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245235 5 /13/2015 4�_�,ny�. CITY OF CARMEL, INDIANA VENDOR: 368232 CHECK AMOUNT: S"""'1,009.00' ;; ONE CIVIC SQUARE c OFWATER DEEPST CHECK NUMBER: 245235 :9 /?�; CARMEL, INDIANA 46032 CHECK DATE: 05/13/15 M,t rtiri�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1,009.00 OTHER EXPENSES CITY OF CARMEL Expense Report(required for all travel expenses) EXHIBIT A EMPLOYEE NAME: J e4 P—+ers DEPARTURE DATE: (o/-7 J S TIME: AM/PM DEPARTMENT: W a4 a S- RETURN DATE: 6 /S /pS TIME: AM/PM REASONFORTRAVEL: An►lual AWWA C_.DA ereAceDESTINATIONCITY: AGali�OCAi EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE_ TRAVEL REIMBURSEMENT_ TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/11/15 $214.00 $214.00 'Jt 3/18/15 $795.00 $795.00 A4(r $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 1 $0.001 $0.001 $1,009.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 r r• r r DIRECTOR'S STATEMENT: I eby it i that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. �I Director Signature: Date: jE Aww Arri�a Me becstit,� 12e.�e�✓a1 f~ee — 21dk .� AAA-Aal ALO WA C_&,4oce4ec Zt9'%s}•ra4rio.% wee — ?°1 s• For advance payments,claim formmust be submitted ten(10)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 or car rental agreement,if applicable 3) , Original itemized receipts for all expenses(or affidavits if appropriate),except for meal per diems (which require hotel receipt) 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),$25 for in-state travel and$30 for out-of-state travel For travel that ends before 1:00 p.m.(flight arrival time,if traveling by air),$25 for in-state travel and$30 for out-of-state travel For travel that ends after 1:00 p.m.(flight arrival time,if traveling by air),$50 for in-state travel and$60 for out-of-state travel r EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,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 accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten(10)business days of my return(as stated on opposite side),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 ex enditures)being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: /4 City of Carmel Form#ER06 Revision Date 4/14/2015 Page 1 Page: 1 of 1 ��. . American Water Works Association w9ea�ic nWatertMor►s 6666 W Quincy Ave,Denver,CO,80235,LISA Assod'flO1 Phone:800.926.7337 Fax:303.347.0804 Email:custsvc a awwa.org ACKNOWLEDGEMENT Date: 11-Mar-2015 Ship-To: 00316246-0 Order Number: 7000900853 Order Date: 28-Oct-2014 Jeffrey R.Peters,PE Carmel Utilities 4915 E 106th St Carmel,IN 46033-3800 Invoice No Unit Product Fulfil Status Status Qty Unit Price 1);c�nunt Coupon Adjustment Total Next Due Date Next Due Amount 0001060574 AWWA/DUES_02-AWWA-Individual Active Active Active 1 178.00 0.00 0.00 0.00 178.00 01-Feb-2015 to 31-Jan-2016 AWWA/IND_SECTION-AWWA-Indiana Active Active 1 36.00 0.00 0.00 0.00 36.00 Section 01-Feb-2015 to 31-Jan-2016 Shipping&Handling: 0.00 Tax: 0.00 Order Total: 214.00 Paid or already charged to CC: -214.00 **Credit cards are charged only after shipping. Credit Card Information: ************1881 Peters, Jeff From: custsvc@awwa.org Sent: Wednesday, March 18, 2015 10:31 AM To: Peters,Jeff Subject: Thank you for your order ALAmerican Water Works Association Dedicated to the ftr#ct s Most Important Resource' Jeffrey R. Peters, PE, Thank you for placing your order with AWWA. Below is a summary of your order: Your Member/Customer No.: 00316246 Your Order No.: 7000987277 Product Description Qty Unit Price 2015 Annual Conference and Exposition 1 $0.00 Full Conference 1 $795.00 T11 - Fuller Breakfast 1 $40.00 Discount:$0.00 Subtotal:$835.00 Shipping: $0.00 Tax:$0.00 Order Total:$835.00 Balance Due:$0.00 Thank you for registering for the American Water Works Association's Annual Conference and Exposition (ACE15), June 7-10, 2015, in Anaheim, California. Make your hotel reservation now-https://reswL-b.passkey.com/go/AWWAACE1 5. Your feedback is important to us and will be used to plan ACE15 and beyond. Please take a few minutes to complete this surve . All completed surveys returned will be eligible to win two Disneyland Park twilight tickets valid on Sunday, June 7 only OR two tickets to the Water Industry Luncheon valid on Tuesday, June 9 only. Ten winners will be selected for each prize! Also note, badges will not be mailed in advance. You will print and pick them up at Registration on site at the Anaheim Convention Center or at both Headquarter Hotels i (Anaheim Marriott and Hilton Anaheim). You will receive an email a few days before the conference with a barcode to expedite the printing process. (Pre-paid registration only) Be sure to check out all the NEW and exciting things going on at ACE15 www. awwa.org/ace145 Make sure to check back often for current information and updates! We appreciate your participation and time. Questions? contact AWWA Customer Service at custsvc(a�awwa.org or 800.926.7337 (303.794.7711 outside the US and Canada) Monday-Friday, 8 a.m. to 5 p.m. MT. If you contact AWWA about this order, please mention the reference number 7000987277. To review your order history, visit your account page . The billing address we have on record is: Jeffrey R. Peters, PE Carmel Utilities 3450 W 131 st St, Carmel, IN 46074-8267 The shipping address is: Jeffrey R. Peters, PE Carmel Utilities 3450 W 131 st St, Carmel, IN 46074-8267 This communication is the property of the American Water Works Association and may contain confidential or privileged information. Unauthorized use of this communication is strictly prohibited and may be unlawful. If you have received this communication in error, please immediately notify the sender by reply email and destroy all copies of the communication and any attachments. American Water Works Association Dedicated to the World's Most Important Resource z Page 1 of 2 BILLING ADDRESS: Jeffrey R. Peters, PE Carmel Utilities 3450•w 131 st St Carmel, IN 46074-8267 ORDER SUMMARY: ORDER NUMBER:7000987277 Thank you for registering for the American Water Works Association's Annual Conference and Exposition (ACE15), June 7-10, 2015, in Anaheim, California. Make your hotel reservation now- https://resweb.passkey.com/go/AWWAACEI5. Your feedback is important to us and will be used to plan ACE 15 and beyond. Please take a few minutes to complete this survey. All completed surveys returned will be eligible to win two Disneyland Park twilight tickets valid on Sunday, June 7 only OR two tickets to the Water Industry Luncheon valid on Tuesday, June 9 only. Ten winners will be selected for each prize! Also note, badges will not be mailed in advance. You will print and pick them up at Registration on site at the Anaheim Convention Center or at both Headquarter Hotels (Anaheim Marriott and Hilton Anaheim). You will receive an email a few days before the conference with a barcode to expedite the printing process. (Pre-paid registration only) Be sure to check out all the NEW and exciting things going on at ACE 15 www.avvwa.org/ace145 Make sure to check back often for current information and updates! We appreciate your participation and time. 2015 Annual Conference and Quantity Unit Price Total Exposition 6/7/2015-6/10/2015 lDr•TO CLLEN2.i:k 1 $0.00 USD $0.00 USD Make Hotel Reservations Full Quantity Unit Price Total Conference 6/8/2015-6/10/2015 AT,T?TO CAT,FTIMFF. 1 $795.00 USD $795.00 USD' http://www.awwa.org/store/order-summary.aspx?OrderNumbei=7000987277&paid0rderL... 3/18/2015 Page 2 of 2 T11 -Fuller Quantity Unit Price Total Breakfast 6/10/2015-6/10/2015 P L)D'PO CALENDAR 1 $40.00 USD $40.00 USD SubTotal: $835.00 USD Tax: $0.00 USD Order Total: $835.00 USD Fdd Gn l'.' 1 `i"1 ;.gill I wl`.:i elldin�v;III 1 1 l ,l _`,r`"i';,fl(1 IJ S[; Balance: $0.00 USD Amount Due: $0.00 USD http://www.awwa.org/store/order-summary.aspx?OrderNumber=7000987277&paid0rderL... 3/18/2015 NDIANA } VISA Members Credit Union Keeping It Simple JEFFREY R PETERS _ Account Number:#########M t Statement Closing Date: March 31, 2015 Summary of Account Activity Payment Information Previous Balance New Balance �y Payments _ Other Credits 000 Total Minimum Payment-Due Other Debits + 0.00 Payment Due Date 04/25/15 Purchases + Cash Advances + 0.00 Late Payment Warning: IF WE DO NOT RECEIVE YOUR Fees Charged + 0.00 MINIMUM PAYMENT BY THE DATE LISTED ABOVE,YOU MAY Interest Char ed + 0.00 HAVE TO PAY A LATE FEE UP TO$17.50. NEW BALANCE Credit Limit / Contact Information Available Credit - ! Customer Service:(800)299-9842 Available Cash " Report Lost or Stolen Card:(727)570-4881_ Amount Disputed 0.00 After Hours:(866)604-0381 Statement Closing Date 03/31/15 Please send Billing Inquiries and Correspondence to: Days in Billing Cycle 32 `IP CUSTOMER SERVICE PO BOX 30495 TAMPA,FL 33630 Visit us on the web at: v www.eZCardinfo.com Please Mail Your Payments to: VISA PO BOX 4521 CAROL STREAM IL 60197-4521 Ina p©rtant News .iffflffffffffifffffffffffffff♦ffflffffffflfflffffffffffflffffffffffffflfff *THE TOTAL FINANCE CHARGE PAID ON YOUR ACCOUNT DURING THE PAST YEAR ` ` WAS...$0.00 f flflffifffiffffifffff•fffifNfffflfffffiffl►fffffifffflfffffffffffffHiffff - IF YOU WOULD LIKE INFORMATION ABOUT CREDIT COUNSELING SERVICES,PLEASE CALL(877)277-4932. _MANAGE YOUR CARD ACCOUNT ONLINE.IT'S FREEI ITS EASY! SIMPLY GO TO WWW.EZCARDINFO.COM AND ENROLL IN OUR ONLINE SERVICE.YOU CAN REVIEW ACCOUNT INFORMATION,TRACK SPENDING,SET ALERT NOTIFICATIONS, DOWNLOAD,FILES,AND MUCH MORE.MANAGING YOUR ACCOUNT IS FAST,SECURE AND EASY WITH EZCARDINFO.ENROLL TODAY! NOTICE:CONTINUED ON PAGE 3 Page 1 of 2 PLEASE DETACH COUPON AND RETURN PAYMENT USING THE ENCLOSED ENVELOPE-ALLOW UP TO 7 DAYS FOR RECEIPT INDIANA MEMBERS CREDIT UNION Account�tufber-:____ 5055 MADISON AVE INDIANA INDIANAPOLIS IN 46227-4237 Members Credit Union Keeping ltsimplc Check box to indicate F]name/address change on back of this coupon Total Minimum AMOUNT OF PAYMENT ENCLOSED Closing Date New Balance Payment Due Date' . - - Payment Due. Payment 03/31/15 s 04/25/15 JEFFREY R PETERS MAKE CHECK PAYABLE TO: 990 TILLSON DRIVE ZIONSVILLE IN 46077-9330 —o Illl1tllrlloll llllll111111llltltltllt�ltlttllltlltltltlltlllll VISA PO BOX 4521 CAROL STREAM IL 60197-4521 21 4104 3383 4044 1881 00006200 00204985 1 INDIANA VISA Members Credit Union Keeping It Simple N O JEFFREY R PETERS Account Number:######## Statement Closing March 3, Date:05 -Transactions_::._...._...: Trans Date Post Date MCC Code Reference Number Descri tion Amount a�e.F moi• orAmb ads Ar •1s 011111110 ■� !o' 'iiiiiiiiiii� A 03111 03115 do AMERICAN WATERWORKS 214.00 800-926-7337 CO40 M am ab am dw so �- 4ow .ab 9ft ow d► s sr 4l ® ar 03118 03122 t® AMERICAN WATERWORKS 835.00 80D-926-7337 CO d f Payments;AdjustmWaInd-t 74104335086001710054615 PAYMENT-THANK YOU TOTAL PAYMENTS OR ADJUSTMENTS $ Feet TOTAL FEES FOR THIS PERIOD $ 0.00 Interest Chacgsd TOTAL INTEREST FOR THIS PERIOD $ 0.00 2015 Totals YearTo Date Total Fees Charged in 2015 $0.00 Total Interest Charged in 2015 $0.00 interest Charge Calculation/Pian Level information Plan Description ICM Balance Subject to Periodic Annual Percentage Rate Interest Interest Rate Rate (APR)-, Charge CURRENT PURCHASES G $0.00 0.8250% 9.90% $ 0.00 CASH F $0.00 0.8250% 9.90% $ 0.00 TOTAL 0.00% $ 0.00 1 ICM Interest Charge Method:See reverse side of Page 1 for explanation. 2 Your Annual Percentage Rate(APR)is the annual interest rate on your account. (V)=Variable Rate.If you have a variable rate account the periodic rate and Annual Percentage Rate(APR)may vary. __ Paoe 2 of 2...__... dean.-dim VOUCHER # 151820 WARRANT# ALLOWED T1655 IN SUM OF $ PETERS, JEFF CARMEL WATER Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 060715 01-6040-03 $1,009.00 Voucher Total $1,009.00 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. i i Payee T1655 PETERS, JEFF Purchase Order No. CARMEL WATER Terms Due Date 5/8/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/8/2015 060715 $1,009.00 i I 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 Date icer