252026 12/02/15 y�..�,q"f - CITY OF CARMEL, INDIANA VENDOR: 361675
® ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: S""""724.72'
?� CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 252026
>.y_5N�o. NOBLESVILLE IN 46062 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 227.72 EXTERNAL TRAINING TRA
2200 4357004 497.00 EXTERNAL INSTRUCT FEE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1955)
r 1 MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
�✓19 i.^-1 e e✓l
ON ACCOUNT OF APPROPRIATED NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
DATE FROM TO ODOMETER MILEAGE
READING+ NATURE OF BUSINESS AUTO MILES @ 57.5 cents
20 tS POINT POINT START FINISH TRAVELED PER MILE
Cry 11338 Im9t)
5 ►2 G t vo 4 19 Iv)40 34
5 13 a 1 >`le�dl, �l� i Z3 so9 12s 520 lCAn %I
y 17Ay70 I2-461(r - 4(p Z(& `15-
It
Cwvw atu I, 12 45I 12`t H Z�-[C_ 45 S 86
'1 7 0wf,^.l 1%T-t'+5- 125-817 Dtt.ir, ,M k"% SQU - oiw evn j- 42 I
7 L3 �...�... C.,,.�.. I UP 3 64 1 Z041
7 2Q1 C, - o 1 �. .� 1ws9s I�(9ZS �I„r dCA' Qekl.rc �...� S, 30 z�
Z9 C.ti.r v..�` lZ(o(o80 12J),1D3 ��� Co
"1 CLIWIA ti Vwq. 12(0-1 l 2A 7�1 C 30 V7 z
16 A!W61 W 1z-,0357 IZ'79'" -;)�-rc 6`17-
9-1Z
`1zs1Z P � 127 No 27 70 ,,}a.. C — 1 OO v;e�,.l 30 �5-
oia►,r., 27-Lo 27 S 1 C— VA U- 31 I 8 3
AUTO LICENSE NO. TOTALS
+ODOMETER 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; I 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 N o 10 3 12015
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
Jeremy Kashman Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/30/2015 0 Mileage $ 227.72
Total $ 227.72
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
VOUCHER NO WARRANT NO.
Jeremy Kashman ALLOWED 20
IN SUM OF$
$ 227.72
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICENO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4343002 $ 227.72 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
11/30/2015
Signage
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
TRB 95th Annual Meeting Confirmation Receipt '210 O - 9 3 s -4-0 0 Lt Page 1 of 1
Registration Confirmation/Receipt
Transportation Research Board 95th Annual Meeting
Confirmation ID#711421
Registration Date 11/23/2015
Mr.Jeremy Kashman
City of Carmel
One Civic Square
Carmel,IN46032
317 5712441
jkashman@carmel.in.gov
Registration Price Quantity Total Cost
(REG)Full Registration-Young Professional $310.00 1 $310.00
(M1)Individual Affiliate Membership $187.00 1 $187.00
Payment Type Y YP Amount Date
CCD Payment MasterCard 5xxx8509 04/18 $497.00 11/23/2015
Total Fees: $497.00
Total Paid: $497.00
Total Due: $0.00
TRB Registration&Housing Bureau:
8:30 AM to 5:00 PM ET,Monday-Friday(closed weekends and US holidays).
Mailing Address:11208 Waples Mill Road,Suite 112,Fairfax,VA 22030
Phone:877-585-6006 or 703-449-6418
Email:trbna isoargo.com
Fax:703-563-2715
i
https:HshoNv.jspargo.com/trbl6/change/receipt.asp?idpeople=711421&hid=BA5D7AB7A... 11/23/2015
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
Jeremy Kashman Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/23/2015 0 TRB Registration-Jeremy Kashman $ 497.00
Total $ 497.00
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
I
l
I
i
\ _
VOUCHER NO WARRANT NO.
Jeremy Kashman ALLOWED 20
IN SUM OF $
$ 497.00 "
ON ACCOUNT OF APPROPRIATION FOR
Board Membersrr.Y.'
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bills is are true and correct and that the
0 0 2200-4357004 $ . aszoo O (are)
materials or services itemized thereon for
which charge is made were ordered and -
received except : +
11/30/2015
Signature
City Engineer
,y` :'
\ Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund