HomeMy WebLinkAbout169941 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1
ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $334.40
CARMEL, INDIANA 46032 C/O STREET DEPARTMENT
C/O STREET DEPARTMEN CHECK NUMBER: 169941
CHECK DATE: 3118/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NU MBER AMOUNT DESCRIPTION
2201 4343002 334.40 EXTERNAL TRAINING TRA
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Dear Dave,
Please accept my apologies. I overcharged you on your room at the Chandler House B &B.
Winter Rate $120.00
7% ME State Lodging Tax $8.440
Total $128.40
Rate Charg=ed. (Summer Rate w /tax) $144.45
Amount Refunded $16.05
I trust your trip home was peaceful and we hope to see you and meet your family during a future trip
to Maine.
Again, sincere apologies,
S hannon Warren Inn Keeper
Cbaadl r Hor Qr Bed (ind Brwk-.jiL;! hilenvle Rd PO Bo-•: I U0.' tru Glom- u.;!er. 1 kurae 0 4260
Phone: (20 926 5502 E- nacr.�l. zirjo�cl, �rrzdl er/ �ozr .re-be�l�rnrlhreak /u.rLcorrr
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: _Da_v}i -dam Huffman DEPARTURE DATE: TIME: 19 (Q/ PM
DEPARTMENT: RETURN DATE: 4 OG 1 TIME: 10: i AM/ PM
REASON FOR TRAVEL: f ��Q�"L DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3/8/09 $10.30 $128.40 $60.00 $198.70
3/9/09 $40.00 $60.00 $100.00
$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 $0.00 $0.00 $0.00 $50.30 $128.40 $0.001 $0.001 $0.00 $0.001 $120.00 $0.00 o
DIRECTOR'S STATEMENT: I hereb affir th II expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: T Date:
City of Carmel Form ER06 Revision Date 3/13/2009 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) eing deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date:
City of Carmel Form Revision Date 3/13/2009 Page 2
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))
02/27/09 $35.70
03/13/09 $298.70
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
VOUCHER NO. WARRANT N
Dave Huffman ALLOWED 20
IN SUM OF
$334.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member:
2201 43- 430.02 $35.70 1 hereby certify that the attached invoice(s), or
2201 43 430.02 $298.70
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
v`
Fri ay, Marthl13, 200
r i t
Street Commissioner
§tl'�c�t �t�il�tti�rien€�f
Cost distribution ledger classification if
claim paid motor vehicle highway fund