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Home My WebLink About162778 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 359178 Page 1 of 1 ONE CIVIC SQUARE CHRISTINA HOTZE CHECK AMOUNT: $1,019.79 CARMEL, INDIANA 46032 14705 WHITE TAIL RUN NOBLESVILLE IN 46060 CHECK NUMBER: 162778 CHECK DATE: 8/20/2008 DEPARTMENT ACCO PO NUMBER INV NU MBER AMOUNT DESCRIPTIO 1047 4231400 110.18 GASOLINE 1047 4239039 100.00 GENERAL PROGRAM SUPPL x.1047 4343000 809.61 TRAVEL FEES EXPENSE REC ET TED AUG 0 1 2008 PRESCRIBED BY sTATE BOARD OF ACCOUNTS B 1 g 101 E]80 67 MILEAGE CLAIM TD EoaysRNME nn xcr ON ACCOU97 OF APPROPRIATION NO. FOR (OFFICE, BOARD. OEPAFTVM OH 1N5T1rUTI04) RATE FROM TO tI `S AEAD� G r AUTO MILEACXi- MILES POINT POINT START I FINISH NATURE OF BUSINESS TRAVELED PEA MI :2 tL 1 t7 I f l i AUTO LICENSE NO. TOTALS N SPEEDOMETER READING columns are to he used only when distance between points cannot be determined by fired mileage or official highway map. Y� Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legal after lowing all just credits end that no part of the same has been paid. Date Ca rm el cFJVED Parks &Recreation AUG 0 i 2008 Employee Expense Reimbursement Request 3Y: Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 7- Qu :l 1C �f 2 V 53.E CO C' 1 L1 l�C -Z 335 2- 9 36X 4 Lila D 0� All receipts should be attached in the same order as listed above. ZZ 1" No sales tax will be reimbursed. TOTAL: Employee Name (print) Address Check payable to: City, St, Zip Signature: t !Ap ed by: Date: �1 Date: Business Services Division, Revised 7 -7 -08 FILE: SharedlAdministrative %Forms\Staff Forms\Employee Exp Reimb Request COMFORT INN Sr SUITES (MO130) Account: M0130 159188 100 COMFORT INN CT. Date: 07/23/08 O'FALLON, MO 63366 USA Page. 1 of 1 B. CHO]CE HOTELS Phone: (636) 696 8000 Room: 324 GROUP' Arrival Date: 07/21108 14:40 Fax: (636) 696 -8001 s Departure Date: 07/23/08 09:54 ales @comfortinnstcharles.com Frequent Traveler ID: You were checked out by: MS You were checked in by: SB BELL, ERIN 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu �a. ;a F'wR?U" a,m a [�a E y n'it�"3;'.m, n ,w ea- cam` Y Post DateE Description e r wr:3 .e.,. a w. Comment 5 „s`.° z t rE a s” ArZlourtt u ^g� 4.�Ar" Eu wt'm tip s a eta "w E� V` .s ':�a V a3 sa ,k,, "'a c� 8�{. �d �c d" ..r t� a T a k 2 BA�e�tg2^ a-.M ,v 3 5Z r a E3 ',fit xy a;e,?.�.,x:�.......r,,+....,.., a wE .�..&.a .�..�.,,e1"« �-L x.a• �a..w .t�, 5 L,.uf;,t�ux„c. sn. .u.7�'.kErsia�3 07/21/08 ROOM CHARGE #324 BELL, ERIN 71.95 07/21108 STATE TAX STATE TAX 5.32 07121108 CITYICOUNTY TAX CITY /COUNTY TAX 7.91 07122108 ROOM CHARGE #324 BELL, ERIN 71.95 07/22/08 STATE TAX STATE TAX 5.32 07/22/08 CITY /COUNTY TAX CITY /COUNTY TAX 7.91 07/23/08 MASTER CARD Balance Due: 0.00 If payment by credit card, I agree to pay the above total charge amount according to the card issuer agreement. x Purchase Description V_" P.O. P or F G.L. L 4 U Budget e Line Des— r Purchaser Date Appmva Date COMFORT INN SUITES (MO130) Room: 324 Approval Number: 03335B 100 COMFORT INN CT. Arrival Date: 07/21/08 Card Type. O'FALLON, MO 63366 USA Departure Date: 07123/08 Date: 7123 /2008 Account: M0130 159188 Card Number: OW CHOICE HOTELS Phone: (636) 696 -8000 Frequent Traveler ID: Total: 170.36 Fax: (636) 696 -8001 sales @comfWinnstcharies.com If payment by credit card, I agree to pay the above total charge amount according to ERIN BELL the card issuer agreement. 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu x Thank you for your business! Book your next reservation on choicehotels.com for the best internet rates guaranteed. COMFORT INN SUITES (M0130) Account: M0130-158920 100 COMFORT INN CT, Date. 07/23/08 O'FALLON, MO 63366 USA Page: 1 of 1 Phone: (636) 696 -8000 Room: 322 GROUP' Fax: (636) 696 8001 Arrival Date: 07121/08 14:41 sales @comfortinnstcharles.com Departure Date: 07/23/08 09:55 Frequent Traveler ID: You were checked out by: MS You were checked in by. SB BELL, ERIN 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu 1 °3`i ^:ti9�rn+�'..� fig:. a r, >`s, °hi;r d post i7ate Descri tion a n a 2 1 P. .aYa z i dts Comm (,gl:�}cp1 �F� et '`3 i, 'a /�R1alUnt Fc� c �:m I 3 ,.,e z eJ`v a m^'a iC r ar. ..�r,`�.M. e :Y'€ y Y H h P fi t r v i w 5d 1 F f ��P r v?a= F �HCaa,..w u„ L fi, 07/21/08 ROOM CHARGE #322 BELL, ERIN 71.95 07/21/08 STATE TAX STATE TAX 5.32 07/21108 CITYICOUNTY TAX CITY /COUNTY TAX 7.91 07122108 ROOM CHARGE #322 BELL, ERIN 71.95 07122/08 STATE TAX STATE TAX 5.32 07/22/08 CITY/COUNTY TAX CITY /COUNTY TAX 7.91 07/23/08 MASTER CARD Balance Due: 0.00 If payment by credit card, I agree to pay the above total charge amount according to the card issuer agreement. x Purchase Description+ P.O. P or F G.L# Budget�: Line Uescr Purchaser Date Approval Date COMFORT INN SUITES (MO130) Room: 322 Approval Number: 09279B 100 COMFORT INN CT. Arrival Date: 07/21/08 Card Type: O'FALLON, MO 63366 USA Departure Date: 07/23/08 Date: 7/23 /2008 Account: MO 130 158920 Card Number: e r E X O I C E k O T E l5 Phone: (636) 69fi -8000 Frequent Traveler ID: Total: 170.36 Fax: (636) 696 -8001 sales @comfortinnstcharles.com If payment by credit card, I agree to pay the above total charge amount according to ERIN BELL the card issuer agreement. 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu x Thank you for your business! Book your next reservation on choicehotels.com for the best internet rates guaranteed. COMFORT INN SUITES (MO130) Account: M0130 158916 100 COMFORT INN CT. Date: 07/23/08 O'FALLON, MO 63366 USA Page: 1 of 1 H O L E HO TEL S Phone: (636) 696 -8000 Room:- 319 GROUP Fax: (636) 696 8001 Arrival Date: 07121/08 14.37 sales @comfortinnstcharles.com Departure Date: 07/23/08 09.55 Frequent Traveler ID: You were checked out by: MS You were checked in by: AMP BELL, ERIN 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu i1 a V "'O ri 7 a 9 .T n H "bescriptlon r r Comment =a Y Amount J Post Date .a JfW Y Y Al. s "L 4 1 +s k rr a �m'rMM .d w 07/21/08 ROOM CHARGE #319 BELL, ERIN 71.95 07121/08 STATE TAX STATE TAX 5.32 07/21/08 CITYICOUNTY TAX CITY /COUNTY TAX 7.91 07122108 ROOM CHARGE #319 BELL, ERIN 71.95 07/22/08 STATE TAX STATE TAX 5.32 07/22/08 CITY /COUNTY TAX CITY /COUNTY TAX 7.91 07/23108 MASTER CARD Balance Due: 0.00 If payment by credit card, I agree to pay the above total charge amount according to the card issuer agreement. X zLA P.a. a.IL 0 d 9 Bud COMFORT INN SUITES (MO130) Room: 319 Approval Number: 04609B 100 COMFORT INN CT. Arrival Date: 07/21/08 Card Type: O'FALLON, MO 63366 USA Departure Date: 07/23/08 Date: 712312008 H1 H o E o. E s Phone: (636) 696 -8000 Account: M0130 158916 Card Number: Frequent Traveler ID: Total: 170.36 Fax: (636) 696 -8001 sales @comfortinnstcharles.com If payment by credit card, I agree to pay the above total charge amount according to ERIN BELL the card issuer agreement. 2530 TURNING LEAF LANE CARMEL, IN 46032 US eab @indiana.edu X Thank you for your business! Book your next reservation on choicehotels.com for the best internet rates guaranteed. Carmel a Pa &Rec reati on AUG 0 2008 Employee Expense Reimbursement Request BY: Date of Fund Account Account Receipt Vendor listed o R. Line Budget Description Amount Purpose of Expense 5 Z Toa f� 1 3YD L.�;L\ CEO o U rt `,j& 7 I L ('I. 7 ou 1 4 7 3,�b3 IZ/ 2 390,3' t C� 7 M 6 1S -3, Pp q�'4 0 H( E� 7'2-t G N 0 4 3 L4- 2:0200 A,5( zZ c Kc�� 7— Z I f)AC- 33c� 30o LI �LA 6 J �O 6 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employeen Name (print Address �bJ� (,(ll An- Check zJ payable to: City, St, Zip Signature: c C/1/ Approved Date: �4 Date: Business Services Division, Revised 3 -2 -07 FILE: Shared 'Administrative\Forms%Staff Forms\Employee Exp Reimb Request Na1401 SALES RECEIPT Indy Polkamotion www.indypolkamotion com July 2, 2Q08 Bob Klemen Promoter Band Leader 10979 Haig Point Dr. Purchase Fishers, W 46037 Description 317 842 -4844 I 317 -373 -7508 P.O. P or F Tina Hotze G L l -3 �I Aquatics Mgr Budget 1 Carmel Clay Parks Rec. Line Qescr t 1 Monon Aquatics Center West Purchaser Date U Approve! Date ty d 0 DJ Service for Family Luau Night Paid in full $100.00 712108 Signed �733��o�� 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. Hotze, Tina Terms 14705 White Tail Run Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7130108 reimb Mileage 5/6/08 5120/08 77.77 7130108 reimb Travel expenses for Lifeguard camp 517.26 7/30/08 reimb Gasoline 53.96 7/30/08 reimb Travel expenses for Lifeguard camp 71.58 7/30108 reimb Gasoline 56.22 7/30/08 reimb Travel Expenses for Team dinner 143.00 7/30108 reimb DJ Service for Family Luau night 100.00 Total 1,019.79 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 20_ Clerk- Treasurer Voucher No, Warrant No. Hotze, Tina Allowed 20 14705 White Tail Run Noblesville, IN 46060 In Sum of 1,019.79 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 reimb 4343000 77.77 1 hereby certify that the attached invoice(s), or 1047 reimb 4343000 517.26 bill(s) is (are) true and correct and that the 1047 reimb 4231400 53.96 materials or services itemized thereon for 1047 reimb 4343000 71.58 which charge is made were ordered and 1047 reimb 4231400 56.22 received except 1047 reimb 4343000 143.00 1047 reimb 4239039 100.00 1 -Aug 2008 Signature 1,019.79 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund