212803 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 364842 Page 1 of 1
0 ONE CIVIC SQUARE KATHLEEN VASIL CHECK AMOUNT: $157.31
CARMEL, INDIANA 46032 3779 SIMMERMAN CT
CARMEL IN 46033
„p o CHECK NUMBER: 212803
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 157 . 31 FOOD & BEVERAGES
i Gt OF Af\
CITY OF CARMEL Expense Report (required for all travel expenses)
N
EXHIBIT A
EMPLOYEE NAME: 6�—, /vv DEPARTURE DATE: TIME: AM/PM
DEPARTMENT: !'f�D`7 RETURN DATE: TIME: AM /PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date
Transportation Gas/Tolls/ Lodging Meals
C.
Parkin Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem n ;
ti..
'ti•�
{ f
DIRECTOR'S STATEMENT: I hereby irm that all expenses listed conform to the City's travel policy and arrej within my department's appropriated budget.
Director Signature: Date: / _Z12—
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
Pa m,
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
BanquetMonager
Food and Beverage Manager
12120 Brookshire Parkway
Carmel, IN 46033
846-7431
i
VOUCHER NO. WARRANT NO.
Kathy Vasil ALLOWED 20
IN SUM OF $
3779 Simmeraen Ct.
Carmel, IN 46033
$157.31
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 $157.31 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
21 A
Director, Brookshiroolf Club
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))
09/07/12 ESI Tip ESI Tip $157.31
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