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182908 03/03/2010 a CITY OF CARMEL, INDIANA VENDOR: 00350879 Page 1 of 1 ONE CIVIC SQUARE TERRY KRUESKAMP CARMEL, INDIANA 46032 CHECK AMOUNT: $227.50 CHECK NUMBER: 182908 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4343002 227.50 EXTERNAL TRAINING TRA %V\TQ.giNF HMS <t CITY OF CARMEL Expense Report (required for all travel expenses) i N J 011 EXHIBIT A EMPLOYEE NAME: no DEPARTURE DATE: da�a�L /f' TIME: Q AM M DEPARTMENT: RETURN DATE: Qa��IaQ�Q TIME: a 30 AM P REASON FOR TRAVEL: �fjP7� DESTINATION CITY: 9 EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas /Tolls/ Meals Date Lodging Misc. Total Parkin Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 2122110 $50.00 $50.00 2/23110 $50.00 $50:00 2124110 $50.00 $50.00 $aoo $0.00 $0.00 $0.00 $0:00 $0.00 $0.00 $0:.00 $0:00 $0.00 $0.00 $0.00 $0.00 $000 10':00 $0.00 o.oa Total $0:00 $0.001 $0.00. $0.00 MAO $0 $0.00 $0.00 $0.001 $150.00: $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 212612010 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) Ybeingducted 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 2/26/2010 Page 2 eFo110 Page I of 2 k Krueskamp, Theresa A From: Thanks for staying! [efo!io @courtyard.com] Sent: Friday, February 26, 2010 4:51 AM To: Krueskamp, Theresa A Subject: Your Feb 22, 2010 Feb 24, 2010 stay at the Courtyard Bloomington Thank you for choosing the Courtyard Bloomington for your recent stay. i As requested, below is a billing summary or adjustment for your stay. If you have questions about your bill, please contact the hotel directly at (812) 335 -8000. Marriott Rewards members Make another reservation on Marriott.com may receive this email automatically after every stay. Modify your email preferences Summary of your Stay Hotel: Courtyard Bloomington Guest: THERESA /MRS KRUESKAMP 310 S. College Avenue CITY IC CARMEL Bloomington, Indiana 47403 USA 3 CIVIC SQUARE USA CARMEL, IN 46032 USA Dates of stay: Feb 22, 2010 Feb 24, 2010 Room number: 102 Guest number: 63267 Group number: Marriott Rewards number: XXXXX4090 Date Description Reference Charges Credits 02/22/10 ROOM CHARGE R6102 89.00 02/22/10 Room Tax RT102 6.23 02/22/10 City Tax CT102 4.45 02/22/10 ROOM CHARGE RB211 89.00 02/22/10 Room Tax RT211 6.23 02/22/10 City Tax CT211 4.45 02/22/10 ROOM CHARGE RB225 89.00 02/22/10 Room Tax RT225 6.23 02/22/10 City Tax CT225 4.45 02/22/10 Payment Check CK102 598.08 X 02/23/10 Restaurant Room Charge FD4006 2.00 02/23/10 ROOM CHARGE RB102 89.00 02/23/10 Room Tax RT102 6.23 02/23/10 City Tax CT102 4.45 2/26/2010 •eFolio Page 2 of 2 02/23/10 ROOM CHARGE RB211 89.00 02/23/10 Room Tax RT211 6.23 02/23/10 City Tax CT211 4.45 02/23/10 ROOM CHARGE RB225 89.00 02/23/10 Room Tax RT225 6.23 02/23/10 City Tax CT225 4.45 02/24/10 Payment MC13:01PM 2.00 XXXXXXXXXXXX1949 Total balance 0.00 USD Was that the best night's sleep you've ever had? How about a repeat performance at your place! Important Information Do Not Reply to this Email This email is an auto generated message. Replies to automated messages are not monitored. If you have any questions please contact the hotel directly at (812) 335 -8000. Why Have I Received this Email? You have received this email because you requested during your stay to receive an electronic version of your bill by email. Availability Electronic versions of your hotel bill, available by email from our over 2,300 participating properties in the Marriott family of hotels in the USA and Canada, are emailed to you within 72 hours of check- out. These email messages reflect changes made to your bill up to 11pm on your day of departure. Any adjustments after that time may not be shown. If you have received this email in error, please notify us. Learn more about eFolio, receiving your hotel bills by email. Authenticity of Bills Marriott retains official records of all charges and credits to your account and will honor only those records. Privacy Your privacy is important to Marriott. For full details of our privacy policy, please visit our Internet Privacy Statement. Credit of Marriott Rewards Points After a stay, it may take up to 7 days for Marriott Rewards points to be credited to your account. Terms of Use::lnternet Privacy Statement(c)1996 -2009 Marriott International, Inc. All rights reserved. Marriott proprietary information. 