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_
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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
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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