The URL can be used to link to this page

Home My WebLink About303640 09/29/16 CITY OF CARMEL, INDIANA VENDOR: 00350581 V. .�; ® `31• ONE CIVIC SQUARE PAT RIGDON CHECK AMOUNT: $*******338.84' s. ?� CARMEL, INDIANA 46032 353 WESTLEA DR CHECK NUMBER: 303640 WESTFIELD IN 46074 CHECK DATE: 09/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 091816 338.84 OTHER EXPENSES VOUCHER # 166250 WARRANT # ALLOWED 350581 IN SUM OF $ RIGDON, PAT carmel utilities Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 091816 01-7040-08 338.84 Voucher Total 338.84 Cost distribution ledger classification if claim paid under vehicle highway fund 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 9/27/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/27/2016 091816 338.84 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 Date Officer CITY OF CARMEL Expense Report (required for all travel expenses) ,Ho�ANp EXHIBIT:A _. . _ .. ....... ...... .... ... EMPLOYEE NAME: Pat_Rigdon DEPARTURE DATE: / _ TIME: �f 3,O AM/ M DEPARTMENT: - Utilities RETURN DATE: G Z L TIME: ;-00 AM/ M . . _..... REASON FOR TRAVEL: Education DESTINATION CITY: 1 A X EXPENSES ARE FOR.(check all that apply):TRAVEL ADVANCE TRAVEL:REIMBURSEMENT:✓. TRAVEL PER DIEM TransportationGas/Tolls/ Meals Date... ' '':Parking.:: ....... Misc. :.Total .. .9/18/16 . Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem $30.00 $30.00 9/19/16 $60:00 . :$60.00 9/20/16 . ..... $60.00. .$60:00 .9/21/16 $60:00 :$60:00 9/22/16 ..$60.00 $60.00 9/23/16 $8.84 :::$60.00 ::. $68.84. _ . 0.00 $0.00 : . $0:00 ...... ... ... $0:00 :.. $0.00 $0.00 $0.00 :::$0.00 ..... ... .00 $0.00 $0.00 Total :;:$0'.00 :::. $0.00 -::,:.$0.0Q::::. . $8.84 : $0.-'001. $.O..DO $0:00 :;$0.00 $0.00 :$330.00 : $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 9/23/2016 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: 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: City of Carmel Form#ER06 Revision Date 9/23/2016 Page 2 1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1Ti71T1T1T1TiT1T1T1T1T1T1T1T1Ti71T1T1T1T1T1T1T1T171T1 T1T1T1T1T1T1T1T1T1T1T1T171T1T1T1T1TiT1T1T1T1T1T1T1T171TtT1T1T1T1T17tT1T1T1T1T1T1T1Tt71T1T171T1T1T1T1T 1T1T1T1T1T1T171T1T1T1T.LT1T1T1T1Ti7171T1T1T1T1T1T1T1T1T1T171T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1T1Tl7i TOWNEPLACE TOWNEPLACE SUITES"DALLAS DESOTO SUITES' 2700 Travis St• Desoto,Tx 75115 MARRIOTT 972.780.9300•town ep laces uites.com add life to longer stays° Pat/Mr Rigdon Room:230 508 Zephyr Way Room Type:STKT Westfield IN 46074-9795 Number of Guests: 1 Pleasure Rate:$136.00 Clerk:SMS Arrive: 18Sep16 Time:07:13PM Depart:22Sep16 Time:07:31 AM Folio Number: 60415 DATE DESCRIPTION CHARGES CREDITS 18Sep16 Check 560.48 18Sep16 Room Charge 107.00 18Sep16 State Occupancy Tax 6.42 18Sep16 City Tax 7.49 19Sep16 Room Charge 117.00 19Sep16 State Occupancy Tax 7.02 19Sep16 City Tax 8.19 20Sepl6 Room Charge 136.00 20Sepl6 State Occupancy Tax 8.16 20Sep16 City Tax 9.52 21Sep16 --_ Room Charge _ _ 136.00 21 Sep16 State Occupancy Tax 8,16 21 Sep16 City Tax 9.52 BALANCE: 0.00 Rewards Account#XXXXX3195. Your Rewards points/miles earned on your eligible earnings will be credited to your account.Check your Rewards Account Statement or your online Statement for updated activity. As requested,a final copy of your bill will be emailed to you at:PRIGDONI @GMAIL.COM.See"Internet Privacy Statement"on Marriott.com. j , 1 Operated under license from Marriott International,Inc.or one of its affiliates. To plan your next stay,visit TownePlaceSuites.com Created 7/21/2016 2:12 PM GMT The Travel Agent,Inc. 630 W Carmel Drive#150 Carmel,IN 46032 CIT OF CARMEL 317-805-5767 If email attachments are not compatible with your company calendar configuration,click on the links below to add to your calendar. For a single calendar entry click here Travel Itinerary Agency Booking Confirmation Number:EEGEKM Passenger Names RIGDON/PATRICK E NumberAmerican,Airlines-Flight Departure:Sun,09/18/2016 4:31 PM Arrival:Sun,09/18/2016 5:50 PM Equipment:S80 Departure City:Indianapolis,IN(IND) Arrival City:Dallas/Ft