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240550 12/30/2014
CITY OF CARMEL, INDIANA VENDOR: 361675 j; ® 1 ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*******480.04* .q CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 240550 vy(�oN, :?' NOBLESVILLE IN 46062 CHECK DATE: 12/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 480.04 EXTERNAL TRAINING TRA Southwest Airlines - Purchase Confirmation Page 1 of 2 Espanol FLIGHT I HOTEL I CAR SPECIAL OFFERS RAPID REWARDSv Southwesty Thank you for your purchase! Indianapolis,IN-IND to Washington(Reagan National),DC-DCA New Purchases in Trip Air --------- --- - — Confirmation#FRRVYS Indianapolis,IN-IND to Washington(Reagan National),DC- j DCA Sunday,January 11,2015-Wednesday, January 14,2015 j- Air Total:$416.20 j Amount Paid $416.20 Trip Total $416.20 You have successfully signed up for the Southwest Airlines Rapid Rewards program and Congratulations! will eam 2,166 points upon completion of your trip! JEREMY M KASHMAN Every time you fly with Southwest Airlines,you'll earn points towards your next reward Rapid Rewards Account Number flight.To view your account or learn more about all the benefits of being a Rapid Rewards j 20422316445 Member please log in to your account ! ! I ]AN 11 j SUN 1 01/11/15 -Washington D.C. TRB New purchases added to your trip. AIR Indianapolis,IN-IND to Washington(Reagan National),DC-DCA Confirmation# 01/11/2015 - 01/14/2015 FRRVYS Adult Passenger(s) - Rapid Rewards# JEREMY KASHMAN Add Rapid Rewards Number Subscribe to Flight Status Messaging DEPART I 05:00 PM Depart Indianapolis,IN i Flight ]AN 11 (IND)on Southwest Airlines ; #309 soum+mc` i Sunday,January 11,2015 SUN i 06:35 PM Arrive in Washington Travel Time 1 h 35 m (Reagan I ( National),),DC NliFl available (Nonstop) (DCA) j Wanna Get Away i i RETURN ! 05:30 PM Depart Washington j Flight 3AN 14 ! (Reagan National),DC ; #2672 s41d-0— Wednesday,January 14,2015 I { (DCA)on Southwest Airlines � r WED i Travel Time 1 h 45 m ! 07:15 PM Arrive in Indianapolis,IN (Nonstop) WiFl available - (IND) ' Wanna Get Away https://www.soutliwest.com/reseivations/confirm-reservations.html?disc=pdc%3AA5B49... 12/29/2014 Southwest Airlines -Purchase Confirmation Page 2 of 2 What you need to know to travel: Don't forget to check in for your Flight(s)24 hours before your trip on southwest.com®or your mobile device. Southwest Airlines does not have assigned seats,so you can choose your seat when you board the plane.You will be assigned a boarding position based on your checkin time.The earlier you check in,within 24 hours of your Flight,the earlier you get to board. WiFi,TV,and related services may vary and are subject to change based on assigned aircraft.Learn More PRICE:ADULT Trip Routing Fare Type I View Fare Rules Fare Details Quantity Total No Change Faes Wanna Get Away (applicable fare difference applies) Depart IND-DCA Reusable Funds 1 $265.10 Baogert Value (nontransferable-no name changes all—c!) • Nonrefundable unless purchased with Points • No Change Fees Wanna Get Away (applicable fare difference applies) Return DCA-IND Reusable Funds 1 $151.10 EttJlentValue (nontransferable-no name changes allowed) Nonrefundable unless purchased WO Points Enroll in Rapid Rewards and earn at least 2166 Points for this trip. Subtotal $416.20 Already a Member?Log in to ensure you are getting the points you Fare Breakdown deserve. carry-on Items:1 bag+1 small personal Item are free,see full details. gag Charge $0.00 Checked Items:First and second bags are free,size and weight limits apply. Air Total: $416.20 Gov't taxes&fees now included Purchaser Name Jeremy Kashman Billing Address 18567 Pilot Mills Ct Noblesville,IN US 46062 Form of Payment Amount Applied Visa-XXXXXXXXXXXX-6962 $416.20 Amount Paid $416.20 Trip Total $416.20 ©2014 Southwest Airlines Co.All Rights Reserved.Use of the Southwest websites and our Company - Information constitutes acceptance of our Terms and Conditions.Privacy Policy https://www.southwest.com/reservations/confiin-i-reservations.html?disc=pdc`/"AA5B49... 12/29/2014 TO DR. (Governmental Unit On Account of Appropriation No. ! for Office,Board,Department or Institution DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @ -5(o _ 20 Point Point Start Finish ? TRAVELED PER MILE o-IS-1o,y C�,,,,c q�,,n{b„s.. Zael IISW-0 'I TC N1, -"Cc w�c..l f l to o$ ► o b$ Ip-2g-2o1`-i 0,.- Dopa vl .ave I1 13S l l`{l5 3 T RSC, 6 �n l lb l0 6$ �e•,lir"o•.s n Il l 53 l l''}l7 � • �. �` �Lt,, r �i I o D 11- !5 -1014 Il`[65[ 1145144 .mob\c�,I:t4 It `t Z 2 5 t C; LI IlLtiss 1149q2 ` ` 1?�\w 3 `t2 l Auto License No. TOTALS ?j *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 Prescribed by State Board of Accounts General Form No.101 (1955) MILEAGE CLAIM TO i DR. (Governmental Unit) On Account of Appropriation No. for (Office,Board, Department or Institution DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @ 20 Point Point Start Finish TRAVELED PER MILE ? I I 1 i Auto License No. TOTALS I *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 i Claim No. Warrant No. I have examined the within claim and IN FAVR F hereby certify as follows: �i k+` That it is in proper form; That it is duly authenticated as required I ' by law; That it is based upon statutory authority; j That it is apparently {in or ct $ incorrect On Account of Appropriation N . -CSU v for Disbursing Officer (D Allowed 20 a o in the sum of$ o - (- vii O (D (D rr � 0 ohm (Board or Commission) Imo[+ 0 I FILED (D (D o (D o Q En (Official Title) (D Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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. t` Payee l`ot,&V1C'iv\ Purchase Order No. ei V G i 41t_Lr Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. ALLOWED 20 IN SUM OF $ $ yF , `4tt 'R ON ACCOUNT PROPRIATION FOR 4�012 Board Members INVOICE NO. ACCT#/TITLE AMOUNT DEPT. # I hereby certify that the attached invoice(s), or i bill(s) is (are) true and correct and that the 141a Soo I 41� ,Zo materials or services itemized thereon for which charge is made were ordered and received except I!MCATA ,r 20 !7 SI nature CT--ry Z Lam" cam? Cost distribution ledger classification if Title claim paid motor vehicle highway fund