HomeMy WebLinkAbout242813 03/03/15 d�y�'CAp�;£� CITY OF CARMEL, INDIANA VENDOR: 368232
ONE CIVIC SQUARE JEFF PETERS CHECK AMOUNT: $********27.00*
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CARMEL, INDIANA 46032 C/O WATER DEPT CHECK NUMBER: 242813
9'�iroi CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 021015 27.00 OTHER EXPENSES
Circle Centre Mall
Indianapolis, IN
Fee,Computer Number: 12
Cashier: 161 Id-#161
Transaction Number: 105720
Entered: 02/12/2015 01:06
Exited:. 02/12/2015,111:03
Ticket #66367 Dispenser #41 ,
Lot: -- Wor-ld-Wonders*-
Area: Area 1
Rate: Da.ily20l5R
Parking Fee: . , $ 10.00
Total Fee': $ 10.00
Cash: $ 10.00
Total Paid: $,10.00
Thank You
Denison Parking
Circle Centre'Mall
Indianapolis, -IN .
Fee Computer Number: li
Cashier: 1BE Id nu
transaction Number: U545i
Entered: 02/11%2015 08:51E
Exited: 02/11/2015 .18 AF
Ticket #37375. Dispenser tr;
Lot: World W nders
Area: . Arrw
Rater Da 11y2Cj'
Parking:Fee:
Total Fee: $ 1.".0,
Cash: _ s
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Total Paid:
Thank You
Denison Parking
TQ�iT!IF$piip
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CITY OF CARMEL Expense Report (required for all travel expenses).
,ao�ANp, EXHIBIT A
EMPLOYEE NAME: Jeff Peters DEPARTURE DATE: 2 IS TIME: AM/PM
DEPARTMENT: Water Dept RETURN DATE: Z 1.57 TIME: AM/PM
REASON FOR TRAVEL:_Attend Indiana Section AWWA Annual Mee DESTINATION CITY:_Indianapolis
EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental - Other 9 Breakfast Lunch Dinner Snacks Per Diem
2/11/15 $17.00 $17.00
2/12/15 $10'.00 $10.00
$0.00
$0.00 .
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
_ $0.00
0.00
Total $0.001 $0.001 $0.00 $27.001 $0.00 $0.00 $0.00 $06,001 $0.001 $0.00 $0.00 I
DIRECTOR'S STATEMENT: I hereby a irm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
V
jV
City of Carmel Form#ER06 Revision Date 2/24/201'5 Page 1
107th Annual Meeting
IMMA SECTION AWWA .
Marriott Hotel-Indianapolis,IN
February 10-12,2015
R E G 8 T R AT � 0 N - CS C R M
UTI LITYIOP E R AT O R I G O V E RNM ENT
NAME: p t:_k e_r 5 J e 7� (only one name perform) AWWA MEMBER#: d D 3 l(qZ A(o
Lam FIrs' InIal
TITLE: Wa-l-er Dozca 1o,ns MaAaKec- ORGANIZATION: Carmel LkAr- .-k�es
ADDRESS: S4!50 \)q. til '\' S-tr.
CITY 1 STATE 1 ZIP: C&C vv\e 1 I 1 tJ A&P 014
OFFICE TELEPHONE:( 3 1-1 ) 13 3— Z S SS FAX:( 311 ) -13 3 7_053
EMAIL: a R L-�e.c s C., C a m vK e\ . 't.<n .. o V
REGISTRATION M
Employees of Companies holding a Service Provider membership quality for the Member rates. "17h.:e�b'�-AbtfNE"�'forADVANCE registration
Full conference-member* Advance:$125 ❑ On-site:$185
Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265
One day-member* ❑ Advance:$100 ❑ On-site:$135 Day: -
One day-non-member* ❑ Advance:$195 ❑ On-site:$230 Day:— -
*A$10.00 fee will be charged for all on-site name changes on pre-registration name badges.
COMPLUviF.NTARY REGISTRATIONS
❑ Student,full-time ❑ Retired(AVMA members only)
[jGuest(Admittance to receptions only) Name: ' ' ' ' ' '
;1�y-gar,will,j�qa`Vbucher for
EARLY BIRD REGISTRATION
Monday,Feb.9,3:00-7:00 p.m. garage.
NVI�UTickets required Marriott or
o the
sday,Feb.10, 12-noon:Keynote luncheon-$25 ' '
'Wednesday,Feb.11,12-noon:Awards luncheon-$25ration
2
❑Thursday,,Feb.12,7:30 a.m.:Breakfast-$15
-------------------------------------------------------------
Tp}aj Amoua}Enclosed; �, -
Return this completed form with payment to the address below or visit www.inawwa.o register ister online.
heck made payable to Indiana Section AWWA is enclosed. (Check no.: )
❑ Please charge to my: ❑Visa ❑MasterCard ❑American Express ❑Discover
Name as it appears on card:
Billing address:
Card number: Exp.date: Signature:
ONLY ONE NAME PFR SPECIAL NEEDS REFUND FOUiCY RETURN COMPLETED
FORM,plFA4Fl Every reasonable effort will be You can recover your pre-pay- FORM TO:
Photocopy the registration made to accommodate special ment by written request,post- Indiana Section AWWA
form for use by others needs.Please contact Dawn marked no tater than Jan.1, 5265 E.8 310 treet
Suitor go to our web site for additional Keyler at(866)213-2796 or 2015,to Dawn Keyler. Indianapolis,IN 46250
forms or to register online dawn.keyler@inawwa.org Request for refunds made after Office:(866)213-2796
www.inawwa.org with your request. that date-cannot be honored. FAX(866)215-5966
i
ME
i
r
VOUCHER # 151097 WARRANT # ALLOWED
I
T1655 IN SUM OF $
PETERS, JEFF
CARMEL WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
021015 01-6040-03 $27.00
i
Voucher Total $27.00
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
T1655
PETERS, JEFF Purchase Order No.
CARMEL WATER Terms
Due Date 2/26/2015
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/2015 021015 $27.00
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 kZ'
Date
icer