181861 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 355677 Page 1 of 1
f o
ONE CIVIC SQUARE ANGELINA CONN CHECK AMOUNT: $877.80
gs CARMEL, INDIANA 46032
t o c CHECK NUMBER: 181861
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343002 282.80 EXTERNAL TRAINING TRA
1192 4357004 595.00 EXTERNAL INSTRUCT FEE
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Angelina Conn DEPARTURE DATE: 4/9/2010 TIME: 2:00 PM
DEPARTMENT: DOCS RETURN DATE: 4/13/2010 TIME: 10:30 PM
REASON FOR TRAVEL: National Planning Conference DESTINATION CITY: New Orleans, LA
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE X TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total.
Parking Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
4/9 4/13 $282.80 $595.00 $877.80
$o.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$o.00
$o.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
Total $282:80 $0:00 $0.00 .$0.00 $0.00: $0.00 $0.00 $0.00 $0.00 $0.00 $595.00 AFi$877 80
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 EROS Revision Date 1/12/2010 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 $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 $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.
G 4~ Cc 1-- z0
Employee Signature: Date: 010
City of Carmel Form ERO6 Revision Date 1/12/2010 Page 2
Windows Live Hotmail Print Message Page 1. of 3
E-Ticket Confirmation- HQWOFP 09APR
From: American Airlines @aa.com notify @aa.globalnotifications.com)
Sent: Mon 1/04/10 1:02 PM
To: AVICTORIABUTLER @HOTMAIL COM (AVICTORIABUTLER @HOTMAIL.COM)
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Date of Issue: 04JAN10
Angelina V Conn: 1 7
Thank you for choosing American Airlines American Eagle, a member of the
oneworldrM Alliance. Below are your itinerary and receipt for the ticket(s)
purchased. Please print and retain this document for use throughout your trip.
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Record Locator: HQWOFP x
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You may check in and obtain your boarding pass for U.S. domestic electronic tickets Th13, Bah stands vre
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within 24 hours of your flight time online at AA.com by using www.aa.com/checkin or ti ��-t
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at a Self- Service Check -In machine at the airport. Check -in options may be found at
www.aa.com /options. For information regarding American Airlines checked baggage AmeticartAirfines
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policies, please visit www.aa.com /baggageinfo. For faster check in at the c
airport, scan the barcode at any AA Self- Service machine 1
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Effective June t, American Airlines transitioned to cashless cabins on flights within 4x .l
the continental United States and on flights to and from Hawaii, Alaska,, and
Canada. For in- flight purchases, we will accept American Express® Cards and other Gilt of wive'
major credit or debit cards only. American Eagle and American Connection flights it c1
will continue to accept cash only. Please visit www.aa.com /cashless. �0HP
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You must present a government issue photo ID and either your boarding pass or a 6kTE9W
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Asik .--._.t tot as low as$16.a4
Windows Live Hotmail Print Message Page 2 of 3
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Record Locator: HOWOFP
Flight Departing Arriving Booking
Carrier
Number City Date Time City Time Code
FRI 09APR
Ati 1489 INDIANAPOLIS
2:15 PM NEW ORLEANS 5:50 PM N
American Airlines Angelina Conn FF 433AMD2 Economy Seat 17B Food For Purchase
Bryan Conn FF 355AMD8 Economy Seat 17A Food For Purchase
TUE13APR DALLAS FT
A1N 1507 NEW ORLEANS 5:55 PM 0
4:15 PM WORTH
American Airlines Angelina Conn FF 433AMD2 Economy Seat 13B
Bryan Conn FF 355AMD8 Economy Seat 13A
DALLAS FT TUE 13APR
1760
WORTH 7:30 PM INDIANAPOLIS 10:35 PM 0
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American Airlines Angelina Conn FF 433AMD2 Economy Seat 11B Food For Purchase
Bryan Conn FF 355AMD8 Economy Seat 11A Food For Purchase]
PASSENGER TICKET NUMBER FARE USD TAX TICKET TOTAL
ANGELINA CONN 0012313875001 229.76 53.04 2
Payment Type: Total: $565.60
You have purchased a NON REFUNDABLE fare. The itinerary must be canceled before the ticketed departure time of the first unused
coupon or the ticket has no value. If the fare allows changes, a fee may be assessed tor changes and restrictions may apply.
Electronic tickets are NOT TRANSFERABLE. Tickets with nonrestrictive fares are valid for one year from original date of issue. If you have
questions regarding our refund policy, please visit www.aa.com /refunds.
To change your reservation, please call 1- 800 433 -7300 and refer to your record locator.
Check -in times will vary by departure location. In order to determine the time you need to check -in at the airport, please visit
www.aa.com/airportexpectations.
A summary of Terms and Conditions of Travel is available by selecting the Conditions of Carriage button below.
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Order Receipt Page 1 of 1
iii ry MOM 2010 National Pfanning Conference
merlatt Planning Aasociatian
Conference Registration Receipt
Name: Angelina V. Conn
APA ID: 133101
Receipt Date: 12/30/2009
Order Items 5 tJ ri`- rl l s
1 M002 Conference Only (April 11 -13) $$595.00
1 P900 Awards Luncheon Invitation $0.00
Sub -total $595.00
Payment
Expires 03/11
Total
Amount Paid $595.00
On -Site Registration Things to Remember
Don't forget to pick up your conference materials in the
Friday, 1:OOpm 5:OOpm Ernest rt. Modal Convention Center, outside of Hall A.
Saturday, 7:00am 5:00pm
Sunday, 7:00am 5:OOpm
Monday, 7:00am 4:00pm
Tuesday, 7:OOam 12:O0pm
X)2009 APA. All Rights Reserved Pri Contact Us Privacy Statement FAQs Legal
htt j /planning.org/ conference registration /receipt.htm ?EventID= 8666 &TRANS_NUMB... 12/30/2009
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BRYAN D CONN Print This Page
1340 N DEQUINCY ST
INDIANAPOLIS
IN
46201 -1824
Report Name: Expenses for APA Conference
Transaction Date Description Amount Comments
12/30/2009 APA CONFERENCE 312 -431- $595.00
9100 IL
01/04/2010 AMERICAN00123138750014 $282.80
AA.COM /AA RES TX
Total Activity $877.80
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Account Activity
https:// www. accountonline .com/cards /svc/DisplayReport.do 1/6/2010
VOUCHER NO. ..WARRANT NO.
ALLOWED 20
Angie Conn
IN SUM OF$
CIO One Civic Square
Carmel, IN 46032
$877.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43 570.04 $595.00 I hereby certify that the attached invoice(s), or
1192 43- 430.02 $282.80
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, J.. .4, nuary 20'10
Director, DO
Title
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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/29/10 Angie Registration APA $595.00
01/29/10 Angie Flight to APA $282.80
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