250761 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 360618
b ONE CIVIC SQUARE STEPHANIE MARSHALL CHECK AMOUNT: $*****2,395.51*
:. � CARMEL, INDIANA 46032 578 TULIP POPLAR CREST CHECK NUMBER: 250761
CARMEL IN 46033 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359025 458.44 ARTS DISTRICT FESTIVA
1203 4343001 PT000273384 1,334.57 TRAVEL FEES & EXPENSE
1203 4343003 PT000273384 24.83 TRAVEL & LODGING
1203 4343004 PT000273384 577.67 TRAVEL PER DIEMS
I
Prescribed by State Board of Accounts MILEAGE
ILEppGECLppIMGeneral Form No. 101(1955)
City of Carmel TO Stephanie Marshall DR.
(Governmental Unit)
Community Relations & Economic Development On Account of Appropriation No. for
(Office, Board,Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @�? S
20 Point Point Start Finish TRAVELED PER MILE
v L
i
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
' allowing all just credits, and that no part of the same has been paid.
Date / 0 Z I� / g q 15 8V
�1r of CA6,
" ZCITY OF CARMEL Expense Report (required for all travel expenses)
MUIRNpH EXHIBIT A
Employee Name Stephanie Marshall DEPARTURE DATE: 10/1/2015 TIME: 4:00 -AM/ PM
DEPARTMENT: _Community Relations & Economic Development_ RETURN DATE: 10/5/2015 TIME: 10:00 -AM-/ PM
REASON FOR TRAVEL: Artprize DESTINATION CITY: Grand Rapids, MI
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_X_ TRAVEL PER DIEM_X_
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/1/15 $19.00 $320.85 $32.50 $372.35
10/2/15 $19.00 $320.85 $65.00 $404.85
10/3/15 $19.00 $320.85 1 $65.00 $404.85
10/4/15 $19.00 $320.85 $65.00 $404.85
10/5/15 $65.00 $65.00
$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 $0.001:0:0:L$1,283.401 $0.001 $0.00 $0.00 $0.00 $292.50
DIRECTOR'S STATEMENT: I hereby affir that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: J6
City of Carmel Form#ER06 Revision Date 10/16/2015 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 $65 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 $32.50 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 $32.50 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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
hereby acknowledge receipt of$ , 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 10/16/2015 Page 2
GJW MARRIOTT.
GUEST FOLIO .
GRAND RAPIDS
JW Marriott®Grand Rapids• 235 Louis Street NW,Grand Rapids,Michigan 49503• 616.242.15oo
Aft SHALL R.IC'HA'RU" MR,`_ X9:00. l,Qt 05 -1<5 4! -o0 ;6:34r
;ACCT#:.
j= A' rge
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x 5 'Room, s u ay ment ',:.1
..�:6lerkeess� -- 's.'- - - ri,k,y":"� ,..y:
131: 1:01011o
10/01 SLF PARK 10/01/15 19 .00
10/01 ROOM 2017 , 1 279 .00
10/01 CTY TAX 2017 , 1 13 . 95
10/01 STATETAX 2017, 1 16 . 74
10/01 CVB TAX 2017 , 1 11 . 16
10/02 SLF PARK 10/02/15 19.00
10/02 ROOM 2017 , 1 279 .00
10102 CTY TAX 2017 1 13 .95
10102 STATETAX 2017 , 1 16 . 74
10/02 CVB TAX 2017, 1 11 . 16
10/03 ROOM 2017, 1 279 . 00
10/03 CTY TAX 2017 , 1 13 . 95
10/03 STATETAX 2017 , 1 16 . 74
10/03- CVB TAX 2017 , 1 11 . 16
10/03 SLF PARK 10/3/15 19 .00
10/04 SLF PARK 10/04/15 19 . 00
10/04 ROOM 2017 , 1 279 . 00
10/04 CTY TAX 2017 , 1 13 . 95
10/04 STATETAX 2017 , 1 16 . 74
10/04 CVB TAX 2017 , 1 11 . 16
10/05 $1359.40
TO BE SETTLED TO: CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT,
PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR
TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT.
GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR
REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR
BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON
MARRIOTT.COM
Your Rewards points/miles earned on your eligible earnings
will be credited to your account. Check your
Rewards Account Statement for updated activity.
i
I
For questions regarding this folio,please call Marriott Business Services toll free 866.435.7627
To secure your next stay,go tojwmarriott.com C,E
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))
10/16/15 Mileage Claim $285.17
10/19/15 Expense Report $292.50
10/19/15 Expense Report $24.83
10/19/15 Expense Report $1,334.57
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
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO. _
ALLOWED 20
Stephanie Marshall
IN SUM OF $
578 Tulip Poplar Crest
Carmel, IN 46033
$1,937.07
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Mileage Claim 43-430.04 $285.17 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1203 Expense Report 43-430.04 $292.50
materials or services itemized thereon for
1203 Expense Report 43-430.03 $24.83_ which charge is made were ordered and
1203 Expense Report 43-430.01 $1,334.57_ received except
Sunday, October 18, 2015
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
HNVORCE Date: 3/5/2015
Stephanie Marshall TO City of Carmel
Community Relations 1 civic Square
30 W.Main st Carmel, In 46032
Carmel, In 46032
Description Unit Price
1 Beleek Irish China vase 35 35
Subtotal $35.00
�•UU
I
HNVORCE Date: 7/11/2015
Stephanie Marshall To City of Carmel
Community Relations 1 civic Square
30 W.Main st Carmel, In 46032
Carmel, In 46032
Description
1 LuLu Guiness purse with Paris and London design 55
For travel Gallery Walk
Subtotal
Total $55.00
Reimburse Stephanie Marshall 10/16/2015
RECEIPTS:
Date Store Amount Purpose
1/12/2015 CVS $9.89 Gallery Walk
8/2/2015 Goodwill $18.89 baskets gallery walk
8/2/2015 Michaels $15.98 Gallery walks
9/18/2015 Michaels $47.30 gallery walks
9/18/2015 Walgreens $7.00 gallery walks
9/24/2015 Walgreens $7.47 gallery walks
9/26/2015 Walgreens $16.05 Gallery Walks
9/27/2015 Michaels $38.71 Gallery Walks
9/29/2015 CVS $52.29 Gallery Walk
9/30/2015 Michaels $19.99 Gallery Walk Prize
9/30/2015 Michaels $13.47 gallery walks
10/4/2015 CVS $8.85 gallery walks
10/5/2015 Flowerland MI $68.66 gallery Walks
10/8/2015 CVS $4.89 Gallery Walks
10/11/2015 Corner Cottage $11.00 Gallery Walks
10/11/2015 Whimzey $28.00 Gallery Walks
Total $368.44
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))
03/05/15 Invoice $35.00
07/11/15 Invoice $55.00
10/16/15 Various Receipts $368.44
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Stephanie Marshall
IN SUM OF$
578 Tulip Poplar Crest
Carmel, IN 46033
$458.44
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
854 Invoice
Arts $35.00
District Festivals 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
854 Invoice Arts District Festivals $55.00
materials or services itemized thereon for
854 arious Receip Arts District Festivals $368.44
-- which charge is made were ordered and
received except
Sunday, October 18, 2015
Director, Comgunity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund