HomeMy WebLinkAbout322557 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 370385
ONE CIVIC SQUARE CHRIS OGG
CHECK AMOUNT: $********77.28*
CARMEL, INDIANA 46032 917 DAYTON DRIVE CHECK NUMBER: 322557
CARMEL IN..46033 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT DESCRIPTION
2200 4343002 77.28 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
Vendor# 370385 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHRIS OGG IN SUM of$ CITY OF CARMEL
917 DAYTON DRIVE 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.
CARMEL, IN 46033
Payee
$77.28
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 43-430.02 $77.28 1 hereby certify that the attached invoice(s),or 3/6/18 0 Lodging-Road School Purdue $77.28
2200 2200 2200 2200
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
Monday, March 12,2018
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
/c�tY of Cl%t4%:.
`�tiF.grj4A!'
CITY OF CARMEL Expense Report (required for all travel expenses)
s,
EXHIBIT A
EMPLOYEE NAME: C p9g DEPARTURE DATE: 03 $ TIME: AM/PM
DEPARTMENT: E'''9 RETURN DATE: TIME: AM/PM
REASON FOR TRAVEL: Pur-du--- Ro C0.Ct SC-kOC l DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. "To
Parking Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3/6/18 $77.28 $77:28
$0:00
,:$.0.00
$0:00
$0.00
$0.00
$0.00.
$0..00
$0.00
$0.00
-e $0.00
$0:00
':';;40.,00
$0.00
$0.00
$0.00
$0.00
0.00
Total . ;$0?00 x.$0.00 $0:00 $0:00 $77;:28 $0.00 : " $0.00 $0:00 "`:-$Os00 $0.00 $0.0.0
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#ERO 911, Revision Date 3/8/2018 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 $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 $32.50 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 $32.50 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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt,of$ -4--1•28 , 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: �' ��C1 Date:
City of Carmel Form#ER06 Revision Date 3/8/2018 Page 2
DAYS INN LAFAYETTE,IN
151 FRONTAGE RD.
LAFAYETTE, IN 47905 US
l Phone: 765 446 8558
Fax:765-446-1707
60%ys DEmail:gm@lafayettedaysinn.com 43 Inn.
Printed:3/7/2018.7:20:11 AM
Folio (Detailed)
Name: OGG, CHRIS Confirmation Number: 83353ECO03357
Account Number: 299-327336
Room: 131 Room Type: NQQ1,2 QUEENS/NONSMK/ Nights: 1 Guests:2/0
Rate Plan: SOEP Daily Rate: WIFI GTD: VI-VISA
Arrival: 3/6/2018(Tue) Departure: $69.00+$8.28 Tax XXXX XXXX XXXX 8816
3/7/2018(Wed)
Room Rate:
3/6/2018(Tue)-3/6/2018(Tue) $69.00+ $8.28 Tax per night.
Date Code Description Amount Balance
3/6/2018 RM ROOM CHARGE $69.00 $69.00
3/6/2018 TAX1 SALES TAX $4.83 $�3
3/6/2018 TAX2 CITY TAX $3.45 $77.28
3/7/2018 VI VISA(8816) ($77.28) 00
Summary
Room Tax F&B Other CC Cash DB
$69.00 $8.28 $0.00 $0.00 ($77.28) $0.00 $0.00
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Guest-Signature:
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management reserves the right to refuse services to any one,and will not be responsible for injury or accidents to guests or loss of money,jewelry or
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