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206443 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354270 Page 1 of 1 ONE CIVIC SQUARE TODD SNYDER CARMEL, INDIANA 46032 19269 PRAIRIE CROSSING DRIVE CHECK AMOUNT: $372.75 NOBLESVILLE IN 46060 o o CHECK NUMBER: 206443 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 372.75 TRAVEL FEES EXPENSE W 4 u& s.' 03)f carrn e eCw.�a�a ®n eat ReaUest a a n pose of Expense erase Pwmbil rat Amount EXp ud Accou tion Dinner 1/16/12 ��p Employee Account B et pescrip X1 0 Q9 Fun Line Ex, erases 5 45 Lunch 1/18/ 2 Date of Travel Lunch 1/16/12 t 4343000 Tra Ex erases Receipt Vendor listed on recei 11 1125 3 4 el Fees s Dinner 1115/12 1/19/2012 Blue Chi Hotel and Casino -The Game 43 43000 ees g, Ex eras 2 1 39 1125 Travel F Dinner 1/17/12 1 /19/2 4343000 frave Fees Ex eases X12 McDonalds 1125 Hotel Sta for NRPA CPSI 01 slue Chip Hotel and Casino Nelsons Deli 4343000 Ex erases 99 04 1 /7 si2p 112 Trave Fees $2 1 2 Biue Chi Hotel and Casino O tions Buffet 4343000 ses s 1125 Travel F ees Ex,en 20>2 Blue phi Hotel and Casino Williams B 4343000 0 12 JBIUe Chi Casino 1125 $372.75 S`��es is s ov /d be attached in the same order as listed above. �'s will be reimbursed. wis_ 4° /O Sn der Yew Name �p���t� T Odd 107 Pin Oak Ct. Address ,,Proved bY. C �t�� St, z Noblesville, 'IN 4ll Dat o� t Ur4a: czzn. a 3 2012 '�P�oY�e Exp Reimb ae4uest 5 e 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. 354270 Snyder, Todd Terms 107 Pin Oak Ct. Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/19/12 Reimb IPRA conference expenses 372.75 Total 372.75 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. 354270 Snyder, Todd Allowed 20 107 Pin Oak Ct. Noblesville, IN 46062 In Sum of 372.75 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #MTL AMOUNT Board Members Dept ept 1125 Reimb 4343000 372.75 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 372.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I I carmen o C�2 Parks &Recl -eato E on mployee Expense Reimbursement Re quest Date of Fund Account Receipt Vendor listed on recei t Line Account Bud et Descri ption 1/19/2012 Blue Chip Hotel and Casino The Game 1125 4343000 Amount Travel Fees E F'4 1/19/2012 McDonalds 1125 4343000 Travel Fees Ex enses x enses $10.49 Q inner ose °f Ex ensue 1/19/2012 Blue Chi Hotel and Casino Nelsons Deli 1125 4343000 $5.45 x/16/12 Travel Fees Ex enses hunch 1/18/1 1/19/2012 Blue Chi 0 T Hotel and Casino Options Buffet 1125 43430b $11.77 2 ravel Fees Ex enses h unch 1/19/2012 Blue Chi Hotel and Casino Williams B's 1125 4343000 $21.39 �/f6/12 Travel Fees Ex enses oinner 1 /15/12 1/19/2012 Blue Chi Casino 1125 4343000 $24.61 Travel Fees Ex enses din $299.04 ner 1/17/12 Hotel Sta for NRpq CpS All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $372.75 Employee Name (print) Todd Sny der Address 107 Pin Oak Ct. Check payable to: City, St, Zip Noblesville, IN 46062 Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request JAN 3 1012 r�z By.............. v Y� eff BLUE CHIP CASINO 777 BLUE CHIP DRIVE MICHIGAN CITY, IN 46360 CA51NO fiO-E -L Z5—A For Express Check-Out Dial Guest Services Name: TODD SNYDER Folio ID: 409232671048 Arrival Date 01/15/2012 Address: Departure Date: 01/18/2012 Room No: BC 21.6 Guests: .1 Group Code: GIP0114 DATE REFERENCE DESCRIPTION CHARGES BALANCE 01/15/2012 409229000305 ROOM CHARGE BC 216 89.00 TAX1 6.23 TAX2 4.45 01/16/2012 409239000139 ROOM CHARGE BC 216 89.00 TAX 1 6.23 I� TAX2 4.45 01/17/2012 409249000144 ROOM CHARGE BC 236 89 00 '.w 3 t yf t +1 r TAXI 6.23` 4.45 Ay y sr�. 01/18/2012 409252684030 FD MASTERCARD 299.04 'I *,x7544 SUMMARY OF CHARGES ROOMS 267.00 TAX1 18.69 TAX2 13.35 a t 1 p I 1 f t•. i 1 '1J 45-� t ta �Aa t J� a�l�_ P t t o 1 o1 `!i 10 J A+ 1111 1 t�� Page Check Out: .Please call (888) 879 77.11 For Next Reservation or for any. Billing Information Thank You For Choosing Blue Clip Casino Z f j •'�,1 e71 ti �2 mot el �'E�' �'F. 1 I f I