HomeMy WebLinkAbout259304 06/03/16 .Cqq
CITY OF CARMEL, INDIANA VENDOR: 00351333
ONE CIVIC SQUARE ERIC RUSSELL CHECK AMOUNT: $********94.45*
CARMEL, INDIANA 46032 C/0 STREET DEPT CHECK NUMBER: 259304
FM,�ioN o` C/0 STREET DEPT CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 052616 94.45 EXTERNAL TRAINING TRA
VOUCHER NO.. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ERIC RUSSELL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O STREET DEPT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
C/O STREET DEPT rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$94.45 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-430.02 $94.45 1 hereby certify that the attached invoice(s),or 5/31/16 0 $94.45
2201 J 201 bill(s)is(are)true and correct and that the 2201 201
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, May 31, 2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Indianapolis International Ali ,.
7800 Col. Weir Cook Memorial Drive
Indianapolis, IN 46241
Fee Computer Number: 41
Cashier: 131. Id #131
Transaction Number: 18949
Entered: 05/22/2016 05:57
Exited: 05/24/201.6 23:14
Ticket #15668 Dispenser #34
Lot: 1-ot63Econ
Area: Area 6
Rate: Econ09R
Parking Fee: $ 27.00
Total Fee: $ 27.00
Cash: $ 25.00
Visa A $ 2.00
Credit Card NUMbef': ************5601
Total Paid: $ 27.00
Thank You have a nice day
1311) 487-5017
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...............NN.................
20 MgIH ST ST H
WINDSOR LOCKS• C 06096
860-627-6448
05/23/2016 17:54:06
Merchant ID: ************0705
Device ID: 0507
Terminal ID: PPX11.
Cr-ad i t Sa l a
Transaction 4: 15
Card Type: Visa
Account: ************5601
Entry: Manual
Amount : $16 . 60
md`
TIPI: $—
Tata . �V
STAN:
:',.iC)ON STAG
20 Mun i Street.,
Windsor Lock,CT 06096
Tel:(8601627-6448/0401
Delivery
Uule:05-23-2016 Time:5:51PM # 20
Server:BOSS
Phon: 317.752.2706.
Addr:BAY MONT INN
Narne:101
City: EW
ffj(10)
Crab Rangoon (10) 5.95
S8 �SWK 1.50
S8 Sweet/Sour Chicken 8.25
Amount : 15.70
TAX(6.35%) : 0.90
TOTAL : 16.60
Thank you very much.
KITCHEN CHECK ,
Date Table Guests Serve 0
APPT-SOUP/SAL-ENTRE:-V 1POT-DESSERT- EV
Avi
5/22/2016 9:27:45 AM
low
Delavmwc-t1E dh coo'pn ets;
17901 Woodland Dr. Suite 1000
The Coffee Beanery B
New Boston, MI. 48164
PHONE(734)247-6887 FAX(734)753-3150
RefSO#: Receipt#: 701549
5/22/2016 Store: 020A
Assoc: DZAHORC11 Cashier: JZAHORCH
ITEM# DCS OTY PRICE EXT PRICE
10305 400599 1 $3.70 $3.70
TEA-LIPTON PURE 1
25925 400103 1 $2.79 $2.79
CANDY-ALMOND JC 18C1
2 Unit(s) Subtotal: $6.49
RECEIPT TOTAL: $6.49
Tend: $10.00
Change:
Cash: $10.00
We appreciate your business!
All Returns and Exchanges require
an original receipt.
�11 111 111111 III II III
701549
Questions?COmmerlts?
E=mail them 1.0 ,,W
d1wairport
Customer Receipt
Order: 24
South Winsor Pizza
855 John Fitch Blvd.
South Windsor, CT 06074
Dine In 5/22/2016
3:56 Pm
1 Gyro Platter 9.25
Lamb
Fries
None
1 Fountain Diet Coke 2.00
1 Diet Coke 20oz 2.00
1 Diet Coke 20oz 2.00
-Order Totals: -
Sub Total: 15.25
Tax: 0.97
Total: 16.22
Payments:
Cash: 17.00
Amount Due: 0.00
Change Due: 0.78
Sery
- -- ------- -------
`
-
161
BUY ONE' GET ONE FREE QUARTER POUNDER
W/CHEBGE OR EGG NCMUFFlN
Go to www.mcdvoice,com within T days
and tell Vs about Your' V1a1t.
Validation
Expires 30 days after receipt date.
Valid at particip8tiOQ UO McDonald's.
NEW MAIN TERMINAL
WINDSOR LOCKS
CT
06096
! !
! IHANKYOUI
T[L# 860 292 1580 Gb0[e'A 28784
(SA l Nay.24'10 (TUu) 16:25
4FY GIDE l I(V8 Order 81
JTY ITEM TOTAL
1 Dbl Cheese Ml-Lrg 8.48
1 L Coke
I Double CheoG8hU[go[ 3.38
)uUtUtal 11 .87
Tax 0.75
fake-Out Total- 12.62
�aSh T8Od8[GU ^ 15.08
,haOqe 2.38
\tv oiCANg1 ^
CITY OF CARMEL Expense Report (required for all travel expenses)
�HDIANP
EMPLOYEE NAME: ERIC RUSSELL DEPARTURE DATE: . 5/22/2016 - TIME: . 8:00 . . AM./PM .
DEPARTMENT: STREET RETURN DATE:--,.. 5/24/2016,. TIME:. 11:00 . AM/PM .
REASON FOR TRAVEL: DESTINATION CITY: HARTFORD, CONNECTICUT
TRAVEL EXPENSES ARE FOR(check all that apply): ADVANCE REIMBURSEMENT X PER DIEM
Transportation' Gas/Tolls% Meals
Date Air= Lodging Misc. Total
fare: Car Rental. : Other Parking . Breakfast. : Lunch DinnerSnacks Per Diem ..
5/22-5/24 $27.00 .' -$27.00
5/22/16 $16:22 $6.49. $22.71
5/23/16 $10.52 421.60. $32.12
. .5/24/1.6 $12.62 : . . . $12.62
$0:00
$0.00
$0.00
$0.00
.$o.00
$0.00
$0.00
$o:oo
$0.00 .
$o.00
.
$0.00
$0.00
- '$o.00
$0.00
Total $0.001 $4.00 1 -$0.001 $27.001 $0.0 ' $10.52 $0.00 $50.44, $6.49 $0.001 $0.00 $94W
DIRECTOR'S STATEMENT: I hereby affirm th II expenses listed conform to the City's travel policy and are within my department's appropriated budget.
DirectorSignature.
C
� Date: 0 9101 V
City of Carmel Form#ER06 Revision Date 5/26/2016 Page 1
For advance payments, claim form must be submitted ten.(10) business days in advance of travel.
Claim:willnot 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.trave'l and $65.for out-of=state.travel
For,travel•.that,commences after4.00 p.m:(flight departure time;if traveling by air),$25 for in-state travel and$30 for,out-W-!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);:$50 for in=statearavel andl%for,out-of=state.travel
EMPLOYEE ACKNowLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
hereby acknowledge.'receipt of$ such funds being advanced to.me by the City of Carmel.solely for the purpose'of purchasing-meals'
while,traveling'to.participate'M official business for the City,'.I accept responsibilityfor these funds and agree to.repay ahem if lost or stolen:
understand that within jen (10)business.days of,my return (as stated on.opposite side),.I am Tesponsible.to:
1); Submit original•itemized receipts to the,office of the Clerk=Treasure'r-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 deductedfrom.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: Dater
City of Carmel Form#ERO6 Revision,Date.5/26/2016 Page 2