HomeMy WebLinkAbout322560 03/12/18 Cqq
CITY OF CARMEL, INDIANA VENDOR: 361675
�. ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: S*******468.16
?4; CARMEL, INDIANA 46032 7520 SPAYSIDE DR SOUTH CHECK NUMBER: 322560
M_roN.�o. NOBLESVILLEIN 46062 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 468.16 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361675 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JEREMY KASHMAN IN SUM OF$ CITY OF CARMEL
7520 SPAYS I DE DR SOUTH 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
$468.16
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 $468.16 I hereby certify that the attached invoice(s),or 3/8/18 0 Lodging for Road School $468.16
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
.0of C46",
=t 4 CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: 71t--e cl� DEPARTURE DATE: OS/o co I% b TIME: AM/PM
DEPARTMENT: RETURN DATE: 03f°8 i I S TIME: AM/PM
REASON FOR TRAVEL: Ft-161-k, Roan( s `~'o o ( DESTINATION CITY: L- a,FGy e L-L c
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT v" TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3/6/18 $234.08 :$234:08
3/7/18 $234.08 ;$234:08
$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 $0:00x$000 $0.00 x$0:00 ,: $468.1,6 $000 . :$0 00 $0;00 `x'$000 ;,$0:001,,:.;::;, .$0;00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: 312 —($
City of Carmel Form#E 6 Revision Date 3/12/2018 Page 1
t
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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$°f L-5./ I- , 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: 3-tZ-tg
City of Carmel Form#ER06 Revision Date 3/12/2018 Page 2
M
on HILTON GARDEN INN WABASH LANDING
. 356 EAST STATE STREET
WEST LAFAYETTE,IN 47906
United States of America
TELEPHONE 765-743-2100 *FAX 765-743-6520
Reservations
www.hilton.com or 1 800 HILTONS
KASHMAN,JEREMY Room No: 502/K1
Arrival Date: 3/6/2018 4:36:00 PM
7250 SPAYSIDE DR S Departure Date: 3/8/2018 7:41:00 AM
Adult/Child: 1/0
NOBLESVILLE IN 46062 Cashier ID: KDAULTON
UNITED STATES OF AMERICA Room Rate: 209.00
AL:
HH# 662167261 BLUE
VAT#
Folio No/Che 416833 A
Confirmation Number:3432519936
HILTON GARDEN INN WABASH LANDING 3/8/2018 7:41:00 AM
DATE JREFNO IDESCRIPTION CHARGES
3/6/2018 1581997 GUEST ROOM $209.00
3/6/2018 1581997 STATE TAX $14.63
3/6/2018 1581997 LOCAL TAX $10.45
3/7/2018 1582292 GUEST ROOM $209.00
3/7/2018 1582292 STATE TAX $14.63
3/7/2018 1582292 LOCAL TAX $10.45
3/8/2018 1582393 VS*9291 ($468.16)
**BALANCE** $0.00
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CREDIT CARD DETAIL
APPR CODE 093516 MERCHANT ID 0194114600
CARD NUMBER VS*9291 EXP DATE 01/19
TRANSACTION ID 1582393 TRANS TYPE Sale
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