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Home My WebLink About330756 10/03/18 0%��p'' CITY OF CARMEL, INDIANA VENDOR: 354379 / ONE CIVIC SQUARE JEFFREY WORRELL CHECK AMOUNT: $*******285.21* :9 ?�; CARMEL, INDIANA 46032 12550 SCOTTISH BEND CHECK NUMBER: 330756 ��<TpN E°. CARMEL IN 46033 CHECK DATE: 10/03/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4239099 REIMB 45.51 OTHER MISCELLANOUS 1401 4355100 REIMB 219.70 PROMOTIONAL FUNDS 1401 4357002 REIMB 20.00 EXTERNAL TRAINING FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 354379 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER JEFFREY WORRELL IN SUM OF$ CITY OF CARMEL 12550 SCOTTISH BEND 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 $285.21 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Council 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 43-551.00 $219.70 1 hereby certify that the attached invoice(s),or 10/2/18 0 CARMEL HOST MEETINGS $219.70 1401 101 1401 101 40653823522 43-570.02 $20.00 bill(s)is(are)true and correct and that the 10/2/18 1353055237 COUNCIL WEBSITE DOMAIN $45.51 1401 101 1 materials or services itemized thereon for 1401 101 REGISTRATION 1353055237 I 42-390.99 I $45.51 10/2/18 I 40653823522 I REGISTRATION FEE TO BE REIMBURSED I $20.00 1401 101 which charge is made were ordered and 1401 101 received except Tuesday, October 02, 1 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 . a CITY OF CARMEL"Expense Report NAME VuD E'. DEPARTURE DATE:&TIME:. :DEPARTMENT �G RETURN DATE &TIME: /. :. CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE REASON FOR TRAVEL: Transportation::.. Auto Taxi, Toll Meals Date Lodging Misc. Toth; Air-fare Car rental 'Expenses: etc. Breakfast Lunch Dinner Per Diem „ x'$0:00 a 'rW0 ,S $o*oo 3 O'00 $O.QO For advance payments, claim,form must;be submitted fifteen (15) business days in advance of_-travel. Claim will not be processed without the following documentation: c 1) Conference or course.registration form,if applicable 2) Travel itinerary, if traveling by air' 3 Original itemized recei ts.or affidavits, if approved by Department'Director,for all ex enses(exce t for meal per diems). 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$60 for out-of-:state travel . For travel that commences after 1:00 p.m. (flight departure time, if traveling by air),.$35 for in-state travel.and$45 for out-of-state travel (NOT a per diem) DIRECTOR'S STATEMENT: I.have reviewed this claim and affirm that all expenses,listed conform to the City's travel policy and are within,my department's appropriated budget. Director Signature: Date: EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION;TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,: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 understand:that within fifteen (15)business days•of'my return (as stated above), Lam 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 docOmeift exp ures) bein d to from the first paycheck issued more than 30 days after the date of.my return. Employee Signature: Date: City:of Carmel Confidential 7/21/2016 Page 1 S � Expense Receipt Justification by Jeff Worrell $169.08 Divvy,City Council President and VP for each municipality in Hamilton County meet regularly to discuss issues affecting the region. Carmel hosted this month's meeting and it is tradition the host City picks up the bill. W 6 i Pra avfia-nal Westfield, Fishers,Carmel, Noblesville and Sheridan attended. 21 $50.62 Recruiting meeting for Market District Execs for empty storefront at 126th and Gray 40 l 1 +-3691 o O 31 $45.51 City Council Website Domain Registration 42 J 1b9q O+ha MI $20.00 Civility in the Public Square: Cultivating Community Amidst Deep Divisions." Trinity Forum sponsored by Carmel Resident Doug Wilson. ,r r7 rr,, �� r My,Account i Order History]Receipt__ o a GoDaddycom, LLC 14455 N. Hayden Rd. Suite 219 Scottsdale, AZ 85260 (480)505-8877 Receipt Date: Aug 14; 2018 2:32 PM Receipt #: :1353055237 Customer.#:.41174902 Bill To: Jeff Worrell 12550 Scottish Bend. Carmel, IN 46033 +1.3175741363 Payment Information: JEff Worrell Visa #####2965 : Pai : $45.51 . Items .COM Domain Renewal LETSTALKCARMEL.COM Item Number: 10103 Quantity: 1 Term: 3 List Price: $44.97 Purchase Price.: $44.97 ICANN Fee:'$0.54 1/2 Event Fees) Item Qty Each Total Event Fee(s)- Event Fee 1 ,. $ 20.00 $ 20.00 Total Amount. $ 20.00 Registration Date April 19th,2018 7:04 AM Transaction Date ;April 19th,2018:7:04 AM Transaction#., 40653823522 Bilking Name and Address Jeff Worrell 12550 Scottish Bend Carmel, IN 46033 us `Credit Card1r formation visa . ************2965 Expires: March:2020 Y - New individual Prefix Mr. :x First Name 'Jeff Last Name {Worrell EAddress jworre mail ll@carmel.in.gov Email secured by Check Point _ 2 71 W. City Center Dr, Carmel, IN 46032 317.706.0000 Server: PARTY Station ID: 02 00401773 Table: Main Dining 41 12:45:03 PM 8/1.6/20,18- WORRELL/JEFF VISA ************2965 Exp **** Auth: 03634G TroutD: 822825510601 Amount $ 140.08 Tip $ j .&_ Total $L�J_A 18%=2.5.21 20%=28.02 22%=30.82 Customer Copy Cafe Patachou Hazel Dell 5790 East Main Street Server:.Julia DOB:. 05/24/2018 01:03 PM 05/24/2018 24/1 2/20047 SALE VISA 2097181 Card #XXXXXXXXXXXX9880 Magnetic .card present.: WORRELL JEFF Card Entry Method: S Approval: 024469 Amount: $42.62 t Tip: _ ,� = Total; I agree to pay the above total amount according to the c issuer agreeme X VU ******Guest's.COpy*****