HomeMy WebLinkAbout330055 09/19/18 ^% ��p''"� CITY OF CARMEL, INDIANA VENDOR: 369143
® ONE CIVIC SQUARE ALEX JORDAN CHECK AMOUNT: $*******100.00*
s. a CARMEL, INDIANA 46032 C/O ENG CHECK NUMBER: 330055
"MgTON-�� CHECK DATE: 09/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 100.00 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 369143 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ALEX JORDAN IN SUM OF$ CITY OF CARMEL
C/O ENG 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
$100.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
43-430.02 $100.00 1 hereby certify that the attached invoice(s), or 9/13/18 Per diem expenses for INAFSM-A.Jordan $100.00
2200 22002200 2200
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 19, 2018
Jeremy Kashman
Director
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QF CA&E
CITY OF CARMEL Expense Report (required for all travel expenses)
�NOIANP EXHIBIT A
EMPLOYEE NAME: Alex Jae A A DEPARTURE DATE: � I2 I$� TIME: 7= 3 D 001 PM
DEPARTMENT: Evii i h ee r i N n RETURN DATE: 13 /IT TIME: 7: 00 AM/
REASON FOR TRAVEL: I NA F SM Cowk- e ee✓f Ce- DESTINATION CITY: Evav%S V/ l lQ IN
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/12/18 $50.00 $50.00
9/13/18 $50.00 $50.00
$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
$mo
$0.00
$0{00
$0.00
$0.00
0:0.0
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $100.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 9/17/2018 Page 1
For advance payments, claim form must be submitted ten (10) 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 or car rental agreement, if applicable
3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt)
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 $65 for out-of-state travel
For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in-state travel and $32.50 for out-of-state travel
For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in-state travel and $32.50 for out-of-state travel
For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ Id 0 , 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 accept responsibility for these funds and agree to repay them if lost or stolen.
understand that within ten (10) business days of my return (as stated on opposite,side), 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: _OJDate: 9 /17 119
City of Carmel Form#ERO6 Revision Date 9/17/2018 Page 2