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HomeMy WebLinkAbout253909 01/26/16 CITY OF CARMEL, INDIANA VENDOR: 361675 ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*****1,085.07* �. CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 253909 9yTON�O r NOBLESVILLE IN 46062 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 27037 936.07 EXTERNAL TRAINING TRA 2200 4357004 27037 149.00 EXTERNAL INSTRUCT FEE CITY OF CARMEL Expense Report ( L2 DO - a 3 zl 3 00-Z— NAME Kashman, Jeremy M DEPARTURE DATE &TIME: 1/10/2016 7:00 PM DEPARTMENT Engineering RETURN DATE &TIME: 1/13/2016 5:30 PM CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE _ REASON FOR TRAVEL: TRB Conference-Washington, DC Transportation Auto Taxi, Toll Meals Date Lodging Misc. Total— Air-fare Car rental Expenses etc. Breakfast Lunch Dinner Per Diem $0.00 1/10/16 $10.38 $10;38 1/11/16 $6.47 $65.00 $71.47 1/12/16 $65.00 $65.00 1/13/16 $54.00 $20.84 $614.88 $65.00 $754.72 $0.00 0:00 Total $13M $0:00 ; ::,:; $54:00 $37.69 $6.14:88 $0:00 $0.00 .'$0,00 . ., '$0.00 For advance payments, claim form must be submitted fifteen (15) 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, if traveling by air 3) Original itemized receipts or affidavits, if approved by Department Director,for all expenses(except for meal per diems) 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$60 for out-of-state travel For travel that commences after 1:00 p.m.(flight departure time, if traveling by air),$35 for in-state travel and$45 for out-of-state travel(NOT a per diem) DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: 1 EMPLOYEE ACKNOWLE EMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,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 understand that within fifteen(15)business days of my return(as stated above), 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 Tdate;of7return. Employee Signature: Date: City of Carmel Confidential 1/21/2016 Page 1 Confirmation Page 1 of 1 Indiana Association of Cities and Towns 125 W Market Street, Suite 240 Indianapolis, IN 46204 317-237-6200 www.citiesandtowns.org- Jeremy xashman RECEIPT City Engineer Carmel Number: 27037 Department of Engineering DATE CONTACT One Civic Square Carmel, IN 46032 1/21/2016 15546 Items Quantity Price Total 2o16 IACT Legislative Day: Municipal 1 $149.00 $149.00 Member Order Subtotal: $149.00 Payment Received: $149.00 Total Due: $0.00 Payment Information Paid By: MasterCard '2-2-0 © `1 2,''m'° '+ Check/Card (last 4 digits) No: 8509 Thank you for your support of TACT! Please remit payment within 3o days to TACT. https://www.citiesandtowns.org/DesktopModules/NOAH_Common/Dialogs/PrintConfirm... 1/21/2016 Chase Online -Account Activity Page 1 of 2 Search:I How can we help you tod 0. 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Date Type Description Debit Credit Balance 01/142016 Debit Card TransaUion INDIANAOPOLIS AIRP INDIANAPOLIS IN 01/13 $54.00 is MY CfrztZ FZCA-rOaJ o Tim CE►t�B-c> S, trip with Uber- Travel - Yahoo Mail Page 1 of 2 Search 14tail Search Web Jeremy Account Info v Go Sign Out Home ........._... ?ad Calendar Switch to the newest Yahoo Mail Delete Reply Reply All ForwardActions v gpp!y Prev ou f ' IDNlTi 3T �p Match If you're single,this site will be F , ti „ t••- Sponsored Browse pies and profiles for free! TU f s Your Sunday evening trip wit Sunday,January 10,2016 10:17 PM S a x.+ h Uber From: "Uber Receipts"<receipts.washington.DC@uber.com> — ._... ..-- — ...... To: Full Headers Printable View ei « t to ! UBER 10.3 Q Thanks fc g J�7 isAn i �: .._... .__._._. FARE BI Q Washl - 'ton z n a r r, : Trip fare + •+ a Subtotal t a a - + CHARGED N Personal� V `? 8 Y y You saved$3.90 11ap data.1,2016 Goc'e _ share y( t I O 10:06prn _ Toc 2401 S Smith Blvd,Arlington,VA F'!� h O 1O:16prn 1400 M St tJf',Nlzshington,CC CAR MILES TRIP TIME POOL 4.04 00:10:24 i _ You rode with Sydney RATE YOUR DRm li I; I� Uber Support I CV) Give$15,1. L4 Contact us Wth questions about your trp. Y— Leave something behind?Teck it doom. Share code:j- hoo.com/neo/b/message?pSize=25&sMid=1&fid=Travel&mid=2 0... 1/14/2016 ONE CITY a.ShifotoB DC aDRkEEIR W08'2'698 ".HB #: A886 r*,ej; : 01/125 09:44-09:48 RATE #: I RATE Cow $!e R: 0.80 TRIP #: 19 RE $5.14 TIPS $1.08 SIURCH. $0.25 T 1 P:". $1.08 otal $6.47 —e -3u n I= s: 01 MQ C A *-**9291 "UTHOR.: 054909 OCTF' COMPL04T.' I L ANDS' TTY 711 +; . »-4 y7 dctaxi.dc.sciv moon trip with Uber- Travel - Yahoo Mail Page I of 2 i Search Mail Search tNeb Jeremy Go sign out Home id f Calendar Switch to the newest Yahoo Mail l Delete Reply Reply All Forward Actions Previoul, .................................. ...........- WMatch If you're single,this site will be Sponsored Browse pies and profiles for free. Your Wednesday afternoon tr Wednesday.January 13,201E 1:34 PM S ip with Uber From: "Uber Receipts"<receipts.washington.DC@uber.com>' ............... a Full Headers Printable View . is U B E R 10-110%CFF-WITH',fHE q, T .�KGNO�RSDISCOUNT,; Thanks rc T $12.64 IN NEW YORK CITY --------—---- �,. _ `� \.,-. .. .............. FARE B1 Trip fare -Do asnii gTon Subtotal �,Ar inglon CHARGED Ap Personal 44) Ikep*p-r( You saved$4.74 Tri bc- data Goog a: share y( O 01:17pm 1421-1439 L St NIS,Washington,DC Ij (j) 01:34pm LP National Car Rental,Arlington,VA CAR :BILES TRP TIME BLACK PEARL POOL 5.01 00:16:41 WASHINGTON, DC (202) 269-1100 Li CrCAL,- PLATE# H74701 :2p You rode with ASHLEY TRX: 2537174 VISA 9291 APRV: 042409 CUSTOMER RATE YOUR DRIVER START TIME 01/13/16 09:19 END TIME )Aervu- 1/13/16 09:24 17—,-1 Uber Support OrEr-YrUL Contact us With questions about your hip. DIST: 0.8 MI Leave something behir.-V Track it dayn. FARE: $5.95 -EXTRAS: $0.25 TIP: $2.00 22"N72IM-1 'TOTAL: $8.20- VEHICLE: 0186 DRIVER: 442 COMPLAINTS CALL (202) 645-6018 ioo.com/neo/b/messap,e?sMid=O&fid=Travel&sort=date&order--do... 1/14/2016 The Westin Washington, D.C. City Center 1400 M Street Northwest Washington, DC 20005 United States Tel: 202-429-1700 Fax: 202-785-0786 Jeremy Kashman Page Number : 1 Invoice Nbr: 308770 18567 Pilot Mills Ct Guest Number: 821839 Arrive Date: 10-JAN-16 22 :17 Noblesville, IN 46062-6468 Folio ID EX-A Depart Date: 13-JAN-16 16:00 No. Of Guest: 1 Email: KASHMAJM@YAHOO.COM Room Number 923 Room Rate 179.00 SPG Account SPG - Axxxxxxx6460 Foreign Currency: CAD - Canada Dolla Exchange Rate 0.00 Westin Washington 13-JAN-16 04:14 THARPIS Date Reference Description Amount USD Amount CAD 10-JAN-16 RT923 Room Charge 179.00 0.00 10-JAN-16 RT923 Room Tax 25.96 0.00 11-JAN-16 RT923 Room Charge 179.00 0.00 11-JAN-16 RT923 Room Tax 25.96 0.00 12-JAN-16 RT923 Room Charge 179.00 0.00 12-JAN-16 RT923 Room Tax 25.96 0.00 13-JAN-16 VI Visa -614.88 0.00 ** Total Charges 614 .88 0.00 ** Total Credits -614.88 0.00 *** Balance 0.00 0.00 As a Starwood Preferred Guest you have earned at least 1074 Starpoints fora this visit Axxxxxxx6460With the Westin Gear Lending program, New Balance(TM) Tell us about your stay. www.westin.com/reviews oom so you can keep moving. Experience it during your next stay. Learn more at westin.com/newbalance ed until after your departure. You are ultimately responsible for paying all of your folio charges in full. '2200 -y 34 3 0 O"Z AUNTS GENERAL FORM NO.101(1955) MILEAGE CLAIM TO 0_f. eo�lMd vrr) ON ACCOUNT OF APPROPRIATED NO. FOR T OR TITUTION) TO ODOMETER MILEAGE READING+' NATURE OF BUSINESS AUTO MILES @ 57.5 cents POINT START FINISH TRAVELED PER MILE z t (p l IaD Iot9 'C R-$ Can, c2 3 d l� ZS Gli to c,2 7 Cin 3a 1 2.5 E NO. TOTALS p are to be used only when distance between points cannot be determined by fixed mileage or official highway map. ilties 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 tme has been paid. 20 �� Claim No. Warrant No. I I havf IN FAVOR OF hereby certify That it is in pr( That it is duly That it is basec That it is'appaj On Account of Appropriation No. :. For r I CERTIFY thi that the mileag charge is made Allowed 20 necessary to th per mile is in a In the sum of S ordinances,ex( (Board or Commission) FILED (Official Title) I BOYCE FORMS—SYSTEMS 1-800-382-8702 01136 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 01/21/16 27037 IACT Legislative Day registration $149.00 2200 201 01/22/16 1 TRB Conference mileage $34.50 2200 201 01/22/16 I TRB1I TRB Conference travel expenses I $901.57 00 22 201 1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. JEREMY KASHMAN ALLOWED 20 18567 PILOT MILLS CT IN SUM OF$ NOBLESVILLE, IN 46062 $1,085.07 ON ACCOUNT OF APPROPRIATION FOR Engineering PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 27037 43-570.04 $149.00 1 hereby certify that the attached invoice(s), or 2200 201 1 43-430.02 $34.50 bill(s) is (are)true and correct and that the 2200 201 TRB1 I 43-430.02 I $901.57 materials or services itemized thereon for 2200 201 which charge is made were ordered and received except Friday, January 22, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund