HomeMy WebLinkAbout329538 08/30/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 362121
ONE CIVIC SQUARE LEE HIGGINBOTHAM CHECKAMOUNT: $*******381.17*
CARMEL, INDIANA 46032 3530 E DIVISION RD CHECK NUMBER: 329538
TIPTON IN 46072 CHECK DATE: 08/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 381.17 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 362121
LEE HIGGINBOTHAM IN SUM of$ CITY OF CARMEL
3530 E DIVISION RD 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.
TIPTON, IN 46072
Payee
$381.17
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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 43-430.02 $70.00 1 hereby certify that the attached invoice(s),or 8/28/18 0 Reimbursement For Parking $70.00
2201 2201 2201 2201
0 43-430.02 $311.17 bill(s)is(are)true and correct and that the 8/26/18 0 Reimbursement For Travel $311.17
2201 1 1 2201 1 materials or services itemized thereon for 2201 1 2201
which charge is made were ordered and
received except
Tuesday,August 28,2018
Huffman, Dave
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
n
CITY OF CARMEL:Expense-Report (req:uired. for. all travel''expenses)'
EMPLOYEE•NAME:, Matt Higginbotham DEPARTURE DATE: 8/22/2018. TIME: 1;00. PM
DEPARTMENT. ... Street: RETURN DATE:'... 8/23/2018 . :' TIME 4:30 PM
REASON FOR TRAVEL:.ILTAP Conference DESTINATION.CITY:. French Lick
TRAVEL EXPENSES.ARE.FOR,(check.all.that apply):_ . ADVANCE: REIMBURSEMENT.-_ . "X PER DIEM X .
Transportation Gas/Toils/ Meals
Date' Lodging Misc.. Total
Air-fare Car.Rental . ..Other• Parking Breakfast Lunch Dinner. . Snacks. •Per Diem .
$
' : 236.17 $75.00
$Op00, .
$OT00
__
$O
T00
mom
$Oa00
ENW—
4 00
$000
m$—TO—
'T .
�$Or00,
$00
$000
T :
$0.00u�,.. $000. ;.:$0.00 . . $236 .7 f. $0.00 $000'f 0 00
_..„� � .LLQ-. ... _ t.,....:,.._, .1y $_ $76 $0 0;E$31�1151►7
... .. t., x _.�., «_R
00 w :0
DIRECTOR'S STATEMEN hereby ffirm:t al 'e ensei listed conform to.the City'stravel policy and are Within,my.depaft6nt's'appr6priated budget..
Director Signature: Date :.
City of Carmel Form#ER06 . Revision Date 8/24/2018 : Page 1
CITY OF CARMEL Expense.Report (required for all travel expenses)
EMPLOYEE NAME: Matt Higginbotham DEPARTURE DATE: 8/21/2018. TIME: . :10:00 AM
DEPARTMENT: Street:. :. RETURN GATE: 8/21/2018 TIME: : :. 200 PM
REASON FOR TRAVEL:.3M Demonstration for Crew DESTINATIONCITY!, Indianapolis ,,
TRAVEL EXPENSES.ARE•FOR, check-allthat:apply):. . .ADVANCE: REIMBURSEMENT.' `"X._ P.ER'DIEM
Transportation Gas/Tolls/ Meals
Date Lodging : Misc:.'. Total
Rental Other Parking fare Car:Rental Breakfast Lunch Dinner. . Snacks.• PerDiem
Air- q .
8/22/18: $70:00 : : $70x00
$0?00 .
06
$0.00 '
-$0700
$0700
'
0.00
$_UT00 .
$QY00
'
vT00
$0700 1.
$0700
_ $000
•
$OY00
$0700
_0 —Ci
$OTOQ : .
1
WILD
� '0 ` :�G t ,,�" ,A,r -,,-�. _ ; ".. i `.l .:ti r'�"d d �i:�."', ''f'. .'�.,,._y ,. '"`. - 7 w :�z. .� t -. .W`' s`- '
Total °' ", M$0.00 $0.00, ;$0 0]0 "' $70.00 K„ $0.00
Imo.- .� ._ �� �$O.OQ, ry;$0,001 x$0.00 x$0.00 ,.$0 OOi& rts$0,00 $770.00
.DIRECTOR'S STATEMENT. "I hereby ffi�maha Heses listed conform.to the City's travel policy and are withirrmy.department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 8/24/2018 Page 1
%�_
II III III II
FRENCH LICK
RESORT
Name: MATT HIGGINBOTHAM Arrival Date: 08/22/2018 Cl Clerk KDELROSARI
Address: 3530 E DIVISION RD Departure Date: 08/23/2018 CO Clerk SBRESLIN
TIPTON IN 46072 Group Code:
Room:# FL 1521 . Resv; 433250240524 Page 1 of 1
Date Reference Description Charges
Credits
08/22/2018 433339100122 ROOM CHARGE FL 1521 209.00
TAX 1 14.63
TAX2 12.54
08/23/2018 433340393833 FL FRONT DESK VISA 236.17
Total Due .00
I agree to remain personally liable for the payment of this account if the corporation or other third party
fails to pay part or all of these charges. I also agree that all charges contained in this account are correct
and any disputes or requests for copies of charges must be made within.five (5) days after my departure.
If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you
are using a debit card, the hold on funds may last from 7-10 business days'after your check-out date.
Guest Signature:
French Lick Springs Hotel 8670 West St Road 56 French Lick, IN 47432
888.936.9360 frenchlick.com
Capitol Commons
j **CASH 12** j Capitol Commons
DATE: 08/21/18 **CASH 12**
TIME: 01:11 PM DATE: 08/21/18
* Original * TIME: 01:10 PM
Receipt No. 14/1562/211 * Original
Ticket - 251460
SFR - i Receipt No. 13/1562/211
TAX included 35,00 LPRket30435 51459
Credit: 35:00 TAX included 35.00
Trans ID : 295286 Credit: 35.00
Card No. **************08292 Trans ID : 295285
Card Type: VISA Card No. ****************8292
Entry - 08/21/18 10:43 AM Card Type: VISA
i. Valid - 08/21/18 01:11 PM Entry - 08/21/18 10:42 AM
Valid - 08/21/18 01:10 PM
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