The URL can be used to link to this page

Home My WebLink About321028 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 361675 ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: $ 325.74 a" CARMEL, INDIANA 46032 7520 SPAYSIDE DR SOUTH CHECK NUMBER: 321028 vyiroN"c`o� NOBLESVILLE IN 46062 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 26.52 OTHER MISCELLANOUS 2200 4343002 299.22 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.tot(Rev.1995) Vendor# 361675 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER JEREMY KASHMAN IN SUM OF$ CITY OF CARMEL 18567 PILOT MILLS CT An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NOBLESVILLE, IN 46062 Payee $325.74 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering 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 42-390.99 $26.52 1 hereby certify that the attached invoice(s),or 1/17/18 0 Reimbursement for list from Hamilton County $26.52 2200 2200 2200 2200 Auditor 0 43-430.02 $264.34 bill(s)is(are)true and correct and that the 1/18/18 0 Travel expenses for TRB Conference $264.34 2200 1 2200 materials or services itemized thereon for 2200 1 2200 I 0 I 43223000 2200 .02 I $34.88 which charge is made were ordered and 18 I 0 I Mileage for TRB Conference travel I $34.88 2200 received except Tuesday,January 23,2018 Jeremy Kashman 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 Auditor Online Services - Online Submission Receipt Page 1 of 2 0.-NV�VN�On ,2200 - '42-3q 099 INDIANA Contact Us Departments Services About Us Business Flow Do I... Go to: Home I Transfer and Mapping Home Page Auditor Online Auditor Online Ad'loiner Request Online Submission Receipt This receipt may not display at a future date or time.Please print this page for your records or make note of the Confirmation Number. Date of Submission: Jan 17,2018 Confirmation#: AR-2018-0009 PAYMENT SUMMARY: Payment Status: Fees have been paid. County Fee: $25.00 **LoGO Portal Fee: $1.52 LoGO Total: $26.52 TRANSACTION SUMMARY: Adjoiner Request Owner: Helen L.Portwood Contact's Name: Joshua A. Kirsh Number of Subject Parcels: 1 Parcel Number of Property: 16-10-29-04-05-025.000 DELIVERY: Transfer and Mapping will email this request when it is ready. **PLEASE NOTE: The Portal Fee is charged by LoGO Local Indiana,the third party that processed the online payment. Credit Card payments will appear as a single combined transaction on your credit card statement. https:Hsecure2.hamiltoncounty.in.gov/AuditorOnline/Default.aspx?PossePresentation=Adj... 1/17/2018 Auditor Online Services - Online Submission Receipt Page 2 of 2 E-check(ACH)payments will appear as a single combined transaction on your bank statement. CONTACT US: To discuss any problems with this transaction,please contact: Hamilton County Transfer and Mapping Department Phone:(317)776-9624 Screen ID:629882 Website Suggestions or Issues Accessibility Statement Privacy Policy Terms of Use Copyright 2012-2016 Hamilton County, Indiana https:Hsecure2.hamiltoncounty.in.gov/AuditorOnline/Default.aspx?PossePresentation=Adj... 1/17/2018 CITY OF CARMEL Expense Report NAME Kashman, Jeremy M DEPARTURE DATE&TIME: 1/8/2017 9:30:00 AM DEPARTMENT Engineering RETURN DATE &TIME: 1/10/2017 9:30 PM CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE REASON FOR TRAVEL: TRB Conference-Washington, DC Transportation Auto Taxi, Toll Meals Date Expenses etc. Lodging Breakfast Lunch Dinner Per Diem Misc. Total Air-fare Car rental P $0.00 1/8/18 $15.34 $65.00 $80.34 1/9/181 $65.00 $65:00 1/10/18 $54.00 $65.00 $119.00 $0.00 ,$0.00 0.00 Total $0.00 $0.00 $54.00 $15.34 $0.00 :$0.00 $0.00 $0.00 $0.00 For advance payments, claim form must be submitted fifteen (15) 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, if traveling by air 3) Original itemized receipts or affidavits,if approved by Department Director,for all expenses(except for meal per diems) 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),$35 for in-state travel and$45 for out-of-state travel(NOT a per diem) DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: �' F Date: I- (b -1 b EMPLOYEE ACKNOWLdDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , 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 understand that within fifteen(15)business days of my return(as stated above), 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)bein deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: �" Date: City of Carmel Confidential 1/18/2018 Page 1 F Back <4% Y Archive 92 Move m Delete Spam 4 UBER v� uber.us@ubeccom $15.34 "y Thanks for choosing Uber, Jeremy January 8,2018 uberX i Nil MMDEDUI BIGGER RE� 11:09am 5 Aviation Cir,Arlington,VAVA : 11:21 am 1400 M St NW,Washington,DCS' Receipt L./R #70 A Payment No.00004279 T/D #04 Ticket No.006653 Entry Time 01/08/2018 (Mon) 8:31 Exit Time 01/10/2018 (Wed) 21:36 Parking Time 2Days 13:05 i Parking Fee Rate D $54.00 VISA You rode with Khalid Account # *****************9291 .' 06285 E1 3.99 00:11:53 uberX 511p..# miles Trip time Car Auth Code 0000003621 Credit Card Amount $54.00 54.00 Total --- -- $ Thank You for Your Visit ADD A TIPPlease Come Again ! -------------- q f .F Did you know you can order food delivery through Uber?Try Uber Eats and get 20%off your first order with the code 20ubereats.Download the PP today. Your Fare Trip fare 15.34 Subtotal $15.34 CHARGED $15.34 v Personal••••9291 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL F MILEAGE CLAIM City of Carmel TO (GOVERNMENTAL UNIT) Engineering eering ON ACCOUNT OF APPROPRIATED NO. FOR (OFFICE,BOARD,DEPARTMENT OR INSTITUTION) DATE FROM TO ODOMETER READING+ NATURE OF BUSINESS AUTO MILES 20 POINT POINT TRAVELED START FINISH 1/8 18 Carmel Airport 37889 37921 Travel to Airport for TRB Conference 32 1/10 18 Airport Carmel 37921 37953 Travel from Airport 32 AUTO LICENSE NO. TOTALS +ODOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155,Acts 1953;I hereby certify that the foregoing account is just and correct;that the amount claimed is legally due,after allowing all Just credits,and that no part of the same has been paid. 'Ile Gmf Date ,20 �� _