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304204 10/13/16
r Coq, CITY OF CARMEL, INDIANA VENDOR: 075010 ® 31 ONE CIVIC SQUARE MICHAEL DIXON CHECK AMOUNT: $*******552.46* aq CARMEL, INDIANA 46032 359 W BUCKEYE STREET CHECK NUMBER: 304204 CICERO IN 46034 CHECK DATE: 10/13/16 DEPARTMENT ACCOUNT PO NUMBER ' INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 100116 552.46 TRAINING SEMINARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) MICHEAL DIXON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 359 W BUCKEYE STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CICERO, IN 46034 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $552.46 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-570.00 $552.46 I hereby certify that the attached invoice(s),or 10/6/16 0 CALEA Conference airfare $552.46 1110 210 1110 210 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 Friday, October 07,2016 Tim Green Chief of Police 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer , v CITY OF CARMEL Expense Report (required for all travel expenses) \!yoiaxp� EMPLOYEE NAME: Micheal R Dixon DEPARTURE DATE: 11/1/2016 TIME: 655 AM/PM DEPARTMENT: Police RETURN DATE: 11/6/2016 TIME: 2100 AM/PM REASON FOR TRAVEL: CALEA Conference DESTINATION CITY: Charleston, SC EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 10/6/16 $552.46 $552.46 $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 0.00 Total $552.46 $0.00 $0.00 $0.00 $0.00 $0.00 . $0.001 $0.00 $0.00 $0.00 $0.00 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: Date: City of Carmel Form#ER06 Revision Date 10/6/2016 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 10/6/2016 Page 2 Espanol S®uthwests FLIGHT HOTEL CAR SPECIAL OFFERS RAPID REWARDS® q Thank you for your purchase! Soiuthwestio Indianapolis,IN-IND to Charleston,SC-CHS New Purchases in Trip Air Confirmation#BRIJSE Indianapolis,IN-IND to Charleston,SC-CHS Tuesday,November 1,2016-Sunday, November 6,2016 EarlyBird Check-In Purchased Air Total: $1134.92 Amount Paid $1134.92 Trip Total $1134.92 NOV 1 TUE 11/01/16 - Charleston New purchases added to your trip. AIR Indianapolis,IN-IND to Charleston,SC-CHS 11/01/2016 - 11/06/2016 Confirmation# BRIJSE Adult Passenger(s) Rapid Rewards# MICHEAL DIXON 00000207773381 ............._............................................_.................................................................................................................................................................................................-..........._.......................-..__................................... CAROL DIXON Add Rapid Rewards Number Subscribe to Flight Status Messaging Travel Date Flight Segments Flight Summary l DEPART 06 55 AM Depart;Indlanapolis,IN Flight - I µ riov i '(.IND-)'-onSouthwest=Airlines---#17' C TUE 07:00 AM Arrive in Chicago(Midway, I Win vailawel IL(MDW.)- Tuesday,November 1,2016 = .......... ........ ........ ........ .............................. ....................... TO 15 AM Change to-Southwest Flight_ hw Travel Time 6 h 20 m �?t2698 en' f (1 stop,Includes 1 plane change) ----- ,Irlines i Chicago(Midway), Wanna Get Away IL(MDW) 01:15 PM' Arrive'in Charleston,,SC { f /CHGI _ �. wig le I TraAYW Date Routing Fare TyFNWftSd0WAjjps Fare Details Flight Summary Quantity Option Passenger77--i---�Pnce Quantity Details Receipt# Total "RETURN 02:45 PMj�IDepart'Charleston,SC Flightj Nov 6 2' ' (CHS)`ort§o&hiv se Airlines----#6295 SUN � } 04 lO PM'!,"M rive i WiFiavatlabk Baltimore%Washingfon,'MD (BWI•) Sunday,Novembe"r_`6,201'6<.''` 07 OS1PM" Change'a+ Xto'Southwest Flight Travel Time 6 h 15 m vgnIifle ' iraf�_° !!}, (1 stop,includes 1 plane change) BaltimoreLWashington,_MD Business Select (BWI) f 09 OOwP.M_-A &1_ve in Indianapolis,INBoItable {I (INDj 1 What you need to know to travel: Check-in: Be sure to arrive at the departure gate with your boarding pass at least 10 minutes before your scheduled departure time.Otherwise,your reserved space may be cancelled and you won't be eligible for denied boarding compensation. No Show Policy:If you are not planning to travel on any portion of this itinerary,please cancel your reservation at least 10 minutes prior to scheduled departure of the flight.Customers who fall to cancel reservations for a Wanna Get Away fare segment at least ten(10)minutes prior to travel and who do not board the flight will be considered a no show,and all remaining,unused funds on this reservation will be forfeited,-jncluding Business Select and Anytime funds. 'PRICE:ADULT Trip Routing Fare Type I View Fare Rules Fare Details Quantity • No Change Fees Depart IND-MDW-CHS Wanna GetAway Reusable fare difference applies) 2 Excellent Value (nontransferable-no name changes allowed) yo • Nonrefundable unless purchased with Points BusinessSelec* Priority Boarding Same-Day Changes _ Return CHS-BWI-IND Premium Drink No Chane Fees 2 Superior Benefb Fully Refundable _ Subtotal —#1104.92 ��' Fare Breakdown Carry-on Items:1 bag+1 small personal Item are free,see full details. Checked Items:First and second bags are free,size and weight limits apply. Bag Charge $0.00 EARLYBIRD CHECK-IN PRICING Option Passenger Price Quantity Details Receipt# Total EarlyBird Check-In MICHEAL DIXON $15.00 1 IND-MDW-CHS 5260698734080 $15.00 EarlyBird Check-In CAROL DIXON $15.00 1 IND-MDW-CHS 5260698734079 $15.00 Subtotal $30.00 Air Total: $1134.92 Gov't taxes&fees now included . PUrC aSQr Name i.Micheal'dlkori" Billing Address 359 W Buckeye St Cicero,IN US 46034 } Formfof paym®nt' fAinount'App'!e a -:r yr xxzxxxxxxxxX 7 45 $L 134.92 YourVlsa credit cardyending tn2 7745 as been it"dded4o your MySouthfaest account r Amount Paid $1134.92 Trip Total $1134.92 Login I Crntiact CALLA I Register I Visit CALEA.org I Logout Search Conference City Host Message/Activities Hotel/Lodging Schedule Register Exhibitor Info Future Conferences Past Conferences View Edit mdixon Personal information Rank Mr. First name Mike Last name Dixon Preferred First Mike Name (NickName) Job title Policy Analyst Telephone 3175712521 Profile –AGENCY INFORMATION--- — -- ----- - -- Contact Email: mdixon@carmel.in.gov en me. C noel lice epartmen Contact Person: Mike Dixon LOCATION --- -- Location: 3 Civic Square, Carmel,Indiana, 46032, United States Registration type: Fall qejMW -ATTENDEE POSITIONS---- — _------ ----- ------ ----------- -- — --- --_ Assessor: No Team Leader: No Accreditation Manager: Yes History -- Member for 2 weeks 5 days FoundingCALEA@ @ 2011 Associations13575 Heathcote Boulevard,Suite 32o G.-unesville,Virginia 20155 (703)352-4225 FAX(703)890-3126 Location I Host I Lodging I Schedule I Register I EJ,ibitorInfo I Future I Past Re9i ster is. Login I Contact CALLA I Register I Visit CALEA.org RN Search Conference City Host Message/Activities Hotel/Lodging Schedule Register Exhibitor Info Future Conferences Past Conferences (Con ( ,iceS.ch �u e Following is a quick overview of our conference schedule. Wednesday,November 2,2016 •Opening Session •Training Workshops •Exhibit Hall Opens Thursday,November 3,2oi6 •Continental Breakfast •Training Workshops •Exhibitors Hall Continues •Host Agency Reception Friday,November 4,2oi6 •Continental Breakfast •Training Workshops •Commission Meetings Saturday,November 5,2016 •Continental Breakfast •Commission Review Committee Hearings •Celebration Awards Banquet CALEA®©2011 Founding t y r II II II II 13575 Heathcote Boulevard,Suite 32o Gainesville,Virginia 20155 Associations rY ®�+ +. (703)35'2-4225 FAX(703)890-3126 location I Hust I Lodging I Schedule I Register I Exhibitor Info I Future I Past Register