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328888 08/14/18
CITY OF CARMEL, INDIANA VENDOR: 372695 Jam' F� ONE CIVIC SQUARE TODD GILLIAN CHECK AMOUNT: $*******607.16* s. /a CARMEL, INDIANA 46032 6270 VALLEYVIEW DRIVE CHECK NUMBER: 328888 FISHERS IN 46038 CHECK DATE: 08/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 50.00 TRAVEL FEES & EXPENSE 1192 4343002 557.16 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 372695 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TODD GILLIAN IN SUM OF$ CITY OF CARMEL 6270 VALLEYVI EW 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. FISHERS, IN 46038 Payee $607.16 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Dept of Community Service Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT Gillian 43-430.02 $557.16 1 hereby certify that the attached invoice(s), or 8/7/18 Gillian 2 nights in hotel and 3 days of per diem- $557.16 1192 101 1192 101 Gillian Gillian 43-430.01 $50.00 bill(s)is(are)true and correct and that the 8/7/18 Gillian Parking for Conference 2 days-Gillian $50.00 1192 101 materials or services itemized thereon for 1192 101 which charge is made were ordered and received except Monday,August 13, 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— Clerk-Treasurer 20Clerk-Treasurer e�,xTYfgyik. i_ CITY OF CARMEL Expense Report (required for all travel expenses) •�/ry01AN% EMPLOYEE NAME: Todd Gillian 312 teq 15 DEPARTURE DATE: 8/5/2018 TIME: 3:00 PM DEPARTMENT: DOCS RETURN DATE: 8/7/2018 TIME: 6:30 PM REASON FOR TRAVEL: Conference DESTINATION CITY: Columbus, Ohio EXPENSES ARE FOR(check all that apply): TRAVEL REIMBURSEMENT_X TRAVEL PER DIEM_X Transportation Gas/Tolls/ Date Taxi/Uber/ Parking/Mileage Hotel Misc. Total Air-fare Car Rentalsas Per Diem Lift 8/5/18 $25.00 $198.58 $30.00 $25158 8/6/18 $25.00 $198.58 $65.00 $288.58 8/7/15 $65.00 0&00 $0.00. .$0.00 x$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 4.90 Total; $0.00 $0:00 PAU' _' $50 00 '� $39-T.1 fi_ $0.`00 __ $0 00~ $0:00__ __. $_0.00 ' $1;60:00 $0.0.0 DIRECTOR'S STATEMEN I a``ff a all "se d conform to the City's travel policy and are lwithin my departments appropriated budget. Director Signature: Date: U I l o City of Carmel Form#ER06 /3 i 43 D Revision Date 8/9/2018 Page 1 �^., 401 North High Street (f���,q ] Columbus,OH 43215 Hilto n United States of America TELEPHONE 614-384-8600 •FAX 614-484-5219 HOTELS&RESORTS Reservations www.hilton.com or 1 800 HILTONS GILLIAN,TODD Room No: 1249/Q2E Arrival Date: 8/5/2018 10:24:00 PM 14118 WARBLER WAY Departure Date: 8/7/2018 12:26:00 AM Adult/Child: 1/0 CARMEL IN 46033 Cashier ID: HESP UNITED STATES OF AMERICA Room Rate: 169.00 AL: HH# VAT# Folio No/Che 604800 A Confirmation Number:3445209475 Hilton Columbus Downtown 8/7/2018 12:25:00 AM DATE IDESCRIPTION ID I REF NO I CHARGES CREDIT BALANCE 8/5/2018 SELF PARKING LTHOMPS 2342124 $25.00 ONESTER 1 8/5/2018 GUEST ROOM LTHOMPS 2342125 $169.00 ONESTER 1 8/5/2018 RM-SALES TAX LTHOMPS 2342125 $12.68 ONESTER 1 8/5/2018 RM-OCCUPANCY TAX LTHOMPS 2342125 $16.90 ONESTER 1 8/6/2018 SELF PARKING LTHOMPS 2343192 $25.00 ONESTER. 1 8/6/2018 GUEST ROOM LTHOMPS 2343193 $169.00 ONESTER 1 8/6/2018 RM-SALES TAX LTHOMPS 2343193 $12.68 ONESTER 1 8/6/2018 RM-OCCUPANCY TAX LTHOMPS 2343193 $16.90 ONESTER 1 8/7/2018 VS*5284 HESP 2344092 ($447.16) REF=0000604800-00842243 CHIP 05 Application Label:CHASE VISA TC:486AODBF468977F9 1 l� r4 L4 -7 l Arrival Date: 8/5/2018 10:24:00 PM 14118 WARBLER WAY Departure Date: 8/7/2018 12:26:00 AM Adult/Child: 1/0 CARMEL IN 46033 Cashier ID: HESP UNITED STATES OF AMERICA Room Rate: 169.00 AL: HH# VAT# Folio No/Che 604800 A Confirmation Number:3445209475 Hilton Columbus Downtown 8/7/2018 12:25:00 AM DATE IDESCRIPTION ID I REF NO CHARGES CREDIT BALANCE TVR:0080008000 `"BALANCE"` $0.00 EXPENSE REPORT SUMMARY 8/5/2018 8/6/2018 STAY TOTAL ROOM AND TAX $198.58 $198.58 $397.16 MISCELLANEOUS $25.00 $25.00 $50.00 DAILY TOTAL $223.58 $223.58 $447.16 CREDIT CARD DETAIL APPR CODE 02036C MERCHANT ID 50035-6170 CARD NUMBER VS"5284 EXP DATE 05/23 TRANSACTION ID 2344092 TRANS TYPE Sale 8/13/2018 My accounts-chase.com CHASE !i Printed from Chase Personal Online CREDIT CARD (...5284) Account activity Date Description Type Amount Aug 8,2018 HILTON HOTELS COLUMBUS Sale $447.16 This transaction posted on Aug 10,2018 Additional merchant and transaction information COLUMBUS, OH 432150000 US In-person transaction Rewards earned with this transaction + Points earned on all other purchases 447.16 Total Points 447.16 JPMorgan Chase Bank,N.A.Member FDIC ©2018 JPMorgan Chase&Co. Equal Opportunity Lender t) https://secure0l b.chase.com/web/auth%dashboard#/dashboard/overviewAccounts/overview/singleCard 1/1