700
I HiltonGardenInn . com
SALE
101 Doey S
_-
--- --------- --------- ---------- --
---'----- --- -- ---------- - �TID: 002 REF#: 00000014
Tb 1 1 1 /1 C h k 2670 G s t 1 Batch #: 345001 RRN: 033221011
D E C'1 1 ' 18 0 8 : 4 2 P M 12111/18 20:47:40
..--_. - -- -- ---- -- -------- - - APPR CODEr 922223
I_ c`1. t I n VISA Swiped
1 G r i l lad NY Steak 23 . 0 0 ************8041 **1**
1 [louse Salad 6 • 00 AMOUNT $31.32
-ood 2 . 311 TIP $
2
Tax 2 , 32
i
T o t a l 3 1 - 3 2 TOTAL $
I
� .—. � � APPROVED
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f f s�s� Thank You
`(i 3 � Please Come Again
f o t a 1------ --------- _J U°
Room # : -
P r i nt NamE! : .--���"JS- -------
Signature : ------------------------
7hank you for joining us today .
Cl
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The Great American Grill
4070 East Main St . ST. CHARLES RESTAURANT
St . Charles , IL 6 0 1 7 4 4070 EAST MAIN ST.
(6;3 0) 584-0700
SAINT ,CHARLES, IL 60174
630I584-0700
HiltonGardenInn . com
SALE
101 Doey S
------------ -•--- ----- ---------•----
f b l 4111 U k--2 6 8 5 Gs t 1 TID: 002 REF#: 00000002
Dec 12 18 0 7 : 4 7 A M Batch #: 346001 RRN: 733271831
----- ----- - - - - ----------------- 12/12/18 07:41:32APPR CODE: 354889
E cit 1 n VISA Swiped
1 Adult Buffet 12 . 95 ***.'""8041 •*�k,
Food 12 . 9 5 AMOUNT $13.99
Tax 1 . 04
T o t a l 13 . 99 TIP $ , 0()
TOTAL '$ I6 C1
Tip ------- -- �be
--------"--- APPROVED
Total :____
— --------------------- Thank You
Room # Ple �e .,J
Print
Signature : -
- - ----------
Thank you for joining us today .
Mudenbm
ltton HILTON GARDEN INN-ST.CHARLES
4070 EAST MAIN STREET
ST.CHARLES,IL 60174
United States of America
TELEPHONE 630-584-0700 •FAX 630-762-9152
Reservations
www.hilton.com or 1 800 HILTONS
PETRULIS,CHRIS Room No: 130/K1
Arrival Date: 12/11/2018 7:02:00 PM
1411 EAST 116TH STREET Departure Date: 12/13/2018 11:35:00 AM
Adtilt/Child: 1/0
CARMEL IN 46032 Cashier ID: JENNIFERQUIN
UNITED STATES OF AMERICA Room Rate: 123.00
AL:
HH#
VAT#
Folio No/Che 359199 B
Confirmation Number:3499821822
HILTON GARDEN INN-ST.CHARLES 12/13/2018 12:50:00 PM
DATE I REF NO IDESCRIPTION CHARGES
12/12/2018 1310981 *GREAT AMERICAN GRILL $25.60
**BALANCE** $25.60
THANK YOU FOR CHOOSING THE HILTON GARDEN INN ST.CHARLES FOR YOUR HOSPITALITY NEEDS!WE TRULY APPRECIATE
YOUR BUSINESS AND HOPE TO HAVE YOU AS OUR GUEST IN THE FUTURE.
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Welcome to Shell
TRUENORTH
FAST FRIENDLY CLEAN
TRUE TO YOU
57444176804
SHE
1525 EAST LAKE STREET
HANOVER PARK IL 60133 _
i
< DUPLICATE RECEIPT >
Description Qty Amount
--- ------
UNLD CR #01 14.72613 35.33
SELF ® 2.399/ G
----------
Subtota I 35.33 4 ILLINOIS STS,-:" TOLL
Tax 0.00 ILLINOIS STS , `1"�I�iiL L HIGHWAY AUS HJCRITY
TOTAL 35 -33 HIGHWAY AU-11-1 -11 i=1A. T Y ! Plaza
CREDIT $ 35.33 P1-a2,-a
i
XXXX XXXX XXXX 8041
VISA
Swiped
APPROVED
AUTH # 278463 CASH P�°, CASH PA,,
INV # 849083
12/ � / �1 ;: ; 12/ 131
---------------
02 : '40 : 21 ±F�I�i,
05 = 55 : 55 :: l w'
Please come again
NOW HIRING
Join Our Team
Apply Online at
t ruenorth-at®res _com
ST# 999 TILL XXXX DR# 0 TRAN# 9012892
CSH: 0 12/12/18. 17:47=02
-- --
ST. CHARLES RESTAURANT
4070 EAST MAIN ST. Culver's 608
SAINT CHARLES, IL 60174 Gve;tfiel j 4 IP! -�"'
630/584-0700 *�� - amp
Sun Park DriVe
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SALE _ 12
MIs583162
C a Y s aJJ3162 �L/1J�rL
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TID: 002 REF#: 00000006 �„-Served �° n-Ji. ';
Batch #: 347001 RRN: 733592730 4
12/13/18 07:34:48 t_';,5; (:g i! T!w!i� --
APPR CODE: 774116 _
Swiped ped � e? Lit a.r,,<f
I � , - ;
+6041 .ilk. Sub. _Total' 5 -
Ta?;ec t __
AMOUNT" $15.99 Total, y comm
Ili_.;_QUnt Total
TIP $ •;
_l_Orale to Heli;,nU_
TOTAL 0` �' r
APPROVED
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