243257 03/18/15 ®y CITY OF CARMEL, INDIANA VENDOR: 361675
4.
�• ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $******"693.29*
CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 243257
vy`TON ` NOBLESVILLE IN 46062 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 REIMB 693.29 EXTERNAL TRAINING TRA
Kashman, Jeremy M
From: confirm@purdue.edu
Sent: Sunday, March 15, 2015 11:42 PM
To: Kashman,Jeremy M
Subject: Purdue Extended Campus breakout session confirmation
This message confirms your recent online transaction with Purdue Extended Campus.
Transaction for:
JEREMY KASHMAN
Phone:
You have changed your session selections for the following course:
Title: Road School-March 10-12, 2015
Course: 1284 414-00
Term: 15FY
Section Number: 1
Schedule Number: 16567
Instructor(s): Staff
Location: Stewart Center
Dates: March 9-12,2015
Units: 14.0 CEUs
You are now enrolled in the following breakout sessions:
000 : Did not attend Tuesday morning session (Concurrent Session) 3/10/2015 11:00 AM to 11:50 AM
032 : Updating City Standards with MEPDG (Concurrent Session) 3/10/2015 1:00 PM to 1:50 PM
036 : INDOT See It, Own It, Do It Project Management(2:00 PM -3:50 PM) (Concurrent Session) 3/10/2015 2:00 PM to
3:50 PM
015 : Federal-aid 101 and Federal Project Authorization Fundamentals(Concurrent Session) 3/10/2015 3:00 PM to 3:50
PM
037:Owning Your--Responsibilityand Knowing Your Resources(Concurrent Session) 3/10/2015 4:00 PM to 4:50 PM
000 : Did not attend Wednesday morning session 1 (Concurrent Session) 3/11/2015 8:00 AM to 8:50 AM
000 : Did not attend Wednesday morning session 2 (Concurrent Session) 3/11/2015 9:00 AM to 9:50 AM
073 : Meeting MAP-21 TPM Requirements with INDOT's LRTP (Concurrent Session) 3/11/2015 10:00 AM to 10:50 AM
084 : How to Successfully Implement a Complete Streets Policy(Concurrent Session)3/11/2015 11:00 AM to 11:50 AM
108 : Roundabouts 101-A Bookends Approach to Public Understanding of Roundabouts (Concurrent Session) 3/11/2015
2:00PMto2:50PM
000 : Did not attend Wednesday afternoon session 2 (Concurrent Session) 3/11/2015 3:00 PM to 3:50 PM
000 : Did not attend Wednesday afternoon session 3 (Concurrent Session) 3/11/2015 4:00 PM to 4:50 PM
1
CITY OF CARMEL Expense Report
NAME Kashman, Jeremy M DEPARTURE DATE&TIME: 3/9/2015 5:00 PM
DEPARTMENT Engineering RETURN DATE &TIME: 3/11/2015 5:30 PM
CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE _ REASON FOR TRAVEL: Purdue Road School, Lafayette, IN
Transportation Auto Taxi, Toll Meals
Date Lodging Misc. Total
Air-fare Car rental Expenses etc. Breakfast Lunch Dinner Per Diem
$0.00
3/9/15 $5.00 $186.45 $35.00 $226.45
3/10/151 $5.00 $186.44 $50.001 $241.44
3/11/15 $0.00
$0.00
$0.00
0.00
Total,: W,00,- $0.00 - $10:00 $0:00 $372.891 $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$45 for out-of-state travel(NOT a per diem)
DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my
department's appropriated budget. tt
Director Signature: Date: 3 1G I ��
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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: U I�
City of Carmel Confidential 3/16/2015 Page 1
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
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(GOVERNMENTAL UNIT)
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Pursuant to the provisions and penalties of Chapter 155,Acts 1953;I hereby certify that the foregoing account is just and correct;that the a
Just credits,and that no part of the same has been paid.
Date M a CCA, 16 .20 15-
City of Carmel
Engineering Department
One Civic Square
Carmel, IN 46032
Remit to:
Jeremy Kashman
Invoice Date Invoice# Project Name Amount Paid
3/9/2015 0 Expenses for Purdue Road School $ 467.89
3/9/2015 0 Mileage $ 225.40
Check Total $693.29
Prepared by City of Carmel 3/16/2015
Print Page 1 of 3
Subject: Your Mar 09, 2015 Confirmation#3174646796
From: Hilton Garden Inn Confirmed (hiltongardeninn@res.hilton.com)
To: kashmajm@yahoo.com;
Date: Monday, March 2, 2015 2:54 PM
Hilton Garden Inn West Lafayette Wabash Landing
356 East State Street, West Lafayette, IN 47906
1-765-743-2100
,M.r7` m 105
HOTEL DETAILS DINING AMENITIES & SERVICES I MAP & DIRECTIONS
YOUR STAY DATES: CONFIRMATION:
Mar 09, 2015 — Mar 11, 2015 _' 3174646796 Modify )
s
F7 -7777 77
s
HILTON -
:.,.H'H0N0R—. Hilton HHonorsTm Account: 662167261
Welcome, Total Points as of Mar 02, HHonors Status:
Jeremy Kashman 0 15: BLUE
VIEW ACCOUNT > �
Lg �
ROOM INFORMATION: RATE INFORMATION:
2 QUEEN BEDS, ADVANCE PURCHASE
Non-Smoking Confirmed
Rate per night: 166.47 USD
Rooms: 1
https://us-mg5.mail.yahoo.com/neo/launch?.rand=b6mcunc7ljgt2 3/3/2015
Print Page 2 of 3
Guests: 1 Adult Total for Stay per Room
Check In: 3:00 PM Rate: 332.94 USD
Check Out: 11:00 AM Taxes: 39.95 USD
Total: 372.89 USD
Total for Stay: 372.89 USD
Includes estimated taxes and service
22 00 - y 3143d 02 charges. (Gratuities not included.)
Guaranteed room upgrade with HHONORS points. POINTS UPGRADE )
8ATISFY YOUR APPE �.. �� % % %
ANY TIME 0 F D A`(Res+ajjrant and
� � �
' 24/7
4/7 pan t.��r-.,-
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q.
BRAND NEWS • DESTINATION OFFERS • SPECIAL SUBSCRIBE >
INTERESTS
COMMENTS AND REQUESTS:
GPM UA16380920
ADDITIONAL INFORMATION:
Tax:
• 7.00% per room per night
• 5.00%per room per night
• Self parking: 5.00/night
This reservation is non-refundable and may not be changed or canceled. If you require assistance,
please contact our Support Care Desk at 1-800-236-7113 or 972-726-3361.
RATE RULES AND CANCELLATION POLICY:
• Your reservation is guaranteed for late arrival on the scheduled arrival date of your reservation by
advance credit card payment for the entire stay, as reserved.
https://us-mg5.mail.yahoo.com/neo/launch?.rand=b6mcunc7ljgt2 3/3/2015
Chase Online -Account Activity Page 1 of 2
Chase Online
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Present Balance
Available Balance
See full account number
Overdraft Features Show details
Transaction Results(33-64)for CHASE CHECKING Previous I Next
t
View checks by check number Search Transactions
Date Type Description Debit Credit
03/03/2015 Debit Card
Transaction HILTON ADVANCE PURCHA 800-236-7113 TN 03/02 $372.89
-
https://resources.chase.com/commonui/javascripts/nisi/ui/htmUPrint.html 3/19/2015
Hilton HILTON GARDEN INN WABASH LANDING
' iYyr=, 356 EAST STATE STREET
lr 111E1 WEST LAFAYETTE,IN 47906
United States of America
TELEPHONE 765-743-2100 *FAX 765-743-6520
Reservations
www.hilton.com or 1 800 HILTONS
KASHMAN,JEREMY Room No: 220/Q2
Arrival Date: 3/9/2015 4:24:00 PM
18567 PILOT MILLS CT Departure Date: 3/11/2015 12:23:00 PM
Adult/Child: 1/0
NOBLESVILLE IN 46062 Cashier ID: ASPRODUALLYSON
UNITED STATES OF AMERICA Room Rate: 166.47
AL:
HH# 662167261 BLUE
VAT#
Folio No/Che 328282 A
Confirmation Number:3174646796
HILTON GARDEN INN WABASH LANDING 3/11/2015 12:22:00 PM
DATE IDESCRIPTION ID REF NO I CHARGES CREDIT BALANCE
3/9/2015 GUEST PARKING DMOHLER 1215290 $5.00
3/10/2015 GUEST PARKING DMOHLER 1215660 $5.00
3/11/2015 ASPROUL 1215960 ($10.00)
**BALANCE** $0.00
You have earned approximately 3329 Hilton HHonors points for this stay.Hilton HHonors(R)stays are posted within 72 hours of checkout.To
check your earnings or book your next stay at more than 3,900
CREDIT CARD DETAIL
APPR CODE 082316 MERCHANT ID 0194114600
CARD NUMBER VS*6962 EXP DATE 09/17
TRANSACTION ID 1215960 TRANS TYPE Sale
Page:1
Chase Online-Account Activity Page 1 of 2
Chase Online
,Y V
I"
Details for CHASE CHECKING
Present Balance
Available Balance
See full account number
Overdraft Features Show details
Transaction Results(1 -32)for CHASE CHECKING( Next
1 � View checks by check number I Search Transactions
I Date Type Description Debit Credit
03/13/2015 Debit Card HILTON GARDEN INN WEST LAFAYETT IN 03112 $10.00
Transaction
https://resources.chase.com/commonui/J*avascripts/nisi/ui/html/Print.html 3/19/2015
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
3/9/2015 0 Expenses for Purdue Road School $ 467.89
3/9/2015 0 Mileage $ 225.40
Total $ 693.29
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.
Jeremy Kashman ALLOWED 20
IN SUM OF$
$ - 693.29
ON ACCOUNT OF APPROPRIATION FOR
i
I
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4343002 $ 467.89 bill(s) is (are)true and correct and that the
Imaterials or services itemized thereon for
0 0 2200-4343002 $ 225.40 which charge is made were ordered and
!received except
i
Ji
3/16/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund