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241534 1 /27/2015 a��CAgM �( �.�. CITY OF CARMEL, INDIANA VENDOR: 361675 ® ,I ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*******260.22* �9, ,=Q CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 241534 MF"rui c� NOBLESVILLE IN 46062 CHECK DATE: 01/27/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 260.22 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report NAME Kashman, Jeremy M DEPARTURE DATE &TIME: 1/11/2015 5:00 PM DEPARTMENT Engineering RETURN DATE &TIME: 1/14/2015 5:30 PM CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE _ REASON FOR TRAVEL: TRB Conference-Washington, DC Transportation Auto Taxi, Toll Meals Date Ex etc. Lodging Misc. Total enses Air-fare Car rental' P Breakfast Lunch Dinner Per Diem $0.00 1/11/15 $12.7771-- $12.77 1/12/151 $65.00 . $65.00 1/13/15 $6.19 $65.00 $71.19 1/14/15 $13.767- $65.00 $78.76 $0.00 0.00 Total $0.00 $0.00 $0.00 $32.72 $0.00 $0.00 $0:00 $0'.00 : $0.00 For advance payments, claim form must be submitted fifteen (15) 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, if traveling by air 3) Original itemized receipts or affidavits, if approved by Department Director,for all expenses(except for meal per diems) 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),$35 for in-state travel and$45 for out-of-state travel(NOT a per diem) DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. � Director Signature: Date: //a-a EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,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 understand that within fifteen(15)business days of my return(as stated above), 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. Employee Signature: Date: City of Carmel Confidential 1/16/2015 Page 1 City of Carmel Engineering Department One Civic Square Carmel, IN 46032 Remit to: Jeremy Kashman Invoice Date Invoice# Project Name Amount Paid 1/22/2015 0 TRB Conference-Washington, D.C. $ 227.72^ 0 Check Total $227.72 Prepared by City of Carmel 1/26/2015 The Westin Washington, D.C. City Center 1400 M Street Northwest Washington, DC 20005 202-429-1700 WESTIN http://www.westinwashingtondccitycenter com HOTELS & RESORTS Kashman, Jeremy Page Number 1 Invoice Nbr 1000115321 18567 Pilot Mills Ct Guest Number 727443 Arrive Date 01-11-2015 19:02 Noblesville, IN 46062 Folio ID A Depart Date 01-14-2015 14:00 No. Of Guest 1 Room Number 1228 Information Invoice Date Reference. Description Charges Credits 01-11-2015 RT1228 Room Charge Non Qual Discount $199.00 01-11-2015 RT1228 Room Tax $28.86 . 01-11-2015 DEPOSIT Deposit Applied $-683.57 01-12-2015 RT1228 Room Charge Non Qual Discount $199.00 01-12-2015 RT1228 Room Tax $28.86 01-13-2015 RT1228 Room Charge Non Qual Discount $199.00 01-13-2015 RT1228 Room Tax $28.86 01-14-2015 $-0.01 ** Total $683.58 $-683.58 ** Balance $0.00 For your convenience, we have prepared this zero-balance folio indicating a $0 balance on your account. Please be advised that any charges not reflected on this folio will be charged to the credit card on file with the hotel. While this folio reflects a $0 balance, your credit card may not be charged until after your departure. You are ultimately responsible for paying all of your folio charges in full. Continued on the next page The Westin Washington, D.C. City Center 1400 M Street Northwest Washington, DC 20005 202-429-1700 WESTIN http://www.westinwashingtondccitycenter .com HOTELS & RESORTS Kashman, Jeremy Page Number 2 Invoice Nbr 1000115321 18567 Pilot Mills Ct Guest Number 727443 Arrive Date 01-11-2015 19:02 Noblesville, IN 46062 Folio ID A Depart Date 01-14-2015 14:00 No. Of Guest 1 Room Number 1228 Information Invoice 0.00 0.00 0.00 0.00 0.00 As a Starwood Preferred Guest you have earned at least 1194 Starpoints for this visit Thank you for choosing Starwood Hotels We look forward to welcoming . you back soon! Tell us about your stay. www.westin.com/reviews Tell us about your stay. www.westin.com/reviews STAY LONGER - Enjoy more time to explore your destination with the benefits of Westin Weekend, from extended breakfast hours to late Sunday checkouts. Book your next Westin Weekend at westin.com/weekend Kashman, Jeremy M From: Jeremy <kashmajm@yahoo.com> Sent: Wednesday,January 14, 2015 4:16 PM To: Kashman,Jeremy M Subject: Fwd:Your Wednesday afternoon trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts <receipts.washin on.DC@uber.com> Date: January 14, 2015 at 3:42:28 PM EST To: kashmgjm@yahoo.com Subject: Your Wednesday afternoon trip with Uber U Q E R JANUARY 14,2015 13.76 Thanks for clioosing UI nonage `'Irtffr FARE BREAKDOWN S Wash gton 4 Base Fare _. 295 Arlg on, ` ; � J . . a\ � f Distance 112 'S sroads `' ' t • i Time . : sites \ /Hillcrest; POTOMAC ."' Map daE,a:02015ti�o4og�e; O 03:24pm Subtotal 1420-1498 M Street Northwest,Washington,DC Safe Rides Fee(?) 03:42pm Ronald Reagan Washington National Airport,Aviation Circle,Arlington,VA 1 CAR MILES TRIP TIME uberX 5.06 00:17:45 CHARGED RATE YOUR DRIVER You rode with yaw Issued by Drinnen on behalf of Rasier Uber Support Contact us with questions about your Give$20, Get$20 trip.Leave something behind?Track it down. Share code:jeremyk40l 2 Kashman, Jeremy M From: Jeremy <kashmajm@yahoo.com> Sent: Tuesday,January 13, 2015 7:44 PM To: Kashman,Jeremy M Subject: Fwd:Your Tuesday evening trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts.washin on.DCnae uber.com> ��dl9Yzo � Date: January 13, 2015 at 7:09:41 PM EST To: kashmajm(a),yahoo.com t Subject: Your Tuesday evening trip with Uber U B E R JANUARY 13,2015 $6.19 Thanks for choosing Ul 1 i 1 FARE BREAKDOWN NStNW, , r f � o 1a =J, Base Fare L St NW- Distance L '4/ NW l I ._ z no Time M`p_data©201.5,Google` O 07:OOpm Subtotal 811-899 Mount Vernon Place Northwest,Washington,DC Safe Rides Fee(?) O 07:09pm 1421-1499 M Street Northwest,Washington,DC CAR MILES TRIP,rIMG 1 uberX 0.68 00:09:19 CHARGED RATE YOUR DRIVER You rode with Guy Issued by Drinnen on behalf of Rasier ----------- Uber Support Contact us with questions about your Give$20, Get$20 L 11-1 trip.Leave something behind?Track it down. Share code:jeremyk401 2 Kashman, Jeremy M From: Jeremy <kashmajm@yahoo.com> Sent: Sunday,January 11, 2015 9:19 PM To: Kashman,Jeremy M Subject: Fwd:Your Sunday evening trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts.washin on.DC@uber.com> Date: January 11, 2015 at 7:00:34 PM EST To: kashmajm(2yahoo.com Subject: Your Sunday evening trip with Uber U B E JANUARY H,2015 12.77 Thanks for choosing UI 1--,---uoiiage. 1 -- Q FARE BREAKDOWN y 1 , 20 � _ Wash ' I 50. ton { h Base Fare Arlington rf' z j Distance i i 120 &1 IeY s ; • _ guit� roads ' } I % a,�� Time C7 1 Hillcres-C' POTOMaC " Map'data`020.15j�'t�oglSe' O 06:45pm Subtotal Ronald Reagan Washington National Airport(DCA), Aviation Circle,Arlington,VA Safe Rides Fee(?) O 07:00pm 1420-1498 M Street Northwest,Washington,DC CAR MILES TRIP TIMI: 1 uberX 4.87 00:14:44 CHARGED RATE YOUR DRIVER You rode with AmaNii Issued by Drinnen on behalf of Rasier Uber Support Contact us with questions about yourGive $20, Get$20 trip.Leave something behind?Track it down tQt Share code:jeremyk401 2 94th Annual Meeting Online www.TRB.org/AnnualMeeting (STRONGLY REC&MODED, cmrr CAM cip) Fax 703-631-1167 January 11-15, 2015• Washington, D.C. Mail TRB RegisMion & Homing 11208 Waples Mill Rd., Suite 11Z Fairfax, VA 22030 Attendee Registration and Hotel Reservation Form Questions? TRB(Aspaigo.com; 877-5B5-6006, 703-449-6418 (M-F) 8:30 am. - 5:00 p.m, EST ❑r Check if this is an address change. Pease print and complete all required(')information. ,u ,P-, (. e., . .\� a,S,1A,IM. a.,N , First Name* Last/Family Name* ,C. i .+ I, I.". %, i . h, C,e-, I-, Nickname for Badge �f e Title 4�. 4, � -7r '.�. •x . 1 . 7, \ Ir Organizatio • Telephone' Address' r Cr A.r..Yfrr` . . , . . . . . r . . . ty .l .q.b. City' State/Province• Zip/Postal Code' IV's. ,i.k,a, C.VX." Q.V► . 4,c.a,� ,w�, e. y E Countrmail' FOR CONFIRMATION 1. Registration Fees* (MUST SELECT ONE)_— — yy� —ener NOY onsile . IV. Organization Type` SELECT ONE) ❑ General Registration _ $670 $945 ❑U.S.DOT ❑Transit Agency One By Registration(SELECT ONLY ONE) ❑Other U.S.Federal Government ❑University/University-Based Research ❑SUN ❑MON ❑TUE ❑WED $385 $505 ❑Non-U.S.Government ❑Consultant/Contractor Young Professi---' -- -"- - R) ❑State Transportation Department ❑Industry/Commercial Date of Birth' _ 'REQUIRED) $300 $3 ❑Other State Government ❑Association/Nonprofit ❑ Non-Member Full-Tune Student ,L ocal Or Regional Government ❑Other (SPECIFY ONLY IF YOUR Date of Birth Idh4 /��/ YY (MUST SUBMIT STUDENT ID) $160 $185 Agency(city,county.Or MPO) ORGANIZATIONAL TYPE IS NOT LISTED HERE) ❑ TRB Individual Affiliate Member(CURRENT AFTER 1/1/14) $540 S790 ❑Airport ❑ TAB Student Affiliate Member(cuRRENT AFTER 1/1/14) $go $105 ❑Port Authority Date of Birth'-LM—1 DD / YY (MUST SUamrr STUDENT ID) ❑ TRB Executive Committee;Chair of TRB Technical Activities V. Subject Areas of Interest' Division,Group,Section,Committee(NOT SUBCOMMITTEES).Task No Fee - — -- Force;TRB Sustaining or Organizational Affiliate Employee; �.Administration & Management ❑ Freight Transportation ❑ Pipelines Media ❑ Aviation ❑ Geotechnology KPlanning 8 Forecasting ❑ Member of TRB Technical Activities Division,Group,Section. ❑ Bridges & Other Structures ❑ History §t Policy Committee NOT SU9cOMMITTEEs,or Task Force $410 $605 PkConstruction ❑ Hydraulics & Hydrology P.Public Transportation ❑ Emeritus Member $160 $185 ❑ Data & Information Technology ❑ law ❑ Railroads ❑ Program Presenter(MUST APPEAR IN INTERACTIVE PROGRAM) $615 $615 Design ❑ Maintenance & Preservation ❑ Research (about research) ❑ TRB Sponsor Employee Economics ❑ Marine Transportation ❑Safety& Human Factors ❑ 1 affirm that I am an employee of a TRB Sponsor.(REQUIRED) MUST BE AN EMPLOYEE OF A TRB SPONSOR DURING THE ANNUAL No Fee ❑ Education & Training ❑ Materials ❑Security& Emergencies MEETING.IT IS ILLEGAL FOR PRIVATE CONTRACTORS,RETIRED EMPLOYEES, ❑ Energy ❑ Operations & Traffic Management ❑Society OR OTHERS TO REGISTER AS AN EMPLOYEE OF A GOVERNMENT AGENCY. ❑ Environment ❑ Pavements ❑Terminals & Facilities ❑ Human Factors Workshop Only ❑Finance I%Pedestrians & Bicyclists 0 Transportation, General ❑ I acknowledge that Human Factors Workshop Only ❑ Vehicles & Equipment registration does not include TRB housing.Annual Meeting sessions, See Below exhibit hall,Annual Meeting Online,a Final Program,or the Mobile App.I will only attend Human Factors on Sunday.(REQUIRED). VI. Payment* (REQUIRED To PROCESS FORM IF BALANCE DUE NO WIRE TRANSFERS.) Registration Fee $ Optional Fees Total $ TRB reserves the right to charge the total II. Optional Fees o�uB Payment $ du ebaSed an bilin and totals registration -_---_-----.--_--!_ by xoy so0ner Rov 3n _ -_-_ Total Fa category eligibility purchases. Human Factors Workshops (SELECT ONLY ONE) ❑ Credit Card (RECOMMENDED) ❑HFA ❑HFD ❑HFG ❑ American Express ❑MasterCard ❑VISA Expiration Date ' ❑HFB ❑HFE ❑HFH $200 $275 $_ ❑HFC ❑HFF ❑HFI CARD # Circle your Lunch Selection:Chlcken ar Vegetarian chick..ni b.-.d-1...r.enede r.....n.d ❑ Check(Payable to TRB;,U.S.funds drawn on U.S.bank; ' ❑Chairman's Luncheon Quantity x S70 $85 $_ uuu check payments require additional processing time.) Circle your Entree Selection: Fish or Vegotarlan e.h.an b.—W m...r.A,mn..1.W..I.& LgR Purchase Order #. . , , , . . . . 1�1 New Attendees Welcome Session No Fee I (Accepted from domestic government agencies and universities only.), 1�0 Individual Affiliate Membership $182 $ VII. Hotel Reservation (REGISTRATION 8 ALL FIELDS REOUIflED TO PROCESS.) ❑ Student Affiliate Membership $118 $_ -" - --'-— -'—'-- —-"--------" -- Arrive:Day/Date January 2015 ❑ TRB Minority Student Fellows Program Contribution $ Depart:Day/Date January , 2015 Total $— Choice 1 Choice 2 ❑Requests (bed size,ADA, etc.): (confirm at check-in) III. Demographics ❑Single (1 person) ❑Double (2 persons) 1.Male-❑2.Female Ll3.New Attendee LI4.Minority Frequent Stay# (confirm at check-in) ❑Check 0 you do not want to receive the TRB E-Newsletter. Hotel rooms are limited.If your choices are not available: ❑Check it you do not want to receive exhibitor or patron mailings. ❑Do not assign a room or ❑Assign a room at any hotel If you have a disability that requires ADA accommodation,specify required aids/services by Credit Card November 30: (RECURED FOR ARRIVAL GUAMNIEE AND CHARGED OILY PER CMCETIAEON&ND-SHOW POLICY) ❑Use card in Section VI or ❑Use new card ❑ American Express ❑MasterCard ❑ VISA � Bio P Expiration Date ❑Check if you will NOT pick up a printed copy of the Final Program onsite. CARD #r r r r , , , r , , r r r r r r r 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Jeremy Kashman Purchase Order No. Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 1/22/2015 0 TRB Conference-Washington, D.C. $ 227.72 Total $ 227.72 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. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Jeremy Kashman �' ALLOWED 20 IN SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or DEEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or 0 0 2200-4343002 $ 227.72 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 i 'i f 11 ,I . an 1/27/2015, 1 Signatur City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund