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252681 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 361675 ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*******186.20* (9, CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 252681 NOBLESVILLE IN 46062 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 186.20 EXTERNAL TRAINING TRA Receipt for Washington Page lofl TQ6cc)~��--,- ne jzc�`f I.-m-kedia"; ��N- , 2z0o - Li 3,4 s 00-2 Receipt � �^� Washington� u�������� n��� mm��nn�������n � �� Jan 1O. 201S'Jan 13. 2010Itinerary# 112334U137328 Booked Items ! Cost SUm0O2R/ . . . / Right Indianapolis(|N[)VoWashington (DCA) Booked Dote' Dec4 2015 � � � . / Depart: 1/10/2O181 Return:� 1/13/2016 1 mund�hpdcko ' ' ` ' Traveler 1:Adult $186.20 / � Flight �14G08 | � | | | Tr�V8�� |O6n�O�6OO ' | ' '~ '~' Information ^' / Taxes& Fees $39.22 ExpodiaBoo�ngFee $U�OO \ ' � | Jeremy Kaehman'Adult | � | ---- ----- ------- | | ' | Total: $186'20 ! i / f . . | Paid: $18G �O | | . ' | ! | [MasterCard— — ^ All phoox yumeumuouoUonv '| https://www.expedia.com/itinerary-receipt?tripid=cdOec7c4-e28c-43cl-80ca-aa6b7d4bl4... 12/14/2015 | � 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 Jeremy Kashman Purchase Order No. Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 12/14/2015 0 TRB Conference-Airfare $ 186.20 12/14/2015 0 TRB Conference-Hotel 1 $ 614.87 w � r: t �rTotal $ 801.07 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 VOUCHER NO WARRANT NO. Jeremy Kashman ALLOWED 20 IN SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR Board Members I Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4343002 $ 186.20 bill(s) is (are)true and correct and that the materials or services itemized thereon for 0 0' 22oo�tZ4 which charge is made were ordered and received except 12/14/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund }