HomeMy WebLinkAbout186000 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00350735 Page 1 of 1
ONE CIVIC SQUARE BOB VANVOORST
CHECK AMOUNT: $466.01
i•. CARMEL, INDIANA 46032 23402 MULE BARN ROAD
SHERIDAN IN 46069 CHECK NUMBER: 186000
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231300 139.83 DIESEL FUEL
1120 4231400 28.69 GASOLINE
1120 4343003 297.49 TRAVEL LODGING
f
Murphy, Connie E
From: Sheeks, Cindy L
Sent: Tuesday, May 25, 2010 11:30 AM
To: Murphy, Connie E
Subject: FW: VanVoorst Claim
From: Snyder, Denise W
Sent: Tuesday, May 25, 2010 11:23 AM
To: Sheeks, Cindy L
Subject: VanVoorst Claim
I shorted Bob VanVoorst and am trying to figure out what I did wrong. Not sure what I did, but this is how it
breakdowns.
28.69-314
139.83-313
297.49 430 -03
Sorry bout that, I'm still confused.
�i�u6e
Budget and Accreditation Manager
Carmel Fire Department
317 -571 -2600
317-571-2615
dsnvder@carmel. in. ,dov
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3
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIANA/ r
EMPLOYEE NAM DEPARTURE DATE: S �b TIME: M PM
DEPARTMENT: RETURN DATE: �Q TIME: \Q1. AM
REASON F O R T RAVEL7�';z- DESTINATION
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
$0.00
5/16/10 V $50.25 $139.83 $104.34 $65.00 $359.42
5117/10 $12.90 V$28.69 1 $65.00 $106.59
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.001 $0.00 $63.151 $168.52 $104.34 $0.00 $0.00 $0.00 $0.001 $130.00 $0.00
DIRECTOR'S STATEMENT: I hereby fr th II expense confo to the City's travel policy Writ Ll�lU department's appropriated budget.
Lll�jlJ
Director Signature: Date:
City of Carmel Form ER06 Revision Date 5120/2010 Page 1
380 E. Main .Street Ephrata, PA 17522 official sponsor u.s. olympic team u O
Phone (717) 733 -0661 Fax(717)733 -0662
VANVOORST. BOB name room number: 106 /SXQL
23402 MUELBARN ROAD address arrival date: 5/16/2010 7:32:OOPM
departure date: 5/17/2010
SHERIDAN, IN 46069
US adult /child: 1/0
room rate: 94.00
If the debillcredit card you are using for check in is attached to a bank or checking account, a hold will RATE PLAN L -T2X
he placed on the account for the fug anticipated dollar amount to be owed 'to the hotel, including
HH#
estimated incidentals, through your data of check -out and such funds will nor he refeased.far 72 AL:
business hours from the date of check -out or longer at the discretion of your financial institution.,
BONUS AL: CAR:
CONFIRMATION NUMBER: 88115517 Rates subject .to applicable sales, occupancy,,or other taxes. Please do not leave any money or items of value unattended in
your room: A safe deposit box is available for you in the lobby.. I agree that my liability for this hill is not waived and agree
to be hold personally liable in the event that the indicated person, company or association fails to pay far any part or the full
amount of these charges. I have requested weekday delivery of USA Today. If refused, a credit of $0.75 will be applied to
5/17/2010 PAGE 1 my account. In the event of an emergency, I, or someone in my party, require special evacuation assistance due to a physical disability.
Please indicate yes by checking here: E
signature:
5/16/2010 356121 GUEST ROOM $94.00
5/16/2010 356121 LOCAL TAX $4.70
5/16/2010 356121 STATE TAX $5.64
WILL BE SETTLED TO $104.34
EFFECTIVE BALANCE OF $0.00
EXPENSE REPORT SUMMARY
0 00:00:00 STAY TOTAL
ROOM TAX $104.34 $104.34
DAILY TOTAL $104.34 $104.34
TAX SUMMARY
CHARGE TOTAL LOCAL TAX ST TAX
ROOM TAX $94.00 $4.70 $5.64
TOTA L PAID $94.00 $4.70 $5.64
foe r4srarvations 6al1.'1.800,hampton or visit us.onlimi at www 'al ti ninn.com
account no. date of charge folio /check no.
card member name authorization initial
establishment no, and location establishment agrees to transmit to card holder for payment purchases services
taxes
tips mist.
signature of card member
X total amount
0.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob VanVoorst
IN SUM OF
�fWo
U46-Trl'
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE N0. ACCT #!TITLE AMOUNT Board Members
1120 42- 314.00 $28.69 1 hereby certify that the attached invoice(s), or
1120 42- 313.00 $139.83 bill(s) is (are) true and correct and that the
1120 43- 430.03 .49
Q materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 2AZ010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$28.69
$139.83
$167.49
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
Clerk- Treasurer