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Home My WebLink About195702 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 357248 Page 1 of 1 sf 0 ONE CIVIC SQUARE MARK WESTERMEIER CHECK AMOUNT: $348.78 a CARMEL, INDIANA 46032 12981 REGENT CIRCLE CARMEL IN 46032 CHECK NUMBER: 195702 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 1125 4343000 348.78 TRAVEL FEES EXPENSE Car 0 Clay ILLltipis D,ki2� Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1/29/2011 Hilton 101 43000 Travel $206.57 Illinois Parks Conference 1/29/2011 Skyway Tolls 101 4343000 Travel 11.20 Toll Charges P/�R K S �E di✓H I CLE 1/29/2011 Gas America 101 4231400 Gasoline 63.68 Fuel 1/28/2011 Standard Parking 101 4343000 Travel 18.00 Parkin 1/28/2011 Mercat 101 4343000 Travel 39.88 J Dinner 1/28/2011 Ressalier City Pub 101 4343000 Travel 9.45 Lunch i LW col S ssoc P Vt STR-t Ct 00M FeRNvc r o T OTAL: Fa,78 receipts should be attached in the same order as listed above. sales tax will be reimbursed. Employee Name (print) Mark Westermeier Address 12981 Regent Circle Check payable to: City, St, Zip Carmel, IN 46032 Signature: Approved by: Date: 3/2/2011 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request MA 2 201 BY: 720 South Michigan Avenue Chicago, IL 60605 Phone (312) 922 -4400 Fax (312) 922 -5240 Hilton Billing Inquiries: (312) 431 -6961 Name Address >CWcago Reservations. www.hilton.coln or 1 800 HILTONVS WESTERMEIER, MARK Room 2447/KIT CARMEL CLAY Arrival Date 1/28/2011 6:35:00PM 760 3RD AVE SW Departure Date 1/29/2011 CARMEL, IN 460322072 Adult/Child 2/0 US Room Rate 179.00 RATE PLAN L -P5 HH# 861763758 BLUE AL BONUS AL CAR Confirmation Number 3421722547 1/29/2011 PAGE 1 DATE I DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 1/28/2011 GUEST ROOM SILVIA 11737124 $179.00 1/28/2011 HOTEL CITY TAX SILVIA 11737124 $6.27 1/28/2011 HOTEL STATE TAX SILVIA 11737124 $21.30 WILL BE SETTLED TO =111 $206.57 EFFECTIVE BALANCE OF $0.00 DATE OF CHARGE FOLIO NOJCHECK NO. 1847217 A Zip -Out Cheek -Out Good Morning We hope you enjoyed your stay. With Zip -Out Check -Out AUTHORIZATION INITIAL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES evening. For any charges after your account was prepared, you may: TAXES T pay at the time of purchase. charge purchases to your account, then stop by the Front Desk for an updated statement. TIPS MISC. or request an updated statement be mailed to you within two business days. Simply dial 4794 and tell us when you are ready to depart. TOTAL AN10UNT Your account will be automatically checked out and you may use this statement as your receipt. Feet free to leave your key(s) in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. TM Hilton Chicago Good Morning, On behalf of the entire Hilton Chicago staff, we sincerely hope that you experienced our Grand Tradition during your visit. Check -out time is 11:00 am. Late check -outs can be granted based upon availability at an additional charge. Please contact our Bell Captain at extension 56 to request luggage assistance. Luggage storage is available at our 8th Street lobby for $2.00 per bag. There are several options available to make your departure quick and efficient: Video Check -Out: Press the "Menu" function on the television remote control, select the "Service" icon and review your account balance and check -out. a Zip -Out Check -Out: Call extension 4794. "Please leave your room number, name, and e -mail address and a copy of your bill will be forwarded to you. Key Drop -Off. Simply place your room keys into the "Key Drop" box, located at the Front Desk Registration area. On the opposite side of this letter is a copy of your bill. Printing Receipt Online: Being our valued Hilton HHonors member, you can view and print a copy of your final bill from your home or office. For more details, please visit www.hhonors.com Boarding Pass Printing: Complimentary printing of your boarding pass is available at our Boarding Pass Kiosk, located adjacent to the Concierge Desk. Thank you for choosing Hilton Chicago! Have a safe trip home and we look forward to seeing you during your next visit to the Windy City. Sincerely, John G. Wells General Manager ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 357248 Westermeier, Mark Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 312111 Reimb Illinois Park Districts conference 348.78 Total 348.78 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 Voucher No. Warrant No, 357248 Westermeier, Mark Allowed 20 In Sum of 348.78 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT PTITLE AMOUNT Board Members Dept 1125 Reimb 4343000 348.78 1 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 10 -Mar 2011 L il l Signature 348.78 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund