HomeMy WebLinkAbout235474 07/30/14 ��u �,qMf CITY OF CARMEL, INDIANA VENDOR: 368232
ONE CIVIC SQUARE JEFF PETERS CHECK AMOUNT: $*****1,773.76*
,q CARMEL, INDIANA 46032 C/O WATER DEPT CHECK NUMBER: 235474
M;ro„-�• CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1,773.76 OTHER EXPENSES
, .1
_ CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: e" l e-k-ecS DEPARTURE DATE: 5....�.e $ 4 TIME: -00PM
/� 1
DEPARTMENT: u-�:�:-�-:eS - V11a-kec RETURN DATE: a�.,�� (Z,,Zo 14 TIME: 9,:00 AM/ rr11
REASON FOR TRAVEL: A}{-��„ ,,, W a4-er eckS DESTINATION CITY: &c,SCK A I, i'
TRAVEL EXPENSES ARE FOR(check all that apply): ADVANCE REIMBURSEMENT PER DIEM
Transportation Gasrrolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
4 3 3zt.. t9 ##66.•"-= $b.00 �Z'i
$0.00 .,4xi.tq.
G /nt4 3r.- 3 �.�9 $0.00 47-'7.19
45. $0.00 -4z-i.tg
$0.00 it Grp.
$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
$0.00
144 A'lit 13o4:fo 7$0.06 1 t l;t'[ -nf,
Total $0.00 $0.001 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ;;:_;;;:;x;:: $000
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the Citys travel policy and are within my department's appropriated budget
Director Signature: WAA Date:-A 1911WIAINAM
/
City of Carmel Form#ER06 Revision Date 7/11/2014 Page 1
1
Receipt
648609061204462014
Lafayette garage '
One Ave De Lafayette
Boston , HA 02111
Tel:(617)357-1907
FeeConputer Number: : 9
Entry Tine: 6/812014 1:13 PH
Exit Tine: 6/1212013 4:46 AH
Duration: 3d 15h 33n '
Op: richard
Receipt 0: DODOD0000025050 ,
Tran: 8466
Ticket Hunber: 68237
Regular Rate $ 144.00
-----------------------------------
Total: S 144.00
Tender: $ 144.00 ,
Change: $ 0.00
Operated by: a
Pilgrin Parking
• I w
. I
Hyatt Regency Boston
1ln, One Avenue De Lafayette
3 Boston, MA, 02111
Tel:617-912-1234
FI YAT T Fax:617-451-2198
REGENCY' www.hyattreaencyboston.corn
INFORMATION INVOICE
Payee Jeff Peters Room No. 0835
990'Tiilson Drive Arrival 06-08-14
Zionsville IN 46077
United States Departure 06-12-14
Page No. 1 of 1
Confirmation No. 4269700901 Folio Window 1
Group Name American Water Works ASSN Folio No.
Booking No. 32821338S
Date Description Charges Credits
06-08-14 Package 285.00
06-08-14 * # State Occupancy Tax 5.7% 16.25
06-08-14 * # City Occupancy Tax 6.0% 17.10
06-08-14 * # Convention Tax 2.75% 7.84
06-09-14 Package 285.00
06-09-14 * # State Occupancy Tax 5.7% 16.25
06-09-14 * # City Occupancy Tax 6.0% 17.10
06-09-14 * # Convention Tax 2.75% 7.84
06-10-14 Package 285.00
06-10-14 * # State Occupancy Tax 5.7% 16.25
06-10-14 * # City Occupancy Tax 6.0% ' 17.10
06-10-14 * # Convention Tax 2,75% 7,84
06-11-14 Package 285.00
06-11-14 * # State Occupancy Tax 5.7% 16.25
06-11-14 * # City Occupancy Tax 6.0% 17.10
06-11-14 * # Convention Tax 2.75% 7.84
06-11-14 XXXXXXXXXX) 1,304.76
Total 1,30,4.76 1,304.76
Guest Signature Balance 10.00
I agree that my liability for this bill Is not waived and i agree
to be held personally liable in the event that the Indicated Thank you for choosing Hatt Re enjoyed y y
person,company or association rails to pay for any part or y Regency Boston.We hope you ened our o stay.Our
the run amount or these charges. goal is to provide you with an exceptional stay.Your feedback In Important to us.Please
feel free to contact our CONSUMER AFFAIRS via e-mail at availlybosto@hyatt.com or
Hyatt Gold Passport Summary by phone at 617-422-5457', ;
Membership: G89961292L We thank you for your business and appreciate your loyalty.
Bonus Codes: For inquiries concerning your bill,please call 888-587-2877 or email:
Qualifying Nights: 4 Na.customerservice cl�i hyatt.com ,
Eligible Spend: 1,140.00
Redemption Eligible: 0.00 Please remit payment to: I
Hyatt Regency Boston
Summary Invoice, please see front desk PA Box 203395
for eligibility details. Dallas,TX 75320;
F
f
YNDIANA "'VISA
Members Credit Union
Keeping It Simple '
JEFFREY R PETERS
Statement Closing Date:
June 30,2014
ATTENTION: DUE TO DATA BREACH EVENTS,WE ADVISE THAT YOU CONTINUE TO
CLOSELY MONITOR YOUR CREDIT CARD ACCOUNT.PLEASE]REPORT ANY SUSPICIOUS .
ACTIVITY IMMEDIATELY.TO CHECK RECENT ACCOUNT ACTIVITY,LOG INTO OUR ONLINE
BANKING SITE,AND ACCESS OR ENROLL YOUR CREDIT CARD ACCOUNT TODAY.
Trans Date Post Date MCC Code Reference Number Description Amount
06/12 06115 3640 24610434164004090033314 HYATT.HGTELS REGENCY BOST 1,304.76
BOSTON IAA
�NDIANA .
Memtiers Credit Unian .
Keeping ltSimple
.oi
`u JEFFREY R PETERS!
Statement CloskOg Date:
April,', 2014'
ATTENTION DUE TO DATA BREACH EVENTS WE ADVISE THAT YOU CONTINUE TQ
CLOSELYMONITOR YOUR CREDIT CARD ACCOUNT PLEASE REPORT ANY SUSPICIOUS
ACTIVITY;IMMEDIATELY-TO CHECK RECENT ACCOUNT ACTIVITY LOG INTO OUR,O;NLINE.
BANKING SITE,fAIVD ACCESS OR ENROLL YOUR CREDIT CARD AGGOUNTTODAY°
Transacfilons
Trans Date Post Dake MCG Code Reference Number Descri tion Amount
021 04124 8699 24761974113207350
580103 AMERICIN WATERWORKS 880 00,�
w 800 925-7837 GO... v.
Page 2 of,31 19219.-45005
- Order
Contrniation American.Water WorksAssociation; Page_1 of 2;:
>. � SHOP � DOIVA.TEs`
A, meri c a n Water. w.b ks Association
0,0dJcoted to.'the Wc&l ,,, ost;lmJrortan[Resqu_rce
;Ahout-Us Contacetls I 14e11dj ffrey �_ m3rkc66unt u Out
Hoitz>Store>;Order ConBrniadon=
Tom_,. CaYt'�ia7V(crnt��• �r grde:.r�Optlont- Otdc�,P.li:tsnt; OcdenConJf"th7,atlott:
THANK Yq..U.,FOR YOUR;PURCHASE;FROM-AMERtrAN WATER WORKS ASSOCIATIONI
ORDER NUMBER]00081 1775
ORU6RDATE 4)2t/20T4
a r Jeffrey R.PeteYs Customer#003187.4E '
-5HIPPIN§! PRESS
Jeffrey R PetQ'fs.
990;Tilison DrZionsyille,IN 96077,9330
Stappingte2<(tems quailtttyh;UnE DtscounE;;lirig;
P[Ic@i Sub
Taal;
209`4 Annual,!oriference&Exposlilgn t .,o $ 00 ,EA bD,
klq`teel Reservat[on Create Hotel Reservation
Thank you for tegtsienng for the Amencan;Water Works AssOclation sAnnua(Conference
and`Etposltlorr(ACE14j,,lune 8=11 2014in Boston,Massachusetts.,
t:
Make=your,hotel reservafion now=https//resweb_pa"sskey comlResweb do?
mod'e.=welcome_eI_new&everttlD'=10723Q:�3 t,.
Badges wdl not;be marled m advance YoU well pant and pick'them up at Reglstratlon on life
aYthe'Boston Gonvenhon&F_xtltbitton Center You may also do so afthe Headquarter Hotel;
(Westin BostonrWaterfcantj If you are staying there,`You will;recelue an email a flew days:
before the conference with a.barcode to,expeditethe punting process:(Pre paid registration:.
only)
Besure to;check out all;the NEW;and excfing.things going.gn at ACE14'
www.,awwa orgJacel'4 Make sure,to:cheek back often for curren,Cinform66on"And uodatesI-
_ is
OperatorFWICORfefence., -$8OMP 40-pW $940.W
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BILLING ADDRESS:'i PAYMENT INFORMATIOU,
r r t
Jeffrey R 4�eterg
is
990 Tlllson Dr Subtotal X880.00
Ztonsvllle IN 46.07] 330; � 5hipping.Charges;_ 50;00 1 •
Dlscount: ,50:00.
Tax 50;00
..� Amoun#Paid:,TMf _a $880 00 t
Balance me 9."00;
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nttp-ffiAmw:awwa:arg&tore/order,cbdkffi Ohk% i'll ber/70Q08Y 1775 aspx /2:1/2014:
VOUCHER # 141229 WARRANT# ALLOWED
T1655 IN SUM OF $
PETERS, JEFF
CARMEL WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6814 01-6040-05 $1,773.76
i
Voucher Total $1,773.76
Cost distribution ledger classification if
claim.paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1655
PETERS, JEFF Purchase Order No.
CARMEL WATER Terms
Due Date 7/23/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2014 6814 $1,773.76
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
Date Officer