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Home My WebLink About160905 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1 d ONE CIVIC SQUARE LINDSAY HOLAJTER CHECK AMOUNT: $847.23 CARMEL, INDIANA 46032 6628 BEAR CREEK DRIVE APT 1424 INDIANAPOLIS IN 46254 CHECK NUMBER: 160905 CHECK DATE: 6/2512008 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBE AMOU DESCRI :?125 4343000 647.23 TRAVEL FEES EXPENSE =rat i 9 Carmel 0 Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line B udget Description Amount Purpose of Expense 1N �rn )Q y 3� l 2 1 M a� Mil t 00 J 9 L 4 Z' LOB Ir S u C I 0 n I H�Iitq r" 0 d LP Mylbno IL12avA lawoi Eod (go q All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 0 Employeen Name (print) c J. l fi A d 2 Address be AV Cu t V pr,��J f `1 N Check M. payable to: City, St, Zip Signature: Approved by: Date: (UIl (J j? Date_ J Revised 3 -2 -07 by Business Services;' Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3 J UN 1 6 2008 BY: 'f Lindsay Holajter UNITED STATES Contact Lindsay Holajter Room 0618 Arrival 06/01/08 Cashier Departure 06/05/08 Page 1 INFORMATION BILL Wyndham Hotel Playhouse Square Cleveland, 06/04/08 Date Text Room Charges Credits 06/01 Room Charge 0618 119.00 06/01 Occ Tax -State 9.22 06/01 Occ Tax County 5.36 06/01 Occ Tax -City 3.57 06/01 Valet Tax -City 1.44 0;q 06/01 Parking Valet 22.00 06/02 Room Charge 119.00 06/02 Occ Tax -State 9.22 06/02 Occ Tax County 5.36 06/02 Occ Tax -Ci 06/02 Valet Tax -City 1.44 06/02 Parking Valet 22.00 06/03 Room Charge 119.00 06/03 Occ Tax -State 9.22 06/03 Occ Tax County 5.36 06/03 Occ Tax -City 3.57 06/03 Valet Tax -City 1.44 06/03 Parking Valet 22.00 06/04 Room Charge 119.00 06/04 Occ Tax -State 9.22 06/04 Occ Tax County 5.36 06/04 Occ Tax -City 3.57 06/04 Valet Tax -City 1.44 06/04 Parking Valet 22.00 06/04 XX /XX Total 642.36 642.36 Balance 0.00 Thank you for choosing the Cleveland Wyndham! Ask about becoming a member of Wyndham ByRequest! f 1 The Corner Alley and 4th Street Bar Grill Restaurant 402 Euclid Avenue Cleveland, Ohio 44114 CHECK: 1 9 5 O TABLE: 99/10 Winking Lizard Tavern TRAVEL I PLAZA GST CHKID: LINDSAY 811 Huron Road 7735 State Rt 37 SERVER: 1064 AMANDA G. Cleveland, Ohio 44115 Sunbury, _OH_ 43874 DATE: JUNO3'08 7:18PM 216- 589 -0313 CARD TYPE: 86 /ei/2ea8 ACCT Server: Joe B DOB: 06/04/2008 Invoice D83B644 HOLAJTER LINDSAY EXP DATE: XX /XX 08:18 PM 06/04/2008 AUTH CODE: O692OB Table 61/3 4/40052 Pump X 11 UNLEAUE RESEARCH: 000000000000 Quant 8.28 LINDSAY HOLAJTER 4194354 Price 3.86 Card # Amount 32.07 Total Amt. 32.87 Magnetic card present: holajter lindsay TOTAL: 5.95 Approval: 02414E Tip: Amount: 17.34 38cS up r t galla on gasoline with Total: v 7 Ti REWARDS RV cards Signature: Total A.Q� I Agree to pay above total amount according to card holder X agreement Approval: O2414B ONE COPY FOR THE SERVER* *2ND COPY IS FOR THE GUEST* Thank You Cays For a Great Season!! 00 Join Us for Our_' a 4th Annual Shot in the Dark Saturday July 19th Go Tribe! z DT PRINTER PRINTER Restaurant Copy Order OOH DR F11RU A rby' s 5081 Eastpointe Dr Medina, OH 44256 330 -725 -5464 WELC e: 5630 88 808163782 -81 :k: 0099 06/05/08 12:54PM PETRO STOPPING CENTE 9787 US 40 WEST rer: 00040 /Kris NEW PARIS OH ITEM U /PRICE SUBTOTL AUTH#B 00 DOC## 69885 01 REG RBEEF 5,09 DATE 86/05/88 16:88 PUMP #4 82 MED SHK CHOC PRODUCT: UNLD REG RBEEF APPROVAL #B 58899E MD CURLY PR I CE /G 1 3.949 FUEL SALE v 42.68 Sub Total 5.87 Discount -0.78 YOU COULD HAVE SAVED Adj Total 5.09 UP TO $02.13 GRAND TOTAL 5 .09 BY USING A MARATHON MASTER CARD ��***K8CE]P1 l3RLPRlN|LD�*�** U�/02/O8 l8�4|�5O SALE RLCBPl Store 0673 Gtk 08/02/08 18:41:14 S Su|dhiChea Salads 1122 [UCilV AVE. CLEVELAND OH 44115 215-241-7827 Tran6A 226 Clerk 18 Dor TKDT 00(}208 Receipt 0 00003b658H Keg-D1 R[G-NA]N ITEM OTY PRICE N[MU PLU RECEIPI I3 REPRINTED CO MEATBALL U/ l u$ 3.11N8d}Deo70128 OKK-21GZ 1 T 1.38 2 CHIPS l 0.89 20 3UBlUTAi 5.38 Sales Tx 0.11 TAKE-OUT *0001- 5.4S C[edCdrdAMT TEND 5�48 K CHANGE DUE$ 0 t THok you for makiOQ SuhHay the World's 8eui 3mx1w1ch� CERTIFICATION Result: APPROVAL 086700 HeG;moauCode: 0 Authorization No: 08670b Reference NO: 815422506142 Approval NO: OSh}UM Transactio 08815481802989U H8StD8teT1m8: 060288 184322 Swiped/Keyed: SWIPE Ticket NO: 226 Account NO: ***#******* Card Member: HOLAJTER/LIWDSAY Amount: $5.48 Host Order ID: 130212210000863346 RECBPl 13 kEPRIN7[U -Ca 0C CA t/YIL r y- -J-6 1 Generational Marketing Institute Q J�AdG'l1 Gp June 2 5, 2008 Wyndham Cleveland at Playhouse Square l��c�r °�%45�! Cleveland, OH k4N1i-fer -BztrM /Karen Christy Ashland County-West Holmes Career Center City of Chesapeake 1783 State Rt 60 112 Mann Dr Ashland, OH 44805 Chesapeake, VA 23321 419- 289 -3313 757 -382 -6411 awhj_burns @tccsa.net kchristy @cityofchesapeake.net Mary Green /Ann Herd Kellogg Community College Brigham Young University *T yps�,;l, l3ra ��j 352HCEB Battle Creek, Ml 499 H 9 a 3 `7 Provo, UT 84602 269 965 -3931 x2835 801 -422 -4781 greenm @kellogg.edu ann.herd @byu.edu Lindsay Holajter Shahna Janssen Carmel Clay Parks and Recreation West Des Moines Schools 1411 E. 116th Street 3550 Mills Civic Parkway V Carmel, fN 46032 West Des Moines, lA 50265 317 -573 -4020 515- 633 -5005 lolajter@carmelclayparks.com janssens @wdmcs.org /RoseMary Mooney V116z Sommers Lone Star College Tomball Community College of Allegheny County 30555 Tomball Parkway 8701 Perry Highway Tomball, TX 77375 Pittsburgh, PA 15237 281 -357 -3778 412 369 -3708 rosemary.mooney @lonestar.edu esommers @ccac.edu /ara Vollmer Bismarck State College 1500 Edwards Ave Bismarck, ND 58506 701- 224 -5639 Sara.Vollmer@bsc.nodak.edu P.O. Box 9 River Falls, W1 54022 Page 1 of 1 ph. 800 678 -5376 fax. 888 234 -8633 http:HwwNv.leni.org Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt L ine Budget Descriptio Amount Purpose of Expense Uil 1 Lb V YI Ira 2, 2 0 gong a U 6 2008 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Ls Employeen Name (print) /1 0 j Address Io1Q V. 9 `l 2A Check payable to: City, St, Zip Signature rl Approved by: r Date: l T Date: e Revised 3 -2 -07 by Business Services; Shared /Forms and Templates/Business Service Forms /Employee Exp Reimb Request 2007 -3 o Lindsay Holajter Z UNITED STATES Contact N O O 00 Room 9010 Arrival 06/10/08 Cashier 4 Departure 06/10/08 Page 1 Copy of Invoice 552380 Wyndham Hotel Playhouse Square Cleveland, 06/10/08 Date Text Room Charges Credits 06/10 Room Charge 9010 80.00 r >Room` ra e error Lern/ 06/10 Occ 6.20 >Roam `rate error.. Lern 06/10 Occ Tax County 3.60 >Room rate error -`Lern 06/10 Occ Tax- C_ity_ 2.40 >oom. rate error Lern' 06110 XX /XX 92.20 92" 20 Balance ........................O...o.a Thank you for choosing the Cleveland Wyndham! Ask about becoming a member of Wyndham ByRequest! Signature: Thank you for staying with us. We appreciate your business. Should you require additional assistance regarding your stay please dial zero 11 0" for Guest Services. Wyndham Hotels and Resorts or affiliates may contact you about goods and services unless you call 888 -946 -4283 or write to Wyndham Worldwide Hotels, Inc. 1 Sylvan Way, Parsippany, NJ 07054 to apt out. View our Wyndham Hotels and Resorts website about privacy. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I 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. 1 360464 Holajter, Lindsay Terms 6628 Bear Creek Dr., Apt. 1424 Indianapolis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/9/08 Reimburs. Lodging, gas,food for conference 755.03 6116108 Reimburs. Lodging, gas,food for conference 92.20 Total 847.23 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.B 20_ Clerk- Treasurer Voucher No. Warrant No. 360464 Holajter, Lindsay Allowed 20 6628 Bear Creek Dr., Apt. 1424 Indianapolis, IN 46254 In Sum of 847.23 ON ACCOUNT OF APPROPRIATION FOR 101 General PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimburs. 4343000 755.03 1 hereby certify that the attached invoice(s), or 1125 Reimburs. 4343000 92.20 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 19 -Jun 2008 Signature 847.23 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund