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HomeMy WebLinkAbout157439 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00350609 Page 1 of 1 0 ONE CIVIC SQUARE CALVIN COOPER CARMEL, INDIANA 46032 1301STAVE sw CHECK AMOUNT: $85.05 CARMEL IN 45032 CHECK NUMBER: 157439 CHECK DATE: 3/19/2008 DEPARTM A CCOUNT PO NUMBE INVOI NU MBER AMOUNT DESCRIPTION 651 5023990 85.05 OTHER EXPENSES I i a DVS OF Cgq� CITY OF CARMEL Expense Report (required for all travel expenses) wx NUTA EMPLOYEE NAME: 0-Cl .4 C00j)bc DEPARTURE DATE: a(a o q TIME: 0 0 0 A PM DEPARTMENT: �awnr C ol� e cl:o RETURN DATE: TIME: yr0 AM/ M REASON FOR T RAVEL: Qs M 4r 'CIQU,ie r i 4pa DESTINATION CITY: L-aV i SV: �4e 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 2/26/08 $5.81 $9.49 $15.30 2/27/08 $13.73 $5.61 $19.34 2/28/08 $13.73 $6.00 $16.95 $36.68 2129/08 $13.73 $13.73 $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 I Total 1 $0.001 $0.001 $0.001 $0.001 $0.001 $41.19 $11.81 $32.051 $O.00F $0.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses fisted 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 3/3/2008 Page 1 Z16 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: City of Carmel Form ER06 Revision Date 313/2008 Page 2 rags i ui Kempa, Lisa L From: Arnone, Paul S Sent: Friday, February 01, 2008 2:40 PM To: Kempa, Lisa L Subject: FW: Pumpershow Registration Transaction No. 1709336796 Lisa: This is what they sent me please let me know if it has enough information. Thanks again, Paul From: Pumpershow. Registration [mailto :service @colepublishing.com] Sent: Monday, January 28, 2008 10:15 AM To: Julie G Cc: Arnone, Paul S Subject: Pumpershow Registration Transaction No. 1709336796 New registration for Pumpershow processed on Mon Jan 28 9:15:23 CST 2008. Mailing Information: Company City of Carmel Name Calvin Cooper Street 1 3rd Ave. SW Street 2 City Carmel State or Province Indiana Postal Code 46032 Country US Phone 317 -571 -2645 Fax 317 -571 -2629 Email pamone @cannel.in.gov Order Details: 2/1/2008 iuE Attendees: Name Calvin Cooper Position Foreman Is Child Name Aaron Hoover Position Inspector Is Child Name Larry Eidson Position Operator Is Child Name Randy Massingill Position Operator Is Child Categories: A TV Video Inspection B Pipeline Rehabilitation Sewer Repair C Drain Sewer, Cleaning (Rooting, Jetting) I: Grease Pumping Disposal Treatment F Septage or Sludge Disposal Treatment G Government Municipality POTW Comments: Other Information: Do not release phone /address. Price Paid: $160 New registration for Pumpershow processed on Mon Jan 28 9:15:23 CST 2008. 2/1/2008 Y My A ccount s I My P rofile I Help C Us Lag a J My Accounts: FORUM Credit Union FIA CARD SERVICES Snapshot Statements Pay Bills Offers Account Services Transfer Balances PAUL S ARNONE Quick Links As of January 31, 2008 19:00 ET Shop Online with confidence Cash or Credit Available: $1 5,162.64 �Traisferf3afance Use a temporary account Current Balance: $307.16 number to secure your online Temporary Authorizations: a $330 (rounded) purchase. Click here to g Credit Line: $15, o to 800.00 ShopSafe now! Request fnerease now -that you're Iogg in to fiaeardservices carte y Ra ONi€ie Total Minimum Pa y men t $15.00 due 02/17/2008 r,rre er Past Due Amount: $0.00 Last Statement Balance: $147.16 as of 01/28/2008 Last Payment Posted: $674.92 on 01/07/2008 Recent Activity Next Statement Closing Date: February 26, 2008 Posting Transaction Ref Card CategoryTransactions Charges Credits (CR) Date 0 Date 0 Type POSTED TRANSACTIONS 01/30/2008 01/28/2008 7669 WI $160.00 OTEMPORARY AUTHORIZATIONS 01/31/2008 TEMP CHULA VISTA RESORT WISCONSIN DEL $330.20 In Case of Errors or Questions About Your Recent Activity If your recent activity contains an error or if you have- a problem with the goods or services that you purchased with your credit card, contact us Contact Us I Privacy f Se curity_ Sta Ter ms of Us e 1999 -2008 FIA Card Services, N.A. }ittns /lumrw ihanatarnecC nnm NA NetAccess Ar ,cnrnntSna.nshotDisnlav ?ACCTID =73 09 1/31/2008 VOUCHER 085006 WARRANT ALLOWED 350609 IN SUM OF CALVIN COOPER 30 1 STAVE SW ...ARMEL, IN 46032 i d Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 022608 01- 7040 -01 $85.05 Voucher Total $85.05 z} Cost distribution ledger classification if claim paid under 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 r performed, dates of service rendered, by whom, rates per day, number of units, j price per unit, etc. Payee 350609 CALVIN COOPER Purchase Order No. 130 1 STAVE SW Terms CARMEL, IN 46032 Due Date 3/5/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2008 022608 $85.05 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 r. Date O c r