HomeMy WebLinkAbout304291 10/20/16 CITY OF CARMEL, INDIANA VENDOR: 358818
ONE CIVIC SQUARE BRENT LIGGETT CHECK AMOUNT: $*******864.82*
s. � CARMEL, INDIANA 46032 1221 IRONWOOD DRIVE CHECK NUMBER: 304291
CARMEL IN 46033 CHECK DATE: 10/20/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 101916 864.82 TRAVEL FEES & EXPENSE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
BRENT LIGGETT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1221 IRONWOOD DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$864.82 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
Brent Code 43-430.01 $864.82 1 hereby certify that the attached invoice(s),or 10/17/16 Brent Code Brent Liggett Code Enforcement conference $864.82
Enforcement Enforcement San Diego,CA
1192 101 bill(s)is(are)true and correct and that the 1192 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,October 18,2016
Mike Hollibaugh
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
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CITY OF CARMEL Expense Report (required for all travel expenses)
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6&E//j DEPARTURE DATE: 9/27/2016 TIME: 10:00 a.m.
RETURN DATE: 9/30/2016 TIME: 11:00 a.m.
\ DESTINATION CITY: San Diego, California
Transportation Gas/Tolls/ Meals
Date Lodging Misc. -Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/27/16 $10.00 $306.41 $65.00 $381.41
9/28/16 $306.41 $65.00 $371.41
9/29/16 1 $20.00 1 $65.00 $85.00
9/30/16 $27.00 $27.00
$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
$0.00
$0.00
$0.00
0.00
Total 1 $0.001 $0.001 $30.001 $27.001 $612.821 $0.001 $0.001 $0.001 $0.001 $195.001 $0.00ME
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 10/7/2016 Page 1
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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 $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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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#ERO6 Revision Date 10/7/2016 Page 2
8'
SAN DIEGO
Arrival 09-27-16
Departure 09-29-16
Room No. 0903
Folio No. 661820
Cashier 294
Mr.Brent Liggett Page No. 1 of 1
1221 Ironwood Dr W
Carmel IN 46033
United States Reference No.
Rate Code BAR4
INFORMATION INVOICE
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Date Description �" ' Debit Credit.
09-27-16 Room Rate 249.00
09-27-16 Occupancy Tax 26.15
09-27-16 All Access Pass 23.00
09-27-16 All Access Tax 2.42
09-27-16 SD Tourism Mktg Assessmer .4.98
09-27-16 State Tourism Fee 0.40
09-27-16 All Access TMD 0.46
09-28-16 Room Rate 249.00
09-28-16 Occupancy Tax 26.15
09-28-16 All Access Pass 23.00
09-28-16 All Access Tax 2.42
09-28-16 SD Tourism Mktg Assessmer 4.98
09-28-16 State Tourism Fee 0.40
09-28-16 All Access TMD 0.46
09-29-16 Mastercard 612.82
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Hard Rock Hotel San Diego
207 Fifth Avenue, San Diego, CA 92101 1 619-702-3000 FAX: 619-702-3007
www.hardrockhotelsd.com I info@hardrockhotelsd.com
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Indianapolis international Airport
Indianapolisairport.com
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