HomeMy WebLinkAbout303233 09/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 357005
ONE CIVIC SQUARE DAVID LITTLEJOHN CHECK AMOUNT: $*******608.12*
CARMEL, INDIANA 46032 840N.GUILFO AVENUE CHECK NUMBER: 303233
CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 091616 608.12 TRAVEL FEES & EXPENSE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
DAVID LITTLEJOHN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4840 N. GUILFORD AVENUE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46205 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$608.12 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
Bike Conf. 43-430.01 $366.62 1 hereby certify that the attached invoice(s),or 9/21/16 Pro Bike Conf. $366.62
1192 QP 101 1192 101
Per Diem 43-430.01 $195.00 bill(s)is(are)true and correct and that the 9/21/16 Per Diem $195.00
1192 101 materials or services itemized thereon for 1192 101
Cab 43-430.01 $46.50 9/21/16 Cab $46.50
1192 101 which charge is made were ordered and 1192 101
received except
Wednesday, September 21,2016
Mike Hollibaugh
Director
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
Re (required for all travel expenses)
\ J CITY OF CARMEL Expense port (req
`-LNOIANA-'
EMPLOYEE NAME:_David Littlejohn ARRIVAL DATE: 9/13/2016 TIME: 8:00 AM
DEPARTMENT: DOCS RETURN DATE: 9/16/2016 TIME: 0:15 PM
REASON FOR TRAVEL: Pro Walk Pro Bike Pro Place Conf DESTINATION CITY: Vancouver B.C.
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_x_ TRAVEL PER DIEM X_
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Tota
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
9/13/16 $183.31 $65.00 $24
9/14/16 $183.30 $65.00 � $24
9/15/16 $46.50 cab/baggage $65.00 O
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_ TotaF $0,0,0 $0:00, $_404,01 'K$0T00,
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 9/20/2016
CHASE 0Manage your account online: Customer Service: Mobile: Visit chase.com
www.chase.com on your mobile browser
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09/15 MACLURE'S CAB 21 VANCOUVER BC 25.75
09/17 CANADIAN DOLLAR
33.80 X 0.761834319(EXCHG RATE)
WIN"
M
09/16 SHERATON HOTELS VANCOUVER BC 355.94
09/18 CANADIAN DOLLAR
467.64 X 0.761141048(EXCHG RATE)
09/15 UNITEDAIR 0162603322667 CONTINENTAL NS 19.98
09/18 CANADIAN DOLLAR
26.25 X 0.761142857(EXCHG RATE)
091516 1 E YVR SFO
2 E SFO IND
3 X IND XXX
4 X XXX XXX
FEES CHARGED
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09/16 FOREIGN TRANSACTION FEE .77
MACLURE'S CAB 21 VANCOUVER BC$25.75
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0000001 FIS33339 D 5 000 Y 9 18 18)09/18 Page 2 of 3 08810 MAMA 10821 28210000050001082101
IML
E18 FOREIGN TRANSACTION FEE 10.67
SHERATON HOTELS VANCOUVER BC$355.94
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INTEREST CHARGED .. ...
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