212565 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 363874 Page 1 of 1
` ONE CIVIC SQUARE DEBORAH EGGERT
CARMEL, INDIANA 46032 1824 WHITE ASH DRIVE CHECK AMOUNT: $508.62
CARMEL IN 46033
CHECK NUMBER: 212565
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 ESI TIP 508 . 62 FOOD & BEVERAGES
} CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
y �
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM /PM
DEPARTMENT: RETURN DATE: TIME: AM /PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging C. Total!
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
1
` Total '' t
W-i /J
i.{I .1 %., t 'a'i,1 it ATE 7 ink.
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: U, Date:
city of Carmel Form#ER06 Revision Date'10/17/2006 Page 1
Lister, Pamela L
From: Eggert, Debbie A
Sent: Wednesday, September 05, 2012 4:20 PM
To: Lister, Pamela L
Subject: ESI gratuity
Pam,
Here are the three checks for gratuity for ESI:
Debbie Eggert-$508.62
Kathy Vasil -$157.31
Heidi Babcock-$204.98
Thanks!
Deb
Debbie Eggert
Brookshire Golf Club
BanquetManager
Food and Beverage Manager
12120 Brookshire Parkway
Carmel, IN 46033
846-7431
i
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))
09/07/12 ESI Tip ESI Banquet Tip $508.62
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Deborah Eggert
IN SUM OF $
1824 White Ash Drive
Carmel, IN 46033
$508.62
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I ESI Tip I 42-390.40 I $508.62 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
Friday, September 07, 2012
Director, Brookshi off Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund