HomeMy WebLinkAbout321028 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
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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.
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CONTACT US:
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Phone:(317)776-9624
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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
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UBER
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uber.us@ubeccom
$15.34
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Jeremy
January 8,2018 uberX
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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 !
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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 �� _