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HomeMy WebLinkAbout189606 09/08/2010 CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1 e ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $384.98 CARMEL, INDIANA 46032 CIO STREET DEPARTMENT C/O STREET DEPARTMEN CHECK NUMBER: 189606 CHECK DATE: 9/8/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4342100 18.30 POSTAGE 2201 4343002 366.68 EXTERNAL TRAINING TRA 275 nc"^^"` CARnEL. IN 40032-9988 08/ 2712010 04:21:27 PM Sales Receipt a Product Sale Unit Final Description Qty Price' Price wUkD/ OLn3rEo' 0o 44070 $18.30 **Zone -3 Express mail@ Fm Env With $100-00 insurance O lb. 5.40 oz. Signature waived No weekend delivery Guaranteed delivery monuay, August uu. by noun if you mail'it here before r:OUpn today. Issue Postage: $10.30 Total: $18.30 ruiU by: $18.80 Account xxXXxxxxXXxx4687 Approval 9: 002318 Transaction 289 23'902098224-99 ApC Transaction 58 USpSQ 171278 -9550 Del/very date myy be affected by the time tnnuorou to the Postal Service" in addition to weekend and holiday operational »ouro and transportation availability. To oxeux on the delivery status of your Express Mail@ articla, visit our Track a Confirm wo»o at w~nv-uvpn.xnm, use this Automated Postal Contnrlm (or any Automated Postal Canter'" at other Postal locations) or call 1-800-222-1811. Please retain all receipts from affixed forms. For inquiries or service failure rofunun, both the sales receipt and the customer copy from the affixed form shall be required. Thanks. It's a p{ououry to serve you. ALL SALES pzwxL ON Slxnpy AND puSrxme. ucpomnS FOR 8uxaAwlccn sew/zucu ONLY. Page 1 of 1 Swan Lake Resort 5203 Plymouth- LaPorte Tr, Plymouth, IN 46563 574 5680 574 935 5087 fax vv w.swartlakeresort.com KILLEN, TERRY Room Number: 139 INDIANA STREET COMMISSIONERS ASSOCIA Daily Rate: 89.00 3400 WEST 1031 STREET Room Type: DNSQ WESTFIELD, IN 46074 US No. of Guests: 1 0 ARRIVAL `DEPARTURE CREDIVCA�RD 'RATE PLAN CATEGORY ACCOUNT 8!2412010 8/26/2010 XXXXXXXXXXXX4697 GR 1 SMERF 20060146559 14 .a v `z.'ssz� a" ffi'z.za 6.fi?' R' k�&: m e „e�^ i,., �F� 3£;W. ie t. xe. z.:�5.. T< .,x �'e s 8/24/2010 139 ROOM #139 KILLEN, TERRY $89.00 8/24/2010 139 3% INNKEEPERS TAX 3% INNKEEPERS TAX $2.67 8/2512010 139 ROOM #139 KILLEN, TERRY $89.00 8/25/2010 139 3% INNKEEPERS TAX 3% INNKEEPERS TAX $2.67 8/26/2010 139 ($183.34) TOTAL DUE: $0.00 TERMS: DUE AND PAYABLE UPON PRESENTATION, I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE INDICATED PERSON, CO MPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL AMOUNT OF THESE CHARGES. Page 1 of 1 Swan Lake Resort 5203 Plymouth LaPorte Tr, Plymouth, IN 46563 574 935 5680 574 935 5087 fax www.swaniakeresort.com HUFFMAN, DAVID Room Number: 137 INDIANA STREET COMMISSIONERS ASSOCIA Daily Rate: 89.00 3400 WEST 1031 STREET Room Type: DNSQ WESTFIELD, IN 46074 US No. of Guests: 1 0 �,.,a ARRI1/AL DEP/1RTUREW "CREDIT CARD �RA—T PLEA "N CATEGORY ACCbEJNT 8!2412010 8/26/2010 XXXXXXXXXXXX4697 GR 1 SMERF 20060146558 D/ATI ���ROOM NiD�DESCRIPTIQN� Y' ��'REFERENCE' 8124/2010 137 ROOM #137 HUFFMAN, DAVID $89.00 8/24/2010 137 3% INNKEEPERS TAX 3% INNKEEPERS TAX $2.67 8/25/2010 137 ROOM #137 HUFFMAN, DAVID $89.00 8/25/2010 137 3% INNKEEPERS TAX 3% INNKEEPERS TAX $2.67 8/26/2010 137 ($183.34) TOTAL DUE: $0.00 TERMS: DUE AND PAYABLE UPON PRESENTATION. I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THATTHE INDICATED PERSON, COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULLAMOUNT OF THESE CHARGES. of C4q_ G Ff i CITY OF CARMEL Expense Report (required for all travel expenses) /&DIPNP EMPLOYEE NAME: UI DEPARTURE DATE: 8 TIME: 0 PM DEPARTMENT: "TV RETURN DATE: I�{p I C� TIME: A% M REASON FOR TRAVEL: QiY1 5S1`Q�C� Cc A v, DESTINATION CITY: X I C 1' I EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT JZ TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 8/24/10 Huffman $91.67 $91.67 8/24/10 Killen $91.67 $91.67 8/25110 Huffman $91.67 $91.67 8/25110 Killen $91.67 $91.67 $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 0.00 Total $0.00 $0.001 $0.001 $0.00 $366.681 $0.00 $0.00 $0.001 $0.001 $0.001 $0.00 DIRECTOR'S STATEMENT: I herebv affirm that all expenses listed conform to the City's travel policy and are p within my department's appropriated budget. Director Signature: Date: g L' I i I C, If City of Carmel Form ER06 Revision Date 9/712010 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 $60 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 $60 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 expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: I C City of Carmel Form ER06 Revision Date 9/7/2010 Page 2 i `1' P z J. 2010 ANNUAL CONVENTION REGISTRATION FORM AUGUST 24 25 26 2010 Name of Registrant Do DI CE V I -U C__&'A Address: 2 1 1�� -UQ.s (i Y Phone: 7 3 3 a co l Spouse's Name (if attending): E -Mail Address: �Ce o� R ISTRATION FEE MUST BE ENCLOSED WITH FORM Current ISCA Member $120.00 (Convention Package) Asst. Commissioner /Foreman $120.00 (Convention Package) Other Additional Registrant $120.00 (Includes Meals) Vendor Registration $300.00 (Includes Meals Vendor Cookout) Booth (includes table and 2 chairs) $200.00 Note(s): Vendors must purchase a registration for each additional person in their group at a cost of $120.00 All hotel accommodations must be made with a credit card at Swan Lake Resort 5203 Plymouth- LaPorte Trail When making hotel reservations, let hotel know you Plymouth, IN 46563 a_re with the Indiana Street Commissioners Association Ph: (574) 935 -5680 or ISCA) (800) 582 -7539 Fax: (574)'435 -4698 Register Early Limited Rooms 50'r 7 *These rates will be guaranteed until July 30, 2010 (Check in time is 3:00 p.m.) After July 30 will be released to the public. Cancellation must be made four days prior to arrival for full refund of deposit. *Vendors who want (hospitality rooms) must contact Britt Sigler bsiglerCdswanlakeresort.com Direct Phong Line 15741 935 -6569 Tease cornplete and return ISCA form only with check by July 31, 2010 to: ISCA Convention Registration Larry Lee, Secretary/Treasurer Lebanon Street Department 1301 Lafayette Avenue Lebanon, Indiana "46052 If you have questions, please contact Larry Lee, Secretary/Treasurer -at (765) 482 -8870. VOUCHER NO. WAR NO. ALLOWED 20 Dave Huffman IN SUM OF $384.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 43- 420.00 $18.30 1 hereby certify that the attached invoice(s), or 2201 43- 430.02 $366.68 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 Tuesday, September 07, 2010 V3 Street Ummissioner 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)) 08/27/10 $18.30 09/07/10 $366.68 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