251717 11/18/15 i off"C4H�J
CITY OF CARMEL, INDIANA VENDOR: 00351333
g �) ONE CIVIC SQUARE ERIC RUSSELL CHECK AMOUNT: $*******110.00*
s. =q CARMEL, INDIANA 46032 C!0 STREET DEPT CHECK NUMBER: 251717
9dj��roN'�°, C/0 STREET DEPT CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 REIMB 110.00 EXTERNAL TRAINING TRA
1
CITY OF CARMEL Expense Report (required for all travel expenses)
� u
1roa�nNp
EMPLOYEE NAME: ERIC RUSSELL DEPARTURE DATE: 10/29/2015 TIME: 7:00 AM/PM
DEPARTMENT: STREET RETURN DATE: 10/29/2015 TIME: 4:30 AM/PM
REASON FOR TRAVEL: DESTINATION CITY: Indianapolis
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/29/15 $26.00 $26.48 $52.48
$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
j 0.00
Total 1 $0.00 $0.001 $0.001 $26.001 $0.00 $0.00 $26.48 0.00$ $0.001 $0.001 $0.00 $52.48
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:
City of Carmel Form#ER06 Revision Date 10/30/2015 Page 1
Prescribed by Stale Board of Accounts General Form No.101(1955)
MILEAGE CLAIM
TO DR.
Governmental Unit)
On Account of Appropriation No. for
Office,Board,Depanment or Institution
DATE FROM TO ODOMETER READING` NATURE OF BUSINESS AUTO MILES MILEAGE @ 5Z.6
2015 Point Point Start Finish TRAVELED PER MILE
10/29/2015 18798 Northridge Dr Noblesville 123 W Louisiana St Indianapolis OSHA COMPLIANCE SEMINAR 25 1q. of
123 W Louisiana St Indianapolis 18798 Northridge Dr Noblesville OSHA COMPLIANCE SEMINAR 25
11/05/2015 18798 Northridge Dr Noblesville 2930 Waterfront pkwy W Dr Indianapolis TRAINING THE TRAINER 35
11/05/2015 12930 Waterfront pkwy W Dr Indianapolis 18798 Northridge Dr Noblesville TRAINING THE TRAINER 35
Auto License No. TOTALS 120
•SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after
allowing all just credits,and that no part of the same has been paid.
Date
I
AFRED PRYOR SEMIlI M rKAREERTRACK.
divisions d PARK University Enterprises,Inc.
Dear ERIC, 9/09/15
Thank you for enrolling for OSHA COMPLIANCE. We appreciate your business
and are excited you have chosen us as your business skills training
provider.
Thank you for your payment! The lower left corner of this invoice
serves as your receipt. When you become a Trainingg Rewards member,
seminar enrollment is FREE. Your registration qualifies you to become
a member for only $1991 Call 1-800-780-8469 and use Offer Code #914481.
Please review the seminar and attendee information listed below and contact
us toll-free at 800-556-3012 if you have any questions. If you are unable to
attend, ou may send a substitute from your organization or transfer your
registration to another seminar.
Thank you again for choosing us as your training provider. Enjoy your seminar! '
--------------------------------------------------------------------------------------------------------------------------
Get the most from your seminar... 1 Day Seminar
SEE REVERSE SIDE FOR DETAILS! P ograirn:
OZ/OSHA COMPLIANCE
Seminar ligate: ups v Oetober�291;1f20�F5.
Check-in: BEGINS AT 8:30
5etvo4vaa1 1111me: 9:00 AM 4:00 PM
MR ERIC RUSSELL Seminar Location:
THE CITY OF CARMEL STREET DEPA Crowne Plaza Union Station
123 W Louisiana St
Indianapolis, IN 46225
317 631 2221
ATTENDEE: MR ERIC RUSSELL
-------------------------------------------------------------r-------------------------------------------------------------
i
THIS IS YOUR ORIGINAL INVOICE REMITTANCE STUB
(Forward to Your Accounts Payable Dept.)
(Payment is due upon receipt of this invoice. Please return
Attendee Name: MR ERIC RUSSELL � this remittance stub with your payment.)
Customer#: 32889847 Order•#: 1-007874161
Your PO#: Federal 1D#:43-1830400 Invoice#: 18401128 Tuition: 179.00
Invoice Date: 09/09/2015 Invoice#: 18401128 i Customer#: 32889847fax: .00
Event#: 173655 Amount Paid: 179.00
Program: OZ/OSHA COMPLIANCE 290038 10/29/2015 TOtalAmountDue: .00.
Seminar Date: Thursday October 29, 2015 ' Method of Payment:El #
Seminar Location: Crowne Plaza Union Station Please submit
123 W Louisiana St
Indianapolis, IN 46225 1 11Visa ElMC PayTrenPliryor
❑AMEX ❑Discover Seminars
Payment is due upon receip o6 thi's invoice. Exp.Date PO Box 219468
Kansas City,MO 64121.9468
Tuition: 179:00
0 0 Amount Paid: 179.00 Card#
Tax: •0 0 Total Amount Due: .00
;
n Cardholder Signature
.__FRED PRXOR SE.iRIA,RS !F
.� AREERTRACK. 11 Tax Exempt#:
i
RPU?PRYOR SEMIN M r%CAREERTRACI.
divisions of PARK University Enterprises,Inc.
Dear ERIC, 9/17/15
Thank you for enrolling for TRAINING THE TRAINER. We appreciate your
business and are excited you have chosen us as your business skills
training provider.
**Payment is due before you may attend the seminar.** If you would like
to pay by credit card, please call 800-556-3012 . Please mail checks or
rocess ACH payments no less than 7 business days prior to the seminar
o allow for processing time.
Please review the seminar and attendee information listed below and contact
us toll-free at 800-556-3012 if you have any questions. If you are unable to
attend, ou may send a substitute from your organization or transfer your
registration to another seminar.
Thank you again for choosing us as your training provider. Enjoy your seminar!
---------------------------------------------------------------------------------------------------------------------------
Get the most from your seminar... 1 Day Seminar
SEE REVERSE SIDE FOR DETAILS! Prograrm
TN/TRAINING THE TRAINER
Seminar Date: Thugs ay ov er , 2�5
CIhedc-in: BEGINS AT 8:30 AM
Saminar lime: 9:00 AN 4:00 PM
MR ERIC RUSSELL Seminar Locration-
CITY OF CARMEL STREET DEPARTME Clarion Hotel & Conference C
2930 Waterfront Pkwy W Dr
Indianapolis, IN 46214
317 299 8400
ATTENDEE: MR ERIC RUSSELL
-------------------------------------------------------------r-------------------------------------------------------------
i
[[nmmmnmw[wnmmo'[tmawwaioo®[ni®npR[WtTnRNtww[[[[owwaee[mimnnovvmic[oo®[[m9MN[nn[[IaamP � OWNOOOYI¢I[o00[01[NIWi0YB00[[G[aOC[w.iamivurnlmlm0[IOOi[00[p4W0PfLIW1001tWIw0piaoeOYIVOOnv PPP[ipU
THIS IS YOUR ORIGINAL INVOICE REMITTANCE STUB
(Forward to Your Accounts Payable Dept.) (Payment is due upon receipt of this invoice. Please return
Attendee Name: MR .ERIC RUSSELL this remittance stub with your payment.)
Customer dt: 33151270 Order#: 20-004838911
Your PO#: Federal ID#:43-1830400 Invoice#: 18451388 Tuition: 159.00
Invoice Date: 09/17/2015 Invoice#; 18451388 i Customer#: 3315127 Max: .00
Event 4: 174792 Amount Paid: .00
Program: TN/TRAINING THE TRAINER 1750038 11/05/2015 Total Amount Due: 159.00
Seminar Date: Thursday November 5, 2015
Method of Payment:
Seminar Location: Clarion Hotel & Conference C ❑Check# Please submit
2930 Waterfront Pkwy W Dr
Indianapolis, IN 46214 El Visa 1:1MC PaMeenht$ryor
❑AMEX ❑ Discover Seminars
Payment is due upon receipt O6 this u*nv 3ice. � Exp.Dale PO Box 219468
_ Kansas City,MO 64121.9468
Tuition: 159 00 Amount Paid: .00 Card# -
Tax: •0 0 Total Amount Due: 159.00 ;
rdho
11 Tax
FRED PRYOR S�,ibI�PIARS CAREE TRACK,. lder Signature❑ ax Exempt#::
VOUCHER NO. WARRANT NO.
ALLOWED 20
Eric Russell
C/O Street Department IN SUM OF$
3400 W. 131 st Street
Carmel, IN 46074
$110.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 43-430.02 j $110.00 1 hereby certify that the attached invoice(s), or II
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
I
received except
I
ursdayove r 12, 0 5
Title
Cost distribution ledger classification if
claim paid motor 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 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))
11/10/15 $110.00
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
, 20
Clerk-Treasurer