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HomeMy WebLinkAbout240123 12/09/14 (9, CITY OF CARMEL, INDIANA VENDOR: 354421 CHECKAMOUNT: $********48.00* ONE CIVIC SQUARE JASON STEWARTCARMEL, INDIANA 46032 CHECK NUMBER: 240123 CHECK DATE: 12/09/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 48.00 OTHER EXPENSES 1 CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: _Jason Stewart DEPARTURE DATE: TIME: AM/PM DEPARTMENT: Utilities/Sewer RETURN DATE: i TIME: AM/PM REASON FOR TRAVEL:_Seminar/Convention DESTINATION CITY: Indianapolis EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM i I Transportation Gas/Tolls/ Meals Date LodgingMisc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem ;ro:,;;,.,.,., 1/11/00 $24.00 $24'`y00. 11/21/14 $24.00 k $24 0.0 r ��.,r,,:x IN. In t $0 00 1, 6�n $0 00 C$e.�'TlTin 0`0.0 Total $0 000 0077799 $48:00 $0 00 ! $0 0 $0 $0 $000 $0{00 00 r 00 y DIRECTORS STATEMENT: I hereby affirm that all elpenses listed conform to the City's travel policy and are within my department's appropriated budget. I, Director Signature: 1 Date: City of Carmel Form#ER06 Revision Date 11/24/2014 Page 1 WGLUUM TO WLLGOrIE TO PLAZA PARK PLAZA PARK PLEASE KEEP THIS TICKET PLEASE KEEP THIS TICKET WITH YOU WITH YOU Entered/Arriuee: Entered/Arriuee: 2014/11/21 07:51 2014/11/20 06:34 Ticket/Billet#:61576334 Ticket/Billet#:61485274 Our/Duree:5:47:22 Our/Duree:9:11:02 Paid On/Paye Le: Paid On/Paye Le: 2014/11/21 13:39 2014/11/20 15:45 Paid/Paye:$ 24.OD Paid/Paye:$ 24.00 Original Fee:$ 24.U0 Original Fee:$ 24.00 CST-.$ 0.00 CST:$ 0.00 PST:$ 0.00 PST:$ 0.00 Change-:S___ 0.00 Chanae•S 0.00 N, � � Sc:y 0.00_ SC:$ _ 0.00 — ---. Merchant ID: Merchant ID= xxwwwxwxxxwx! . xxxxxxxxxwti Seq# 108292785 01203 Seq# 100901985 01203 Purchase 14/11/21 13:37:39 Purchase 14/11/20 15:43:46 Auth# H26323 Auth# H46967 APPROUED APPROVED 2014 IWEA Annual Conference Registration Form Please copy this form for additional registrations. For more information, visit: indianawea.org/conference i Cancellations made after November 14 will be invoiced, NAME J4 56>7 Sl '/f O First-time attendee Q Life Member* EMPLOYER —Lavin),-L ire b "�— O Elected Official* O Honorary Member* ADDRESS 0 Young Professional (<35) O Tumblebug O Student CITY *Free conference registration—lunches not included STATE ZIP RE I-O N • •• •• PHONE Me onmembe Member Nonmember EMAIL ra y • O 1 Need Wastewater Credits .. • • 0$145 0$175 0$170 0$200 Cert.# Expir. O .I Need Drinking Water Credits �OS145'. 0$175 F 0$170. f 10$200 Cert.# Expir. •• • 0$120 0$150 0$145 0$175 • -Q I Need Engineering PDHs •• -' r ' `i` - h 1 t 1. 0;$30r .. . . 0 $30 0 $30 0$30 1. Mail form to: IWEA, 200 S Meridian St., Ste. 410 0 $30, Indianapolis, IN 46225Qs$so �$so 2. Fax form to: 317.686.2672 86D�ANA ., =t Water tk' TOTAL PO# 3. Scan form and email to: Environment aherbertz@indianawea.org Y{ Association Q 4. Register online £, pay by credit card: Vegetarian, . indianawea,org/conference O Gluten-Free Other: 0 Lactose-Free Thank you for registering for 78th Annual IWEA Conference. Pleasep rint page p e for receipt. p Confirm Contact Information: First Name: Jordan Last Name: Kleinsmith Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email:jkleinsmith@carmel.in.gov Full Conference(does not include lunches or tours) $330.00 Friday Lunch—IWEA&WEF Awards $30.00 Total: $360.00 Number of 1 Registration: Total Cost: $360.00 Print https://www.registerforeventnow.com/mattisonweb/PaymentOption.aspx 11/7/2014 I Thank you for registering for 78th Annual IWEA Conference. Please print page for receipt. Confirm Contact Information: First Name: Robbie Last Name: Kinkead Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email: rkinkead@carmel.in.gov Full Conference(does not include lunches or tours)$330.00 Friday Lunch—IWEA&WEF Awards $30.00 Total: $360.00 Confirm Contact Information: First Name: Lonnie Last Name: Patton Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email:.1patton@carmel.in.gov Full Conference(does not include lunches or tours) $330.00 Friday Lunch—IWEA&WEF Awards $30.00 Total: $360.00 Confirm Contact Information: First Name: Jason Last Name: Stewart hqs://www.registerforeventnow.com/mattisonweb/PaymentOption.aspx 11/7/2014 Employer: Carmel Utilities- WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email:jjstewart@carmle.in.gov I Full Conference does not include lunches or tours 330.00 Friday Lunch—IWEA&WEF Awards $30.00 Total: $360.00 Confirm Contact Information: First Name: Joe Last Name: Faucett Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email:jfaucett@carmel.in.gov Full Conference(does not include lunches or tours)$330.00 Friday Lunch—IWEA& WEF Awards $30.00 Total: $360.00 Confirm Contact Information: First Name: David Last Name: Dye Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email: ddye@cannel.in.gov https://www.registerforeventnow.com/mattisonweb/PaymentOption.aspx 11/7/2014 Full Conference(does not include lunches or tours Friday Lunch—IWEA&WEF Awards $30.00 Friday Only(does not include lunch or tours) $145.00 Total: $505.00 Confirm Contact Information: First Name: Craig Last Name: Carter Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email: ccarter@carmel.in.gov Friday Lunch—IWEA&WEF Awards $30.00 Friday Only(does not include lunch or tours)$145.00 Total: $175.00 Confirm Contact Information: First Name: Ed Last Name: Wolfe Employer: Carmel Utilities-WWTP Address: 9609 Hazel Dell Pkwy City: Indianapolis State: IN Zip: 46280 Phone: 317-571-2634 Email: ewolfe@carmel.in.gov Friday Lunch—IWEA&WEF Awards $30.00 Friday Only(does not include lunch or tours) $145.00 https://www.registerforeventnow.com/mattisonweb/PaymentOption.asp'x 11/7/2014 Total: $175.00 Number of 7 Registration: Total Cost: $2,295.00 Print https://www.registerforeventnow.com/mattisonweb/PaymentOption.aspx 11/7/2014 VOUCHER # 146098 WARRANT # ALLOWED T9957 IN SUM OF $ STEWART, JASON r WASTEWATER PLANT i Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code STEWART,A 01-7040-01 $48.00 it I ,I I i Voucher Total $48.00 Cost distribution ledger classification if i claim paid under vehicle highway fund i i 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 i STEWART, JASON Purchase Order No. WASTEWATER PLANT Terms Due Date 12/3/2014 i Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/3/2014 STEWART, J $48.00 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 Date UpIcer