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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 i4�t'l oTnCg��F!\. 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 , - ' ( . 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 Join Hotels Flights Packages Ca£s C utse, Deas 6:?tae Gary 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 Leave Sun,Sep 27,2015 r Learch by keyword or phrase 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 Get free updates about flight delays,gate Airbus A320 changes and events affecting your trip. 976 mi I 2hr 52min -Hide details Sign in to update alerts Sat,Oct 3,2015 Join Orbitz Rewards- It's free! 0 10:00 AM :Take-offBook on Orbitz,earn rewards .00 instantly,get free hotels faster! United Airlines 491 Join noW DEN IND By clicking,I agree to the terms and 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 $ lf� 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