HomeMy WebLinkAbout256648 03/18/16 v® CITY OF CARMEL, INDIANA VENDOR: 361675
ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $*******366.56*
s, ° CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 256648
�M,irmi�. NOBLESVILLE IN 46062 CHECK DATE: 03/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 031716 366.56 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO.
ALLOWED 20
JEREMY KASHMAN
18567 PILOT MILLS CT
IN SUM OF$
NOBLESVILLE, IN 46062
$366.56
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
0 I 43-430.02 I $366.56 1 hereby certify that the attached invoice(s), or
2200 201
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 16, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
i
Payee
Purchase Order No.
Terms '
Date Due
I
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/10/16 0 Purdue Road School-Lodging fees $366.56
2200 201
i
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
CITY OF CARMEL Expense Report
NAME Kashman, Jeremy M DEPARTURE DATE &TIME: 3/8/2016 9:00 AM
DEPARTMENT Engineering RETURN DATE&TIME: 3/10/2015 5:30 PM
CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE _ REASON FOR TRAVEL: Purdue Road School, Lafayette, IN
Transportation Auto Taxi Toll Meals
Date Ex enses etc. Lodging Breakfast Lunch Dinner Per Diem Misc. Tofal
Air-fare Car rental P
,,$0.00
3/8/16 $133.28 $50.00 $183;28
3/9/161 $133.28 $50.00
Y,$0-..00
$0;00
40A0
000
� $.0:00 , M IQ, 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 registrationlorm, 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$45 for out-of-state travel(NOT a per diem)
DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my
department's appropriated budget.
Director Signature: Date: 3111, 11
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ ,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 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 date of my return.
Employee Signature: ���_ Date: 31)V I Ito
City of Carmel Confidential /- 3/16/2016 Page 1
Four Points by Sheraton West Lafayette I R ® s
1600 Cumberland Avenue FOU , `'7 ,®
West Lafayette,IN 47906 P01 NTS
United States.
Tel:765-463-5511 Fax:765-497-3850 BY SHERATON
Jeremy Kashman Page Number 1
Guest Number 194656
18567 PILOT MILLS CT Folio ID A
NOBLESVILLE,IN 46062-6468 No.Of Guest_ 1
United States Room Number 240
Club Account SPG--Axxxxxxx6460 —
Arrive Date 08-MAR-16 18:43
Depart Date 10-MAR-16
4Pts West Lafayette 10-MAR-16 09:22 KMENDEZ
08-MAR-16 RT240 Room Charge 119.00
08-MAR-16 RT240 Sales Tax 8.33
08-MAR-16 RT240 Occupancy 5.95
09-MAR-16 8662 Private Dining Lunch
09-MAR-16 8662 Gratuity
09-MAR-16 8662 Sales Tax
09-MAR-16 RT240 Room Charge 119.00
09-MAR-16 RT240 Sales Tax 8.33
09-MAR-16 RT240 Occupancy 5.95
10-MAR-16 VI Visa -278.04
**Total Charges 278.04
* Total Credits -278.04
***Balance -0.00
Continued on the next page
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