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HomeMy WebLinkAbout244799 04/29/15 ''�,..wA,,F CITY OF CARMEL, INDIANA VENDOR: 368793 f)� ti� i'. ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $*******835.73* ;?� CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 244799 'Mi�oN-�o• CARMEL IN 46032 CHECK DATE: 04/29/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343003 330.00 TRAVEL & LODGING 1192 4343004 505.73 TRAVEL PER DIEMS e���oe cggb� T��FAIs/ja CITY OF CARMEL Expense Report (required for all travel expenses) No�AKp EXHIBIT A EMPLOYEE NAME: �Y✓��-�z. �� DEPARTURE DATE: 4�f TIME: Q'S AM/ M DEPARTMENT: ��(Jl�� RETURN DATE: I Zl TIME: g : , AM .PM REASON FOR TRAVEL: ( DESTINATION CITY: ,I EXPENSES ARE FOR (check all that ap : TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/ Meals Date Tolls/ Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Shacks Per Diem 4/19/15 $65.00 $65.00'. 4/20/15 $65.00 $65:00 4/21/15 $18.00 $312.00 $65.00 $395.00 $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 $0:00' $0.00 $18.00 $0.00 $312.00 $0.04, : $0.00 $0.00 $0.00 $195.00 $0.00mmald DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 4/22/2015 Page 1 Prescribed by State Board of Accounts i General Form No.101 (1955) MILEAGE;CLT TO ke� S DR. (Governmental.Unit) On Account of Appropriation No. for (Office,Board, Department or Institution DATE FROM TO ODOMETER READING* NATURE'OF BUSINESS AUTO MILES MILEAGE 20_L��_ Point Point Start Finish TRAVELED PER MILE i Auto License No. TOTALS i * SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. i Date i Claim No. Warrant No. I have examined the within claim and hereby certify as follows: IN FAVOR OF i That it is in proper form; �S That it is duly authenticated as required by law; I That it is based upon statutory authority; That it is apparently correct incorrect j i On Account of Appropriation No. [ 1 for Disbursing Officer Q100 � Allowed 20 I m r✓: o i j in the sum of$ - o m En o m � ( ,(D (D 15� cD I o � C ¢ o (Board or Conunission) I) CD O I CD FILED m o m ` OO (D m ' I m m CD EEn n (Official Title) r+ R — (D o VQ K N Q+ Affadavit for Tips, etc I Michael Sheeks; ersonall incurred $18.00 in tips while attending the p Y seminar When Disaster Strikes in St. Louis, MO April 19-21. Michael Sheeks 2015 ICC . 1 _ n Ah -. d ■ Registrat Reside tial Inspection YnstitUte (Based on the 2012 I-Codes) 3.0 CEUS MEMBER PRICE: $780; NONMEMBER PRICE: $980 Review the latest inspection tools and learn the.step processes to complete residential building, mechanical, plumbing and'electrical inspections.After attending,you will be better prepared to: o Perform effective and efficient residential building, mechanical, plumbing and electrical inspections in compliance with the 2012 Internati6nalResidentia1 Code'(IRC°) o Use industry best practices and practical information to improve residential inspection techniques F_ o Use resource manuals to acquire knowledge and employ on the job March 23-27 Austin,TX �:geptember 14-18 Atlanta, GA Plan Review Institute (Based on the 2012I-Codes) 3.0 CEUS I MEMBER PRICE. $780: NONMEMBER PRICE: $980 Walk through structural,nonstructural and residential plans step-by-step with nationally recognized practitioners-- hiprove your technical skills and increase your efficiency in determining if a given set of plans complies with the applicable 2012I-Codes.After attending,you will be:ready to: o Apply the 2012 IRC and International Building Code'(IBC°)to the plan review procedure o Use valuable job aids and best practices to increase your efficiency o Exercise your technical skills to enhance job performance -w fl April 27-May 1 [Houston,TX ■ August 3-7 1 Myrtle Beach,SC - - (2012I-Codes with 2015I-Code highlights) When Disaster strikes 1.2 CEUS I MEMBER PRICE: $400; NONMEMBER PRICE: $550 Gain the critical knowledge,tools and practical information needed to assist communities after a natural disaster Receive expert training and key resources needed to become a valuable resource that every community needs.After attending,you will.be equipped to: - o Prepare for mobilizationandwork in disaster environments o Conduct a site inspectionand estimate damage by percentage of structure or by dollars per square foot o Cpersons at the disaster site ■ April 20-21 St. Louis, MO ■ September 1-2 Biloxi, MS 1 £ l '`= r 610 N.7th Street • St.Louis,MO 63101 Phone(314)269-5900 • Fax(314)269-5915 EMBASSY SUITES For reservations across the nation Name&Address HOTELS• www.embassysuites.com or 1-800-EMBASSYO SHEEKS,MICHEAL Suite 205/KNGN' Arrival Date 4/19/2015 5:41:00 PM 14382 WHISPER WIND DR Departure Date 4/21/2015 CARMEL IN 46032 Adult/Child 1/0 UNITED STATES OF AMERICA Suite Rate 129.00 Rate Plan: ICC • HH# G AL: Car: Confirmation Number:81411491 U HILTON 4/20/2015 n- HHONORS DATE REFERENCE DESCRIPTION AMOUNT 4/19/2015 654378 VALET PARKING-866 $27.00 4/19/2015 654379 GUEST ROOM EXEMPT $129.00 WALDORF 4/20/2015 654771 VALET PARKING-866 $27.60 ASTORIA 4/20/2015 654772 GUEST ROOM EXEMP $129.00'- WILL 129.00`WILL BE SETTLEDf fi01 $312.00 EFFECTIVE BALA OF $0.00 CON RAD Hilton DouBLETREE EMBASSY ®Hilton GardenInri s. ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. 166675 A CARD MEMBER NAME AUTHORIZATION INITIAL HOMEWOOD ,,a&sr E SUITES nron' ESTABLISHMENT NO.&LOCATION ESfABMSHMENT AGREES TO 7RANSMITTO CARD HOLDER POR PAYMENT PURCHASES&SERVICES TAXES HOMEQ TIPS&MISC. CARD MEMBER'S SIGNATURE X TOTAL AMOUNT Hilton Grand Vacations NERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Order# 100258656 Page 1 of 1 INTERNATIONAL CODE COUNCIL People Helping People Build a Safer World- Order#100258656-Complete Order Date:March 4,2015 Reorder Print Order BILLING ADDRESS PAYMENT METHOD Michael Sheeks Bill Member Account 1 Civic Sq Carmel,Indiana,46032-2584 United States T:317571-2444 Product Price Quantity Subtotal 11-43- When Disaster Strikes Institute $400.00 Ordered:1 $400.00 Item#:2497SM152 Registrants Michael A,Sheeks L_._. -- -- ---------------- - - -- - - -- ----- - Subtotal: $400.00 Grand Total: $400.00 COPYRIGHT©2014.ALL RIGHTS RESERVED. Privacy Policy I Legal Disclaimer I Site Map I Resources https://shop.icesafe.org/sales/order/view/order—id/27421 1/ 3/4/2015 VOUCHER NO. WARRANT NO. ALLOWED 20 Michael Sheeks IN SUM OF$ C/O One Civic Square Carmel, IN 46032 i $525.00 I ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO.' ACCT#/TITLE AMOUNT Board Members 1192 43-430.04 $195.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 43-430.03 $330.00 materials or services itemized thereon for which charge is made were ordered and received except l Monday, Ap it 27 015 Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 04/21/15 Per Diems for Disaster Training $195.00 04/21/15 St. Louis- Disaster class $330.00 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 , 20 Clerk-Treasurer