HomeMy WebLinkAbout156552 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $236.14
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033 -9501
moo CHECK NUMBER: 156552
CHECK DATE: 2121/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBE R AMOUNT DESCRIPTION
1701 84343004 236.14 TRAVEL PER DIEMS
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CITY OF CARMEL Expense Report (required for all travel expenses)
��INOIANp EXHIBIT A
EMPLOYEE NAME: arwu C a r AM DEPARTURE DATE: c� j�'l O g TIME: PM
DEPARTMENT: RETURN DATE: I ��O TIME:
REASON FOR TRAVEL: rti+(S�f (for) DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tofls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
57,0. &6 S Q
a ua2 r+. "m''.'� F �.\.0 's':. d zx. a.. .ct E .3 ok{ M�':r .5
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DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed 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 10/17/2006 Page 1
GUEST FOLI6
karnott. 350 West Maryland, Indianapolis, IN 46225 a 317.822.3500 u Marriott.com /INDCC
MDIANAPOLIS DOWNTOWN
1248 CORDRAY /DIANA 115.00 02114/08 11:00 18626 12595
Room Name Rate Depart Time ACCT GROUP
NKNG 02/13/08 10
Type 38 11843 STONEY BAY CIR
R,,DmCARMEL IN 460339501 payment
Clerk Address
DA REFERENCE CHARGES CREDITS BALANCE DUE
02/13 CIR CTY 18011248 18.39
02/13 ROOM 1248, 1 115.00
02/13 ROOM TAX 1248, 1 6.90
02/13 OCC TAX 1248, 1, 10.35
02/14 AX CARD $150.64
TO BE SETTLED TO: CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK -OUT,
PLEASE CALL THE FRONT DESK., OR PRESS "MENU" ON YOUR
TV REMOTE CONTROL TO ACCESS VIDEO CHECK -OUT.
GET ALL YOUR HOTEL BILLS BY.EMAIL BY UPDATING YOUR MARRIOTT
REWARDS PREFERENCES. OR, ASK'.THE FRONT DESK TO EMAIL YOUR
BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON
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THANK YOU FOR STAYING WITH riARRIOTT! YOUR MARRIOTT REWARDS
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This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
7 -2955 Rev. 09/07 To secure your next stay, go to Marriott.com
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WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY.
Follow these simple steps to streamline the check -out process:
lO Call the front desk to inform us you'll be using Express Checkout.
O 2 Leave your key in the room or in one of the drop boxes at the front desk.
O 3 Keep the attached receipt for your records. It includes charges as of
2 a.m. today. (For charges incurred after 2 a.m., you can pay at the
point of sale, the front desk or, at your request, we'll mail you an
updated bill within 24 hours of your departure.)
Thank you for choosing Marriott. We hope your stay was as comfortable as
it was productive.
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev, 1995)
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.
A Payee
W
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR L l
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund