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Home My WebLink About206427 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357470 Page 1 of 1 ONE CIVIC SQUARE REBECCA SCHMIESING CARMEL, INDIANA 46032 124 HILLCREST DRIVE CHECK AMOUNT: $416.26 WESTFIELD IN 46074 CHECK NUMBER: 206427 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 416.26 TRAVEL FEES EXPENSE Carmel 0 Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1/12/2012 Circle Center Mall 1125 4343000 Travel Fees Expenses $15.00 Parking Green Expo 1/13/2012 Circle Center Mall 1125 4343000 Travel Fees Expenses $15.00 Parking Green Expo 1/12/2012 Steak'n Shake 1125 4343000 Travel Fees Expenses $6.30 Lunch while Green Expo ►x.95 1/13/2012 Champps Americana 1125 4343000 Travel Fees Expenses Lunch while Green Expo All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 4 Employee Name (print) Rebecca Schmiesing Address 124 Hillcrest Drive Check payable to: City, St, Zip Westfield, IN 46074 Signature: Approved by: Date: Z Date: 2_- Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carmel o Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1/19/2012 Blue Chip Hotel and Casino The Game 1125 4343000 Travel Fees Expenses $9.42 V Dinner 1/16/12 1/19/2012 McDonalds 1125 4343000 Travel Fees Expenses $6.41 Lunch 1/18/12 1/19/2012 Blue Chi Hotel and Casino Nelsons Deli 1125 4343000 Travel Fees Expenses $3.20 Breakfast 1/16/12 1/19/2012 Blue Chip Hotel and Casino Options Buffet 1125 4343000 Travel Fees Expenses $21.39 Dinner 1/15/12 1/19/2012 1 Blue Chip Hotel and Casino Williams B's 1125 1 4343000 Travel Fees Expenses $17.12 Dinner 1/17/12 1/19/2012 Blue Chip Hotel and Casino Nelsons Deli 1125 4343000 Travel Fees Expenses $10.43 Lunch 1/16/1 1/19/2012 Blue Chip Casino 1125 4343000 Travel Fees Expenses $299.04 Hotel Stay for NRPA CPSI All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 1 $367.01 r Employee Name (print) Rebecca Schmiesing Address 124 Hillcrest Drive Check payable to: City, St, Zip Westfield, IN 46074 Signature: Approved by: Date: O 2. Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Hdministrative \Forms \Staff Forms \Employee Exp Reimb Request :r BLUE CHIP CASINO 777 BLUE CHIP DRIVE MICHIGAN CITY, IN 46360 CA51Nu fiO E-1 sFA For Express Check -Out Dial Guest Services Name: REBECCA SCHMIESING Folio ID: 409232671206 Arrival Date: 01/15/2012 Address: Departure Date: 01/18/2012 Room No: BC 519 Guests: 1 Group Code: GIP0114 DATE REFERENCE DESCRIPTION CHARGES BALANCE 01/15/2012 409229000379 ROOM CHARGE BC 519 89.00 TAX1 6.23 TAX2 4.45 01/16/2012 409239000191 ROOM CHARGE BC 519 89.00 TAX1 6.23 TAX2 4.45 01/17/2012 409249000199 ROOM CHARGE BC 519 89.00 TAX1 6.23 TAX2 4.45 01/18/2012 409252683882 FD VISA 299.04- ************9701 SUMMARY OF CHARGES ROOMS 267.00 TAX1 18.69 TAX2 13.35 .00 Check Out: Page: Please call (888) 879 -7711 For Next Reservation or for any Billing Information 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. 357470 Schmiesing, Rebecca Terms 124 Hillcrest Drive Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/20/12 Reimb Indiana Green Expo Conference expenses 49.25 1/19/12 Reimb IPRA conference expenses 367.01 Total 416.26 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 1 20 Clerk- Treasurer i Voucher No. Warrant No. 357470 Schmiesing, Rebecca Allowed 20 124 Hillcrest Drive Westfield, IN 46074 In Sum of 416.26 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 reimb. 4343000 49.25 1 hereby certify that the attached invoice(s), or 1125 reimb. 4343000 367.01 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 416.26 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund x