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Home My WebLink About257391 04/08/16 0�'gip" CITY OF CARMEL, INDIANA VENDOR: 368793 4 ® �I ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $*****1,191.62* :9� _� CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 257391 .y,��oN�` CARMEL IN 46032 CHECK DATE: 04/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 040616 667.62 TRAVEL FEES & EXPENSE 1192 4343004 040616 455.00 TRAVEL PER DIEMS 1192 4357004 040616 69.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. WED 20 ALLOWED MICHAEL SHEEKS 14382 WHISPER WIND DR IN SUM OF$ CARMEL, IN 46032 $1,191.62 ON ACCOUNT OF APPROPRIATION FOR Dept of Community Service PO# Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 0 43-570.04 $69.00- 1192 101 1 hereby certify that the attached invoice(s), or 0 43-430.01 $667.62 bill(s) is(are)true and correct and that the 1192 101 I- materials or services itemized thereon for 0 43-430.04 $455.00, 1192 101 which charge is made were ordered and received except Wednesday, March 30, 2016 7 Cost distribution ledger classification if claim paid motor vehicle highway fund Sheeks, Mike From: ICC <campus@iccsafe.org> Sent: Wednesday, March 16, 2016 9:16 AM To: Sheeks, Mike Subject: ICC - Payment Receipt x Payment Receipt C-6-r_J Dear Michael Sheeks, Thank you for using our secure on-line payment system to purchase your ICC items below. Customer ID: 146777 Customer: Michael Sheeks Purchase Order: ICC17063 Purchase Date: 2016-03-16 06:16:18 Product Units Price Discount Total 64 PROPERTY MAINTENANCE &HOUSING INSPECTOR-2012 1 $79.00 $10.00 $69.00 Total $69.00 . 1 4 ! CITY OF CARMEL Expense Report (required for all travel expenses) M EMPLOYEE NAME: Mike Sheeks DEPARTURE DATE: 3/20/2016 TIME: 8:20 AM DEPARTMENT: Building RETURN DATE: 3/26/2016 TIME: 6:50 PM REASON FOR TRAVEL: Training DESTINATION CITY: Las Vegas EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE_0_ TRAVEL REIMBURSEMENT$1,122.62 TRAVEL PER DIEM_$65.00 Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/20/16 $67.50 $18.00 $53.76 $65.00 $204.26 3/21/16 $20.54 $18.00 $53.76 $65.00 $157.30 3/22/16 $18.00 $53.76 $65.00 $13616 3/23/16 $44.49 $18.00 $53.76 $65.00 $181.25 3/24/16 $18.00 $53.76 1 $65.00 $136.76 3/25/16 $18.00 $114.35 $65.00 $197.35 3/26/16 $25.94 $18.00 $65.00 $108.94 $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- Totall $0.00 $0.001 $158.471 :`;$126.00 $383.151 $0.001 $0.001 $0.00 UP-001 $466.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 3/28/2016 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 $30 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$30 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$65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: - I hereby acknowledge receipt of$_ 0 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#ERO6 Revision Date 3/28/2016 Page 2 tz ASSENGER RECEIPT 5 0010F336D5E1 PASSENGER COPY ID. 6523 CARD RECEIPT COPY 03/23/16 TERMINAL ID: 0288924069 DRIVER I CARD RECEIPT DOW CABNUMBER 3576 T TIME: 20:16 c283537378 -" 6 ID: =- TIME: 20:26 DATE 03/20/2016 TERMINALCA 0 5300 NUMBER- 44783 START TIME: 12 i 3 2 CABNUM111 03/20/2016 M 0a en 3.20 END TIME 12:4 0 DATE WU F�6 ANCE: 09-.33 0 = 1 PASSNUMBER: START TIME, ► - -4 0 SL 1 09-. 44 3 > END TIME AMOUNT, $13. 62 TRIPNUMBER: 17083 PASSNUMBER' EE" 1 $3. 00 DISTANCE 2. 40 mi14588 TRIPNUMBER: RECOVERY $0.50 RATE 1 6 go mi r,j DISTANCE $ 11.55 ISI kMOUNT: $3. 42 FARE RATE L USD, $20, 54 EXTRA $ 0.00 FARE 1 $ 22. 82 EXCISE TAX EXTRA $ 2, 00 7945 RECOVERY $ 0. 44 EXCISE TAX $ 0.,83 )R. : 08945D TIP $ 4. 00 RECOVERY a. q.VERIFONETS.COM VOUCHER Z- $ 3. 00 TIP $ 5. 13 TOTAL $ 3. 00 THANK YOU! --_ $ 18 . 99 VOUCHER 34.38 CARDNUMBER: ****6269 TOTAL THANK YOU! AUTHNUMBER., 03532CCARDNUMBER- 05841C ysilow Checker Stair AUTHNUXBER: 1 (888) 432-7031 CA8@ 4farragedCampam/ W1411i'verifonets, C0111 432-1031 www,verifonets-cO2 Vehicle: 3188 Driver ID: 26444 Name: GUEORGUI P IVANOV Accepted 13y: 3/20/16 1:10 PM /erfibne, Cab panatioa Systema 702-384-6111 PASSENGER COPY PASSENGER COPY �R' E' D' iT- C' A'R'D-N' . . . .. . . . . . . . 5221 CARD RECEIPT CARD RECEIPT ID., 101889 TERMINAL ID: 0288568143 TERMINAL ID: C289081934 Authoriz , N. 00377C DRIVER ID: 00108425 CABNUMBER : 2255 . . . . . . . . . . . . . . . . . . . . . . . . 6 9: 21 AM CABNUMBER: 699 DATE 03/21/2016 Receipt N. 138 . 1 , . . . . . . DATE: 03/23/2016 START TIME: Start 3/20/16 1: 05 PM CARD N, START TIME: 17; 40 17: 15 End 3/20/16 1: 10 PM k*****1945 END TIME: 17; 53 END TIME 17:28 iz. N. 03595D PASSNUMBER: 1 PASSNUMBER: 1 Fare $8, 79 I . . . . . . I TRIPNUMBER: 3836 TRIPNUMBER: 7343 voucher $2.99 t N. 1933 DISTANCE: 3. 70 mi DISTANCE 2, 70 m i ------- 3126116 9. 06 AM RATE 1 . I RATE 1 Subtotal $11.78 3/26/16 9i21 AM FARE: $ 16. 38 FARE $ 13. 62 Excise Tax $0.35 EXTRA, $ 4. 00- EXTRA r-:" $ 0.00 Tip $2.00 $17 . 99 EXCISE TAX - EXCISE TAX ------- $3.00 44- $ 0158 RECOVERY I RECOVERY: $ 0. 50 $14.13 Total TIP, $ 3. 99 TIP $ 3. 42 31 $20.99 VOUCHER: $ 3.00 VOUCHER $ 3.00 *******DUPLICATE******** Tax sP. $0. 63 TOTAL: $ 23, 95 TOTAL 20. 54 $4,32 CARD NUMBER: *'**7945 CARDNUMBER: tjr,, ***'6263 Thanks for riding with ----- BER: 05168(- -- AUTHNUMBER: 02074D AUTHNUM 17 Yellow Cab $25. 94 (702) 873-2000 1 (888) 432-7031 lic3) 432-7031 wwwlycstrans.com kDUPLICATE******** 1 www,verifonets. com WWW, VeLlr-011A-t8' com for riding with a s e a Blue Cab ®VeriFone. Accepted by:t4 Ilia Cab Company &.0sponarian Symms 742.248-1111 THE ORLEANS HOTEL& CASINO 4500 W.4ROPICANA AVENUE { LAS VEGAS, NEVADA 89103 FOR RESERVATIONS CALL(800)675-3267 www.orleanseasino.com L A 5VEGAS Folio ID: 423091374597 .....-••.... ......... O -- v - Arrival Date: 03/20/2016 Name: MIKE SHEEKS Y; Departure Date: 03/26/2016 Address:: 14382 WHISPER WIND DR - Room No: T1 729 CARMEL IN 46032 Guests: 1 Group Code: A6EDC03 DATE REFERENCE DESCRIPTION ' �-6HARGES BALANCE 03/20/2016 424489100046 RESORT FEE . 6.72 RESORT FEE 03/20/2016 424489001270 ROOM CHARGE !Tl 729 42.00. TAX2 5.04 03/20/2016 424486128185 APPLIED DEPOSIT 47.04- ************4077 03/20/2016 424486128931 IN ROOM INTERNET 729 10:21 LAPTOP-25 03/20/2016 424486134142 IN ROOM INTERNET 729 13:35 LAPTOP-25 03/21/2016 424499100036 RESORT FEE 6.72 RESORT FEE - • r .+ 03/21/2016 424499001167 ROOM CHARGE T1 729 42 .00 TAX2 5.04 03/21/2016 424496162200 IN ROOM INTERNET 729 11:38 LAPTOP-25 03/22/2016 424509100029 RESORT FEE 6.72 RESORT FEE 03/22/2016 424509001209 ROOM CHARGE,:T1 72942.00 TAX2 ;_ " 5 5.04 03/22/2016 424506188982 IN ROOM INTERNET 729 11:42 LAPTOP-25 03/22/2016 •424506196.489 IN ROOM INTERNET 729 19:07 LAPTOP-25 03/23/2016 424519100033 RESORT FEE .: 6.72 RESORT FEE 03/23/2016 424519001242 ROOM CHARGE ,T1 729 42.00 TAX2 5 I agree that my liability is not waived and agree to be held personally liable in the event that thee; indicated person,company or association fails to pay for any part of the full amount of these " charges. GUEST SIGNATURE BALANCE DUE: APPROVED BY THANK YOU FOR CHOOSING THE ORLEANS HOTEL&CASINO THE ORLEANS HOTEL& CASINO W.-,TROPICANA AVENUE LAS VEG�LS`NEVADA 89103 FOR RESERVATIONS CALL(800)675-3267 www.orleaiiscasino.com LAS VEGAS Folio ID: 423091374597 - <-d- ----n r-- -- -a- o a * a o a ua k a a e w Arrival Date: 03/20/2016 Name: MIKE SHEEKS Departure Date: 03/26/2016 Address:: 14382 WHISPER WIND DR Room No: T1 729 CARMEL IN 46032 Guests: 1 Group Code: AGEDC03 DATE REFERENCE DESCRIPTION A- -CHARGES BALANCE 03/23/2016 424516215637 IN ROOM INTERNET �`'`'� 74r.,;, 729 11:52 LAPTOP-25 {� w 03/24/2016 424529100028 RESORT FEE 6.72 '- RESORT FEE, 03/24/2016 424529001222 ROOM CHARGE.T1 729 42.00 TAX2 5.04 03/24/2016 424526251522 IN ROOM INTERNET 729 16:15 LAPTOP-25 03/25/2016 424539100019 RESORT FEE 6.72 RESORT FEE 0.3/25/2016 424539000973 ROOM CHARGE.T1 729 96.00 TAX2 11.-52 03/25/2016 424536284720 IN ROOM INTERNET 729 21:21 LAPTOP-25 03/26/2016 424546298897 FRONT DESK VISA 336.00- ************6269 I agree that my liability is not waived and agree to be held personally liable in the.event that the. indicated person,company or association fails to pay for any part of the full anjoynt of these charges. GUEST SIGNATURE BALANCE DUE: .00 APPROVED BY THANK YOU FOR CHOOSING THE ORLEANS HOTEL&CASINO