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HomeMy WebLinkAbout334359 01/10/19 i 1 r Coq f CITY OF CARMEL, INDIANA VENDOR: 369475 ONE CIVIC SQUARE SEAN SUTTON CHECKIAMOUNT: $*******292.75* .�; �• a' CARMEL, INDIANA 46032 14939 MERCURY CT CHECK NUMBER: 334359 CARMEL IN 46032 CHECK DATE: 01/10/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT !DESCRIPTION 1120 4231400 REIMB 27.05 GASOLINE 1120 4343003 REIMB 265.70 TRAVEL & LODGING I VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 369475 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SEAN SUTTON IN SUM OF$ CITY OF CARMEL 14939 MERCURY CT 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 — Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 0 43-430.03 $265.70 1 hereby certify that the attached invoice(s),or 1/9/19 0 Applicant Background Investigation $265.70 1120 101 1120 101 0 42-314.00 $27.05 bill(s)is(are)true and correct and that the 1/9/19 0 Applicant Background Investigation $27.05 1120 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Wednesday,January 9,2019 David Haboush Fire Chief 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 CITY OF CARMEL Expense Report (required for all travel expenses) �xoiaaa... EMPLOYEE NAME: Sean Suttonm DEPARTURE DATE: 1/3/2019 TIME: 900 AM/PM DEPARTMENT: FIRE RETURN DATE: 1/4/2019 TIME: 1700 AM/PM - REASON FOR TRAVEL: Background Investigation -DESTINATION CITY: Wyoming-Ml- - - EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM XX Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 1/3/19 $65.00 $65.00 1/4/19 $27.85 $135.70 $65.00 $228.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.0,0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $ G 1 $0.00 „$27.85 $362.73 $0.00 $0.00 $0.00 .$0.001 $130.00 $0.00 DIRECTOR'S STATEMENT: I he eby a it atpses list conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 1/9/2019 Page 1 Hyatt Place Grand Rapids-South 2150 Metro Lane Wyoming, MI 49519 0 07 Tel: 616-724-1234 Fax: 616-724-1237 HY A T T grandrapidssouth.place.hyatt.com PLACE' INVOICE Sean Sutton 14939 Mercury Ct Room No. 0424 Carmel IN 46032 United States Arrival 01-03-19 Departure 01-04-19 Confirmation No. 2063053301 Folio Window 1 Group Name Folio No. Date Description Charges Credits 01-03-19 # Guest Room 118.00 01-03-19 * # State Occupancy 7.08 01-03-19 * # Local Assessment 4.72 01-03-19 * # County Assessment 5.90 01-04-19 American Express 135.70 Total 135.70 135.70 Guest Signature Balance 0.00 I agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges. WE HOPE YOU ENJOYED YOUR STAY WITH USI World:of Hyatt Summary Thank you for choosing Hyatt Place Grand Rapids-South. O;ur goal is to provide every guest with an exceptional stay and we are interested in any;comments regarding your Membership: XXXXXX990L visit.' Bonus Codes: Qualifying Nights: 1 Please remit payment to: Eligible Spend: 118.00 Hyatt Place Grand Rapids-South Redemption Eligible: 0.00 2150 Metro Lane Wyoming, MI 49519 *Not Point Earning Eligible #Not Point Redemption Eligible A May Contain Ineligible Inclusions i i