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209653 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362625 Page 1 of 1 4, ONE CIVIC SQUARE RENAISSANCE HOTEL CARMEL, INDIANA 46032 11925 N MERIDIAN STREET CHECK AMOUNT: $101.92 CARMEL IN 46032 CHECK NUMBER: 209653 CHECK DATE: 61512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343002 101.92 EXTERNAL TRAINING TRA R- RENAISSANCE" HOTELS RENAISSANCE INDIANAPOLIS NORTH GUEST FOLIO 201 REESE /JAMES /DR 91.00 05/31/12 06:28 3242 ROOM NAME RATE DEPART TIME ACCT# GK CARMEL POLICE 05/30/12 23:07 TYPE ARRIVE TIME 45 ROOM MCXXXXXXXXXXXX7600 CLERK PAYMENT MRW# ADDRESS DATE REFERENCE CHARGES CREDITS I BALANCE DUE 05/30 ROOM 201, 1 91.00 05/30 ST TAX 201, 1 6.37 05/30 OCC TAX 201, 1 4.55 05/31 CASH OSTAT .00 101.92 WANT YOUR FINAL HOTEL BILL BY EMAIL? JUST ASK THE FRONT DESKI SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM R- RENAISSANCE INDIANAPOLIS NORTH 11925 N MERIDIAN ST RENAISSANCE CARMEL, IN 46032 HOTELS PH# 317 816 -0777 FAX# 317 816 -0430 This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5Y per month (ANNUAL RATE 18%), or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees. Signature X VOUCHER NO. WARRANT NO. ALLOWED 20 Renaissance Indianapolis North IN SUM OF 11925 N. Meridian Street Carmel„ IN 46032 $101.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 43- 430.02 $101.92 I hereby certify that the attached invoice(s), or I I I 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 Thursday, May 31, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 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)) 05/31/12 payment for loding for Dr. James Reece while instructing $101.92 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