Worth,TX(DFW) Meal:F Departing Terminal: Arrival Terminal: Travel Time:02 hour(s)19 minute(s) Status:Confirmed Class of Service:G-Economy Add flight to Calendar Baggage Info Weather Seat Assignments:RIGDON/PATRICK E-19F Rent A.Car Confirmation: t Pick-up Date:Sun,09/18/2016 5:50 PM Drop-off Date:Thu,09/22/2016 5:30 PM Approximate Total: 321.00 USD Pick-up City:Dallas/Ft Worth,TX Car Type:Midsize Car Cost:55.00 USD(Total) Mile Rate Amount:0.00 USD Extra Day Rate:55.00 USD Extra Hour Rate:41.00 USD Extra Hour and Mile Rate:0.00 USD Membership Number:XWEB Status:Confirmed Add car to Calendar NumberAmerican Airlines-Flight 2304 Departure:Thu,09/22/2016 6:30 PM Arrival:Thu,09/22/2016 9:37 PM Equipment:S80 Departure City:Dallas/FtV`.'orth,TX DP.;..; — -- PrivalCity:Indi?napolis,IN-, — Meal:-F — Departing Terminal: Arrival Terminal: Travel Time:02 hour(s)07 minute(s) Status:Confirmed Class of Service:G-Economy Add flight to Calendar Baqqaqe Info Weather Seat Assignments:RIGDON/PATRICK E-19F Detail Name:RIGDON/PATRICK E American Issue Date:07/21/2016 Airlines Ticket:0017846274191 Amount:$484.20 Invoice Number:9003869 Professional Fee:8900678627246 Issue Date:07/20/2016 Amount:$35.00 Total Fare:USD$519.20 Your total has been charged to Air Travel Card ending in 0123 Generalt Remarks Federal law forbids the carriage of certain hazardous materials, such as aerosols,fireworks,and flammable liquids,aboard the aircraft. If you do not understand these restrictions,contact your airline or go to hftp://Www.faa.gov/aboutrinitiatives/hazmat—safety/ Verify all info is correct. Fees apply for reissues-refunds-changes Questions:support@tta-ctm.com 317-805-5767 After Hours Emergency Assistance:877-645-6373 code A09($20 per transaction) Cancel fee of 15%on total cost may apply.Consumer Disclosure: hftp://tinyuri.com/tta-consumerdisclosure Other services:www.tta.travel This Rin may be subject to cabin insecticide spraying prior to flight or while on the aircraft. For a list of countries requiring this see www.tzell411.com Rigdon, Pat E From: webpage@cityworks.com Sent: Monday,July 18, 2016 11:01 AM To: Rigdon, Pat E Subject: Order Confirmation Dear Pat Rigdon,Your order has been completed. Billing Information Name: Pat Rigdon Address:30 W. Main St. City: Carmel State: IN Zipcode:46032 Country: US Evening Phone: (317) 266-9549 Daytime Phone: (317) 571-2463 Company: City of Carmel Qty Item # Unit Price Description 1 1000-TX $2,400.00 Cityworks Office 15.1 for AMS Administration-TX-9/19/2016 Registrants Certificate Full Name Email Course yes Pat Rigdon prigdon@carmel.in.gov 1000-TX: Cityworks Office 15.1 for AMS Administration -TX-9/19/2016 Subtotal: $2,400.00 Tax: $0.00 Total: $2,400.00 Payment Method: Purchase Order P.O. Number: 7/18/16 rigdon Your order number is#: 1211 Thank you for registering for training with Azteca Systems, Inc. Cityworks. Please contact John Jarnagin with any questions. Ilarnagin@cityworks.com 801-617-8328 (direct line) 1 �- RECEIPT Rental Agreement Number: 476879546 Vehicle Number: 45885932 YOUR INFORMATION RIGDON,PATRICK E AVIS DISC: CITY OF CARMEL PAYMENT METHOD: CENTRAL XX9988 YOUR RENTAL Picked up: DFW Date/Time: SEP 18, 2016@06:26PM Returned: DFW Date/Time: SEP 22, 2016@01i52PM Veh Group: Intermediate SUV Veh Charged: Intermediate Vehicle: NISSAN ROGUE FWD Odometer Out: 14488 Odometer In: 14609 Fuel Reading: Full YOUR VEHICLE CHARGES 4 DY@ 65-.00 --- 220.0( YOUR TIME AND MILEAGE, 220-0( YOUR TAXABLE FEES **11 .11% FEE 25.3c CUST FAC CHARGE 4.00/DY 16.00 TRANSP FEE 2.60/DY 10.0( VEH LIC RECOUP 2.00/DY 8.0c YOUR SUBTOTAL TAXABLE SUBTOT 279.32 TAX 15.000% 41 .9C YOUR NON TAXABLE ITEMS TOTAL CHARGES 321 -23 NET CHARGES USD 321 -23 YOUR TOTAL DUE: 0.00 PAID ON CENTRAL XX9988 "CONCESSION RECOVERY FEE THANK YOU FOR RENTING WITH AVIS For inquiries or e-receipt visit WMV.AVIS.COM QUIRTRIP #00923 8414 S. Hampton Rd Dallas, TX Invoice # 0000000 Date 09/22/16_ Time 12:17PM Auth # 134700 Acct # XXXXXXXXXXXX6845 Pump Gallons Price 13 5.025 $1 .759 Product Amount UNLEADED $8.84 Total Sale $8.84 Thank You for Shopping QuikTrip! Please Come Back Again!!