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HomeMy WebLinkAbout195550 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 360934 Page 1 of 1 0 ONE CIVIC SQUARE CAMERON MASON CHECK AMOUNT: $12.00 CARMEL, INDIANA 46032 3943 S 400 E TIPTON IN 46072 CHECK NUMBER: 195550 CHECK DATE: 3/1612011 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4343002 12.00 EXTERNAL TRAINING TRA QF eeis- �AFC e CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Am tr0r� DEPARTURE DATE: 3 j "TIME: AM PM DEPARTMENT: RETURN DATE: 6 1 G TIME: AM/PM REASON FOR TRAVEL: I �Q C� �lC DESTINATION CITY: JA, LQ4Q e iU EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/8/11 $6.00 $6.00 3/9/11 $6.00 $6.00 $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 $0.00 $0.00 0.00 Total 1 $0.00 $0.00 $0.00 $12.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 e DIRECTOR'S STA ENT: I here' affirm that all nses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature Date: I City of Carmel Form ER06 Street Commissioner Revision Date 3/10/2011 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 L Z, CO such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals white 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. 2 Employee Signature: Date: J City of Carmel Form ER06 Revision Date 3/10/2011 Page 2 Mason, Cameron J From: confirm @purdue.edu Sent: Tuesday, March 08, 2011 4:46 PM To: Mason, Cameron J Subject: Purdue Confirmation E -mail for Purdue Road School -2011 Government Attendees l Schedule #8225 Attachments: 3 8 2011 428563 Mason confirmationEmail.txt This message confirms your recent transaction with Purdue Continuing Education and Conferences. Registrant: MASON, CAMERON GIS TECHNICIAN CITY OF CARMEL 3400 W 131ST STREET WESTFIELD IN 46074 Status: Enrolled Cameron Mason You have successfully registered for the following: Title: Purdue Road School -2011 Government Attendees Schedule #8225 Location: Stewart Center East Foyer Dates: 3/8/2011 8:00:00 AM to 3/10/2011 12:00 :00 PM Invoice number: 265579 Survey Questions------ Question: Please check one box that best indicates your affiliation: Answer: (D) City /Town: Other Question: Are you a "Registered Professional Engineer"? Answer: No Dear Registrant: Thank you for registering for the Annual Purdue Road School March 8 -10, 2011. Check -in will be in the East Foyer of Stewart Center at the following times. Your registration is confirmed by this letter. Please review it for accuracy. Road School Schedule: March 8 -7 a.m. -4:30 p.m.; March 9 -7 a.m. -4:30 p.m.; and March 10 -7 a.m. -11 a.m. If payment was made with a credit card, the description of the charge on the credit card statement will appear as "PU CONTED /CONF 765- 494 -7209 IN." 1 For more information on attending a conference or continuing education program at Purdue University including lodging, driving directions, parking, and campus services /amenities visit www.conf.purdue.edu and click on "Attend a Conference." A block of rooms has been held for your conference at the full- service Union Club Hotel, conveniently located in the Purdue Memorial Union adjacent to Stewart Center. For information or to make a reservation, call (800) 320 -6291 or (765) 494 -8913, Monday through Friday, 8 a.m. to 5 p.m. If you fly into Indianapolis International, shuttle service is available to West Lafayette on the Lafayette Limo www.lafayettelimo.com or Star of America www.charterstaramerica.com /shuttles /lafayette.htm If you drive to West Lafayette, visitor parking is available in the Grant Street Parking Garage (120 N. Grant Street). The maximum daily fee is $10, with hourly rates available. (Visitor parking is free of charge on weekends and after 5 p.m., weekdays.) Union Club Hotel guests receive free parking in the Grant Street Garage. Spaces in other campus garages and surface lots are reserved for University staff members who have paid an annual parking fee. In making your travel plans, please note that Purdue University is in the Eastern Time Zone and observes Daylight Saving Time. Purdue is committed to making its programs accessible to individuals with disabilities. If you require an accommodation or special assistance for this program, due to a disability, please contact the Conference Division at (800) 359 -2968 or (765) 494 -7220 at least one week before the program begins. If you are unable to attend, a full or partial refund may be available. Please refer to your program brochure or call the Conference Division at (800) 359 -2968 or (765) 494 -7220. Purdue University reserves the right to cancel any program because of insufficient registrations. Purdue is not responsible for expenses incurred due to cancellations. Thank you for your interest in this program. Please contact us with any questions. Sincerely, Tom Robertson Conference Coordinator (765) 494 -7220 tlrobertson0purdue.edu 2 VOUCHER NO. WARRAN NO. ALLOWED 20 Cameron Mason IN SUM OF c/o Street Department $12.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 43- 430.02 $12.00 1 hereby certify that the attached invoice(s), or 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 Thursday, March 10, 2011 A11 ,l I Wet ComM issior -e Tlt Street eMimissioner 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)) 03/11/11 $12.00 1 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