HomeMy WebLinkAbout165836 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1
ONE CIVIC SQUARE CARRIE KEAVENEY
CARMEL, INDIANA 46032 13789 FIELDSHIRE TERRACE CHECK AMOUNT: $1,307.01
WESTFIELD IN 46074 CHECK NUMBER: 165836
CHECK DATE: 11/12/2008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4343000 1,307.01 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD Of ACCOUM(S GF.NFFAL FORM NC. 101 (1"6)
MILEAGE CLAIM 1
TO u i lrct�ttsf`r� (�,M� p ypr(R �{iifQC mil_
(GOV FJINMENTAL UNITI
ON ACCOUNT OF APPROPRIATION NO- FOR
(OF BOARD. DEPARTMENT OR DISTTnTTION)
t-' t:F 50METER un V..a r_s
DATE FROM TO �l C3 READING NATURE OF BUSINESS MILS Cy
POINT POINT START FINISH TRAVELED PER MILE
cl
Wcsf nl 6074
-1
1
6 r�Y lot g e�S fie si �3 1 100 471
9
o N 6
AUTO LICENSE NO- TOTALS q�
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
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 legally due, after aliowing all just credits
end that no part of the same has been paid.
Date /0/1?./oz
4�j, 3oa 000l q3q 300 0
S 0's ,9 q.X wS
Car m clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Io 11 r 6! Ch tc0. 6 S(cYu,Q 300, ooD q 3q3 g oo Travel �t ZXrSS 3. Uo �a Il rood
16
1 1qC rni Ck Faod scrvi ct- �UYJ 14. 17 /u 4 t
Lo i s o4 S v b w c y 7. q 1 0(, n ncr
16 1 z CUS Pgarmac- 7- G 8"
6rea kfast ti�,nr
10 1610, ��m�► 06,5'
(0 16 04 woad S UO Gl i nlit..(
10 11 OT onk.►o EJd nair I q. b 6� k�as
E
10 1 11 i 0f c Dtma(di Ig !u nGIj
1 17 SutWa Q. o�tnncr
f l receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL:
Employee Name (print) P,FC'e"�'�J` _vim
Address OCT 2 9 2008 j
Check
payable to: City, St, Zip BY:
i
Signature: Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08 POL
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Cal M clay
Parks Recre ation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
10 (8 o4 fgilfdy, 3Ua,000, qaqj tVu �z "zx $a. QS {�o�t( arkin
it (q 0 4' �ic o S 3• GU o// roan(
lo ill l ot 11F, CC �4 r y
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 110
Employee Name (print) Ca r j- e-
�Q QU��y Address J378 F�dcts4ire 7Qrr 2 08
Check payable to: City, St, Zip f S f 4ic(ce q 0)
Signature: Q4LA Approved by:
Date: 10 I (9 /Q� Date: Ib1'Z\ Q9
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms\Employee Exp Reimb Request
O lli`� i
(c::
CLUB INDUSTRY
CARRIE-
=m 202 1/K1
K A� TEN T )e i Date 10/15/2008 10:52:OOAM
�1 `O )epar arture Date 10/18/2008
ASST RECREATION MANAGER Roult/C om Rate 1/0
Zoe 25 .00
CARMEL C 'ARKS REC 4N C -CIS
CARMEL IN 1H# G Z G
L 201814 kL
aL: CAR:
PA
CONFERENC CREDITS BALANCE
r) r ►n 6� r ,mgt -�'f r�L uts:f
10/15/200 1 FITNES EUB5 TPOT 9587893 $45 00 J of (nd
10/15/200 GUEST ROOM RLEG 9589510 $251.00
10/15/200 OCCUPANCY TAX RLEG 9589510 $38.65 TheHiltonTamily
10/16/200 GUEST ROOM RLEG 9595858 $251.00
10/16/200 3OCCUPANCY TAX RLEG 9595858 $38.65
10/17/200 3GUEST ROOM SALP 9600157 $251.00
10/17/200 3OCCUPANCY TAX SALP 9600157 $38.65 Hilton
10/18/200 3PARKING VALET TATA 9601142 $114.00
10/18/200 VS *8593 TATA 9601145 $1,027'95
BALANCE $0.00 coNnnD
Dou E LETREF
oy Hillun
O o Garden tIarr
Hilton
Grand Vaculiuna Clurr
V im yj DATE- OF CHARGE FOLIO NO. /RLCEIPT
p v '10/18/2008 A
HOMEWOOD
/lf��CCV /�C C�ff��fi sUfCas
AUTHORIZATION INITIAL
04758C
PURCHASES S SERVICES
17 East i\ Street Chicago, Illinois 60603 -5605
Phone (312) 726 -7500 Fax (312) 917 -1707 TAXES U S A
�C-7C.7
We Hope You Enjoyed Your Stay
TIPS Cc MISC. Offi cial Sponsor
For Reservations at any Hilton Hotel R'orlwide
Call Your Travel Agent or 1- 800 14ILTONS
For Billing Inquiries Please Call (312) 726 -7500 TOTAL AMOUNT
We look fionvard to serving you again soot.
MERCHANDISE ANDIOR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUI'E, UPON RECEIPr
1
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.
361255 Keaveney, Carrie Terms
13789 Fieldshire Terrace
Westfield, In 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/08 Reimb Mileage 10/15/08 202.41
10/21/08 Reimb Expenses for Club Industry Conference 1,104.60
Total 1,307.01
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
361255 Keaveney, Carrie Allowed 20
13789 Fieldshire Terrace
Westfield, In 46074
In Sum of
1,307.01
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb 4343000 202.41 1 hereby certify that the attached invoice(s), or
1047 Reimb 4343000 1,104.60 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
31 -Oct 2008
Signature
1,307.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund