244906 05/05/15 4�u,.C�gMF
v; z` CITY OF CARMEL, INDIANA VENDOR: 361415
1 ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $*******356.92*
,� CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 244906
'M,�TON CARMEL IN 46032 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 41715 250.00 OTHER EXPENSES
601 5023990 MILEAGE 106.92 OTHER EXPENSES
CITY OF CARMEL Expense Report (required for all travel expenses)
IND�ASd1. EXHIBIT A
EMPLOYEE NAME:_Penny Daley DEPARTURE DATE: y'11� — TIME: AM/PM
_DEPARTMENT:_ Water Distribution RETURN DATE: . G—1 1 5 TIME: AM/PM
REASON FOR TRAVEL: GIS class DESTINATION CITY:
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT All
TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Air-fare Car Rental Other Parking Lodging Breakfast Lunch Dinner Snacks Per Diem Misc. Total
rte,
$0.00
$0.00
` 5 $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
6 a
x$0.00
$ D
Total $0.00 . $0.00 ` $00 $0.00.0
$0.00 $0.00 $0.00 $0.001r4q•_ $0.00'. . $0.00 i
DIRECTOR'S STATE ENT he by affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.'
Director Signature: Date: s
�[- 1
I
City of Carmel Form#EROS Revision Date 4/20/2015 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 docu ted expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signat
Date: `r w
City of Carmel Form#ERO6 Revision Date 1/11/2008 Page 2
yState of Indiana INVOICE
Office of Technology (IOT)
Training Services
100 North Senate Avenue IGC-North Room N551
Indianapolis, IN 46204 (317) 232-5897
SOLD TO: ~ INVOICE NUMBER TR-02062015-1
Penny Daley INVOICE DATE February6, 2015
City of Carmel, Indiana ACCOUNT TERMS April 1,2015
3 Civic Square CUSTOMER ACCOUNT 005674
Carmel,IN 46032 NUMBER OF PAGES 1
t
1 Fundamentals of ArcGIS $175.00 $175.00
April 16-17, 2015
67/71660/531028/19000/493023/ 1127
Due April 1,2015
SUBTOTAL $175.00
$175.00
Questions concerning this invoice? MAKE CHECKS PAYABLE TO: PAY THIS
Call: Diana Halstead @ 317.232.3172 Indiana Office of Technology AMOUNT
NOTE:
Please send check to IOT Training Services c/o Diana Halstead
100 North Senate Avenue Room N661 Indianapolis, Indiana 46204
THANK YOU FOR YOUR BUSINESS!
Cleaning Invoice
Week Date Fee Place
Apr 17, 2015 125.00 Water Dist Office
Please Remit to: Penny Daley-GIS Tech
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
tn Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
�i�
Cleaning Invoice
Week Date Fee Place
Apr 23,2015 125.00 Water Dist Office
Please Remit to: Penny Daley-GIS Tech
Carmel Water Dist Office
3450 W 131st Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
Pej Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
�V '
VOUCHER # 151552 WARRANT# ALLOWED
361415 IN SUM OF $
DALEY, PENNY
DISTRIBUTION
Carmel Water Utility j
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
X06 z—
DALEY 01-6040-05 0 -
qll Is (e3(e• 050 ?
Voucher TotalE
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
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361415
DALEY, PENNY Purchase Order No.
DISTRIBUTION Terms
Due Date 4/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2015 DALEY $75.88
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
Date Officer