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
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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
$0{00 00 r 00
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DIRECTORS STATEMENT: I hereby affirm that all elpenses listed conform to the City's travel policy and are within my department's appropriated budget.
I, Director Signature: 1 Date:
City of Carmel Form#ER06 Revision Date 11/24/2014 Page 1
WGLUUM TO
WLLGOrIE TO
PLAZA PARK PLAZA PARK
PLEASE KEEP THIS TICKET PLEASE KEEP THIS TICKET
WITH YOU WITH YOU
Entered/Arriuee: Entered/Arriuee:
2014/11/21 07:51 2014/11/20 06:34
Ticket/Billet#:61576334 Ticket/Billet#:61485274
Our/Duree:5:47:22 Our/Duree:9:11:02
Paid On/Paye Le: Paid On/Paye Le:
2014/11/21 13:39 2014/11/20 15:45
Paid/Paye:$ 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
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,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