HomeMy WebLinkAbout331816 10/30/18 �y����p''° CITY OF CARMEL, INDIANA VENDOR: 370216
�/ �• ONE CIVIC SQUARE CHRISTINE PAULEY CHECK AMOUNT: $*******332.03*
9� ?�: CARMEL, INDIANA 46032 87 11TH ST NW CHECK NUMBER: 331816
Mdi6N i�. CARMEL IN 46032 CHECK DATE: 10/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343002 REIMB 332.03 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 370216 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHRISTINE PAULEY IN SUM OF$ CITY OF CARMEL
87 11TH ST NW 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 46032
Payee
$332.03
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Clerk Treasurer 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
10/23-10/24/18 43-430.02 $85.00 1 hereby certify that the attached invoice(s),or 10/25/18 10/23-10/24/18 ILMCT 10/23-10/24/18:PER DIEM $85.00
1701 101 1701 101
10/23-10/24/18 43-430.02 $122.08 bill(s)is(are)true and correct and that the 10/25/18 10/23-10/24/18 ILMCT 10/23-10/24/18:DISTRICT MEETING $122.08
1701 1 101 materials or services itemized thereon for 1701 101 IN LAWRENCEBURG
95949013 43-430.02 $124.95 10/25/18 I 95949013 ( ILMCT 10/23-10/24/18:DOUBLETREE I $124.95
1701 101 which charge is made were ordered and 1701 101 HOTEL IN LAWRENCEBURG
received except
Thursday, October 25, 2018
Quinn, Jacob
Deputy Clerk of City Business
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
a"+mom Purchase Order No.
Uta'1 c� IV Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Lo 23_�0 2 e uW&c 140� �afren 59Ol3 /94/. q5-
Total
5T tal
I hereby certify that the attached invoice(s), or bill(s), is (are) true a co a and I have i d ame in accor-
dance with IC 5-11-10-1.6.
=G� ,
201
0"'erk-Treasurer
49
51 Walnut Street °L,wrenceburef IN 47025
Phone(8 12)539-8888 Fax(812)XXX XXXX
DOUBLETREE For reservations across the nation
Name&Address BY'HILTON" www.doubletree.cont or I-800-222-TREE
LAWRENCEBURG
PAULEY, CHRISTINE Roam 625/NKRQJ
Arrival Date 10/23/2018 1:05:00 PM
87 11TH ST NW Departure Date 10/24/2018
CARMEL IN 46032 Adult/Child 1/0
UNITED STATES OF AMERICA Room Rate 119.00
Rate Plan: LMC
HH# 255201255 BLUE
AL:
Car:
Confirmation Number:95949013
10/24/2018 H 1 l$®n
DATE REFERENCE DESCRIPTION AMOUNT �y
WALDO,RF
ASTORIA'
10/23/2018 422533 " GUEST ROOM EXEMPT $119.00
10/23/2018 422533 LODGING TAX $5.95
**BALANCE** $124.95 C O N R A D
ca no��
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CLA 1
DOUBT F.TRF.E
TAPESTRY
COLLECTION
EMBASSY
S U111,ES
" � Ili IIOD
®Garden
Inn"
L7(amptal[,-
ACCOUNT N0. DATE OF CHARGE FOLIO NO./CHECK NO.
140722 A
CARD MEMBER NAME AUTHORIZATION INITIAL
HOMEWOOD
ESTABLISHMENT NO.&LOCATION ESTABLISIBIENTAGIMESTOTR,V9dIITTOCARD HOLDER FORPAMENT PURCHASES&SERVICES �}SUITES
TAXES H 0 M E
TIPS&MISC. u
Hilton
Grand Vacations
CARD MEMBER'S SIGNATURE
X TOTAL ANIOUNT
MERCHANDISE ANU:OR SERVICES PURCHASED ON'1`111S CARD SHALL NOT BE RESOLD Olt RETURNED FOR A CASA REFUND. PAYMENT DUE UPON RECEIPT Hilton
HONORS
CITY OF CARMEL Expense Report
NAME :DEPART
�/(/LI. 4J KL URE DATE: TIME:
DEPARTMENT - �� C (,Q/^�� RETURN DATE&TIME: O&4 9_,V
CHECK IF CLAIM IS FOR PREPAYMENT/ADVANCE REASON FOR TRAVEL:
Transportation':, Auto Taxi, Toll Meals
Date Lodging Misc.. Totatr
Air-fare Car rental Expenses etc: Breakfast Lunch Dinner Per Diem ` T
t0'23 ;1;M 0
0000
tTotal T .77ma '� ogo�T : o.ou _.. 000 r __:'$aoo � o 00 q.Eoo0
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:
1)- Conference or course.registration form,if applicable
2) Travel itinerary, if traveling by air,
3) Original itemized receipts or affidavits,.if approved.by Department Director,for all expenses(except 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 byair),,$35 for in-state travel:and$45 for.out-of-state travel'(NOT a per diem)
DIRECTOR'S STATEMENT- 4 I.ha viewed this clai an aff' m that all expenses listed conform.to the City's travel policy and are within,my
department's appropriated udge
9 .. _
Director Si nature: Date: v
1- a-5—Ard
.
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION.TO DOCUMENT EXPENDITURES:
I:hereby acknowledge receipt of$—,'such funds:being advanced to me:by the City of Carmel solely for the purpose of.purchasing:meals ,
while traveling.toparticipate in official business for:the City. I understand:that within fifteen (1 5y business days•of'my return (as stated above),
am'responsible to:
1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures;and
2) Return all unused fun the office of.the Clerk-Treasurer
I further understand that failure t provi the required documen ion all esult in the total amount of the advance being deducted from the first
paycheck issued more-than 30 ay a e the date of my return,' ail e t return unused funds will result in the amount of the unused funds(total
advance minus documented peri r s) ti ucted fro e' ' payc ck issued more than 30:days after the date f:m et
Employee Signature: Date:
l0 25 /
City of Carmel Confidential 1/2016
Pagel
Prescribed by State Board of Accounts
MILEAGE CLAIM
TO �(�( / PP �G GC�!/J��X17`y Zo
(Governmental Unit)
On Account of Appropriation No. for
Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILE;
20 10' Point ! Point Start Finish TRAVELED
/U 2 ' I /zu--f-Zeto / ,q t
1DIU
Auto License No. TOTALS
* SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway6imed
Pursuant to the provisions and penalties of Chapter 155,Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount cLallyaft
allowing all just credits, and that no part of the same has been paid.
�L
Date r-; r�(� l