181872 02/03/2010 �,,.7 N CITY OF CARMEL, INDIANA VENDOR: 353804 Page 1 of 1
ONE CIVIC SQUARE KRISTY DELONG
t CARMEL, INDIANA 46032 9443 RIQGECREEK CT CHECK AMOUNT: $398.50
�4, INDPLS IN 46256 CHECK NUMBER: 181872
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343004 30.00 TRAVEL PER DIEMS
210 4357000 368.50 TRAINING SEMINARS
Indianapolis International Airport
7800 Col. H. 1 4Ieir Cook Memorial Drive
Indianapolis, 1N
Fee Computer Number: 41
Casbicr: 121 Id #121
Transaction Ndmber: 215
Entered: 01/10/2010 17:31
Exited:
Ficpt #73302 Dispenser #35
Lot: Economy Lot 63
Area: Area 5
Rate: Economy 2009 VRate
54.00
lotai Fee: 54.00
A 54.00
Credit Card Number: ***********1779
Total Paid: 54.00
Thank You have a nice day!
(317) 487-5017
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Indianapolis, IN m, *n,l,., r^ ID 0:410 won^ e og ,r D.111.2: A'411)
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8eLa receipt
Total Pieces 1 vono.no
EXR0l.
l 5088l634l
.7..
DELONG/KRISTY Total Fare This Ticket': USD 70'00
Con flm"zion wb,: ,m^ms
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FARE z���v m,~ 01 'r�orn°e ,sx!.*rio/u/`
w,u Nb. v�`z^,^xxx,xx5e1 Baggage nu.�J
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CITY OF CARMEL Expense Report (required for all travel expenses)
valiP
EMPLOYEE NAME: Kristy DeLong DEPARTURE DATE: 1.10.10 TIME: 4:30 PM
DEPARTMENT: Carmel Police Department Records RETURN DATE: 1.16.10 TIME: 5:00 AM
REASON FOR TRAVEL: Laserfiche Conference DESTINATION CITY: Los Angeles, CA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Meals
Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
1.10.10 50
$20.00 $32.50 $52;5
1.11.10 $65.00 $65.0
1.12.10 $65.00 $65.00
1.13.10 $65.00 $65:00
1.15.10 $20.00 $36.00` $65.00 $121:.00
$0.00
$0:00
$0:00
$0.00
$0.00
$9.00
$0.00
$0.00
$000
;$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
Total $0.00 $0.00, $40.00 $36.00 $0.00 $0.00 $0.00 $0:00 $0.00 $292.50 $0.00 531$161,3511.
DIRECTOR'S STATEMENT: 1 hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: .*Al. L,ct,Q ,t' Date: 1 62. gr D
City of Carmel Form ER06 Revision Date 1/28/2010 Page 1
Thank Cu y for your ptirchase. You will receive an ema confirmation shoi•tly.
Be sure to print a copy of your invoicc. for your records.
4'16 esiJW, 3'545 Long Beach B;vd..
4 7 4 Suite 1;i0
i4rFreia,4.-vIrth74
Lena Beat‘h, CA 90807
1 el
562-9881688
Fax 562-4211-2116
Bill To:
Kristy DeL ong Register.Usec DeLong
3 Civic Square Police DeOartment Invoice Nurnbe-;r: 2237201.-67
Carmel, U 46032 Invoice Date: 10109/2009
United States
Due Date: 11/09/2009
Product Code Descriphon Cli.rantily Unit Price Total Pric.e
I
1 5695.00 $59500
ct
LFIC-AT Annul Conference Attendance 2 $•395.00
niscouni Luminary Discount -$395.00 $395:00
Late paynients are Subject lo 2 monthly finance charge of 1,5% Subtotal $990.00
Total $990 00
Tirn
De,t.„,ott
pre,ti=1,;:
Lauri Mulligan
Please make check payable lb:
