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Home My WebLink About237641 09/30/14 (9, CITY OF CARMEL, INDIANA VENDOR: 361675 ONE CIVIC SQUARE JEREMY KASHMAN CHECKAMOUNT: $*******373.58* CARMEL, INDIANA 46032 13161 HIRSCH LANE,UNIT 302 CHECK NUMBER: 237641 FISHERS IN 46037 CHECK DATE: 09/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 373.58 EXTERNAL TRAINING TRA City of Carmel Engineering Department One Civic Square Carmel, IN 46032 Remit to: Jeremy Kashman Invoice Date Invoice# Project Name Amount Paid 9/29/2014 0 Mileage $ 157.92 9/29/2014 0 2014 TACT Conference $ 225.66 Check Total $383.58 Prepared by City of Carmel 9/29/2014 CITY OF CARMEL R Expense Report NAME _T92.0MY KAQJMAW DEPARTURE DATE &TIME: 5 $ 1 &D / Ztioo�M DEPARTMENT F446zNrc.FM 1, RETURN DATE &TIME: SEPT %ll2_ to 2-01Lt CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE REASON FOR TRAVEL: 2014 T_"T GAf-'F_V(. Transportation Auto Taxi, Toll Meals Date Lodging Misc. Total Air-fare Car rental Expenses etc. Breakfast Lunch Dinner Per Diem 9/9/14 p 9/10/14 $5.00 $135.66 $190.66 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 , 1 $0.00 $5:00 . $0.00 $135:66 $0:00 - $0.00 $0.00 $0.00 For advance payments, claim form must be submitted fifteen (15) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary, if traveling by air 3) Original itemized receipts or affidavits, if approved by Department Director,for all expenses(except for meal per diems) Prorated meal allowance: For travel that commences before 1:00 p.m.(flight departure time, if traveling by air),$50 for in-state travel and$60 for out-of-state travel For travel that commences after 1:00 p.m.(flight departure time, if traveling by air),$XPor in-state travel andr out-of-state travel(NOT a per diem) DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling toparticipate in official business for the City. I understand that within fifteen(15)business days of my return(as stated above), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures;and 2) Return all unused funds to the office of the Clerk-Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return, Failure to return unused funds will result in the amount of the unused funds(total advance minus documented expenditures)being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: g f zepily City of Carmel Confidential 9/29/2014 Page 1 n HARRISON SQUARE PARKING GARAGE ?�1Lj j:P C-1 Cop ,JG� +��c�,J(s LIGHT & BREUNING INC 912 LAWRENCE DRIVE Ilb( ly FORT WAYNE, IN 46804 I 260-422-6456 Rcpt# 1052 09/10/14 16:41 L# 1 A# 1 Txn# 4045 09/10/14 10:52 In 09/10/14 16:41 Out Tkt# 253354 j HSP FEES $ 5.00 Total Fee $ 5.Ou $ 5.00- XXXXXXXXXXX: Change Due $ 0.00 THANK YOU PLEASE COME AGAIN Kashman, Jeremy M From: IACT <iact@citiesandtowns.org> Sent: Tuesday, September 02, 2014 10:37 PM To: Kashman,Jeremy M Subject: We appreciate your support of our programs and events! Indiana Association of Cities and Towns 125 W Market Street, Suite 240 Indianapolis, IN 46204 I TIM 317-237-6200 www.citiesandtowns.org RECEIPT Number: 16531 Carmel DATE CONTACT One Civic Square Carmel, IN 46032 9/2/2014 172 Items Quantity Price Total Paid Due 2014 IACT Annual Conference& 1 $0.00 $0.00 $0.00 $0.00 Exhibition: Complimentary Registration Send Jeremy Kashman To: City Engineer Carmel Department of Engineering One Civic Square Carmel, IN 46032 2014 IACT Annual Conference & 1 $0.00 $0.00 $0.00 $0.00 Exhibition: Early Bird Workshop#2 (Funding) -Tuesday Send Jeremy Kashman To: City Engineer Carmel Department of Engineering One Civic Square Carmel, IN 46032 2014 IACT Annual Conference & 1 $0.00 $0.00 $0.00 $0.00 Exhibition: Welcome Reception in Exhibit Hall -Tuesday Send Jeremy Kashman To: City Engineer Carmel Department of Engineering One Civic Square i floilday Ina 09-10-14 Jeremy Kashman Folio No. Room No. 427 18567 Pilot Mills Ct. A/R Number Arrival 09-09-14 Noblesville IN 46062 Group Code ICC Departure 09-10-14 United States Company Indiana Cities-Convention (No BB) Conf. No. 63384601 Membership No. Rate Code Invoice No. Page No. : 1 of 1 Date I Description I Charges I Credits 09-09-14 . "Accommodation - 119.00 09-09-14 State Tax 8.33 09-09-14 Occupancy Tax 8.33 09-10-14 135.66 Total 135.66 135.66 Balance 0.00 Guest Signature: I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges. If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Fort Wayne 4111 Paul Shaffer Dr. Fort Wayne, IN.46825 Holidayinn, Jeremy Kashman Date 09-10-14 18567 Pilot Mills Ct. Time 09:06 Noblesville IN 46062 Room 427 United States Tax ID Recpt. No. 94897 PAYMENT RECEIPT Date Description App. Code Amount 02360 .09-10-14 9 135.66USD Guest Signature Cashier 5 Holiday Inn Fort Wayne 4111 Paul Shaffer Dr. Fort Wayne, IN. 46825 nnBLr—AU= %;L.AIX96 C+ f b'F Car TO DR. (Governmental Unit 8 y i&Q4 r yOn Account of Appropriation No. for Office, ard, Depart en orInstitution) DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE 20 Point Point Start Finish TRAVELED PER MILE SI&I l w4.J1 - C' K:. 0 2 1095 61D 1 Dol.5?$ o 1A Etk 1 lb 40 26oR- CzzY 14r-t t 10 10of15,1a 40 q 114 111 sta 120 (91 Zo 1 k l Co,n�cvi 4e t l t sbo It t S°I L 6-1 12t7 Auto License No. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. Date Z` iL4 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 Jeremy Kashman Purchase Order No. Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 9/29/2014 0 Mileage $ 157.92 9/29/2014 0 2014 IACT Conference $ 225.66 Total $ 383.58 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. Jeremy Kashman ALLOWED 20 IN SUM OF $ 33,5'8 $ ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4343002 $ 157.92 bill(s) is (are) true and correct and that the materials or services itemized thereon for 0 0 2200-4343002 $ which charge is made were ordered and ,)i 4,(d o received except Cn 9/29/2014 Signature City Engineer Cost Distribution ledger classification if Title claimaid motor vehicle highway fund P 9 Y