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245181 5 /13/2015
��w�,qwf CITY OF CARMEL, INDIANA VENDOR: 361675 4/ c\� �; ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*******870.91 s. ,_�: CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 245181 v,�, � NOBLESVILLE IN 46062 CHECK DATE: 05/13/15 ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 870.91 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report NAME Kashman, Jeremy M DEPARTURE DATE&TIME: 5/4/2015 10:20 AM DEPARTMENT Engineering RETURN DATE &TIME: 5/5/2015 6:43 PM CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE — REASON FOR TRAVEL: FHWA Visit-Tiger Grant-Washington, DC Date Transportation Auto Taxi, Toll Lodging Meals Misc. Total Air-fare Car rental Expenses etc. Breakfast Lunch Dinner Per Diem $0.00 5/4/15 $265.10 $9.60 $237.24 $65.00 . $576.94 5/5/151 $5.93 $5.93 5/5/15 $210.60 $12.44 $65.00 $288.04 $0.00 $0.00 0.00 Total $475.701-, - $0.001 $0.001 '$27.971 $237.24 $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: l/–ZOOS EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$95,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 5/11/2015 Page 1 Fifth Third Bank I Summary Account Activity Page 1 of 2 Monday,May 11,2015 —I Log Oiit FIFTH THIRD BANK SUMMARY MAKE PAYMENTS I TRANSFER FUNDS I SERVICE CENTER Welcome,JEREMY M KASHMAN Account Activity Account Summary 1 Account Statements&Documents Export History .Account Statement Period: 11 Statement Priory� Ga Posted Transactions Advanced Search: Check Number Keyword Go Date .Debi - Credi 1� Check pescriotion I Action 04/30/2015 I *3!*DAILY BALANCE 04/30/2015 t 04/30/2015 1 1 i 04/29/2015 •***DAILY BALANCE 04/29/2015 $265.10 i DEBIT CARD PURCHASE AT USAIRWAY,BELLEVUE„WA_ ON 042715'FROM CARD#:XXXXXXXXXXXX9152 I 04129/2015 $237.24 DEBIT CARD PURCHASE AT HOTWIRE-SALES FINA,666x 466=9473,CA ON 042915 FROM CARD#: XXXXXXXXXXXX9152 04/29/2015 $210.60 DEBIT CARD PURCHASE AT DELTA,.BELLEVUE,WA ON 042715 FROM CARDi:XXXXXXXXXXXX9152 04/29/2015 04/21/2015 I I ss*s DAILY BALANCE•*** — 04/21/2015 — l -- -----_ - --- 04/16/2015 ****DAILY BALANCE 04/16/2015 04/13/2015 1 ****DAILY BALANCE-**** 04/13/2015 04/13/2015 - - I. 0.4/06/2015 ****DAILY BALANCE**** — 04/06{2015 1 . . i f04/06/2015 . E 1 httpg:Hvpx�v.,53.conVolb/account/accountActivity.littnl?accountIndex=0 5/11/2015 Print Page 1 of 2 Subject: Your Monday morning trip with UberMY�__._._.____.__.-_.._______..__________.._. From: Uber Receipts(receipts.washington.DC@uber.com) To: kashmajm@yahoo.com; Date: Monday, May 4, 2015 12:09 PM U B MAY 4,2015 $9.60 Thanks for choosing Uber, Jeremy FARE BREAKDOWN " at --I , 4 S ' H_Sf NE Base Fare 2.00 50 i t 50 Distance 4.19 ` its °ro Time 2.41 T MYER , � , h :, i Y. t r Subtotal $8.60 1 S Safe Rides Fee(?) 1.00 !I. 1 Map data©2015 Google C 11:55amHARr_cn Q — Ronald Reagan Washington National Airport, $9.60 2401 South Smith Boulevard,Arlington,VA 12:07pm �P 1100-1144 Massachusetts Avenue Northwest, Washington, DC CoMPA,N 1 CAR MILES TRIP TIME A TYCw iN T*L WUtj(9 A0DaESi c-61 uberX 4.11 00:12:02 'WauCm -Tb 1600 L-5tRa'e RATE YOUR DRIVER You rode with Matta _rte Issued by Drinnen on behalf of Rasier Uber Support Give $20, Get $20 Contact us with questions about your trip. Leave something behind?Track it down. Share code:jeremyk401 g https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 1 of 2 Subject: Your Tuesday morning trip with Uber From: Uber Receipts(receipts.washington.DC@uber.com) To: kashmajm@yahoo.com; Date: Tuesday, May 5, 2015 10:14 AM U B E R MAY 5,2015 $5.93 Thanks for choosing Uber, Jeremy FARE BREAKDOWN --SvNW=-= (PI-NW. Base Fare 2.00 co ail 4) --- Distance 1.30 -Z Z' Time 1.57 J, Subtotal $4.87 J 66 12 Safe Rides Fee(?) 1.00 ......... DC Taxicab Commission Fee 0.06 1E Map atai02015,Google 10:05am 1919 Connecticut Avenue Northwest, CHARGED Washington, DC $5.93 10:1 3arn 1639 L Street Northwest,Washington, DC WOW Dkiuz CAR MILES TRIP TIME uberX 1.27 00:07:50 RATE YOUR DRIVER You rode with CHRISTIAN Issued by Drinnen on behalf of Rasier Uber Support -QD- Give $20, Get $20 Contact us with questions about your trip. ldt Share code:jeremyk401 Vol Leave something behind?Track it down. https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocqds5emjjdOO 5/11/2015 Print Page 1 of 2 Subject: Your Tuesday afternoon trip with Uber From: Uber Receipts (receipts.washington.DC@uber.com) To: kashmajm@yahoo.com; Date: Tuesday, May 5, 2015 2:06 PM U B R MAY 5,2015 $12.44 Thanks for choosing Uber, Jeremy FARE BREAKDOWN j HStINE Base Fare 2.00 1` c 50 wo Distance 6.41 Time 2.91 27 Subtotal $11.32 ' Safe Rides Fee(?) 1.00 r �r DC Taxicab Commission Fee 0.12 Cit 1p t� f, 1%p data,-02015 Google Q 01:49pm Gallery Place, 701 7th Street Northwest, CHARGED Washington, DC $1 2.44 $ I 02:04pm Ronald Reagan Washington National Airport, „RvrowTRL� —�� a>c�-t�OR-Y M 2401 South Smith Boulevard,Arlington,VA CAR MILES TRIP TIME uberX 6.28 00:14:34 RATE YOUR DRIVER �{ iz You rode with Marcus `- Issued by Drinnen on behalf of Rasier , ? Uber Support Give $20, Get $20 Contact us with questions about your trip. LIE Leave something behind?Track it down. Share code:jeremyk401 https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 1 of 4 Subject: Expedia travel confirmation/e-Ticket-May 4-(Itin#7110296378267) From: Expedia Travel Confirmation (Confirmation@ExpediaConfirm.com) To: kashmajm@yahoo.com; Date: Monday,April 27,2015 7:56 PM 40-0)Expedia Thank you for booking with Expedia! All of your trip information is in your online itinerary • Get live status information • Easy access to your latest trip information • Upgrade, change or cancel your booking Go To My itinerary Access your itinerary anywhere. GET THE FREE APP(@ Washington May 4,2015-May 5,2015 1 Itinerary#7110296378267 'E This email can be used as an E-Ticket. Itinerary#7110296378267 To get the most up-to-date version of your trip,go to your online itinerary and print a copy to take with you. Important Information Total Price • Your roundtrip flight consists of two one-way fares which are subject Indianapolis to Washington $265.10 to their own rules and restrictions. If one of your flights is changed or cancelled, it will not automatically change the other flight.You may Washington to Indianapolis $210.60 incur a penalty fee for each flight for additional itinerary changes. Total Price $475.70 • Remember to bring your itinerary and government-issued photo ID for airport check-in and security. All prices include taxes&fees and are quoted in US dollars.Your two one-way fares may be processed through multiple transactions. Indianapolis (IND) --+ Washington (DCA) CONFIRMED May 4,2015-May 4,2015, 1 one way ticket US Airways D38VQP Expedia Booking ID 45RDO2 Price Summary https:Hus-mg5.mail.yahoo.com/neo/launch?.rand=Ocqds5emjjdOO 5/11/2015 Print Page 2 of 4 Your reservation is booked and confirmed.There is no need to call us to Traveler 1:Adult $265.10 reconfirm this reservation. Flight $233.49 Taxes&Fees $31.61 Traveler Information Expedia Booking Fee $0.00 Jeremy M Kashman No frequent flyer details Ticket# Total: $265.10 Adult provided 0377620036207 f....................................................................... ............... All prices quoted in US dollars. *Seat assignments,special meals,frequent flyer point awards and special assistance requests should be confirmed directly with the airline. 1 Additional Flight Services May 4,2015-Departure Nonstop Total travel time:1 h 37 m • The airline may charge additional Indianapolis Washington 1 h 37 m fees for checked baggage or other IND 10:20am DCA 11:57am Terminal C optional services. U S AMWAYS US Airways 4644 Operated by US AIRWAYS EXPRESS- REPUBLIC AIRLINES ;,i=s1 i Economy/Coach(V)I Confirm seats with the airline* �� Airline Rules&Regulations Ia , 1e ew r • We understand that sometimes plans change.We do not charge a cancel tu: or change fee.When the airline charges such fees in accordance with its p own policies,the cost will be passed on to you. Because you • Tickets are nonrefundable,nontransferable and name changes are not booked a flight, allowed. • Please read the complete penalty rules for changes and cancellations you qualify for up to applicable to this fare. • Please read important information regarding airline liability limitations. 55% off Washington hotels. Expires Thu, May 7 See hotels I Washington (DCA) —> Indianapolis (IND) CONFIRMED May 5,2015-May 5,2015, 1 one way ticket Delta H6JWXB Expedia Booking ID 453NSU Your reservation is booked and Price Summary confirmed. There is no need to call us to reconfirm this reservation. Traveler 1:Adult $210.60 Traveler Information Flight $174.89 Taxes&Fees $35.71 Jeremy No Ticket# Expedia Booking Fee $0.00 p. M frequent ' 0067620048468 https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 3 of 4 Kashman flyer Total: $210.60 Adult details All rices quoted in US dollars. provided ! P "Seat assignments,special meals, frequent flyer point awards and special Additional Flight Services assistance requests should be confirmed directly with the airline. • The airline may charge additional fees for checked baggage or other May 6,2015- Total travel optional services. Departure 1 stop time:3 h 33 m 1 h 36 Washington Detroit m DCA DTW � 3:10pm 4:46pm �a Terminal B Terminal A. EM Delta 1945 Because `,ou booked a Right, Economy/Coach(T)I Seat 22A I l Confirm or change seats with the airline' you qualify for up to 55% off ........................... Layy............... .o...ve......r.....0....h.......-54...m........ Washington hotels. : Detroit Indianapolis 1 h 3 m Expires Thu, May 7 DTW IND 5:40pm 6:43pm Terminal See hotels EM Delta 1451 Economy/Coach(T)I Seat 29D I Need help with your reservation? Confirm or change seats with the airline` • Visit our Customer Support page. Airline Rules&Regulations • Call us at 1-877-261-3523 • For faster service, mention itinerary#7110296378267 • We understand that sometimes plans change.We do not charge a cancel or change fee.When the airline charges Expedia+ rewards such fees in accordance with its own policies,the cost will be passed on to 95 points you. Expedia • Tickets are nonrefundable, For this trip rewards nontransferable and name changes Check your balance are not allowed. • Please read the complete penalty rules for changes and cancellations applicable to this fare. Complete Your Trip • Please read important information regarding airline liability limitations. Plus Means More https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 1 of 3 Subject: Your Hotwire Trip to Washington on Mon, May 4, 2015 From: YourTrip@hotwire.com (YourTrip@hotwire.com) To: kashmajm@yahoo.com; Date: Friday, May 1, 2015 5:26 AM hetwi re Hotels A Car Your reservation Hotwire itinerary 6109941261 Jeremy, Your trip is coming up! You're booked and the hotel's waiting for you. Your hotel Hilton Washington 1919 Connecticut Avenue N.W. See ratings guide Washington, DC, 20009 (202)483-3000 1 View map Check in Check out Mon, May,4, 2015 4:00 PM Tue, May 5, 2015 11 :00 AM Times are subject to change. Please confirm with your hotel. You're confirmed! • There is no need to reconfirm your reservation with Hilton Washington or Hotwire. • Jeremy Kashman must be present at check-in. Primary Guest must be 18 and bring ID. • Your information is saved to your account. Just sign in to view or print a receipt. • All bookings are final and no changes or refunds are allowed. • If your travel plans change, you may add to your stay at this hotel. • Buy Trip Protection with Allianz Global Assistance, a Hotwire partner. • Amenities: Pet friendly, Fitness center, Pool(s), Restaurant(s), Business center, Internet access,Accessible for hearing impaired,Accessible path of travel, In-room accessibility,Accessible bathroom,Accessible parking, Roll- in shower. • Sometimes amenities may be closed for the season or for renovation, though we try to show what's currently available. Hotels, cars and flights, all backed by our Hotwire Low Price Guarantee Cost summary 1 night Hotwire Hot Rate Room@ $193.00/night $193.00 https://us-mg5.mail.yahoo.c6m/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 2 of 3 Tax recovery charges&fees $44.24 Subtotal $237.24 Hotwire Total $237.24 Billed to Charged to Date Jeremy Kashman Tue,Apr 28, 2015 Contact phone Contact email (317)281-1379 kashmajm@yahoo.com Some reminders • Your booking is final and can't be refunded or changed. For details, view Hotwire Travel Products Rules and Restrictions. • Call the hotel directly about bed types, check-in/check-out times and special requests. • Hotels will require a credit card when you check in; debit cards may not be accepted. • Rooms will sleep the number of guests, but bed types and sizes aren't guaranteed. There's still time! Add more days or rooms with"Extend My Stay" Book now Rental Cars Reserve Washington rental cars for 05/4-05/5 Show me Get our app Want our highly rated iPhone/iPad app? Get it in the App Store Book on the go Download the Hotwire Hotels app for Android Get it at Google Play Have questions? Itinerary 6109941261 Visit Help Center https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 Print Page 3 of 3 Email us By phone,24/7 U.S./Canada, toll free (866) HOTWIRE Outside U.S/Canada Toll charges may apply 417-520-1680 Allianz Global Assistance Travel protection (800) 771-1281 SUBSCRIPTION MANAGEMENT You are receiving this message because your email address was provided for this Hotwire account. Only purchase and account-related messages will be sent to this address (unless you are opted in to receive our promotional mailings). You cannot unsubscribe from purchase and account-related messages. To update other email and account preferences visit Account Preferences. You may reach Hotwire at Contact Us or via postal mail at: Hotwire, PO Box 230027, Portland, OR 97281-0027. PRIVACY POLICY AND TERMS OF USE Hotwire is committed to protecting your privacy. We will not share your information with unauthorized third parties or request credit card information in an email. For more information, view our Privacy Policy. By using the Hotwire site you agree to our Terms of Use. By using the Hotwire site, you agree to our Terms of Use. ©2015 Hotwire, Inc.All rights reserved. Hotwire, the Hotwire logo, Hot Fare, and Hot Rate are either registered trademarks or trademarks of Hotwire, Inc. Other product and company names shown may be trademarks of their respective owners. CST 2053390-40; NST 20003-0209. https://us-mg5.mail.yahoo.com/neo/launch?.rand=Ocgds5emjjd00 5/11/2015 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 5/11/2015 0 Expenses for FHWA Visit-Tiger Grant $ 870.91 Total $ 870.91 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 I VOUCHER NO WARRANT NO. Jeremy Kashman ALLOWED 20 IN SUM OF $ $ 870.91 ON ACCOUNT OF APPROPRIATION FOR Board Members P09 or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4343002 $ 970.91 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 5/11/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund