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Home My WebLink About202381 09/28/2011 s CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1 ONE CIVIC SQUARE JOHN THOMAS CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $458.52 CARMEL IN 46033 CHECK NUMBER: 202381 CHECK DATE: 9/2812011 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 206 4462838 458.52 STORM WATER PHASE II On v L, 4 e 09 -16 -11 John Thomas Folio No. Room No. 150 11576 Creek Side Lane AIR Number Arrival 09 -14 -11 Carmel IN 46033 Group Code Departure 09 -16 -11 us Company Conf. No. 68736329 Membership No. PC 821706237 Rate Code IMSTI Invoice No. Page No. 1 of 1 Date I Description I Charges f Credits 09 -14 -11 'Accommodation 99.00 09 -14 -11 State Tax 6-93-- 09-14-11 Occupancy Tax 09 -15 -11 'Accommodation 99.00 09 -15 -11 State Tax -8'93' 09 -15 -11 Occupancy Tax J8' 09 -16 -11 221.76 Thank you for staying at the Holiday Inn Express Fremont. Qualifying points for this stay will Total 221.76 221:76 automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com. We look forward to welcoming you back soon. Balance 0.00 Guest Signature: I have received the go and I or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. It a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Express- Fremont(Angola Area) 6245 North Old 27 Fremont, IN 46737 Phone /Fax 260 833 -6464 zr "a t u7"s 09 -16 -11 John Thomas Folio No. Room No. 146 11576 Creek Side Lane A/R Number Arrival 09 -14 -11 Carmel IN 46033 Group Code Departure 09 -16 -11 us Company Conf. No. 68736327 Membership No. PC 821706237 Rate Code IMSTI Invoice No. Page No. 1 of 1 Date I Description Charges I Credits 09 -14 -11 `Accommodation 99.00 09 -14 -11 State Tax 09 -14 -11 Occupancy Tax`s 09 -15 -11 'Accommodation 99.00 09 -15 -11 State Tax 6-93 09 -15 -11 Occupancy Tax 09 -16 -11 221.76 Thank you for staying at the Holiday Inn Express Fremont. Qualifying points for this stay will Total 221.76 221.76 automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com. We look forward to welcoming you back soon. Balance 0.00 iqb Guest Signature: have received the gq and l or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Express- Fremont(Angola Area) 6245 North Old 27 Fremont, IN 46737 Phone /Fax 260- 833 -6464 1 7 Pat Lf ira y a" ,1-�c m �\fkf (Vkf 60-1 Account Activity Page 1 of 1 CHASE i ll p slate. CREDIT CARD (... I'd Like To Posted Activity Since Last Statement Trans Date Type Description Amount soon Snip now =11MEMNIMM Ej 9/16/2011 Sale HOLIDAY INN EXPRESS $221.76 0 9/16/2011 Sale HOLIDAY INN EXPRESS $221.76 littps: cards. cliase.com /cc /AcCOLliit /Activit }/103951029 9/27/2011 i is ANSONOW t ism logo Page I of 1 Thomas, John G From: Unique Dahl [udahl @cbbel- in.com] Sent: Friday, August 19, 2011 4:03 PM To: Anderson, Kurt K Thomas, John G Subject: 2011 INAFSM Conference: Registration Confirmation General Options Name: John Thomas Title: Storm water Administrator Address: One Civic Square Carmel, IN 46032 USA Number of People Registered: 2 Event Title: 2011 INAFSM Conference Location: Pokagon State Park Potawatomi Inn 6 Lane 100A Lake James Angola, IN 46703 USA Phone: 260 833 -1077 Date: 09/14/2011 Time: 11:00 AM Current Registration Details Registration Items John Thomas Conference Non Member $210.00 Registration Kurt Anderson Conference Non Member $210.00 Registration Order Summaries Date Type Amt Ordered Amt Paid Amt Due 08/19/2011 4:01 PM offline order $420.00 $0.00 $420.00 ET Total: $420.00 $0.00 $420.00 Payment Details 8/19/2011 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) I I �3 C CO Total 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. ALLOWED 20 IN SUM OF �P,nnR e/ ON ACCOUNT OF APPROPRIATION FOR �U Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or (1 njcL "s) is (are) true and correct and that the nia- materials or services itemized thereon for which charge is made were ordered and received except 20 I Si W Title Cost distribution ledger classification if claim paid motor vehicle highway fund