HomeMy WebLinkAbout250323 10/07/15 a CITY OF CARMEL, INDIANA VENDOR: 180865
® t' ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $*****1,029.05*
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 250323
CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 1,029.05 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: ���-'�'� `�'�`� DEPARTURE DATE: 'V-L-7 1S TIME: AM PM
DEPARTMENT: �- �--4 v`��'e.S��v��C-e-S RETURN DATE: t o / (� TIME: ' D-12 AM M
REASON FOR TRAVEL: DESTINATION CITY: /
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM V
Date
Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$228.35 $228.35
9/27/15 --- -- $228.35
19/28/15 $228.35 $228.35
9/29/35 $228.35
$42.00
9/27/15 $42.00
9/27/15 $25.00 $25.00
$25.00
10/3/15 $25.00
10/3/15 $27.00 $27.00
$30.00 $30.00
9/27/15
$65.00 $65.00
9/28/15
$65.00 $65.00
9/29/15
$65.00 $65.00
9/30/15 $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 $92.00 $27.00 $685.05 $0.00 $0.00 $0.00 $0.00 $225:00 $0.00 $1,029:05
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: l0
City of Carmel Form#ER06
Revision Date 10/5/2015 Page 1
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 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 $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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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 expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee to Signature: v `� ' Date:
g
City of Carmel Form#ER06 Revision Date 10/5/2015 Page 2
i
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GUEST FOLIO
O G(JEST-FOLIO DENVER CITY. CENTER MARRIOTT M'ARRi'oTT..,
827 LAMB/BARBARA 199 .00 09/30/15 12:00 14383 4769
ROOM NarNAME RRATE DQEPART TimeTIME ACCT# GROUP
DBDB CITY OF CARMEL INDI 09/27/15 19:03
TYPE ArARRIVE TimeTIME
163
ROOM
CLERK PAYMENT MRW#:
Room
AA
eA�Pr�Ar�Rp Payment
Clerk
W299`ESS Y ent
• •N C E � ..,� �.
09/27 ROOM GR 827, 1 199.00
09/27 ROOM TAX 827, 1" 7.96
09/27 LOCAL TX 827, 1 21 .39
09/28 ROOM GR 827, 1 199.00
09/28 ROOM TAX 827, 1 7.96
09/28 LOCAL TX 827, 1 21 .39
09/29 ROOM GR 827 , 1 199.00
09/29 ROOM TAX 827, 1 7 .96
09/29 LOCAL TX 827 , 1 21 .39
09/30 DS CARD $685.05
TO BE SETTLED TO: CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO COMPLETE YOUR CHECK-OUT,
.- ---- ----S-I-MP_LY_D.IAL._6607_,. O.R_.PRES.S___"MENU°__O_N_YOUR_ TV_REMOTE_CONTROL- _ -----------
"THERE
__-__**THERE IS NO NEED TO COME TO THE FRONT DESK**
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
BARGAR1976@ATT.NET
SEE " INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
DENVER CITY CENTER MARRIOTT
1701 CALIFORNIA
DENVER : , CO 80202
MARRIOTT
This statement is your only receipt You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged
to you.The amount shown in the credits column opposite any credit card entry in he reference column abo�g,11 ibe chained to the credr rd r cPt fnr�h
ThisT9latementdsryouc only receiptinYou havelagreed?to payrin 5as-h o_r.,by,apPrQveci;personiaJac{� k�orrtatautzae,us2ta S�ta igg youuuc�edyardner' �s ..n,
tO
yo�frYTh'� Trio"8n(s`tiowririnrNte'et'@ilitsTroYamn,opposite-anylcredit,cald.entry:i n.the)referencelaolum�naFaewe.ailtib, cZi�,5g 1<to,,tfieac�ec�ft�car�rQSiJ,U.Prhbg P :labPotes (The
1 5�I rmnnrn i^J�' 'AI aT ar *h�T
credit card company wi15 bf�l nr ate fil l manner.) IPfor`zny'iea'so"n tf credlt card€omjYarYy'rrlaestndicm'akd'payinehton3thrs-aecorinQsyou wi II owe us such amount. If you
are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the check-out date on any unpaid amount at the rate of 1.5%
�
per'ntionthNNi JAI BATF 18%) or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees.
To secure your next stay,go to marriott.com
Signature X
i
Lamb, Barbara A
i
From: IPMA-HR [ipma@ipma-hr.org]
Sent: Tuesday, June 09, 2015 12:02 PM
To: Lamb, Barbara A
Cc: Webmaster
Subject: Invoice Confirmation (INV-08730-W4Y1K7) CRM:0003153
M,
Dear Barbara A Lamb,
This is an invoice receipt for your order of Meetings - 2015 International Training
Conference & Expo. Below is a detailed description of your order.
Date of Purchase: 6/9/2015 Bill To Address Ship To Address
Order#: SC-00051891-OLK75 Barbara A Lamb Barbara A Lamb
Payment: 1 Civic Square 1 Civic Square
Gift Card:- Carmel, IN 46032 Carmel;.IN A6032
Bill To: Barbara A Lamb us us
PO#:31667
INV-08730- Full Conference- Lamb, Barbara A $0.00 $649.00
W4Y1 K7
INV-08730- Welcome Reception- Lamb, Barbara A $0.00 $0.00
W4Y1 K7
INV-08730- Awards Luncheon-Lamb, Barbara A $0.00 $0.00
W4Y1 K7
INV-08730- Celebration Reception-Lamb, Barbara $0.00 $0.00
- —:
-c- -- - -- - $649:0Tota arges:, 0
S:; .,.:.,
alesT ax: .;..:•.$0:00
;., .
rde.c:Total`..:°: ^,;��� $.849`.00
$d_00
:. dit Card:;,,. $0'.00
Balance Due $649.00
If you've already submitted a payment separately, then you'll receive another
notification once we've processed it.
(Please allow an extra business day for; this to be reflected on your invoice.)
i
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Denver Sun, Sep 27, 2015 Rename
Orbitz booking number:PBORB-521-414-9474 Trip Tools
United Airlines record locator:DWQW29
Sun,Sep 27,2015
0 5:06 PM :Take-off Need to cancel?
United Airlines 562 View or modify seats
IND DEN Baggage fees
5:06 PM 5:58 PM
BARBARA ANN LAMB,seat 28E Flight check-in
GARY DEAN LAMB,seat 28D
United Airlines record locator:DWQW29 Customer Support
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Depart Indianapolis,IN,United States ---
5:06 PM Indianapolis Airport(IND) Search
Arrive Denver,CO,United States
5:58 PM Denver International Airport(DEN)
United Airlines 562 Flight Status Updates
Economy
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Airbus A320
changes and events affecting your trip.
976 mi I 2hr 52min
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10:00 AM 2:28 PM conditions.
BARBARA ANN LAMB,seat 28E
GARY DEAN LAMB,seat 28D
Cost and billing summary
United Airlines record locator:DWQW29
Amount due at booking $530.40
Leave Sat,Oct 3,2015
Depart Denver,CO,United States Flight
10:00 AM Denver International Airport(DEN) Airline Ticket(2) $530.40
Arrive Indianapolis,IN,United States (Adults:2) /
2:28 PM Indianapolis Airport(IND) Total due at booking $530.40/
United Airlines 491 Taxes and fees included
Economy Prices listed are in USD unless noted.
k\Cbus N319
976 mi 2hr 28min Additional baggage fees may apply.
Hide details This reservation was made on Sun,Jun 14, ^ 16
PM CDT.
Slitl �
� Q�b1�Z���t�j�gldeta�ls?n1pLocator=TBORB3057077694
6/14/2015
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/05/15 10.05.15 Denver Conference Expenses $1,029.05
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
ys ryy�.
VOUCHER NO. WARRANT NO.
ALLOWED 20
.,.. 'M
Lamb, Barb -
IN SUM OF $
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t h.
$1,029.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/ AMOUNT Dept. INVOICE NO. ACCT#/TITLE AMU
p Board Members
1201 I 10.05.1543-430.02 $1,029.05 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the =,
w.
materials or services itemized thereon for
which charge is made were ordered and
received except
.Y,
;fYT "E j
Monday, October 05, 2015 g}
Director, HR
Title3> `
Cost distribution ledger classification if
claim paid motor vehicle highway fund