HomeMy WebLinkAbout327114 07/06/18 +y,_CAq�
J`/ �� CITY OF CARMEL, INDIANA VENDOR: 361675
\. CHECK AMOUNT: $*****2,049.77*
ONE CIVIC SQUARE JEREMY KASHMAN
:9 ��� CARMEL, INDIANA 46032 7520 SPAYSIDE DR SOUTH CHECK NUMBER: 327114
.y,�roN�°. NOBLESVILLE IN 46062 CHECK DATE: 07/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 0 1,399.77 EXTERNAL TRAINING TRA
2200 4357004 0 650.00 EXTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361675 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JEREMY KASHMAN IN SUM OF$ CITY OF CARMEL
7520 SPAYSI 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
$2,049.77
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 43-570.04 $650.00 1 hereby certify that the attached invoice(s),or 6/11/18 0 6th National Bus Rapid Transit Conference- $650.00
2200 2200 2200 2200 Jeremy Kashman
0 43-430.02 $1,289.68 bill(s)is(are)true and correct and that the 6/25/18 0 TRB BRT Conference Expenses-Jeremy $1,289.68
2200 2200 materials or services itemized thereon for 2200 2200 Kashman
0 I 43-430.02 I $110.09 7/3/18 I 0 I Mileage for Jeremy Kashman I $110.09
2200 2200 which charge is made were ordered and 2200 2200
received except
Tuesday,July 03,2018
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
CITY OF CARMEL Expense Report 2200 -LV-34.30oz
NAME Kashman, Jeremy M DEPARTURE DATE &TIME: 6/18/2018 7:15:00 AM
DEPARTMENT Engineering RETURN DATE &TIME: 6/21/2018 5:30 AM
CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE REASON FOR TRAVEL: TRB BRT Conference-Los Angeles
Transportation Auto Taxi, Toll Meals
Date Lodging Misc. Total
Air-fare Car rental Expenses etc. Breakfast Lunch Dinner Per Diem
......_...._._.... ._... . . .
i$000
6/18/18 $626.40 $65.00 $.6.91640
6/19/181 $65.001 ::..,.;$65:00:
6/20/18 $399.82 $65.00 $464:82
6/21/18 $27.00 $41.46 $68:46
$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$45 for out-of-state travel(NOT a per diem)
DIRECTOR'S STATEMENT: I have reviewed this claim and affirm that all expenses listed conform to the City's travel policy and are within my
department's appropriated budget. I
Director Signature: 7'4" Date: `(ZS'I$
EMPLOYEE ACKNOWLEDGEME T 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)being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date:
City of Carmel Confidential 6/25/2018 Page 1
INDIANAPOLIS
INTERNATIONAL
AIRPORT
L/R #46 A Payment No.00037896
T/D 437 Ticket No.090794
Q V �A- Entry Time 06/18/2018 (Mon) 5:57
Exit Time 06/21/2018 (Thu) 5:53
Parking Time 2Days 23:56
Parking Fee Rate F $27.00
MASTERCARD
Account # *****************9950
Slip # 41008
Auth Code 000000665Z
credit Card Amount $27.00
otal $27.00
Thank you, Have a nice day!
(317) 487-5017
Iloll
MILLENNIUM
BILTMORE HOTEL
Jeremy Kashman LOS ANGELES Room No. 0509
Noblesville IN 46062 You-e the Cm1erof6urWorld
Arrival 06-18-18
United States Departure 06-20-18
Page No. 1 of 1
Folio No. 964972
INVOICE Conf. No. 10619946
Membership No. FGR 201806110000104£ T.A. Record
A/R Number
Group Code 1806RAPID8
Company Name The National Academies/Natio You are the Center of our World! 06-20-18
Date Text Charges Credits
USD USD
06-18-18 Room Charge 173.00
06-18-18 Occupancy Tax 24.22
06-18-18 City Tourism Assessment 2.60
06-18-18 California Tourism Tax 0.09
06-19-18 Room Charge 173.00
06-19-18 Occupancy Tax 24.22
06-19-18 City Tourism Assessment 2.60
06-19-18 California Tourism Tax 0.09
06-20-18 Mastercard 399.82
XXXXXXXXXXXX9950 XX/XX
Total 399.82 399.82
Balance 0.00- USD
Log on to www.millenniumhotels.com to get your Best Rate Guarantee
Millennium Biltmore Hotel Los Angeles
506 South Grand Avenue,Los Angeles,CA 90071
Tel:213-624-1011*Fax:213-612-1545*www.millenniumhotels.com
Receipt for Los Angeles Page 1 of 1
ag
'%��O. Exped*
Receipt for Los Angeles
Jun 18,2018-Jun 21,2018 Itinerary#7358565955875
_...__....._.._.__._.._....._.._._ .__ __._._..._ ...... _.._.._.._._...............__._..W..4..............._......._......_.......__......................,._.._._._._............._.._. ...._...__...__._......_.._...__._..__...._............._......._..............._..._....._._.__........._........_._.._...
Booked Items ? Cost Summary
Flight: Indianapolis(IND)to Los Angeles(LAX) Booked Date: Jun 11,2018
Depart:6/18/2018 1 Return:6/21/2018 ,1 round trip ticket ? Traveler 1:Adult $626.40
_..........._......_.... ...................._........._.. _.-__._._.._.__.._....._...___.__-
___.__.._.._..._..__._.__._...._._.__. 3 Flight $556.28
Traveler Information Taxes&Fees $70.12
......_._.......__._____._____________. ___..__._.._............
1
Jeremy Michael Kashman-Adult
Total: $626.40
Ticket#0067154016120
j Paid:$626.40
1 [MasterCard 9950]
All prices quoted in US dollars.
https://www.expedia.com/itinerary-receipt?tripid=66e9ecl8-9e44-44al-bdfO-4eab28969930 6/11/2018
Itinerary: Los Angeles Page 1 of 2
%-0
Expedia
......
_..... ..._....._ __ ___ _ __ __.
Los Angeles
Jun 18,2018-Jun 21,2018 Itinerary#7358565955875
Important Information
I
• Remember to bring your itinerary and government-issued photo ID for airport check-in and security.
........................... ................._........._.._.............._........_._.._._--__................._.........................._............__._...__._..._..._....._..._...._.......................___..._......._............_..................._......__............._.._....._....___.............__.__...._............................................
' Indianapolis (IND) Los Angeles (LAX) CONFIRMED
Jun 18,2018-Jun 21,2018,1 round trip ticket Delta H2Y3EK
Your reservation is booked and confirmed.There is no need to call Price Summary
us to reconfirm this reservation. _..__._........__.._._m.._...__._...__.__ w.._._......_....._...................................
.._.....
_..
............... __.___..__...______.._........_......_.....,.._._..._...........___.._.._._................................_..........__..._................................._...__..._.______..._.
Traveler 1:Adult $626.40
I Traveler Information
Flight $556.28
Jeremy Michael No frequent flyerTicket# Taxes&Fees $70.12
Kashman details provided 0067154016120
Total: $626.40
Adult
...........................................................(.................,................................_...................................._.._...._...........
All prices quoted in US dollars.
"Seat assignments,special meals,frequent flyer point awards and .._............._....._.........._._._...._........_........._......._.._...____._.___._....._.._..._................
special assistance requests should be confirmed directly with the airline.
Additional Flight Services
Jun 18, 2018-Departure Nonstop Total travel time:4 h 28 m
r
4 h 28 m The airline may charge additional
Indianapolis Los Angeles fees Opens in a new window.for
1,811 mi
IND 7:15am LAX 8:43am checked baggage or other optional
` services.
Terminal 2 _._____.__..........__.___..__..._........._............._...........
..............._.___..
Delta 979
Economy/Coach(Q)I Confirm seats with the airline" 125 points i
� For this tripExpedia.m
Jun 20, 2018 -Return Nonstop Total travel time:4 h 7 m
I
4h7m
Los Angeles Indianapolis
1,811 mi
LAX 10:25pm IND 5:32am+1 day
Terminal 2 (Arrives on Jun 21, I
2018)
Delta 877
Economy/Coach(Q)I Confirm seats with the airline"
Airline Rules&Regulations
I
https://www.expedia.com/itinerary-print?tripid=66e9ec 18-9e44-44al-bdfb-4eab28969930... 6/11/2018
Itinerary: Los Angeles, CA, United States (LAX-Los Angeles Intl.) Page 1 of 3
E x P le d
Los Angeles, CA, United States (LAX-Los Angeles Intl.)
1
Jun 18,2018-Jun 20,2018 Itinerary#7358567411460
i
1
i
Shared Shuttle: Los Angeles International Airport
(LAX): Roundtrip for Hotels in Zone 6 CONFIRMED
3
Valid Dates:Jun 18,2018-Jun 20,2018
i
Your reservation is confirmed. ; Price Summary
............. _..............__._ __..._............_....._ ..... _..._............___.____ ................................................ .........................-..........
. .__.___...
Activity Details View All 1 Adult $41.46
View/print vouchers Taxes&Fees included
I
Shared Transfers
0 35m Ill 2 Roundtrip Total: $41.46
Los Angeles,CA, United States LAX-Los Angeles Intl.
Millennium Biltmore Los Angeles All prices quoted in USD.
Booking Date Mon, 11 Jun
83 points
Vendor Karmel Shuttle Service, Inc. Expedia°"
Supplier Reference Number 7358567411460 ' For this trip
Arrival Airline/Flight Number Delta/979 ---...... - -------------------- -------------_..._..___._.__.
Arrival Date/Time 6/18/2018,9:00am Know Before You Go:
;Hotel Pickup Date/Time 6/20/2018,6:10pm
• If you miss your flight or change
Departure Airline/Flight Delta/877 your itinerary,you must
Number immediately contact Karmel Shuttle
I Departure Date/Time 6/20/2018, 10:00pm to reschedule your transfer.
Reserved Jeremy Michael Kashman If you have trouble locating your
driver, please call Karmel Shuttle at
for 1 Adult
the number provided.
Redemption Instructions: • This transfer operates 24 hours a
day.
How to Redeem Your Voucher: ' • Child car seats are the traveler's
} Airport Pickup: Upon arrival,follow the signs for Baggage Claim responsibility; children must be
3 and collect your luggage.Then,call 1-888-995-7433 and press seated in asize-appropriate safety
option 2 for dispatch. Be prepared to provide your last name or restraint, in accordance with local
confirmation number.The representative will instruct you where law.
to stand and what vehicle number will be pulling up for you.
https://www.expedia.com/itinerary-print?tripid=8f b3 6e94-3bb9-497d-b51 b-ad314e53 5ac2... 6/11/2018
6th National Bus Rapid Transit Conference:No Longer An"Emerging" Mode- Confirma... Page 1 of 2
6th National Bus Rapid Transit Conference: No Longer An "Emerging" Mode
f you have-us aid usinga credit card:
he transaction may take a few minutes to process;remain an this page and refresh the screen periodically,until the word"Processing"disappears from beneath your payment
(formation and your Amount Due is$0,below.Once the transaction is complete,you may print this page as your receipt and confirmation using the Printer Friendly button
eIaw.
General Information
Name:
Jeremy Kashman
Job Title:
City Engineer
Organization:
City of Carmel
Address: LL
One Civic Square ?_2 Ori—L4'3 5-4 O O 1
Carmel,Indiana 46062 �,P1.err y K g s h-,r�otn
USA
Number of People Registered:
1
Confirmation Number:
KSN3MB2i'LKM (needed to modify your registration)
Event Title:
6th National Bus Rapid Transit Conference:No Longer An"Emerging"Mode
Location:
Millenium Biltmore Hotel
506 South Grand Avenue
Los Angeles,California 90071
USA
Phone:
213.624.1011
Registration Details
Jeremy Kashman
Agenda Items
i Registration Item Cost
i General $650.00 F
i......................................................................................................................................................................................................................................................................................................................................
Summary
Registration may be paid by MasterCard,VISA,or American Express,or by check payable to TRB/BRT,in U.S.Funds,drawn on a U.S.bank.
Only government agencies and universities may submit purchase orders(Federal Identification 53-0196932).
Cancellations received by May 25,2018 will be refunded less a$50 processing fee.No refunds will be issued thereafter.Please
note that Patron support is non-refundable.
To pay by check,mail a copy of this confirmation page with your check to:
National Academy of Sciences
TRB/BRT
PO Box 936135
Atlanta,GA 31193-6135
**
Please reference your name and the event name with the check.
To pay by credit card offline,fax a copy of this confirmation page with your credit card number,expiration date,three digit security code on the
back,card holder's name,and billing address to 202-334-2299.
Order
https://www.cvent.com/events/Registrations/MyRegistration.aspx?i=9bf2d5e5-6ca7-4087-... 6/11/2018
6th National Bus Rapid Transit Conference:No Longer An"Emerging"Mode- Conf=a... Page 2 of 2
Date Type Amt Ordered Amt Paid Amt Due
06/11/2018 8:29 AM Pi online order $650.00 $650.00 $0.00
Total: $650.00 $650.00 $0.00
Payment Details
Details
Date Type Reference# Amt Paid
06/11/2018 Mastercard 9950 $650.00
https://www.cvent.com/events/Registrations/MyRegistration.aspx?i=9bf2d5e5-6ca7-4087-... 6/11/2018
i
PRESCRIBED BY STATE BOARD OF ACCOUNTS 22043y3 002 GENERAL F(
MILEAGE CLAIM
City of Carmel TO
(GOVERNMENTAL UNIT) II
Engineering ON ACCOUNT OF APPROPRIATED NO. FOR I
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
DATE FROM TO ODOMETER
READING+ NATURE OF BUSINESS AUTO MILES
20 POINT POINT TRAVELED
START FINISH
6/18 18 Carmel Airport 44322 44354 Travel to Airport for TRB BRT Conference 32
6/21 18 Airport Carmel 44354 44386 Travel from Airport 32
5/21 18 Carmel Downtown 43218 43240 Travel to North Split Meeting downtown 22
5/21 18 Downtown Carmel 43240 43262 Travel from North Split Meeting downtown 22
6/7 18 Carmel Downtown 43949 43971 Travel to IBJ Presentation downtown 22
6/7 18 Downtown Carmel 43971 43993 Travel from IBJ Presentation downtown 22
6/13 18 Carmel Beech Grove 44180 44204 Travel to Beech Grove MPO Meeting 24
6/13 18 Beech Grove Carmel 44204 44230 Travel from Beech Grove MPO Meeting 26
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. j
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.
i
Date ,201 8
f
i