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
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and earn $0.10/gal
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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.
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