HomeMy WebLinkAbout224706 09/25/2013 o! ELF
CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
0 ONE CIVIC SQUARE JOHN THOMAS CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 11576 CREEKSIDE LANE
CARMEL IN 46033 CHECK NUMBER: 224706
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 100 . 00 STORM WATER PHASE II
of
VtrAp'ChfRf;HF( \
,? CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: John Thomas DEPARTURE DATE: 9111/2013 TIME: 6am AM/ PM
DEPARTMENT: Engineering RETURN DATE: 12-Sep TIME: 5pm AM / PM
REASON FOR TRAVEL: 2013 INAFSM Conference DESTINATION CITY: Angola, IN
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/11/13 $50.00 $50.00
9/12/13 $50.00 $50.00
$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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $100.00 $0.00 E$l00.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: 'l.�i!% Date:
City of Carmel Form#ER06 Revision Date 9/24/2013 Page 1
17th ANNUAL INAFSM CONFERENCE - Confirmation Online Registration by Cvent Page 1 of 1
17th ANNUAL INAFSM CONFERENCE
View Confirmation for: John Thomas I,�,{
General Options
Name:
John Thomas
Title:
Storm Water Administrator
Address:
One Civic Square
Carmel,Indiana 46032
USA
Number of People Registered:
1
Confirmation Number:
F2NBQVGSORP (needed to modify your registration)
Event Title:
17th ANNUAL INAFSM CONFERENCE
Location:
Potawatomi Inn-Pokagon State Park
6 Lane 100 A Lake James
Angola,Indiana 46703
USA
Phone:
260-833-1077
Date:
09/11/2013
Time:
8:00 AM
Current Registration Details
John Thomas
Registration Items
Registration Item Cost
17th Annual INAFSM Conference Registration $235.00 `
Optional Items
Optional Item Cost
I Annual INAFSM Membership Dues $40.00
Order Summaries
Order
Date Type Amt Ordered Amt Paid Amt Due
08/26/2013 10:40 AM ET online order $275.00 $275.00 $0.00
Total: $275.00 $275.00 $0.00
Payment Details
Details
Date Type Reference# Amt Paid
08/26/2013 Visa 7799 6275.00
https://wwNv.event.com/Events/Registrations/MyRegistrat ion.aspx?i=22e80d7f-Oe49-4b90-... 8/26/2013
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Jc1ny� lhnvtnn��� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
VA Y \O- UD
Total o. a
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 NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
2\\
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
sgPr. 23
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund