HomeMy WebLinkAbout256097 03/04/16 CITY OF CARMEL, INDIANA VENDOR: 027850
ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $*******130.00*
CARMEL, INDIANA 46032 CHECK NUMBER: 256097
CHECK DATE: 03/04/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 030316 130.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO.
ALLOWED 20
JAMES BRAINARD
IN SUM OF$
$130.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member,
I EXPENSE I 43-430.04 I $130.00 1 hereby certify that the attached invoice(s), or
REPORT
1160 101 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
Wednesday, March 02, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
;y. Rfiio
CITY OF CARMEL Expense Report (required for all travel expenses)
NID AU EXHIBIT A
EMPLOYEE NAME: James Brainard DEPARTURE DATE: 2/26/2016 TIME: 7 : 30 AM/PM
DEPARTMENT: Mayor RETURN DATE: 2/27/20.16 TIME: 8 : 00 AM/PM
S eake at Staff Retreat for
REASON FOR TRAVEL: City o Troy, Michigan DESTINATION CITY: Tro Michigan
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
2/26/16 $65.00 $65.00
2/27/16 $65.00 $65.00
$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
$0.0011
$0.00
Total $0:00 $0.00 $0.00 $0:00 `. $0.00 $0.00 $0.00 $0.00 $0.00 $130.00 $0.00
DIRECTOR'S STATEMENT- e y affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: 3/2/2016
City of Carmel Form#ER06 Revision Date 3/1/2016 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 $32.50 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 $32.50 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 Signature: Date:
City of Carmel Form#ER06 Revision Date 3/1/2016 Page 2
Kibbe, Sharon
From: Brainard,James C
Sent: Sunday, February 28, 201611:20 AM
To: Kibbe, Sharon
Sharon,
Will you submit two days for per diem (Friday, Feb. 26 and Saturday, Feb.27)for my talk in Troy, Michigan. I left at 7:30
am on Friday and returned at 8 pm roughly on Saturday. Troy covered all the hotel room.
Thanks,
Jim
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