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Home My WebLink About304316 10/20/16 a°�'4,gfr <<>�/ �� CITY OF CARMEL, INDIANA VENDOR: 00351333 ONE CIVIC SQUARE ERIC RUSSELL CHECK AMOUNT: $*******606.37* o C/0 STREET DEPT CHECK NUMBER: 304316 CARMEL, INDIANA 46032 `;'%�t;oN�� C/0 STREET DEPT CHECK DATE: 10/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4343002 101816 606.37 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ERIC RUSSELL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O STREET DEPT IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service C/O STREET DEPT rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $606.37 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 0 43-430.02 $606.37 I hereby certify that the attached invoice(s),or 10/18/16 0 $606.37 2201 201 2201 201 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 ^Tuesday, October 18, 2016 Dave Huffman Director 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 SSV of CAB;fj >, CITY O.F CARMEL Expense Report.(required for•,all travel expenses) EMPLOYEE, ERIC,RUSSELL DEPARTURE DATE: 10/13/2016 TIME: 12:00 AM:%� . DEPARTMENT: STREET RETURN DATE: 10/14/2016.. TIME: 4:00. AM REASONFOR TRAVEL: Class.Managing:Emotions Under Pressure. DESTINATION CITY: • :Chica o TRAVEL-EXPENSES ARE FOR;_(check all that apply):- ADVANCE REIMBURSEMENT . . PER DIEM Transportation Gas/Tolls/ . Mealsx � Date. • Lodging Misc. °Total =r Air-fare. Car Rental Other Parking Breakfast. Lunch •Dinner • - Snacks Per Diem 10/13/16 $4:50 .$13'67 10/.14/16:. . . . $28.50 $316.50 : .'. $2.79 . $14:50 :'$24.21 +$38650 MV-To . '` 00;00 $0?00 . VAOF00, MOT00,' ;_!IM$0T00 $Os00; RWX OT00 $004 rZ , $000 00 ;'$0 Otl s $33 00 $31'6:50;` $2 79'. $1`450, ;` $37:88 " ' $0�00, $0 00 $01:00; $404!677 v_ DIRECTOR'S S'TATEME I hereby affir # all expenses listed conform to the.City's travel policy and are withimmy department's appropriated budget: J / . Director Signature: 14J. Date: City of Carmel Form#ER06 Revision Date 10/17!2016 Page 1 Prescribed by State Board of Accounts ,General Form No.101(1955). -- "" MILEAGE CLAIM", :.Eric:Russell To 506 West Harrison Street Chicago, 'IL 60607 .DR:; ovemmenta nit • Street-De artment p . On Account of Appropriation No." for ice,Board,Department or Institution • DATE FROM' TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @ '.:54 20-16 Point Point Start Finish TRAVELED PER MILE, 10/13/16 1025 S US'HWY 421 Zionsville,IN 46077.. 5b6 West H6rris6n St.Chicago,IL 60607. 126,452 126638-7 Manager Trag e_'Ias� 1.9r,75 10085 lo/14/16 .506 West Harrison St Chicago,IL 60607 1025 S.US HWY 421 Zionsville,IN 4677 126 638.75 10085 Auto License No: TOTALS 201 70" SPEEDOMETER READING columns are to be used,only.when distance between points cannot,be determined by,fixed mileage.or official highway map:. Pursuant to the rovisions and enalties of Cha'ter 155,'Acts 1953,I tiereb "certi thaf the fore oin account is ust and correct,that the.amount clai P P P Y fy 9 9 1 med"is legally due,after, allowing all just credits,and that no part:of the same has been paid. Date— UT Ho 11day Inn, &surfer 10-14-16 Eric Russell Folio No. 296693 Cashier No. 152 Room No. 338 1025 S Us Highway 421 A/R Number Arrival 10-13-16 Zionsville IN 46077-8843 Group Code Departure 10-14-16 United States Company Business Conf. No. 63169214 Membership No. PC 640903842 Rate Code IMGOV Invoice No. : Page No. 1 of 1 Date I Description I Charges I Credits 10-13-16 Government Rate 227.00 10-13-16 State Occupancy Tax 27.01 10-13-16 City Occupancy Tax 10.22 10-13-16 County Tax 2.27 10-13-16 Hotel Parking Fee 50.00 10-14-16 Visa XXXXXXXXXXXX0313 316.50 Thank you for staying with us! Qualifying points for this stay will automatically be credited to Total 316.50 316.50 your account. Please tell us about your stay by writing a review here-www.ing.com/reviews. We look forward to welcoming you back soon. Balance 0.00 Guest Signature: I have received the goods and/or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Hotel and Suites-Downtown Chicago 506 West Harrison Street Chicago, IL 60607 Telephone:(312)957-9100 Fax: (312)957-0474 Owned by Westloop Equities LLC and Operated by Spire Hotels KKR KING # X633 4092 State Road 26 East Lafayette, IN 47905 (765) 447-3652 10/13/2016 5:43:05 PM Order 210321 Reg 4 - DRIVE THRU Employee: 421528 Name: Cynthia _ DBL WHPR LCM 8.29 1 PLAIN 1 + Ketchup 1 + CHS Amer 0.60W 1 Lg FRIES 1 Lg DT COKE i CHOC OREO Shake 2.89W CHSBURGER LOOM SubTotal 12.78 Tax 0.89 --- -- Total 13-.671-- Cash 50.00 W Change 36.33 Your order number is: 421 Bi W 16 C6 3 WHOPPER Sandwich for your thoughts: LU www.mybkexperience.com Survey Code: 11146 10273 10323 205633 Check on reverse for food offer c' For management and team ^:agl,er I" employment opportunities: I C6 CL Visit Carrols.com or use the QR code above. Chicago Skyway Toll Bridge Receipt: 7130 LANE: Lane 1 From: Eastbound To: Eastbound CATEGORY: 2 Axles Total : $ 4.50 Payment method: CASH Toll Operator: 300211 Date: 10/14/2016 5:43:30 PM TAX included 1 1 11437096346994115891 --------------------------------------- SKYWAY Concession Company LLC 8801 S. Anthony Ave. Chicago, IL 60617 Thank you for using the Skyway Questions or comments? www.chicagoskyway.org 773-356-5555 THANK YOU Drive safely Wendy's Restaurant #00002696 4500 W 61st Ave (219) 945-15.58 #3392 Host: Maryana 10/14/26 #3392 6:36 MM 3089 Order Type: PUW LARGE COMBO 8.�9 Double Cheese Only Ketchup Nil- Large Fries LG Diet Coke LG Chocolate Frosty 2. 9 Son Baconator 4.39 NO Ketchup LG Strawberry Lemon 39 Crispy Chicken 0.19 Plain LG Or Pepper 2.29 SM Chocolate Frosty 0.09 Total Items 9 22. 3 Tax ''� 1 W8 PUW Total 24. 2) Balance Due $24.21 How was your. visit? r.;;11 1is a+ f9191 945-1558 HOLIDAY INN 506 W. Harrison St, Chicago Illinois Tel : (312) 506-5500 Pre-Auth Card Type VISA Card Number : ************0313 Date/Time : 10/14/2016 08:16:06 AM Approval # : 720732 Server Name : Idalia Check Number: 66866 Table To-Go Guest AMOUNT : 2 . 79 TIF' : _-- TOTAL : y_-- Signature Cardholder will pay card issuer above amount pursuant to cardholder agreement Approved - Thank You ** Customer Copy *** HOLIDAY INN 506 W. Harrison St., Chicago Illinois Tel : (312) 506-5500 Pre-Auth Card Type : VISA Card Number : ************0313 Date/Time : 10/14/2016 12:31 :17 PM Approval # 254505 Server Name Idalia Check Number: 66902 Table : Bar Tab Guest A110UNT e 14 , 50 TIP : --- TOTAL : -------------_.-_.__Signature--------------___.__. Cardholder will pay card issuer above amount pursuant to cardholder agreement Approved - Thank You *** Customer Copy *** ITRCC Indiana Toll Road ------------------------------------------ Receipt: 4084 LANE: Lane 4 From: WestPoin't To: WestPoint CATEGORY: 2 Axles Total : $ 2..10 Payment method: CASH Toll Operator: 44081 Date: 10/14/2016 5:52:22 PM All time Central ------------------------------------------ 111"11111 1111111 1111� � I II II 06577712349061446721 ------------------------------------------ Cars pay your old rates with E-Zpass Visit www.ezpassin.com today Questions or comments call '1-574-•675-4010 ITRCC 52551 Ash Road Granger, I:N 45530 THANK YOU Drive safely ITRCC Indiana Toll Road ---------------------------------- Receipt 02870467 Lane Lane8 Station Gary East Category 2-AXLE Total $ 0. 90 Payment Card P. Brand VISA E. Method SWIPED Approval 798091 Date 10/14/2016 6: 6: 48 PM Num Card ************0313 All Time Central ---------------------------------- 866542330229359823 ---------------------------------- Thank you Drive safely ITRCC 52551 Ash Road Granger, IN 46530 Cars pay your old rates with E-ZPas visit www. ezpassin. com today Questions or comments. call 1-574-675-4010 Chicago Skyway Toll Br-dge Receipt: 13049 LANE: Lane 12 From: Westbound To: Westbound CATEGORY: 2 Axles Total : $ 4.50 Payment method: CASH Toll Operptor: 300280 [.late: 10;13/2016 6:45:06 PM TAX included 01,934637472692601955 ------------------------------------------ SMAY Concession Company LLC 8801 S. Anthony Ave. Chicago„ IL 60617 Thank you for using the :skyway G)uestions or comments? www.chi cagoskyway.org 773-3515-5555 THANK. YO!.I Drive :safely 570718101416432016 Grant Park North Grant Park North 25 N Michigan Ave Chicago IL 60602 312 443 1533 Entry Time: 10/14/16 4:28 PM Exit Time: 10/14/16 4:48 PM Duration: Od. Oh. 20m. Pay Station: 18 Tran: 5707 Ticket# 48409 Receipt #:0000185158 default $ 21.00 -------------------------- Tota I : 21 . 00 -------------------------- Tender: $ 0.00 Visa $ 21.00 Last 4 digits: 0313 Change: $ 0.00 Thank you for Visiting Millennum Garages Please Come Agpin