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HomeMy WebLinkAbout260472 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 00350581 ;; ® I• ONE CIVIC SQUARE PAT RIGDON CHECK AMOUNT: $******'463.51* CARMEL, INDIANA 46032 353 WESTLEA DR CHECK NUMBER: 260472 yroN�° WESTFIELD IN 46074 CHECK DATE: 07/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 062616 463.51 OTHER EXPENSES 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350581 RIGDON, PAT Purchase Order No. carmel utilities Terms Due Date 7/5/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/5/2016 062616 463.51 hereby certify that the attached invoice(s), or bill(s) is (are)true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer SHELL FUELS #68852 2521 PACIFIC HWY SAN DIEGO CA 92101 619-233-4120 DATE 07/02/16 11:26 TRAN# 9068946 PUMP# 06 SERUICE LEVEL: SELF PRODUCT: UNLD GALLONS: 2.364 PRICE/G: $ 3.599 FUEL SALE : $ 8.51 DEBIT $8.51 XXXXXXXXXXXX6845 Debit AUTH # 806031 INU # 959205 PIN USED -------------------- Bonus Sayings Join Fuel Rewards. .. and earn $0.10/gal when you buy Shell U-Power NITRO+. See www.fuelrewards.com for terms/conditions - Offer- ends 10/2. THANK YOU FOR CHOOSING SHELLFUELS i 0,It '. i CITY OF CARMEL Expense Report (required for all travel expenses) \--!N0I A0p j` EXHIBIT A EMPLOYEE NAME: Pat Rigdon DEPARTURE DATE: Lp TIME: 0 /PM DEPARTMENT: Utilities RETURN DATE: -7 -Z-' 1U TIME: 11: 00 AM/ M REASON FOR TRAVEL: Education DESTINATION CITY:_ San Diego CA EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT &,," TRAVEL PER DIEM ✓ Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 6/26/16 $65.00 $65.00 6/27/16 $65.00 $65.00 6/28/16 1 1 $65.00 $65.00 6/29/16 $65.00 $65.00 6/30/16 $65.00 $65.00 7/1/16 $65.00 $65.00 7/2/16 $8.51 $65.00 $73.51 $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 $0.00 $0.00 $8.51 $0.001 $0.00 $0.00 $0.00 SO.001 $455.00 $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 7/5/2016 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$60 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 $60 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , 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: ti 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: 77'S IF ;or City of Carmel Form#ER06 Revision Date 7/5/2016 Page 2 -• 3 Rigdon, Pat E From: eguth@esri.com Sent: Wednesday, March 30, 2016 12:34 PM To: Rigdon, Pat E Subject: 2016 Esri User Conference - Confirmation fere ttsri User C n'-- l Dear Pat Rigdon: II I II VIII I II III 9 S 6 O Thank you for registering, this e-mail confirms your registration. Should you have any questions, please contact the registration staff at 909-793-2853, extension 1-1363, or by e-mail at confregis@esri.com. Please keep this letter for your reference. Note: Confirmed registrants who do not attend the conference or do not cancel before June 03, 2016, will forfeit their entire registration fees. Pick up your badge at one of the four registration locations during the open times below. To expedite the check in process, please bring a photo ID and a printed copy of your UC registration confirmation (containing a unique barcode). You may also present your confirmation email on a mobile device. Your badge will include a digitally encoded tag that will be used to receive one complimentary drink during the Monday evening Map Gallery and, if eligible, will allow you to pick up your wristband for the Thursday Night Party. If you registered for a preconference seminar, it will grant you access to that session as well. Photo ID is required to pick up your badge. There will be a$50 fee to reprint a badge. Location Friday, June Saturday, June 25 Sunday, June 26 Monday, June 27 24 Hilton San Diego Bayfront 4:30 pm- :30 am -5:00 pm _ :30 am - 5:00 pm :00 am -9:30 am Hotel 7:00 pm *Badepick-up only Marriott Marquis &Marina Closed :30 am - 5:00 pm7:30am -4:30 pm Closed Hotel Manchester Grand Hyatt Closed :30 am - 5:00 pm , :30 am -4:30 pm Closed Hotel San Diego Convention Closed :30 am 5:00 pm. '... :30 am -5:30 pm, :00-am -5:00 pm Center Hall D SDCC Hall D SDCC Hall D SDCC'Hall D Important Note: On Monday,June 27, hotel locations will have badge-pick up only. If you need to make a payment or make any changes to your registration, please visit the Changes counter in Hall D at the San Diego Convention Center. Registration will also be open at the SDCC in Hall D Tuesday-Wednesday from 7:30am - 5:00pm and Thursday 7:30am -3pm. UC Complimentary $0.00 Total Due: $0.00 Prepaid Amount: $0.00 Balance Due:1 $0.00 1 Attendance Dates: 6/27, 6/28, 6/29, 6/30, 7/1„ Username: prigdon Customer#: 293058 Registration ID: 9860 If there is an amount due, call 909-793-2853, ext. 1-1363,to make a payment by credit card, or send your payment to: Esri User Conference Registration Re: Registration ID: 9860 File#54630 Los Angeles, CA 90074-4630 To keep up to date on the latest Esri UC news and conversations, follow us on Twitter and our Facebook fan page. Make Hotel Reservations Conference Rate Government Rate If you have already made a hotel reservation, you can view, change, or cancel your reservation. Questions? Contact us. General Registration, Hotel Information, and Activities Registration - 909-793-2853, ext. 1-1363 Exhibitor Registration - 909-793-2853, ext. 1-2587 International Distributor Registration - 909-793-2853, ext. 1-1227 International Distributor Meeting - 909-793-2853, ext. 1-1227 Thank you, Registration staff ATTENDEE ACKNOWLEDGEMENT This Esri Conference is a private event organized and hosted by Esri. All rights related to this private event are the exclusive property of Esri. Esri will be recording the Esri conference and all events associated with it. Please be aware that your image and/or voice may be photographed or recorded and possibly used in Esri marketing or promotional materials. No compensation is provided. You may not record distribute, or transmit the content of this event or any of its participants in any medium of communication for commercial purposes without obtaining permission. Any materials obtained at this Esri Conference are subject to U.S. Export Control laws. In keeping with the Esri Privacy Policy, information included in the registration form may be accessible to Esri employees, but this information will not be given to any other organization. By attending certain third party sponsored events, you consent to and acknowledge that your contact information may be scanned and/or shared with the third party sponsor of the event. The third party sponsor may contact you about its products and services. To ensure that all attendees benefit from their time at this Esri Conference, we ask that you conduct yourself in a professional manner and be respectful of others at all times. All attendees must be at least 18 years of age unless traveling with a pre-approved youth group. z