328912 08/14/18 %' "''�.. CITY OF CARMEL, INDIANA VENDOR: 358229
s ONE CIVIC SQUARE NICHOLE SPETH CHECK AMOUNT: $*******557.16*
?a; CARMEL, INDIANA 46032 C/o DOCS CHECK NUMBER: 328912
",;TON�• CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343002 557.16 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358229 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NICHOLE SPETH IN SUM OF$ 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
$557.16
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
Speth 43-430.02 $397.16 1 hereby certify that the attached invoice(s),or 8/7/18 Speth Hotel for 2 days-Speth $397.16
1192 101 1192 101
Speth 43-430.02 $160.00 bill(s)is(are)true and correct and that the 8/7118 Speth Per Diems for 2.5 days-Speth $160.00
1192 101 materials or services itemized thereon for 1192 1 101
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
4`1(OF Com\,=
sQ.ei�egj�Ce
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Nichole Speth DEPARTURE DATE: 8/5/2018 Sun TIME: 3:00 PM
DEPARTMENT: DOCS RETURN DATE: 8/7/2018 Tue TIME: 7:00 PM
REASON FOR TRAVEL: Conference ISA DESTINATION CITY: Columbus OH
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 Rental Lift .545 Per Diem
8/5/18 $198.58 $30.00 $228.58
8/6/18 $198.58 $65.00 $263.58
8/7/18 $65.00 $65.00
$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
0.00.$0.00
$0.00
$0.00
$0.0`0
0.00
Total 1 $0.001 $0,.001, $0.00 $0.00'. _ $3:97A fit_ __ _$0.0: _.0 $0.00 --$O.OQI $0.00 $160'.00 $0.00
DIRECTOR'S STATEMENT: I here irm thld:5!�v
form to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: V I g,I u
City of Carmel Form#ER06 . � ���0 —0 L Revision Date 8/8/2018 Page 1
401 North High Street
Columbus,OH 43215
Hilt n United States of America
TELEPHONE 614-384-8600 •FAX 614-484-5219
HOTELS&RESORTS Reservations
www.hilton.com or 1 800 HILTONS
SPETH,NICOLE Room No: 844/K1D
Arrival Date: 8/5/2018 10:20:00 PM
14118 WARBLER WAY Departure Date: 8/7/2018 11:22:00 AM
Adult/Child: 1/0
CARMEL IN 46033 Cashier ID: KATIENESTOR
UNITED STATES OF AMERICA Room Rate: 169.00
AL:
HH#
VAT#
Folio No/Che 604799 A
Confirmation Number:3452438686
Hilton Columbus Downtown 8/7/2018 11:21:00 AM
DATE IDESCRIPTION ID REF NO CHARGES CREDIT BALANCE
8/5/2018 GUEST ROOM LTHOMPS 2342468 $169.00
ONESTER
1
8/5/2018 RM-SALES TAX LTHOMPS 2342468 $12.68
ONESTER
1
8/5/2018 RM-OCCUPANCY TAX LTHOMPS 2342468 $16.90
ONESTER
1
8/6/2018 GUEST ROOM LTHOMPS 2343570 $169.00
ONESTER
1
8/6/2018 RM-SALES TAX LTHOMPS 2343570 $12.68
ONESTER
1
8/6/2018 RM-OCCUPANCY TAX LTHOMPS 2343570 $16.90
ONESTER
1
8/7/2018 MC`8135 KATIENES 2343872 ($397.16)
TOR
**BALANCE** $0.00
EXPENSE REPORT
SUMMARY
8/5/2018 8/6/2018 STAY TOTAL
ROOM AND TAX $198.58 $198.58 $397.16
DAILY TOTAL $198.58 $198.58 $397.16
CREDIT CARD DETAIL
APPR CODE H57718 MERCHANT ID 50035-6170
CARD NUMBER MC*8135 EXP DATE 03/20
TRANSACTION ID 2343872 TRANS TYPE Sale
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■■■ All Accounts
RON
Key Express Checking - 5902
$2 , 7791 98
Available Balance
My Upcoming Activities for this Account
There are no scheduled Payments or Transfers
Date Description Amount Transaction Balance
Aug 09 Pending: Signed Purchase Cancun Mexican Resta -$11.50
Pos
Aug 10 Hilton Hotels C Columbus Oh Usa -$397.16 $2,791.48
Ilia Print X
Date Amount of this Debit Card
Friday, August 10, 2018 $397.16
How this will appear on your statement
HILTON HOTELS C COLUMBUS OH USA
Aug 09 Pos Mac Flickers Site 5 Westfield In -$4.99 $3,188.64
Help&Feedback
https://ibx.key.com/ibxolb/olb/index.html 8/13/2018
transaction Details Page 1 of 1
10Aug L/ hilton hotels c columbus oh usa -$397.16
Debit Card
Date Amount of this Debit Card
Friday, August 10, 2018 $397.16
How this will appear on your statement
HILTON HOTELS C COLUMBUS OH USA
Help&Feedback
https://ibx.key.com/ibxolb/olb/index.html 8/13/2018