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HomeMy WebLinkAbout330926 10/09/18 a; \ CITY OF CARMEL, INDIANA VENDOR: 360690 ONE CIVIC SQUARE JOHN THOMAS CHECK AMOUNT: $*******185.05* :9� �� CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK NUMBER: 330926 ''�Ir`oa'�°' CARMEL IN 46033 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 REIMB 19.60 OTHER MISCELLANOUS 2200 4343002 REIMB 140.00 EXTERNAL TRAINING TRA 250 4350900 REIMB 25.45 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 360690 JOHN THOMAS IN SUM OF$ CITY OF CARMEL 11576 CREEKSI DE LANE 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 0 L Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineerinq Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 081720 42-390.99 $ 1 hereby certify that the attached invoice(s),or 9/28/18 081720 Dragon Boat Race supplies $20.39 2200 2200 q, �0 2200 2200 0 43-430.02 $100.00 bill(s)is(are)true and correct and that the 9/6/18 0 INAFSM per diem $100.00 2200 2200 materials or services itemized thereon for 2200 2200 0 43-430.02 $40.00 9/13/18 0 Water summit parking $40.00 2200 2200 which charge is made were ordered and 2200 2200 052914 43-509.00 ;2L2-1­ received except 9/14/18 052914 Public Safety Day supplies $27.23 2200 250 a5•`4 5 2200 250 Monday, October 08, 2018 Jeremy Kashman Director 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- Clerk-Treasurer 20Clerk-Treasurer CITY OF CARMEL Expense Report(required for all travel expenses) /MOIANP EXHIBIT A EMPLOYEE NAME:John Thomas DEPARTURE DATE: 9/5/2018 TIME: 7:30 AM DEPARTMENT:Engineering RETURN DATE: 9/6/2018 TIME: 7:00 PM REASON FOR TRAVEL:INAFSM Conference DESTINATION CITY: Evansville,IN EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM X Transportation Meals Gas/Tolls/ Date Lodging Misc. .,Total. . Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9/5/18 $50.00 $50:00 9/618 $50.00 $50_.,00 $0;00 $0'00 W00 Woo s'$O.00 $0.00 _$0100 !$0:00 ;$0;00 ?$0.00 i$0000 $0:00 $0.00 -:_�>"$0;00 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 h reby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: !� y For advance payments,claim form must be submitted ten(10)business days in advance of travel. Claim will not be mrocessed 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$65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ ,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. I 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 ex tures)being deducted from the first paycheck issued more than 30 days after the date /of my return. Employee Signature: /� Date: / 0/ ` / City of Carmel Form#ER Revision Date 10/4/2018 Page 1 Reimbursement for Expenses Summary Employee: John Thomas 8/13/18- Indiana Water Summit Parking—White River State Park Garage-$40 z z oo- 4143 00 9/5/18-9/6/18— INAFSM Storm Water Conference Per Diem ($50 x 2 days) _ $100 Z'zOO -4343 00'A- 9/14/18- Public Safety Day Supplies—Storm Water Education Booth -$27.23 2 so - 43 50 ti o 0 9/28/18- Dragon Boat Races Supplies- $20.39 Zzvo Z3 ao� Total =$187.62 10/4/2018 Transaction details-chase.com CHASE !i Printed from Chase Personal Online TOTAL CHECKING (...1094) —$40.39 Sep 28,2018 KROGER Card Transaction date BATESVILLE, IN 47006 Sep 28,2018 (812)933-6200 Posted date Description KROGER 944 FISHERS IN 09/28 Purchase$20.39 Cash Back $20.00 Also known as KROGER Method In person Category Groceries Transaction details may be preliminary or incomplete and may not match the transaction as it appears on your periodic statement,which is the official record of your account activity. 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ONOON�m¢W F'�3j .. ..- Ln �Q' �O_I �I�7 QYYO YU CL- fm # ..ppOmW�= m _.0:.-. 0QU IN�Cv7� N CMaUW CM W 4*LU Cn#WO-UW H C .Y https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/dda;flyout=transactionDetails,106039370,CHK,64 1/1 10/4/2018 Transaction details-chase.com CHASE !i Printed from Chase Personal Online TOTAL CHECKING (...1094) —$27.23 Sep 14,2018 KROGER Card Transaction date BATESVILLE, IN 47006 Sep 14,2018 (812)933-6200 Posted date Description KROGER 959 CARMEL IN 790888 09/14 Also known as KROGER Method In person Category Groceries Transaction details may be preliminary or incomplete and may not match the transaction as it appears on your periodic statement,which is the official record of your account activity. JPMorgan Chase Bank,N.A.Member FDIC ©2018 JPMorgan Chase&Co. 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SHOWING Sep 2, 2018 statement Date Description Type Amount Sep 2,2018 PURCHASE INTEREST CHARGE Fee $38.81 ---------------------------------------------------------------------------------------------------------------------------- PURCHASE INTEREST CHARGE Fee $5.02 ---------------------------------------------------------------------------------------------------------------------------- OVERDRAFT INTEREST CHARGE Fee $1.61 Aug 25,2018 Payment Thank You-Mobile Payment —$81.00 Aug 13,2018 W�1�TE RIVER STATE Sale $4.0.00 JPMorgan Chase Bank,N.A.Member FDIC ©2018 JPMorgan Chase&Co. Equal Opportunity Lender ft https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,103951029 1/1 O�r WHITE RIVERALLIIANCE RECEIPT ' 1052 Woodlawn Ave H Indianapolis,IN 46203 Date Receipt# WHITE RIVER ? (317)672-7577 9/4/2018 WRA2018_IWS_0009 ALLIANCE thewhiteriveralliance.oru Terms Due Date Received From: John Thomas City of Carmel One Civic Square Carmel,IN 46032 Description Qty Cost Due Indiana Water Summit -Registration 1 $118.74 $118.74 CURRENT TOTAL $118.74 AMOUNT RECEIVED $118.74 TOTAL BALANCE DUE $0.00 TKANKY014!