HomeMy WebLinkAbout329022 08/17/18 CITY OF CARMEL, INDIANA VENDOR: 355473
J1/ �3i ONE CIVIC SQUARE DAREN MINDHAM CHECK AMOUNT: $*******592.16*
?� CARMEL, INDIANA 46032 14118 WARBLER WAY NORTH CHECK NUMBER: 329022
9M«oN�o` CARMEL IN 46033 CHECK DATE: 08/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 35.00 TRAVEL FEES & EXPENSE
1192 4343002 557.16 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 355473 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DAREN MINDHAM IN SUM OF$ CITY OF CARMEL
14118 WARBLER WAY NORTH 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.
CARMEL, IN 46033
Payee
$592.16
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
Mindham 43-430.01 $35.00 1 hereby certify that the attached invoice(s),or 8/7/18 Mindham Hotel parking for Mind ham $35.00
1192 101 1192 101
Mindham 43-430.02 $557.16 bill(s)is(are)true and correct and that the 8/7/18 Mindham Hotel for 2 days and per diem for 2.5 days $557.16
1192 101 materials or services itemized thereon for 1192 1 101
which charge is made were ordered and
received except
Tuesday,August 14,2018
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
S4� gyp
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Daren Mindham 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 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 $25.00 $198.58 $30.00 $253.58
8/6/18 $198.58 $65.00 $263.58
8/7/18 $10.00 $65.00 $75.00
$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.
Total $0.00 $0.00 $0.00 $35.00 $397.16 $0.00 $0.00 $0.00 $0.00 $160.00 $0.00
DIRECTOR'S STATEMENT hereby a9irm th1t all enses ' ted conform to the City's travel policy and are within my department's appropriated budget.
gllDirector Signature: Date: U
City of Carmel Form#ER06 Revision Date 8/8/2018 Page 1
i
f
C t rc lle INC 2802403
179862
CK 2802403
2485 Post Rd
Indianapolis IN 46219
Description Qty Amount.
UNLD CR #106 3.402G 10.00
SELF @ 2.939/ G
Subtotal 10.00
Tax 0.
TOTAL 10 _00
CREDIT
i
IVisa
XXXXXXXXXXXX0014
Entry Method: Swiped
Auth #: 617074
Resp Code:
Stan: 0042360197
Invoice #: 115180
Store # 9880113
SITE ID: 179862
TERMINAL ID: 001
ST# 2403 TILL XXXX DR# 0 TRAN# 9062187
CSH: 0 08/07/18 17:48:47
401 North High Street
. Columbus,OH 43215
_S United States of America
�l TELEPHONE 614-384-8600 -FAX 614-484-5219
HOTELS&RESORTS Reservations
www.hilton.com or 1 800 HILTONS
MINDHAM,DARREN Room No: 307/Q2
Arrival Date: 8/5/2018 2:44:00 PM
14118 WARBLER WAY Departure Date: 8/7/2018 12:41:00 PM
Adult/Child: 1/0
CARMEL IN 46033 Cashier ID: KATIENESTOR
UNITED STATES OF AMERICA Room Rate: 169.00
AL:
HH#
VAT#
Folio No/Che 604798 A
Confirmation Number:3447326412
Hilton Columbus Downtown 8/7/2018 12:40:00 PM
DATE ID REF NO CHA CREDIT BALANCE
8/5/2018 SELF PARKING LTHOMPS 2342138 $25.00
ONESTER
1
8/5/2018 GUEST ROOM LTHOMPS 2342139 $169.00
ONESTER
1
8/5/2018 RM-SALES TAX LTHOMPS 2342139 $12.68
ONESTER
1
8/5/2018 RM-OCCUPANCY TAX LTHOMPS 2342139 $16.90
ONESTER
1
8/6/2018 GUEST ROOM LTHOMPS 2343207 $169.00
ONESTER
1
8/6/2018 RM-SALES TAX LTHOMPS 2343207 $12.68
ONESTER
1
8/6/2018 RM-OCCUPANCY TAX LTHOMPS 2343207 $16.90
ONESTER
1
8/7/2018 VS*0014 KATIENES 2343901 ($422.16)
TOR
**BALANCE** $0.00
EXPENSE REPORT
SUMMARY
8/5/2018 8/6/2018 STAY TOTAL
ROOM AND TAX $198.58 $198.58 $397.16 '
MISCELLANEOUS $25.00 $0.00 $25.00 D
DAILYTOTAL $223.58 $198.58 $422.16 7
CREDIT CARD DETAIL
APPR CODE 315044 MERCHANT ID 50035-6170
CARD NUMBER VS*0014 EXP DATE 06/19
Cardmerriber Service
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