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217236 02/13/2013 �.F CITY OF C RME,I, INDIANA VENDOR: 362444 Page 1 of 1 0 ONE CIVIC 5UUARE MATT LEBER ;' of CARMEL, INDIANA 46032 768 EAST 93RD DR.APT CHECK AMOUNT: $343.23 INDIANAPOLIS IN 46240 CHECK NUMBER: 217236 CHECK DATE: 2113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 343 .23 TRAVEL FEES & EXPENSE Carmel • Clay M.Lela-- Parks&Recreation L .Leber' Employee Expense Reimbursement Request 1.pr gT _ F Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 1/16/2013 Bloomington Bagel Company 1091 4343000 Travel Expenses $ 14.06v Breakfast for Leber's 1/16/2013 Courtyard by Marriott 1091 4343000 Travel Expenses $ 2.25 Diet Pepsi-Market Beverage 1/17/2013 Village Deli 1091 4343000 Travel Expenses $ 41.22 Breakfast for Leber's&Normand 1/18/2013 Courtyard by Marriott 1091 4343000 Travel Expenses $ 4.50 2 Diet Pepsi's-Market beverage 1/18/2013 Courtyard by Marriott 1091 4343000 Travel Expenses $ 3.25 1 Gatorade-Market Beverage 1/18/2013 Courtyard by Marriott 1091 4343000 Travel Expenses $ 244.16 Hotel Room for Leber's 1/18/2013 Bub's Burgers& Ice Cream 1091 4343000 Travel Expenses $ 33.790 Lunch for Leber's All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $343.23 Employee Name(print) Matthew Leber Address 11904 Igneous Dr. Check payable to: City, St, Zip Fishers, IN 46038 Signaturea 71&�'t /�Aproved by: Date: Date: t �t Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request COURTYARD' Bloomington by Marriott 310 South College Ave Bloomington Bloomington IN 47403 81[[IUt$ T 812.335.8000 £ L F Market Market Rob;WKT Room Type:HSE Number f o Guests 0 Rate .$O.00i Clerk:CWl ��t ✓� � ;� .F ��.��.vr��......�,�"N y`°°KF° �° �F��,�'¢.`�'k�"k 3'��n ud y,:� �`�� .1� (�s£.L�•�.�' =;�y��K�cL ;. s� �ACttUe„�18,lan�3 � � �Ttne�1� 1$AIVI ��Y t�epart:�913Jan1�� "lime �l)'t6AM �S 'Fal a I�umberi 4��3� F �� R; � :��'��'��`� 3L I F �:,°�� ?. ��,��z.� 'r � E iE i; F z F ;.' � �' �a� y'• � �� z DBt:$- � '` `?<'�... ��D @3Cri f:lOr1 k�;�Y F ;:'�2'w� �F � �'��`�j'F ,. .��'�'° � '� �"E•�fi��A �,� p � � ,�Ctiarge§ t✓rgtlits �; ��;>.Fz._nS»,�,. -��•• .�„s< �` s c? -x �"�� ,r �s3 �� r�'�`y� �, � �ia"�� z�� ' .._�cly� ., _ .� ��"�•;:.3e...,.,, <.w;..wan...,..s.,is..v..»»,�,w,,,.,w��_...:.....,.�,�:;:iw�,G,�:,m.�.. w,..v'',,..u.,wkx�.rH...,...,.,.,.ri,�s`»»n,r.,;":�;�w.w ,.::,�,.. ,,�8�»i;��nn�.s .,� 18Jan13 Market Beverage 3.25 18Jan13 3.25 Card#: VIXXXXXXXXXXXX7585/XXXX Amount: 3.25 Auth: 736320 Signature on File This card was electronically swiped on 18Jan13 Balance: 0.00 As a Rewards Member,you could have earned points toward your free dream vacation today. Start earning points and elite status, plus enjoy exclusive member offers. Enroll today at the front desk. Want your final hotel bill by email? Just ask the Front Desk! See"Internet Privacy Statement'on Marriott.com. COURTYARD' Courtyard by Marriott 310 South College Ave Bloomington Bloomington IN 47403 Sff10� T 812.335.8000 MEFF F A Z • 3 3 4` Z� Market Market Room zo .. RoomType'HSE j Number of Guests 0 :. Rate $0 00' Clerk CDU ��°'�,�• ,; s.��'>, ��h r a s �.�<1�ry T ��•v�a ::a� �P .: >:: �� s . � � ^,spy k f�`-*r�x'`w � �d��s.�,?S ; �,'�•F�. �a ,Arrlve�9$Jan 13 �"►'irtte ��=4�AM; �re�"��Cpe art. 1$Ja1�13r�� F �"TrTI� =0'Ef 43AM z��-5 Folio�Nt��nber 4�`i38s�� , :... '�?��.�.�.��'k�s.�s.'.,,:_., ..��._ma��._z< <.� F�,. �:��<w•;�w.,...,..,.3'>:�H -�..<>.... .>_�'��_... �.��,a.,:._arxitfk s;a... �a...,...a.Faci�an� ._s... �°�9 18Jan13 Market Beverage 4.50 18Jan13 C Amount: 4.50 Auth:256585 Signature on File This card was electronically swiped on 18Jan13 Balance: 0.00 As a Rewards Member,you could have earned points toward your free dream vacation today. Start earning points and elite status, plus enjoy exclusive member offers. Enroll today at the front desk. Want your final hotel bill by email? Just ask the Front Desk! See"Internet Privacy Statement'on Marriott.com. COURTYARD' Bloomington by Marriott 310 South College Ave Bloomington Bloomington IN 47403 Aarrioll T 812.335.8000 3 ' u' F \ S tai eO'?k¢' \ ➢ ..y ....,.. j .., ZaF.@ ii Market Market Room MKT i Room Type tiSE Number of Guests 0 � � :. Rate $0 00 Clerk:ACA own : x .......... t��a�� 'j ' .� � �.��s:-..x �a�� l•�� .;mot i�ss�� c � ' �� `�". � �[�F y.:. � E?ate Me, M ,[?esptiOrt F � g ChargasCrgdi# .......,_�.,..,.,>s,..� �s&Gg.Nxg��s"z..,acs,xm ��F��d� . :;..6wM�.:.,..a.�:•s�t��W,___.. .�r-�� . �s�i... . <. n,�,, r ..y.. �.��,K°aa,�s.�°�a��.. .,��.�.�ausw�.�r�..,ail 16Jan13 Market Beverage 2.25 16Jan13 Amount: 2.25 Auth:995675 Signature on File This card was electronically swiped on 16Jan 13 Balance: 0.00 As a Rewards Member, you could have earned points toward your free dream vacation today. Start earning points and elite status, plus enjoy exclusive member offers. Enroll today at the front desk. Want your final hotel bill by email? Just ask the Front Desk! See"Internet Privacy Statement'on Marriott.com. COURTYARD' Courtyard by Marriott 310 South College Ave Bloomington Bloomington IN 47403 Aarriott T 812.335.8000 M'.Leber � x•_ `Room 507„M• �.. f Room Type KSO Number of Guests 1 , •. Rate $1 9 0 Clertc;_ a ��' i;~ 3 .rl��' .r, ,_:� f.'Fas3”' €€ ^��.: •:i�XMF ��r, rs ..�?i'�`t� ;3% Y .,� § 5 Y Q�L�i � � 3 �'�DE?$C.1`I��t Ott y:.$ �1?-,.kr rT�' Y€s' /€'� 3? 3 x i-3 `L. �/, '€3�:y5�'1yy 'x � c`3 •��€�-� '�" 3 ..f� < 17x ... •� S xT�$. Cis' F Y'� L {Y Li�A�3 � � � 2h',' f 3a,�,::>,,,ss„s£v.SE;z :v ,Z�:ee,.$.��Sx. _..o"�..'.2fk�J�x,Yf�s'�v:.n'we� ... mac.... ^yj�•�.' f .6�; n'L'f3:..,..x�i�' xbw. Z.•• 16Jan13 Room Charge 109.00 16Jan13 Room Tax 7.63 16Jan13 City Tax 5.45 17Jan13 Room Charge 109.00 17Jan13 Room Tax 7.63 17Jan13 City Tax 5.45 18Jan13 Amount: 244.16 Auth:912166 Signature on File This card was electronically swiped on 16Jan13 Balance: 0.00 As a Rewards Member, you could have earned points toward your free dream vacation today. Start earning points and elite status, plus enjoy exclusive member offers. Enroll today at the front desk. As requested,a final copy of your bill will be emailed to you at: MLOVER52 @GMAIL.COM.See"Internet Privacy Statement' on Marriott.com. 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. 362444 Leber, Matt Terms 11904 Igneous Dr Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1118/13 Reimb. IPRA State conference travel expenses $ 343.23 Total $ 343.23 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 Voucher No. Warrant No. 362444 Leber, Matt Allowed 20 11904 Igneous Dr Fishers, IN 46038 In Sum of$ $ 343.23 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept# 1091 Reimb. 4343000 $ 343.23 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 7-Feb 2013 t.Gt J Signature $ 343.23 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund