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HomeMy WebLinkAbout239373 11/19/14 1 �"C�NSI CITY OF CARMEL, INDIANA VENDOR: 354421 ONE CIVIC SQUARE JASON STEWART CHECK AMOUNT: $*******200.00* =a CARMEL, INDIANA 46032 CHECK NUMBER: 239373 ''�;oN moo• CHECK DATE: 11/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 200.00 OTHER EXPENSES CITY OF CARMEL Expense Report (required for all travel expenses) INDIAN EXHIBIT A EMPLOYEE NAME: SGSON ��Waf DEPARTURE DATE: Ii y ly TIME: I "90M :PM DEPARTMENT:_Sewer RETURN DATE; �./ TIME: g'-co AM QM' REASON FOR TRAVEL:_Training DESTINATION CITY: L,tk 7;-jd oNac :-.- EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals TERM Date Lodging Misc. Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem E 11/4/1q $50.0051- 0 11/5/14 $.50.00 T 5'06:0 0 11/6/1'. $50.00 $`" 00 11/7/14 $50.00 :0 ;,() Bloom O�O y� am$, SI��c.. .1 i _�fp 4 IN •0a x :tal; . . .. . � b X000` .:0' $0 — 000'. 00' 00��IMMUNE i. I. 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: 1 City of Carmel Form#ER06 Revision Date 11/13/2013 Page 1 ,", te'` "+ nu''� t 3 201 4 WI U W � x ,., .� , ..,.,..,..,,,, & 4F 1 - ® FEREN 91 ,, . . ..„ . --r.‘,.., k*SN '';44 November 5-7, 2014 Registration: Early Bird Special French Lick Hotel and Conference Center, French Lick, Indiana Available until August 29, 2014. The Midwest Damage Prevention Training Conference will be held Nov. 5-7, 2014 at the French Lick Resort, the top conference center in one of the best conference towns in the Midwest—French Lick, Indiana. If you have any questions or want to inquire about speci overnment ra Tease email emeier @mghus.com. First Name et Ur` i1 Last Name 5 e i,i) r Title Organization C )'f L.L t f crn1 e/ (/311/i )le S• Address © r a e- •.ii.) U City Z_Y d1 CA ncr 100/LS ■ Stater I° ZIP/Postal Code 1/6 ii?-0 Work Telephone 3 ) 7 - .5 7 / - 2(_ E V Mobile Telephone Email J ` S"1 i'e l.)c'+r-4- Cf.c f ill eLe 1 n ,i-® 1/ CONFERENCE PACKAGE OPTIONS.,Check one:of the registration packages below for these extra>low prices . v i4 All packages include full access to,,conference:sessions and meals. 1' 4' ,4 Q Registration Only. : E One-Night Package E'Two-Night"Package tides-conference Three-Night^Package 1 AII:Inclusive?Package` r Includes conference Includes conference Includes conference Inc . Includes conferene'` 1.1 FcAT r Tr registration and meals. registration,one-nighY:hotel fee registration-two-night regrstration;'three-night registration three;nightfi rk k+4 Overnight stay at the (taxes included)andkmeals. ' (Wed.&Thurs`)hotel fee (rues.—Thurs)hotel hotel fee;(Tues Tf ur's 1ri k' hotel not included: im , ❑;Wednesday.El Thursday and•meals. and meals. meals and golf on Wed*mornm'�g $250:00 $375:00 $475:00 $550:00 s.',, :Oig ❑ $100'(Thurs.only) r ;, All packages purchased through the Midwest Damage Prevention Training Conference are non-refundable,but alLare'transierable up until 5 p.m.;oni0ctober,24;2014 , rkF ba ,F�,'+.WW4s{ r ii u'4„-�41e..i. 'Y ilLn l T#t` 'p' ,y„'16�. 5�atZg a �' t7�4`'3.: r �'� 4 . N Y"� a.jr l ; Conferenc911 Istration'tlnc 44.r. POV5sFMOT9l confeirnc'�e secs on4andgmeals:cM„� Vii4i , , w BILLING INFORMATION FOR CREDIT CARD PURCHASES (To pay by check please call 410-902-5054 for more information.) First Name Last Name Name on Credit Card Credit Card Billing Address Phone Number Type of Card ❑Visa ❑ MasterCard ❑ American Express Card Number Expiration Security Code PLEASE SUBMIT YOUR REGISTRATION FORM TO EMILY MEIER BY EMAIL AT EMEIER @MGHUS.COM. Thank you so much for registering for the 2014 Midwest Damage Prevention Training Conference! VOUCHER # 145992 WARRANT # i ALLOWED T9957 IN SUM OF $ STEWART, JASON i WASTEWATER PLANT 1 I Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code STEWART,J, 01-7040-01 $200.00 " I .t I 1 I i'1 I Voucher Total $200.00 ti i 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 T9957 STEWART, JASON Purchase Order No. WASTEWATER PLANT Terms Due Date 11/13/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/13/201, STEWART, J $200.00 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 ji�- / Date icer