Combulini; tylapsOemenlCentei
3545 Long Beach Blvd.
Long Beach, CA
Attn: Sherbet Castillo
Policies
Canceliation
All ritual be mad in voitinp and rriaili,j far;cid to Tala Ball.a?.ar at {56?) .E x2Clu
thellazarilLaseifiche.cioni te,iephove e11lions acr.repLed. 1; service cbarrje apply For' ali
postmarked or fax/e-mail dated an or beftre beccrrinci 11 2001), ri.iir:sl.roricri fa.es virftl be refunded ioss a $50servicr:
nitarge f !a re-hinds be given lor irr)-siid,Ais. 11 ri npnireorri of air In r:iciatve e refund. Ni i milli ids vAl
ba give:1110r cariceialiorisipalrerzired or f3A/e-c4ail deld ?Rat Date-nil:ries 1
Subclitu'iobs
pegisir81ibp may be tilitferriad ro anolher nelson in your orcJario:::ilion by `,717[15-Ari fVCilleSt to tC
DecenlbEI 1f 2L;09. Pile! Ji. dto ehancreis rriu. be: made omsitei
Itinerary 129830718657 Page 1 of 2
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Los Angeles, CA (Change name)
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Flight: Indianapolis Los Angeles $260.21 Confirmed
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Destination into
lq Los Angeles Guide
Flight: Indianapolis to Los Angeles back to to
If you need a printed receipt for business purposes click here.
Expedia itinerary number: 129830718657 Main contact: Kristy DeLong
C u s t o m e r S E, P p r r l Airline ticket number(s): 0127715000393 E -mail: kdelong @carmel.in.gov
itinerary FAQs Northwest confirmation code: MBFPD5 Home phone: (317) 590 -5485
Use the itinerary
assistance e-mail form. Traveler and cost summary
Kristy DeLong Adult $239.00
Taxes Fees $21.21
Print a receipt Total (Visa) $260.21
Flight summary
Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior
for flights to Hawaii and international destinations). You may check your flight status and departure
gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests
must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special
meals are not available on many flights.
Sun 10- Jan -10
Indianapolis (IND) to Los Angeles (LAX) 1,811 mi
Suva
Depart 7:15 pm Arrive 9:19 pm (2,915 km)
Duration: 5hr 4mn Flight 2519
Economy /Coach Class (20F Food For Purchase, Airbus A320
Total distance: 1,811 mi (2,915 km) Total duration: 5hr 4mr
Fri 15 -Jan -10
Los Angeles (LAX) to Indianapolis (IND) 1,811 mi
Depart 10:20 pm Arrive 5:24 am +1 day (2,915 km) Swim
Duration: 4hr 4mn Flight: 2502
http /www.expedia.com/ pub /agent.dll ?gscr= open &itid 298307186 &roly =0 1/27/2010
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
(NI rTh M ILEAGE CLAI t Q y ss „actv\ei H-Alc,9 to—i i
(GOVERNMENTAL UN 11 v
ON ACCOUNT OF APPROPRIATION NO. 4 L sal .4. I A
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES 5C a
POINT POINT START FINISH TRAVELED
PER MILE
1 Iill _AL R -1-114t, :a _i N .1 I NI h 15 (p
AUTO LICENSE NO. TOTALS //^�hh
l J!tJ
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, I 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
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
L(^)-No That it is in proper form.
rI. e.
That it is duly authenticated as required
2C,r'e.EK C by law
PIS Wn L 1S5Le That it is based upon statutory authority
That it is apparently
correct
incorrect
3D- CO
On Account of Appropriation No. for Disbursing Officer
�0 0
r.. 1110 1 s l a
w m n
n 9 rtD
Allowed 19_ o a o w
m
in the sum of 'ti m al
1 „�14.
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y
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N O M N
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sio
(Board or Commisn) A m 2
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P.
A.E. BOYCE CO., INC, MUNCIE, IN 01136
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
Kristy DeLong Purchase Order No.
9443 Ridgecreek Court Terms
Indianapolis, IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/28/10 reimburse Kristy DeLong for meals, parking and 368.50
baggage fees while attending the Laserfici,.
Conference in Los Angeles, CA on January 10 13,
2010
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kristy A. DeLong IN SUM OF
9443 Ridgecreek Court
Indianapolis, IN 46256
368.50
ON ACCOUNT OF APPROPRIATION FOR
coast fund.-.
Board Members
Pop or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
210 570 368.50 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
January 28 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund