HomeMy WebLinkAbout257682 04/22/16 w_CAq
�� €� CITY OF CARMEL, INDIANA VENDOR: 355677
.��® 1•: ONE CIVIC SQUARE ANGELINA CONN CHECK AMOUNT: $.r.r..*415.50r
d9� /�,: CARMEL, INDIANA 46032 CHECK NUMBER: 257682
a„*oN�• CHECK DATE: 04/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343003 041916 58.00 TRAVEL & LODGING
1192 4343004 041916 357.50 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO.
ANGELINA CONN ALLOWED 20
805 WALKABOUT CIR E#3C IN SUM OF$
CARMEL, IN 46032
$415.50
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
0 43-430.04 $357.50 l hereby certify that the attached invoice(s), or
1192 101
0 43-430.03 $58.00 bill(s) is (are)true and correct and that the
1192 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,April 18, 2016
Cost distribution ledger classification if
claim paid motor 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 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/15/16 0 $357.50
1192 101
04/15/16 0 Parking,etc. $58.00
1192 101
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
!4�R K4yv
CITY OF CARMEL Expense Report (required for all travel expenses)
M
EMPLOYEE NAME: Angelina Conn DEPARTURE DATE: 4/1/2016 TIME: 3:00 PM
DEPARTMENT: DOCS RETURN DATE: 4/7/2015 TIME: 1:00 AM
REASON FOR TRAVEL: National Planning Conference DESTINATION CITY: Phoenix AZ
EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT X PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
4/1/16 $2.00 $9.00 $32.50 $43.50
4/2/16 $9.00 $65.00 $74;00
4/3/16 $9.00 $65.00 $74.00
4/4/16 $9.00 $65.00 $74:00'
_.-_......_......
4/5/16 $9.00 $65.00 $74.00
4/6/16 $2.00 $9.00 $65.00 $76.00
$0.:00
$0:00
$
%00I
$0.0.0
.. .. 0.00
$0.00
$0:00
$0:00
$0.00
$%00
$0:00
0:00
Total $0;00 $0.00: $4.00 $54.00 $0;00 $0.00 $0.00 $0:00 1, $0.00,1-j $357.50 $0.00 $415.50
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: Date:
City of Carmel Form#ER06 Revision Date 4/7/2016 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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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 4/7/2016 Page 2
Date: April 8, 2016
To: Lisa Stewart, Office Manager, DOCS
Re: APA Conference,reimbursement request#2
Lisa-
Thank you for allowing me to attend the National APA National Planning Conference in Phoenix. I
would like to request reimbursement for my transportation to/from the airport,airport parking,
and meal expenses (per diem). They are as follows:
Light rail link to/from Phoenix airport: $2 x 2 =$4.00
Per Diem: ($35.50 x 1 day) plus ($65 x 5 days) _$357.50
Indianapolis Airport Economy Parking: $9 x 6 days=$54.00
Attached are supporting documents/receipts. Please reimburse me a total of$415.50.
Thank you,
Angie Conn,AICP
Planning Administrator