245253 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 360494
CHECK AMOUNT: $*****2,811.38*
(9,
ONE CIVIC SQUARE KENNETH RHODESCARMEL, INDIANA 46032 6932 ANCHOR BAY DRIVE CHECK NUMBER: 245253
INDIANAPOLIS IN 46236 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2,811.38 OTHER EXPENSES
�6 4r4
CITY OF CARMEL Expense Report (required for all travel expenses)
/HDIANP. •r
EMPLOYEE NAME: Kenneth Rhodes DEPARTURE DATE: 6/7/2015 TIME: 9:36 AM
DEPARTMENT: Utilities/Water Treatment -RETURN DATE: 11-Jun TIME: 6:20 PM
REASON FOR TRAVEL: AWWA Conference DESTINATION CITY: Anaheim California
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM
Transportation Gas/Tolls/ Meals
Date Air-fare Car Rental Other Parking Lodging Breakfast Lunch Dinner Snacks Per Diem Misc. Total
$0.00
3/1/15 $560.69 $560.69
$0.00
$0.00
3/8/15 $845.00 $845.00
$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
Totall $560.69 $0.001 $845.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $1,405.691
DIRECTOR'S STATEMENT: I hereby a rm that I e enses 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 4/12/2015 Page 1
J
For advance payments, claim form must be submitted ten (10) business days in advance of travel.
Claim will not be processed without the following documentation:
1) Conference orcourse 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 $65 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 $65 for out-of-state travel
I
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I
I hereby acknowledge receipt of$ , 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 expen ' ures) be' educted from the first paycheck issued more than 30 days after the date of my return.
Employee Signatur Date:
City of Carmel Form#ERO6 Revision Date 4/12/2015 Page 2
Page 1 of 2
Contact Information
Mr.Kenneth Rhodes
Mr.Kenneth Rhodes Edit
City of Carmel Utilities
3450 W 131 st St
Carmel,IN 46074-8267
Email:krhodes@carmel.in.gov Edit
Select Meeting Information
Rate Price Subtotal
Daily Rate(Full Conference) Member $795.00 USD $795.00 USD
Select Events I Edit
Time Qty Price Subtotal
Monday,June 8,2015
T8-First Time Attendee Breakfast/Program 7:30 AM-8:15 AM 1 Already Registered Free
Wednesday,June 10,2015
T4-F.E.Weymouth Treatment Plant 7:30 AM-12:00 PM 1 Already Registered $50.00 USD
Additional Information I Edit
Demographics
What one business activity best describes your company A.Public Water Supply Utility-Municipal
If you answered'Other'to business activity,please specify.
What one category best describes your job title? F.Operations
If you answered'Other'to job title,please specify.
What one category best describes your field served/principal activity? A.Potable Water Supply Only
If you answered'Other'to field served,please specify.
Are you a first time attendee? Yes
If not currently,would you like to be involved with AWWA committees? No Thanks
What type of products or services are you coming to our exhibit hall/exposition to see? Scada Controls,Equipment,Operation techniques
You may purchase discount Disney twilight tickets onsite at the convention center(good only for admission on Sunday,June 7,2015).How many tickets would you
like?
Special Needs
None
Emergency Contact Information
Contact Name Relationship Phone Type Phone Number Comments
Judy Rhodes Wife 317-752-6373
BADGES
First Name: Ken
Last Name: Rhodes
http://www.awwa.org/store/meeting-registration.aspx?productid=46002646&ct=00f923 97... 4/12/2015
Page 2 of 2
Job Title: Plant Manager&Scada Controls
City: Carmel
Country: United States
State: Indiana
http://www.awwa.org/store/meeting-registration.aspx?productid=46002646&ct=00f92397... 4/12/2015
annERIWN American Express° Traditional Gold Card p.1116
EXPRESS
o KENNETH D RHODES
Closing Date 03/03/15 Next Closing Date 04/03/15 Account Ending 0-92002
Membership Rewards®Points
New Balance $1,393.58 Availableand Pendingasof 01/31/15
5,701
Please Pay By 03/18/15* For up to date point balance and full program
details,visit membershiprewards.com
$Payment is due upon receipt.We suggest you pay by the Please Pay By date. Account Summary
You may have to pay a late fee if your payment is not received by the Next Previous Balance $903.91
Closing Date. Payments/Credits -$903.91
New Charges +$1,308.58
Fees +$85.00
New Balance $1,393.58
See page 2 for important information about your account. Days in Billing Period: 28
See Page 7 for an Important Change to Your Account Terms Customer Care
Pay by Computer
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and Account Benefits.
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See Page 11 for an important Privacy Notice and the following pages 1-800-327-2177 1-800-472-9297
for important notices about Your Billing Rights,Electronic Fund See page 2 for additional information.
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+ Pleasefold on the perforation below,detach and return with your payment +
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INDIANAPOLIS IN 46236-9325 Amount Due
$1,393.58
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annEsiGw American Express® Traditional Gold Card p.1/6
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KENNETH D RHODES
Closing Date 04/03/15 Next Closing Date 05/03/15 Account Ending C
Membership Rewards®Points
New Balance Availableand Pending asof.02/28/15
Please Pay By 04/18/15$ For up to date point balance and full program
details,visit membershiprewards.com
$Payment is due upon receipt.We suggest you pay by the Please Pay By date. Account Summary
You may have to pay a late fee if your payment is not received by the Next Previous Balance
Closing Date. Payments/Credits L
New Charges
Fees
New Balance
Seepage 2for important information about your account. Days in Billing Period: 31
Asa reminder, as of 03/04/2015, our records indicate that your account is Customer Care
enrolled in one or more optional product(s) which may generate a
charge to your account. Please see Paige for more details. PaybyComputer
americanexpress.com/pbc
Customer Care Pay by Phone
1-800-327-2177 1-800-472-9297
OSeepage 2for additional information.
t Please fold on the perforation below,detach and return with your payment +
®PaymentCoupon Pay by Computer �PaybyPhone Account Ending_
Do not staple or use paper clips amencanexpress.com/pbc 1-800-472-9297 Enter account number on all documents.
Make check payable to American Express.
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8932 ANCHOR BAY DR 04/18/15
INDIANAPOLIS IN 46236-9325 Amount Due
$887.08
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phone number has changed. P.O.BOX 650448
Note changes on reverse side. DALLAS TX 75265-0448
KENNETH D RHODES Account Ending p.4116
Detail Continued Indicates posting date
Amount
03/01/15 ORBITZ CHICAGO IL $553.70
UNITED AIRLINES
From: To: Carrier: Class:
INDIANAPOLIS DENVER INTL APT UA Q
LOS ANGELES INTERN UA Q
INDIANAPOLIS US O
N/A YY 00
Ticket Number.01675369580135 Date of Departure:06/07
PassengerName:RHODES/KENNETH
Document Type:PASSENGER TICKET
03/01/15 ORBITZ.COM S#60 ORBITZ.COM $6.99
4010662942A 60661
OW W*ORBITZCOM
VACATIONPACKAGE
PBORB9364353073
Continued on Page 5
Premium Refurids for TravelAssureClassic-please consuItthetablebelowtodeterminehowto process your refund.
Reason for Refund How to Process Your Premium Refund for TravelAssure or TravelAssureClassic
Reason other than (A)You're entitled to a full premium refund.Please deduct the total premium refund amount from your total balance due
cancelledtrip and return this form with your payment.Make sure you complete the grid on the front indicating the refunds you're requesting.
I Cancelled my trip (B)If you don't expect a credit for your airline ticket charge,you're entitled to a partial*premium refund as follows:
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(C)If you expect credit for your airline ticket charge,you don't need to fill out this form.You'll automatically receive
partial*premium refunds once your ticket has been credited on your American Express account.Refunds will appear as credits on
our monthly statement.
Insurance (D)If you expect credit for your airline ticket charge,you're entitled to a full premium refund as follows:
premiumwas •For TravelAssu re,deduct$18.95 from yourtotal balance due for each premium charge you'd like refunded.
chargedfor a •For TravelAssure Classic,deduct$11.95 from yourtotal balance due for each premium charge you'd like refunded.Make sure
non-insurable you complete the grid on the front of the form indicating the refunds you're requesting,and return it with your payment.
person Note:you'll automatically receive the remainder of your premium refund once your airline ticket has been credited
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(E)If you don't expect a credit for your airline ticket charge,follow the method outlined in section(A)above.
Premium Refunds for International Medical Protection
Deduct the total premium refund amount you're requesting from the total balance due and return this form with your payment.Please complete the
grid on the front indicating the refunds you're requesting.If you expect a credit for your airline ticket charge,don t fill this form out.You'll
automatically receive refunds once your ticket is credited on your American Express account.Refunds will appear as credits on your monthly statement
If you have any questions about requesting your refund,please call the number on the back of your American Express Card.*For cancelled
trips,refunds aren't forgiven trip cancellation portion of premium since that coverage alreadywent into effect.You'll receive partial refunds of
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M
American Express® Traditional Gold Card p.3/6
KENNETH D RHODES
Closing Date 04/03/15 Account Ending
Payments and Credits
Summary
Total
Payments
Credits $0.00
Total Paymentsand Credits
Detail *Indicates posting date
Payments Amount
03/08/15* ONLINE PAYMENT-THANK YOU
03/20/15* ONLINE PAYMENT-THANK YOU
03/24/15* ONLINE PAYMENT-THANK YOU
New Charges
Summary
Total
Total New Charges
Detail
® KENNETH D RHODES
Card Ending 0-92002
Amount
03/08/15 AMERICAN WATERWORKS DENVER CO $845.00
800-926-7337
Description
MEMBERSHIP ORGANIZA
low
low
Fees
Amount
Total Fees for this Period $0.00
Continued on reverse
VOUCHER # 151821 WARRANT # ALLOWED
T1018
IN SUM OF $
RHODES, KEN
CARMEL WATER UTILITY
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
060715 01-6040-03 $1,405.69
Voucher Total $1,405.69
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
T1018
RHODES, KEN Purchase Order No.
CARMEL WATER UTILITY Terms
Due Date 5/8/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2015 060715 $1,405.69
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 //,04igwr