HomeMy WebLinkAbout236410 08/27/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351325
ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $********33.30*
CARMEL, INDIANA 46032 CIO STREET DEPARTMENT CHECK NUMBER: 236410
C/0 STREET DEPARTMEN CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 33.30 EXTERNAL TRAINING.TRA
SCIL
P a e e 9 9
2014 Annual Street Commissioners Convention
Registration Form: August 19th, 20th, 21St, 2014
www.indianast/nrleets.org
Name of Registrant �•e/� N �tl� '�1��"" c��
Address: M10 0 1 131 t J
d a l ._.� A/ 0 7y
Phone: � C7 33 a.00/
Spouse's Name (if attending):
E-Mail Address:
REGISTRATION FEE MUST BE ENCLOSED. WITH FORM
Current ISCA Member $150.00 per person (Includes Meals)
J_ Asst. Commissioner/Foreman $150.00 per person (Include Meals)
Additional Registration $150.00 per person (Includes Meals)
Vendor Registration $300.00 (Includes Meals & Vendor Cookout) with NO BOOTH
Vendor Registration $500.00 (Includes Meals & Vendor Cookout) with BOOTH
Space and (1) employee
(Limited booth area — no more than 40 booth areas)
All hotel accommodations must be.made with a credit card:
French Lick Resort
8670 West State Road 56
French Lick, IN 47432
(T) 812-936-9300 or 888-936-9360
(F) 812-936-5586
* When making hotel reservations, let the hotel know you are with I.S.C.A. and Group Code is
0813ISC
*The room rates are $119.00 dollars for I.S.C.A. members they will be guaranteed until July 18th
After July 191h rooms will be released to the public. Cancellation must be made four days prior to
arrival for full refund of deposit. Check-in time is at 4:00 p.m. Check-out is at 11:00 a.m.
* Vendors who want (hospitality rooms) must contacts Brandie Petry at 812-936-9300 or E-mail:'
buetry0french lick.com
* Please complete and return registration form with payment by July 181h 2014:
MAIL: CONVENTION REGISTRATION WITH PAYMENT TO
LARRY LEE SECRETARY/TREASURER
LEBANON STREET DEPARTMENT
1301 LAFAYETTE AVE
LEBANON, INDIANA 46052
4\t F F
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Dave Huffman DEPARTURE DATE: 8/18/2014 TIME: 12:00 P/M
DEPARTMENT: Street Department RETURN DATE: 21-Aug TIME: 4:30 P/M
REASON FOR TRAVEL: i Street Commissioners Annual Conf DESTINATION CITY: French Lick Indiana
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
8/18/14 $8.74 $8.74
8/18/14 $8.56 $8.56
8/19/14 $12.79 1 $3.21 $16.00
$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
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.001 $0.001 $0.00 $0.00 $12.79 $8.741 $8.561 $3.211 $0.001 $0.001 $33.30
DIRECTOR'S STATEMENT- I hereby affirm that al expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: k0f Lf
f
City of Carmel Form#ER06 Revision Date 8/22/2014 Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dave Huffman
IN SUM OF$
$33.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-430.02 I $33.30 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
A i-Z W
Fr 2, 2014
Street ommnise oner
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))
08/18/14 $33.30
i
I
I
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