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HomeMy WebLinkAbout325843 05/30/18 (9- CITY OF CARMEL, INDIANA VENDOR: 129401 ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECKAMOUNT: $*****1,156.30* CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 325843 CHECK DATE: 05/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 23.53 TRAVEL FEES & EXPENSE 1192 4343002 1,026.84 EXTERNAL TRAINING TRA 1192 4350900 105.93 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 129401 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MICHAEL HOLLIBAUGH IN suns of$ CITY OF CARMEL C/O DOCS 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. Payee $1,050.37 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 Hollibaugh 43-430.02 $655.64 1 hereby certify that the attached invoice(s),or 4/11/18 Hollibaugh Hotel 05-13-18 to 05-16-18 4 nights $655.64 1192 101 1192 101 Hollibaugh 43-430.01 $23.53 bill(s)is(are)true and correct and that the 5/13/18 Hollibaugh Bus$3.00 and Uber$20.53 $23.53 1192 101 materials or services itemized thereon for 1192 101 Hollibaugh 43-430.02 $25.00 5/14/18 Hollibaugh Luggage Fees on outgoing flight $25.00 1192 101 which charge is made were ordered and 1192 101 Hollibaugh 43-430.02 $325.00 received except 5/17/18 Hollibaugh Per diems for 5 days 05-13-18 to 05-17-18 $325.00 1192 101 1192 101 Hollibaugh 43-430.02 $21.20 5/18/18 Hollibaugh Luggage Fees on return,flight $21.20 1192 101 1192 101 Wednesday, May 30,2018 Mike Hollibaugh 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 SYFgN�F! �cr Rsiip CITY OF CARMEL Travel Expense Report ' �NDIANPr EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 5/13/2018 TIME: 10:00 AM AM/PM DEPARTMENT: Community Services RETURN DATE: 5/17/2018 TIME: 9:00 PM AM/PM REASON FOR TRAVEL: Intl Making Cities Liveable Conf. DESTINATION CITY: Ottawa, Ontario, Canada EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT. X TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 5/13/18 [$25.0017- 0 ' ✓ $ 65.00 $256.91 $0.00 5/14/18 ✓ $ 65.00 $228.91 $0.0.0 5/15/18 ✓ $ 65.00 $228.91 $0:00 5/16/18 $65.00 :' ':$228.91 $0.00 5/17/18 ;$21.20 $65.00 $106.73 $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 $46.20 $0.00 $23.53 $0.00 $655.64 $0.00 $0.00 $0.00 $0.00 $325.00 $0.00 DIRECTOR'S STATEMENT: I ereb a/ffirm th II expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: ! 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Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 129401 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MICHAEL HOLLIBAUGH IN SUM OF$ CITY OF CARMEL C/O DOCS 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. Payee $105.93 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 Hollibaugh 43-509.00 $105.93 1 hereby certify that the attached invoice(s),or 5/17/18 Hollibaugh Annual renewal of App Order $105.93 1192 101 1192 101 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 Wednesday, May 30,2018 Mike Hollibaugh 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. 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