2/26/2010 �`�r �.S•` 5�'��r �•r�;, ~,..Cs.�� T� r e q "...i�ix� -6.,.. .'�H:..., p f 't„ k 4 Rr t'+ 1 a ,e� .R• d �ti= i` �,y 2r �v .c� -a� 1 "e• a 1 'FtF r '4.Sp y� i'"� ik,�ki,• ,j,•��" �F c Jt t� HIS h .m v, >1,. .r,. Crr�t;,.. 1•Y �l l fi 't"U� n 5• 1 �s-, N F. -y 'e w.::., rt,,�,r•,,,,, 'Y t r,` .1 t,,;'?� ar•,,,4 3' k+c T. 1i;, s �.a.� et a. r:} S: j' 'a. r a x.} d4. 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[IGIC[ I G IC Board of Directors Meeting Monday, February 22, 201 Attachments: 2010 All IGIC members and guests are invited to attend Monday's IGIC Board of Directors Meeting in Bloomington, IW Here is the Schedule for our Monday (212212010) IGIC Board Member afternoonlevening events: 3:00-4:00pm UITS Data Center Tour (Meet in the Innovation Center lobby the tour will start promptly at 3pm) 415-7:15prn IGIC Board Meeting (agenda is attached) DIRECTIONS PARKING: Below is a map Anna Radue created to show the location of the new Innovation Center. The red star is where we will meet before the tour of the Data Center and have the IGIC Board meetings. The yellow square is the parking lot where everyone should park, 1 IRS vo ;QH 1� 1 1V 000 m IV �W 0� -Cl E2'' :R V A H Wvl -A-M- M PUTI N GN" t Ft NICATI V 6 �Jl R A Y AM Google Maps is not updated for the Innovation Center, but here is a link anyway. The Innovation Center is in that grassy area just west of the parking lot by the B pushpin. Attendees should park in this lot. http:limaps.googie.com/m;3ps? f=d&source=s d &sadd r=E+M atl ock+ Rd &d add r= E+State+Rd +46+ Bypass+to: E U in iversity -Q%3BFRLj2VOld RTY-q%3BFSy4VQIdNB3Y- Q&hl=en&mra=mr&via=1 &sll=39.172309,- 86.500061&ssi)r)=0.00514.0.009184&ie=UTF8 86.500865&spn=0.00514.0.009184&t=h&z=17  Thanks, Phii 2/26/2010 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM !!�t TO r (GO AL a 4 n =s ON ACCOUNT OF APPROPRIATION NO. FOR 2�cr+ me�r pj (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER AUTO MILEAGE NATURE OF BUSINESS MILES O DATE FROM TO READING to, �d POINT POINT START FINISH TRAVELED PER MILE 7 Al E -ij 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, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after flowing all just credits and that no part of the. same has been paid. Date 6 T� Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority. That it is apparently 3 correct 1 incorrect Disbursing Officer On Account of Appropriation No. for O t:r N L>r m CL b 0 rr m p n Allowed 19� a 0 ID in the sum of a t3r, m p cp m m W W C a C1 A. c (Board or Commission) 0 M Zr FILED rt m a In (Official Ti O tr M A.E. HOYCH CO., 1HC. lfO M 01136 I 3 .3 VOUCHER NO. WARRANT NO. ALLOWED 20 Theresa Krueskamp IN SUM OF $227.50 ON ACCOUNT OF APPROPRIATION FOR Carmel IS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1202 IGIC Conference 43- 430.02 $77.50 1 hereby certify that the attached invoice(s), or 1202 IGIC Conference 43- 430.02 $150.00 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 Monday, March 01, 2010 Director, }�vh�� Title Cost distribution ledger classification if claim paid motor vehicle highway fund escribed 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)) 02/24/10 Conference Mile $77.50 02/24/10 IGIC Conference $150.00 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