206131 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362613 Page 1 of 1
ONE CIVIC SQUARE LINDSAY ATKINSON
i CHECK AMOUNT: $278.46
CARMEL, INDIANA 46032
CHECK NUMBER: 206131
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 278.46 TRAVEL FEES EXPENSE
N ame:
Organization: Cafm �(Lj
REGISTERED:
tr
9
1
p s,—. E Registrat Lobby
E a -5 p I IPRA Resource Center Sil e nt Auction Stardust Event Center Hallway
930 a -10:45 a Education Sessions Sa's T A -C Go A B
11 a -12 p We S /Annu Heeling l' Orleans Ba
12 p E;thibit Hall Gr Op e nin� N:hibit Hal
13:30 p I Lunch (tic requ Exhibit Hall
12 p -7 p Eehibit Hall Open I E e hibit Hal
2 p -3:15 p Education S Sa's Town A -C, Goldcoast A -6, Suncoast A -B
3:4Sp -5p Education Sessions ISa'sTOVm.4 -C, GoldcoastA -B, Suncoast A-B
5 p -7 p Social (ticl:etrequired) Echi*Hal E a -3 p Registration Lob
7:4. a Vendor Brea Bu (tick r 6;hibit Hall
8 a (Attendee Breakfast Buffet (ticket required) I Echibit Flail
8 a -1 p IEmhibit Hall Open I Et:hibit Ha ll
9 a -10 a IPRA Et:ecutive Committee Meeting Boardroom
10 a -12 p IPRA Board Meeting Boardroom
10 a -12 p (IPRA F Board M TED
10 a -11:15 p IEducation S ISa's Town A -C, Goldcoast A -B, Suncoast A -B
1 p72:15 p Educa Sessions I Sa's Town A -C, Go ld co a s t A: B, Suncoast A -B
2:45 p -4 p Education Sessions Sa's Town A -C Suncoast A
5 p -6 p Cash Bar Hor D'oeuvres Lobby
6 p 50 /50 Silent Auction Close Stardust Ev Ce nt e r Hallway
6 p -8 p Awards Dinner (Stardust Event Center
E p -10 p Social Vegas Baby
r
Ea -3 p Registrat lobby
8 a -9:30 a District Meetings Suncoast A S, 6
8:30 a -9 a Section Meeti Suncoast A B
9 a -10:15 a I Education Sessions S a's T A -C G A -B
10:45 a -12 p IEducation Sessions Sa's Town A -C, Goldcoast A -B, Suncoast A -B
Carmel Clay
P arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/18/2012 Subwa 1091 4343000 Travel Expenses 10.20 Breakfast
1/19/2012 Blue Chip Hotel Casino 1091 4343000 Travel Expenses 2.14 Drink
1/19/2012 Blue Chip Hotel Casino 1091 1 4343000 Travel Expenses 29.94 Lunch
1/19/2012 Blue Chip Hotel Casino 1091 4343000 Travel Expenses 7.22 Drinks
1/20/2012 Buffalo Wild Wings 1091 4343000 Travel Expenses 29.60 Lunch
1/20/2012 Blue Chip Hotel Casino 1091 4343000 Travel Expenses 199.36 Lodgin
IPRA Conference Michigan City, Indiana
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $278.46
n Employee Name (print) Lindsay Atkinson
Address 11904 Igneous Dr FEB 0 2 2012
Check l
payable to. City, St, Zip Fishers, IN 46038 ��e
Signature: Approved by:
1
Date: Date:
r r
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative \Forms%Staff Forms\Employee Exp Reimb Request
BLUE CHIP CASINO
a 777 BLUE CHIP DRIVE
MICHIGAN CITY, IN 46360
CASINO fiol 5.'.:.. For Express Check -Out Dial Guest Services
II
Name:
MATT LEBER Folio 1D: 409262688491. I f
Arrival Date: 01/18/2012
Address: Departure Date: 01/20/2012
Room No: BC 506
Guests: 2
Group Code: GIP0114
DATE REFERENCE DESCRIPTION CHARGES BALANCE
I
01/18/2012 409259000334 ROOM CHARGE BC 506 89.00
I
TAXI 6.23
TAX2
01/19/2012 409269000284 ROOM CHARGE BC 506 89.00
TAXI 6 23I is
TAX2 4.45 al'`Ik;I
01/20/2012 409272697450 FD 199.36
SUMMARY OF CHARGES tat+ t
ROOMS 178.00
TAXI 12.46
TAX2 8.90
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Check Out: 1 f Page a r�sal i
Please call (888) 879 -7711 For Next Reservation or for'any Billing Information: z�
Thank You For Choosing Blue Chip Casino
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.
362613 Atkinson, Lindsay Terms
11904 Igneous Dr
Fishers, IN 46038
invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/20112 Reimb. IPRA Conference 278.46
Total 278.46
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
it
Voucher No. Warrant No.
362613 Atkinson, Lindsay Allowed 20
11904 Igneous Dr
Fishers, IN 46038
In Sum of
278.46
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1091 Reimb. 4343000 278.46 1 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
9 -Feb 2012
Signature
278.46 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund