HomeMy WebLinkAbout188509 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352672 Page 1 of 1
ONE CIVIC SQUARE ADAM SCHRINER
CARMEL, INDIANA 46032 a0 DOGS
CHECK AMOUNT: $260.00
C/O DOGS CHECK NUMBER: 188509
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343002 10.00 EXTERNAL TRAINING TRA
1192 4343004 250.00 TRAVEL PER DIEMS
4 ,e w�tX +i R F!
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Adam Schriner DEPARTURE DATE: 7/18/2010 TIME: 800 AM PM
DEPARTMENT: _DOCS RETURN DATE: 7/22/2010 TIME: 1600 AM 1 PM
REASON FOR TRAVEL: ABM /Classes DESTINATION CITY: Michigan City
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X
Date Transportation Gas /Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
7/18/10 $50.00 $50.00
7/19/10 $50.00 $50.00
7/20/10 $50.00 $50.00
7/21110 $50.00 $50.00
7/22/10 $10.00 $50.00 $60.00
$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
$0.00
$0.00
0.00
Total $0.001 $0.001 $0.001 $10.001 $0.00 $0.00 $0.00 $0.001 $0.001 $250.00 $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 7/26/2010 Page 1
Certificate of Completion
This certificate is awarded to
Adam
In recognition of completion of the
Simpson Strong Tie
Sponsored. by the Indiana Association of Building Officials, Inc.
A chapter of the International Code Council Inc.
.3 CEU's
O e
7 /2 1 /2010
:x IABO President Date
P RNAII 04KA L
CODE Co) Ni,Iis
Uerti, .ivalte of Complet.10-n
This certificate is awarded to
Adam.'Sehriner
In recognition of completion of the
Kitchen Fxhaust Hoods
Sponsored by the Indiana Association of .Building Officials, Inc.
A chapter of the International Code Council Inc.
.3 CEU's
8 0
v
rw 7/21/2010
IABa President Date
I \'fERV AT, ONAL
CODE COUNCfe
t I tv al U o m p te i o n
This certif idate is awarded to
Adam S ehriner
In recognition of completion of the
Code Violation Training
Sponsored by the Indiana Association of Building Officials, Inc.
A chapter of the International Code Council Inc.
.3 CEU's
7/22/
r w IABO Pr �det Date
INTERNAMNAL
CODE COU\Cff
Cerftiflv...ate of Comp.tetion
This certificate is awarded to
Adam IS-chinneir
In recognition of completion of the
Clear Agent Suppression
Sponsored by the Indiana Association of Building Officials, Inc.
A chapter of the International Code Council Inc.
.3 CEU's
r•:s,: 7/20/
dent Date
CODE COP,NC
t aft.
o-1- This certif is awarded to
Adam:Sehirmaep
In recognition of completion of the
Site Plan Review/ Spray Foam
Sponsored by the Indiana Association of Building Officials, Inc.
A chapter of the International Code Council Inc.
.4 CEU's
1p
7/ 18/2010
IA BO Pr Q t Date
O
1-NnRNAT10 \AL
CODECDIn'CT,
INTERNATIONAL
recognizes participation, 111
LEGAL ASPECTS OF CODE ADMINISTRATION
at
MICHIGAN CITY, IN
C)fl
JULY 1), 2010
and Awards 0.6 ICC C.E.U.s 6 Contact I lours
to
S rQ)ent's Signature
Executive Director, Education and Certiticatioll
1®
GEORGE- DEAN On imp
1
hlstrucror INTERNATIONAL
Florida: 0007171 AIA ICCO02 1-ISW: Y Ohio: 131352007 -089 BO, Bl, FPI, RBO, RBI CODE COUNClU
SIN
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 $30 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 $30 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 documen xpenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: 10
City of Carmel Form ER06 Revision Date 7/26/2010 Page 2
VOUCHER NO. WARRANT NO.
Adam Schriner ALLOWED 20
iN SUM OF
k
e/o One Civic Square
Carmel, IN 46032 j
$260.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
r
I
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 430.02 $10.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.04 $250.00 bill(s) is (are) true and correct and that the
I
r materials or services itemized thereon for
k which charge is made were ordered and
received except
j Fr d d 30, 2010
D' e /tor, DOC
J Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/27/10 Gas for City vehicle $10.00
07/27110 Adam conference per diems $250.00
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
Clerk- Treasurer