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Home My WebLink About325337 05/23/18 i"r_cngM /� ,;• CITY OF CARMEL, INDIANA VENDOR: 370349 .; ONE CIVIC SQUARE SHANE BURNHAM CHECK AMOUNT: $*******225.76* a° CARMEL, INDIANA 46032 11874 SPRINGFIELD COURT CHECK NUMBER: 325337 9M�roN�` FISHERS IN 46038 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 REIMB 225.76 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) vendor# 370349 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SHANE BURNHAM IN SUM OF$ CITY OF CARMEL 11874 SPRINGFIELD COURT 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. FISHERS, IN 46038 Payee $225.76 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineerinq 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 $225.76 I hereby certify that the attached invoice(s),or 5/11/18 0 Hotel for IGIC Conference-S.Burnham $225.76 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 Tuesday, May 22,2018 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 Clerk-Treasurer CITY OF CARMEL Expense Report (required for all travel expenses) �kotAMp,f' EXHIBIT A EMPLOYEE NAME: Stanford Burnham 3ARTURE DATE: 5/9/21 TIME: AM/PM DEPARTMENT: Engineering URN DATE: 5/11/2018 TIME: AM/PM REASON FOR TRAVEL:Annual Conference kTION CITY: Ft. Waynca• 1 EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM .. . ........ .. . ........ Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 5/11/18 $225.76 $225.76 $0.0.0 $0:00 $0.00 $0.00 $0:00 $0:0'0 $,0.00 $0.00 .$0:0.0 .$0:00. Total $0 00 $0:00 , $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: SZ 2't r0 City of Carmel Form#ERO Revision Date 5/21/2018 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 $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$��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 ded ted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: City of Carmel Form#ER06 Revision Date 5/21/2018 Page 2 HILTON FORT WAYNE AT THE GRAND WAYNE CENTER 1020 CALHOUN STREET C.0^�_�� OC. Hilton FORT WAYNE,IN 46802 United States of America HOTELS&OEM= TELEPHONE 260-420-1100 •FAX 260-424-7775 Reservations www.hilton.com or 1 800 HILTONS Burnham,Shane Room No: 501/132 Arrival Date: 5/9/2018 3:05:00 PM 8785 KEYSTONE CROSSING APARTME Departure Date: 5/11/2018 11:42:00 AM AdultIChild: 1/0 INDIANAPOLIS IN 46240 Cashier ID: BGALLAGHER83 UNITED STATES OF AMERICA Room Rate: 92.00 AL: HH# VAT# Folio No/Che 682350 A Confirmation Number:3440306668 HILTON FORT WAYNE AT THE GRAND WAYNE CENTER 5/11/2018 11:42:00 AM DATE I REF NO IDESCRIPTION I CHARGES 5/9/2018 3139149 *PARKING $8.00 5/9/2018 3139150 GUEST ROOM $92.00 5/9/2018 3139150 STATE TAX $6.44 5/9/2018 3139150 OCCUPANCY TAX $6.44 5/10/2018 3140001 *PARKING $8.00 5/10/2018 3140002 GUEST ROOM $92.00 5/10/2018 3140002 STATE TAX $6.44 5/10/2018 3140002 OCCUPANCY TAX $6.44 5/11/2018 3140538 MC*7014 ($225.76) **BALANCE** $0.00 CREDIT CARD DETAIL APPR CODE 82589Z MERCHANT ID 650000007077756 CARD NUMBER MC*7014 EXP DATE 12/18 TRANSACTION ID 3140538 TRANS TYPE Sale Page:1 Indiana GIS Conference Page 1 of 2 Wh •ears®err - rerrerrsa ��wwr'rds rurssrrs INDIANA r UNUM, �Orrrrrrrr GIS ON lrrrrrrarr r�rrrrrr 'r"M" ncriana Geographic Informatijon Council Home Page Conference Info Keynote Speakers Awards Exhibitors Sponsors Prior Conferences http://conference.igic.org/ 5/22/2018 Indiana GIS Conference Page 2 of 2 a I lid 1.- -- Ii ' ednes y s y`9- ri ay ay Conference Information days until the conference 00 00 00 00 days hours minutes seconds Indiana Geographic Information Council Social Media u http://conference.igic.org/ 5/22/2018