HomeMy WebLinkAbout238188 10/15/2014 +u�.C�N'y
CITY OF CARMEL, INDIANA VENDOR: 00350581
`'/ \l CHECK AMOUNT: $•M R M R x■590.55'
.� ® �• ONE CIVIC SQUARE PAT RIGDON
,. ��� CARMEL, INDIANA 46032 353 WESTLEA DR CHECK NUMBER: 238188
9�;��TON�� WESTFIELD IN 46074 CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 REIMB 590.55 OTHER EXPENSES
Murphy, Connie E
From: Kempa, Lisa L
Sent: Tuesday, October 14, 2014 2:36 PM
To: Murphy, Connie E
Subject: RE: pat rigdon
It was paid for with the airline tickets. We just put that in there in case you needed to see it.
Lisa /texrpa
Carmel Utilities
30 West Main Ste 200
Carmel, IN 46032
317/571-2267
From: Murphy, Connie E
Sent: Tuesday, October 14, 2014 2:35 PM
To: Kempa, Lisa L
Subject: pat rigdon
Lisa-
I have Pat's expense reimb.form—there is.an Enterprise receipt in there, but no mention of the charges on the reimb.
form.
I didn't see a claim for Enterprise in this run—did Pat charge the car to the City's account or pay for it himself?
Connie Murphy
A5sE. Mgr. Finance/Payroll
City of Carmel
317-571-2429
317-571-2480-fix
¢7\I$4jp!
CITY OF CARMEL Expense Report (required for all travel expenses)
v
•No,ANp.-`' EXHIBIT A
EMPLOYEE NAME:_Pat Rlgdon DEPARTURE DATE: TIME: -71157 A /PM
DEPARTMENT:_Utilities RETURN DATE: , ILA TIME: O, AM/ M
REASON FOR TRAVEL: Education DESTINATION CITY: Miami, Flordia
EXPENSES ARE FOR (check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Meals
Air-fare Car Rental Other Parkin Lodging Misc. Total
9 Breakfast Lunch Dinner Snacks Per Diem
10/5/14 $25.00 $65.00 $90.00
10/6/14 $65.00 $65.00
10/7/14 $14.00 $65.00 $79.00
10/8/14 $14.00 $65.00 $79.00
10/9/14 $14.00 $65.00 $79.00
10/10/14 $14.00 $65.00 $79.00
10/11/14 $25.00 $29.55 $65.00 $119.55
$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 $0.001 $0.00 $50.00 $85.551 $0.00 $0.001 $0.0017 $0.001 $0.001 $455.00 $0.00 '
DIRECTOR'S STATEMENT: I hereby affirm that all expenses,listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 10/13/2014 Page 1
For advance payments, claim form must be submitted ten (10) 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 or car rental agreement, if applicable
3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt)
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), $25 for in-state travel and$30 for out-of-state travel
For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in-state travel and$30 for out-of-state travel
For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in-state travel and$60 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ ,such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals
while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my return (as stated on opposite side), 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.
— 1 q
Employee Signature: Date: /V— /3
City of Carmel Form#ER06 Revision Date 10/13/2014 Page 2
SALES PERSON: DT2 ITINERARY/INVOICE NO. 6001493 DATE : SEP 08 2014
ACCOUNT WCG6W0 PAGE: 01
FOR:
RIGDON/PAT E
TO: CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE - 3RD FLOOR ONE CIVIC SQUARE - 3RD FLOOR
CARMEL IN 46032 CARMEL IN 46032
-----------------------------------------------------------------------
05 OCT 14 - SUNDAY MILES- 106 ELAPSED TIME- :47
AIR LV CHATTANOOGA 715A DELTA FLT: 1340 ECONOMY CLA CONFIRMED
AR ATLANTA 802A NONSTOP
RESERVED SEATS 26C
AIRLINE CONFIRMATION:DL -H8TYP2
MILES- 595 ELAPSED TIME- 1 :56
AIR LV ATLANTA 1106A DELTA FLT:2173 ECONOMY CLA CONFIRMED
AR MIAMI 102P NONSTOP
RESERVED SEATS 23D
AIRLINE CONFIRMATION:DL -H8TYP2
ENTERPRISE 1 INTERMED 2/4 DR DROP-11OCT CONFIRMED
PICKUP-MIAMI MIAMI INTL ARPT
DROP OFF- FLL CHG-USD0 . 00
RATE- 114 . 00 WEEKLY GUARANTEED EXTRA HR 7 . 60-UNL
MILEAGE-UNL/FM CODE-E5K05 EXTRA DAY 22 . 80-UN
pHONF-3D:5-633=_Q377�- - ------- - ----_ - - - ---- -- - -
CONFIRMATION-68715704000UNT
SURFACE TRANSPORTATION
11 OCT 14 - SATURDAY MILES- 1487 ELAPSED TIME- 3 :42
AIR LV FT LAUDERDALE 335P DELTA FLT: 1103 ECONOMY CONFIRMED
AR MPLS/ST PAUL 617P NONSTOP
RESERVED SEATS 28B
AIRLINE CONFIRMATION:DL -H8TYP2
SALES PERSON: DT2 ITINERARY/INVOICE NO. 6001493 DATE: SEP 08 2014
ACCOUNT WCG6W0 PAGE: 02
FOR:
RIGDON/PAT E
TO: CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE - 3RD FLOOR ONE CIVIC SQUARE - 3RD FLOOR
CARMEL IN 46032 CARMEL IN 46032
------------------------------------------------------------------------
11 OCT 14 - SATURDAY MILES- 503-- ELAPSED---TIME= -1::34 ---- ---
AIR
03-- ELAPSED--TIME= -1::34 ---- --AIR LV MPLS/ST PAUL 735P DELTA FLT: 1631 ECONOMY CONFIRMED
AR INDIANAPOLIS 1009P NONSTOP
RESERVED SEATS 33B
AIRLINE CONFIRMATION:DL -H8TYP2
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AND CONF NUMBER AT CHECK IN. TICKET IS
COMPLETELY NON REFUNDABLE IF UNUSED.
MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE.
FEES MAY APPLY.
DELTA CONF H8TYP2
**VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES
EMERG. AFT HRS CALL 8776456373 CODE A09 $20 CALL - TRANSACTION COSTS
A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/
AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL
THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO
FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING
THIS SEE WWW.TZELL41l .COM
_=---THANK-YOU. ---DEBB I-E-=TUNST-I-LL ---31-7---805 57-62 - -- - -
TICKET NUMBER/S :
RIGDON/PAT E 7412597814-815 CARD 679 .20
ELECTRONIC
AIR TRANSPORTATION 598 . 14 TAX 81 . 06 TTL 679 .20
PROCESSING FEE 35 . 00
SUB TOTAL 714 . 20
t
I
SALES PERSON: DT2 ITINERARY/INVOICE NO. 6001493 DATE: SEP 08 2014
ACCOUNT WCG6WO PAGE: 03
FOR:
RIGDON/PAT E
TO: CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE - 3RD FLOOR ONE CIVIC SQUARE - 3RD FLOOR
CARMEL IN 46032 CARMEL IN 46032
-----------------------------------------------------------------------
CREDIT CARD PAYMENT 714 .20-
TOTAL AMOUNT-_ -- --_- -- -_--0-_00 _-------
BAGGAGE ALLOWANCE
ADT
DL CHAMIA OPC
BAG 1 - 25 . 00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
BAG 2 - 35 . 00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
MYTRIPANDMORE.COM/BAGGAGEDETAILSDL.BAGG
DL FLLIND OPC
BAG 1 - 25 . 00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
BAG 2 - 35 . 00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
MYTRIPANDMORE.COM/BAGGAGEDETAILSDL.BAGG
CARRY ON ALLOWANCE
DL CHAATL 1PC
BAG 1 - NO FEE PERSONAL ITEM
DL ATLMIA 1PC
BAG 1 - NO FEE PERSONAL ITEM
---DL---FL-LMSP- --1 PC - - - - - -- - --- - =
BAG 1 - NO FEE PERSONAL ITEM
DL MSPIND 1PC
BAG 1 - NO FEE PERSONAL ITEM
EMBARGO - FOR BAGGAGE LIMITATIONS - SEE
DL CHAATL MYTRIPANDMORE.COM/BAGGAGEDETAILSDL.BAGG
COURTYARD' Cadillac
by Marriott 3925 Collins Avenue
Cadillac Miami Beach Oceanfrnt Miami Beach FI 33140
AaIT10tt T 305.538.3373
..5�" -� �,�� .,�
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P'Rigdon Room 728 `
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Room Type:VBBR
¢ Rate $152 OU Clerk_
f! 3
Arn� 05� ' � �Tme 02.3 M�� '� ire act`1�q�c�t4� Tr►te " � � �� >�ataot�c m�i'����32�� � ��'� e
050ct14 Valet Parking 32.00
050ct14 Parking Tax 2.24
050ct14 Room Charge 152.00
050ct14 Occupancy Sales Tax 10.64
050ct14 State Occupancy Tax 4.56
050ct14 County Tax 4.56
060ct14 Valet Parking 32.00
060ct14 Parking Tax 2.24
060ct14 Room Charge 152.00
060ct14 Occupancy Sales Tax 10.64
060ct14 State Occupancy Tax 4.56
060ct14 County Tax 4.56
070ct14 Valet Parking 32.00
070ct14 Parking Tax 2.24
070ct14 Room Charge 152.00
070ct14 Occupancy Sales Tax 10.64
070ct14 State Occupancy Tax 4.56
070ct14 County Tax 4.56
080ct14 Check 1236.00
080ct14 Valet Parking 32.00
080ct14 Parking Tax 2.24
080ct14 Room Charge 152.00
080ct14 Occupancy Sales Tax 10.64
080ct14 State Occupancy Tax 4.56
080ct14 County Tax 4.56
090ct14 Valet Parking 32.00
090ct14 Parking Tax 2.24
09Oct14 Room Charge 152.00
090ct14 Occupancy Sales Tax 10.64
090ct14 State Occupancy Tax 4.56
090ct14 County Tax 4.56
10Oct14 Valet Parking 32.00
10Oct14 Parking Tax 2.24
10Oct14 Room Charge 152.00
10Oct14 Occupancy Sales Tax 10.64
10Oct14 State Occupancy Tax 4.56
100ct14 County Tax 4.56
Balance: 0.00
Rewards Account#" Your Rewards points/miles earned on your eligible earnings will be credited to your
account. Check your T.Zwards Account Statement or your online Statement for updated activity.
' t K
COURTYARD' Cadillac
by Marriott 3925 Collins Avenue
Cadillac Miami Beach Oceanfrnt Miami Beach FI 33140
Aarnoft T 305.538.3373
,T-7777sm y e w �
S
P�Rigdon Room 728 F
A
t
TypeNBBR
0�
E NumberWX
of Guests 1 �
t Rate $152.00, Clerk
�f
[LAN-A�
a
Valued Marriott Guest, For your convenience we offer Express Check Out. If you do not need to make any changes to your
folio, please Dial Extension 4151 and leave your name and room number. Thank you for staying with us and have a safe
trip!-Courtyard Miami Beach Oceanfront Staff
As requested,a final copy of your bill will be emailed to you at:PRIGDON1 @GMAIL.COM.See"Internet Privacy Statement'
on Marriott.com.
;fining Page 2 of 2
ountry: United States
Telephone: 317-571-2267
Training Contact Information
First Name: Pat
Last Name: Rigdon
Telephone: 317-571-2463
E-mail: prigdon@carmel.in.gov
Payment Information
Payment Method: Purchase Order
P.O.Number: 9-08-2014
Please fax a copy to 909-793-4801,Attn:Training Service Representative.
Special Instructions: None
Training Terms and Conditions
Read the agreed upon Esri Training Terms and Conditions IFOFi,
https://tralning.esri,.com/Gateway/index.cfm?fa=ilt.complete 9/8/2014
;ining Page 2 of 2
;ountry: United States
Telephone: 317-571-2267
Training Contact Ercforrnativn
First Name: Pat
Last Name: Rigdon
Telephone: 317-571-2463
E-mail: prigdon@carmel.in.gov
Payment Information
Payment Method: Purchase Order
P.O.Number: 9-08-2014
Please fax a copy to 909-793-4801,Attn:Training Service Representative.
Special Instructions: None
Training Terms and Conditions
Read the agreed upon Esri-Training Terms and Conditions[PDF].
https_//training.esri.com/Gateway/index.cfm?fa=ilt.complete 9/8/2014
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
I ,
Mo. Day Yr. �! Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA No.
i
Favor Of
Total Amount of Voucher $
Deductions
1(9
75 .
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325