HomeMy WebLinkAbout260449 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 362733
ONE CIVIC SQUARE CANDY MARTIN CHECK AMOUNT: $********54.56*
s CARMEL, INDIANA 46032 730 E AUMAN DR CHECK NUMBER: 260449
v irox ?' CARMEL IN 46032
CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 062616 20.00 TRAVEL FEES & EXPENSE
1160 4343004 062716 34.56 TRAVEL PER DIEMS
VOUCHER NO. WARRANT. NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
CANDY MARTIN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
730 E ADMAN DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$34.56 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mayor's Office 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
MILEAGE CLAIM 43-430.04 $34.56 1 hereby certify that the attached invoice(s),or 6/27/16 MILEAGE CLAIM $34.56
1160 dCQ I (o 101 1160 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,June 29,2016
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Prescribed by State Board of Accounts
MILEAGI
11
((3overnmental Unit)
a42,,qt)r C-e,
(Office,Board,Department or Institution)
DATE FROM TO ODOMEI
20-L19 Point Point Start
23 (Dl 1 ;p v �-Y&&#
2(v ` � I Q 4&zll
Auto License No.
*SPEEDOMETER READING columns are to be used only when distance between points cannot be deterrr
Pursuant to the provisions and penalties of Chapter 155,Acts 1953, 1 hereby certify that the foregoing accol
allowing all just credits, and that no part of the same has been paid.
Date '1 !ca
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
CANDY MARTIN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
730 E AUMAN DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$20.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mayor's Office 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
RECEIPT 43-430.01 $20.00 1 hereby certify that the attached invoice(s),or 6/26/16 RECEIPT $20.00
1160 � `L � 101 1160 101
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,June 29,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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1 CITY OF CARMEL Expense Report (required for all travel expenses)
MOP' EXHIBIT A
EMPLOYEE NAME:_Candy Martin DEPARTURE DATE: TIME: PM
DEPARTMENT:_Mayor OfficeRETURN DATE: TIME: �� AM/
REASON FOR TRAVEL:_Attend USCM Conference DESTINATION CITY:s�iaa
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT �C 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 $20.00 $207N
$0:00
$000
$0:'00
$0:,00
$0:00
$0:00
$0:00
$0'c00
`$0':00
$9'00
:$&00
$0:00
'$0.00
$OAO
$0:00
$0:00
$0:00
$0'.00
Total $0.001 $0.001 $0.001 $20.001 $0.001 $0.00
$0.00 $060.0 . $0.00 . $0:00 : $0.00 . .._ 1
DIRECTOR'S STATEMENT: I her by affirm that all expenses listed conform to the City's travel policy d are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 6/27/2016 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 $32.50 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 $32.50 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 ACKNO GEMENT OF MEAL ADVAKeE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt o , such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals
while traveling to participate in offic siness for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within to 0) business s of my return (as stated on opposite side), I am responsible to:
1) Subm' riginal itemized receipts to th ffice of the Clerk-Treasurer documenting all meal expenditures; and
2) R rn all unused funds to the office of th lerk-Treasurer
I fu r understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first
check 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 docume d expendit es) being dedu ed from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: - i \ Date: V277f l
City of Carmel Form#ERO6 Revision Date 6/27/2016 Page 2