222312 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 367170 Page 1 of 1
ONE CIVIC SQUARE SCOTT AVERY
0 CHECK AMOUNT: $28.74
CARMEL, INDIANA 46032 287 TYNDALE DR
OTALLON MO 63366 CHECK NUMBER: 222312
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 1120 28 . 74 SPECIAL PROJECTS
OF CAH,tj.
CITY OF CARMEL Expense Report (required for all travel expenses)
--/NOIANp-
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 Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
6/9/13 $12.27 $12.27
6/10/13 $16.25 $22.481 $11.50 $50.23
6/11/13 $16.26 $14.98 $15.07 $8.50 $54.81
6/12/13 $18.13 $86.96 $8.40 $113.49
6/13/13 $18.14 10.34 $3.94 $5.52 $37.94
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $68.78 $47.80 $117.47 $34.69 $0.001 $0.00
LESS CHECK RECEIVED $240.00
AMOUNT OWED TO SCOTT $28.74
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and arj vX UL l f2Vyrtment's appropriated budget.
Director Signature: Date: BUJ
City of Carmel Form#ER06 Revision Date 7/25/2013 Page 1
THANK YOU FOR CHOOSING MCDONALD'S Thank You
for shopping at
AARON, RESTAURANT MANAGER C i r c I e K:
CONTACT 0 317-846-7038 SHELL 57 442 110508
9536 N. Meridian Street 9599 NORTH MERIDIAN ST SIN0828
Indianauolis INDIANAPOLIS I14 46260
IN
46260 Descr. qty amount
! ! ! THANK YOU ! ! ! _
TEL# 317-846-7038 Store# 6015 <CUSTOMER COPY>
T TUMS EX ASST FRU 1 1 .39
_
KS AQUAFINA 200"' 1 1 .39
13 Jun.?2'i3 (Wed) 17;53 AQUAFINA 2007_ 1 1 .39
KVS Order 31 T DIET A&W ROOTBEE 1 1 .49
Sub Total 5.66
QTY ITEM TOTAL 1 M/MATCH - 221 Hy Discount -0.28
1 M Chocolate Shake 2.59 Sub Total 5.38
NO Maraschino Cherry Tax 0.20
T CIT A L 5 . 58
Subtotal
2.59 CREDIT $ 5.58
Tax 0.23
XXXX XXXX XXXX
Take-Out Total 2.82 INVOICE: 937771 AUTH #: 85081B
Cash Tendered 10.00 We appreciate
Change 7.18
your bus: i Hess
VISIT US AT WWW.MCSTATE.COM/06015
REG# 0004 CSH1# 011 DR# 01 TRAN# 45629
— — ------ --- 06/12/13 18: 10:00 ST# 2279
i
— —
COurty�rd by NOrr1ctz
ID]1O���Jli� Cdr08) - -----
l029[ N H8hdidD Street
InU�dn5 O\iS. TN 4O2S8
�3l7) 57l-11lO
;L�l T1 3 T R Ou e drink c )s �
U lif fo^y
- --- -- — --' — -- Brazil Travel Center NuDonald'a
7r� Z/l Chk 4S9� L»f O QU8ot1OOS or CUOC8[DS
Pl88S8 call
— (812)448-3483
or
� TL [offe 8n 'u � S� 0a1D office
CuSh (765)653-0371
4376 N ST RD 58
| Sobtu�u\ 330
BRAZIL
301 85 Tax 0'30 IN
P0y0en� 3�8� 47834
Change Due l '40 1 ! 1 THANK YOU ! ! !
-------O Che�k Cloaed-------- TEL# 812 448 3493 Stora# 28390
KS# 3 JuO.09'13 (Sun) 14:32
MFY SIDE 2 KV5 Order 56
QTY ITEM TOTAL
I NcDouble 1 .00
NO Mustard
NO Ketchup
l L Chocolate Shake 2.79
C ' C - 1F(')[][] W037- NO Maraschino Cherry
3'111:1 GEORGE 3T
HlGHLANO.lL. 62249 Subtotal 3.79
Tax 0.27
SHELL 51 238 0000 17 Take-Out Total 4.06
RT 143/1 70/PIEA 8lRO884
HlGHL4ND IL 62249 Cashless 4.05
Change 0.00
Descr. qty amount
MER# 01871202
T KYIENCE MANGO GU l �2.lS CARD ISSUER ACCOUNT#
G DASANl I 2FOR 2 :2.22
----------- AUTHORIZATION CODE - 10618B 5EQ# 287377
Sub Totc/| 4.41
Tax 13.18
�FOT161 L. 4 ' 159
Cash $ 4.58
NCDONALD'S 28390
APPLY FOR THE SHELL
MC FROM C[Tl CARDS!
7-877-NY-SHELL
THANK-YOU
COME AGAIN
REG1t 0003 C3110 003 DR# 01 TRAN# 37625
Thanks for all of your updates. I have reposted the document; it is now called 239 - Carmel IN Accreditation
Report-3 -protected. There are still some small items to address including:
C A summary for Category X needs to be placed in the executive summary. The current text is from Cat IV.
G Scott has asked Tony for feedback on the ERF statements in 5A; I was not able to find Tony's feedback.
C There is a single word addition to approve in 5G.
o I believe I now have the responsibilities separated appropriately for the safety chief and the training chief
in Category VII, but I would appreciate confirmation
As soon as you complete these updates I will get the report off
-
-
_
Another R,Oke / -�. -aFe
***4- ic* c*4 .jz*~.4 �
)
0 | 6a TADLE# 40
BRANDY � jvrCk: 5 /; /uu 0o/ i3/13 ��'
Separate checks/ 2-of'4
le.
I The SupFeme, sub fruit (1.49) 11 .98 mw^ & flwuummxax«x 41 �
I Soft Drink 3.49 ---- - --------=�
l§O E. Carmel D[. |
|
Sub Total: 14.47 Carmel, IN 46032
TdX/ 1 .30 (317) 843-9900
06/13 7:50aT[]TAL 7 'r-5 77
120 B/b|id« 3
---------------------------
Thank you! Pl8d88 CONB again! TUl E7/2 Chk 1333 GGt l
Another Broken Egg Cafe JU011 'l3 Ol 'O§PN
9435 North Meridian
- - ---- - -' - - ' - '--
'
IOdi8DOpOl1O TN 4�2O0 --' -
' l l/2 Tuna %dldU ADD Cheddar 9.70 �
317'818-1700 ' �
ADD OD1OO Steam O[OCCOl1
Find UG at fdC8h6Ok.CO0/48ECIndvNO[��
-^ l Iced T
FU|7oW US OO Twitter UA8FCTOdyNOrth co �./�
Subtotal 111 .95
Tax 1 .08
Total 13 - 03
' | |
0
| ' `
/ ( '
Fill
Another- Broken Egg Cafe
0 1 1 *1 b TABI'E# 24
REBECCA M SvrCk: 10 7:25a 06/10/13
Separate checks; 3-of-4 ity
I Soft Drink 2.49 F4, d Bt,ewery
I SAUSAGE COMBO, scrambled 2.99 I FRENCH TSr 71 ,49 GRA Jr'T7' "TT I,,,
FOOD & BREWERY
,:yEkY MEAL AND, BREW HANDCFAFTED
Sub Total : 12.97 v�es4-11;r- 96th Street
j L
'Fax: 1 .17 Carmel, IN 46290
06/10 7:55aTO'-FAL 14 14 (317)-216--7185
Server: Natasha 10 J 20 3
Thank you! Please come again! i:j�
Another Broken Egg Cafe Gu6sts. 1 8 0 0 6 4
9435 North Meridian
Indianapolis,IN, 46260
317-818-1700 -0'.7
E-URG FR 8.95
Find Lis at facel-jook.com/jABECInciyNot-t{; P",T 5-
Follow us on Twitter @ABECIndyNorth
6 Items
Subtotal 12.90
Tax 1 .17
Total 14.G7
Balarice Duc- 14 0
JOIN US FOR SUNDAY BRUNCH 01AM
lb
1
Another Broken Egg Cafe Eddie Merlot's
Indianapolis
O 105 TABLE# 24 3645 E. 96th Street
JONAS 0 SvrCk: 3 7:15a 06/12/13 Indianapolis, IN 46250
Separate checks: 2-of-4
Server: Kim 06/12/2013
1 Soft Drink 2.49 Table 435/1 8:46 PM
1 The Supreme, sub fruit (1 .49) 11 .98 Guests: 1
Sub Total : 14.47 #50020 i
Tax: 1 .30 Upland Wheat Ale 4i-e8
06/12 7:41a'T'n T q( 1 5 . 77 Chopped Salad 9.00
Nat�.tal New York Strip 39.00
a=*=�=��=+=*=��=**�=�=�=******* Ice: Tea 3.25
Thank you! Please come again! Lobster Mac &: Cheese 18.00
Another Broken Egg Cafe
9435 North Meridian Complete Subtotal �,�.�� 75.25
Indianapolis,IN. 46260
317-818-1700 a�
Subtotal 75.25
Find us at facebook.com/ABECIndyNorth Tax ��z .•o,�, 6.77
Follow us on Twifiler CABECIndyNorth
1..t:: �b y� 82.02
Balance Due 82 . 02
Distinctly Different
Thank you for joining us!
Napa galley Summer Grill Starts July 5th !
r
r
Another Broken Egg Cafe
O 1 O 9 a TABLE# 24 UPLAND BREWING COMPANY - CARMEL
PHILLIP G Sort'.,: _ 7:17a 06./11/13
Separate checks: 4-of-4 (812)350 3 11th
336-2337
1 Soft Drink 2,49
1 The Supreme 10,49 Check # 463173 Table # 8
Person # 3
Sub Total : 12,98 Time 8:07:00 PM Date 6/11/2013
Tax: 1 .17 Guest Name:
06/11 7:49a'T O T A l_ : 1 4 . 15
1 FISH & CHIPS 9,95
1 DIET COKE 1,75
Thank you! Please come again!
Another Broken Egg Cafe Food Sub-Total 11,70
9435 North Meridian 1 16 OZ WHEAT 3,90
Indianapolis,IN, 46260
317-818-1700 Beverage Sub-Total 3,90
Find us at facebook,com/ABECIndyNorth SUB TOTAL 15.60
Follow us on Twitter UABECIndyNorth Sales Tax 1,41
TOTAL 11' 1
THANK YOU
MIKE
d �AU 1 I 7j o 1
_
IS I ffh 0 ISM
GhdV-iN �
'S D�l1Cdt�SS8D S��pirO'5 D� iC§�.cz,8n
918 S RdUg8l1Oe Rd q18 S Rangeline Rd
Ca�Nel lN 46032 Carmel IN 46032
4D4 St�-,-I-hdDi 10 T:eva p
__—__'___—___—'______
'1* 1387 Junl0^13 01:27P Gst l ??yR 3 1? 91P Gist `
___----_--___-__' _' ----------------- _____'— ------
�� 7
��t Df Sand Sand J'
�
Q;; �
iSs Ch��G� J.
l OP[N Rot ` { 3.40 Onion
C0Si 7 5'40 TO0dtD
l Pasta Salad 2.3�
Subtotal 3'40 l Fountain Sc 4O 2'15
Payment 3.40 Exact Cash 20.00
O1iing8 Di|8 2.00
---'404
Check Closed 81i28PM--- - 3UbtOtO] 17.50
�O
l
Tax '
Payment 19.08
—
C 0 92 hango Due .
Thank You
for E31-iuppimg at
C | rc | e V,
SHELL 57 442 110508
8699 NORTH MERIDIAN ST 8lNO828
MACH 1 FOOD SHOP
INDIANAPOLIS IN 48260
070287
Desc['
MACH l FOOD SHOP
qty amount
1333 KENNEDY BLVD
------ --- ------ VANOALlA IL 02471
BJS HALF BAKED l 4.99 /
T DIET COKE NR l 1 .78 '-
NESTLE PURE LIFE | 1 .59� Omoor. qty amount
----------
------- --- -----
Sub Total 8 37
� T GP UNSWEET 8LK l 1 .89
Tax 0.13
TOTAL E3 ' 50
Sub Total 1 .89
�
CASH $ 20.00 �
Tax 0.13
�
Change $ -11 .50 �
TOTAL 2 - 02
We �u��prec� h ate '
CASH $ 2.02
your ��u� i r�eass ! �
QUESTIONS/COMMENTS
PLEASE VISIT
WWW ' MACHlSTORES ' NET
REG� OUU2 C8H# 0O5 DR� Ul TRAN� 2783O
REG* 0004 C--'-"' «»3 DR# Ol TRAN# 44803
OO/l3/l3 15:09V:A 3T* lO
06/11/13 2 ST# 2279
'
'- -- ------'---'------
;ul' � � �.y4.0 ( enter McD0n,�ild's
. Uupsr'OOs or C:onoorns
cal�
' '8l2>448-:34B3
-- - or '
n1i:1u| 0ffic8
D3��7l
4�['Ii H 3T R0 M
' 47:334
� � ! TNNN< YOU
-1'!i1J ' SLonall 18380
�
STORE 444
4876 North SA 59 ,2'~ `km. 13'lJ (T�|) // �
Brazil , IN 47834 �� - '
� (812) 446-9400 '
' O6/13/2O13 3_14: l kY� On�r 58
tiun 0: 6161157
_
---------------------------------
Ctv w~ o Price Total
_ -- ------------------------------------ 'U
z Ct Coke NRB 1.69 1.69 NO KzA.flK/p
� 'osit Soda Single 0.00 0.00
',.z Dt Coke NRB 1.69 VOID �
� NU �t�wAi�m Ch�rry
� 'r�sit Soda Single 0.00 VOID ` _
rNest}oPurLifo0tr 1.68 1.68
-Carbonated Water 0.00 0.80 1 3.O8
---------------------------------- x O 20
.."`:l 3.38 '
tmx 0.12 _
:eruh Ratle 0.12 M4
________________' .
3.50 - -
' _ _______________�_ '«�� ` 3'
vud " �' O.'
3.50
, u*IpEu
�';ruvod .v .
#: 793328
����------------------------------ AO
PURV
�*__V�i_"S_
� 3ha|hm'o Delicatessen
91.8 S Rm0el1ne Rd
044405161157 Cd[Nel IN 46032
' C|erh:226 06/13/2013 14:31:12
iINAL RECEIPT
-----_'---^---------- 46u�, Ky|e N
He 273-Z J0113'13 11 :54A GGt 1
- —` --` ---'---``----------
[](al 1
FUUG[
I OP[i�! FOm| U0TaX 8,00
l F0WiO1D Soda 2.15
EXo;:1 Cu; / 10.34
SLd)|utOl 10.15
Tax 0.19
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))
$28.74
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Avery
IN SUM OF $
$28.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-590.00 I $28.74 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund