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HomeMy WebLinkAbout180403 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00353419 Page 1 of 1 3tl ONE CIVIC SQUARE STEVE COOK CHECK AMOUNT: $82.95 CARMEL, INDIANA 46032 C/O DIST COLLECTION o to CARMEL IN 46032 CHECK NUMBER: 180403 CHECK DATE: 12/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION j601 5023990 82.95 EMPLOYEE PEN BENEFI H oliday Inn 115 12 -09 -09 Steve Cook Folio No. 141873 Room No. 608 Westfield, IN 46074 A/R Number Arrival 12 -08 -09 us Group Code RUO Departure 12 -09 -09 I Company IN Rural Water Association Conf. No. 67801243 Membership No. Rate Code f Invoice No. Page No. 1 of 1 Date Description Charges Credits 12 -08 -09 "Accommodation 79.00 12 -08 -09 STATE TAX 8.53 12 -08 -09 OCCUPANCY TAX 3.95 12 -09 -09 MasterCard XXXXXXXXXXXX6197 88.48 Total 88.48 88.48 Balance 0.00 Guest Signature: I have received the goods and 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 Conference Centeri 2480 Jonathan Moore Pikei Columbus IN 472011 Telephone: (812) 372 -1541 Fax: (812) 378 -9049 Fifth Third Bank I Manage Accounts I Checking Account Account Activity Page I of I FIFTH THIRD BANK IT The things we do for dreams. VA MC- �x lu' re-'::mm rA x M. Account Balances Account Nicknames Account Activity Welcome, STEVEN L COOK Wednesday, December 9,2009___ Account Activity I Account Summary I Account Statements Export H istory FIFTH THIRD FREE CHECKING Account: j FIFTH THIRD FREE CHECKING I (X7351) X7351 Balance as of 12/08/09: $3,406.4 8 Statement Period: Current Statement Pencil 8 Other: $0.00 Available Balance: $3,317.99 Pending Transactions (FIFTH THIRD FREE CHECKING X7351) LHj9ej Date Time mjblt(� Credit Descrip Action 12/08/09 01:34 PM $88.48 CARD TRANSACTION HOLIDAY INNS COLUMBUS, COLUMBUS, IN FROM CARD#: 5424320178136197 LH-ISLI11 Posted Transactions (FIFTH THIRD FREE CHECKING X7351) Advanced Search: Check Number Keyword M—J) Date Debtt(- Credit Check Rescription Balance Action 12/08/09 DAILY BALANCE $3,406.47 0 CHECK #1766 CONVERTED TO ELECTRONIC 12/08/09 $175.51 1766 TRANSACTION BY VZ WIRELESS ARC ARC 0 120809 12/07/09 LAST STATEMENT BALANCE $3,581.98 0 Transactions and other Information that appear on this page have occurred since your last statement cycle date. Please select another statement period to review previous account activity. I QisclosureLE-rror Resolution Copyright -c 2009 Fifth Third Bank, Member FDIC, Equal Housing Lender, All Rights Reserved Contact Us I Service Center I Help I FAQs I Privacy Security R https://www.53.com/servlet/efsontinelaccount-histoty.html?TransSortCode=SORT 12/9/2009 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where 4L performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T2571 COOK, STEVE Purchase Order No. D/C Terms Due Date 12/10/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/2005 141873 $82.95 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 Date Officer VOUCHER 093832 WARRANT ALLOWED T2571 ',j IN SUM OF CO' K, STEVE D/C 0 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 141873 01- 6040 -05 $82.95 Voucher Total $82.95 Cost distribution ledger classification if claim paid under vehicle highway fund