183357 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 00353099 Page 1 of 1
Q ONE CIVIC SQUARE JOHN JOKANTAS CHECK AMOUNT: $27.88
CARMEL, INDIANA 46032 CIO COMM CENTER
'y s ,tom CIO COMM CENTER CHECK NUMBER: 183357
CHECK DATE: 3/16/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 27.88 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
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/NOIANA!
NAME START DATE 3/10/2010 TIME: 630 AM
Carmel Clay Communications Center RETURN DATE: 3 /10/2010 TIME: 600 PM
LOCATION _West Lafayette, IN
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x
Transportation Gas /Tolls/ Meals
Date .Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
4-1424/434 $11.93 $15.95 $27.88
3 1 0-10 $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
__T 00
Total $0.00 $0.00 $O.OD $0.001 $0.001 $11.93 $15.95 $0.00 $0.00 $0.001 $0.00
DIRECTOR'S STATEMENT: I h g el i that all exp se; A e 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 3/12/2010 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 $60 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 $60 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 exp enditu res) 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 3/12/2010 Rage 2
r aBTfWDR 000000475W,I
:gpg:EV�4NS`REST #0 LX A ETTE INS
4 DBTIWVDR 000.000024297
0 211 012 0 1 0 e ($15.95):
CHRISTOS WEST LAFAYETTE IN
On Marcy 10 °i l attended an Active Shooter Response class at the West Lafayette, IN
Police Department. I ate at the above locations while attending this class. I have no
other expenses from this class.
Thanks
John. M Jokantas
Course Type: Acff_i Shoot ng- .Response
Course Date•: —Mar 7^0 =2010
Course Hours: 08:30 AM 04:30 PM
Course Location:
West Lafayette Police Department
711 West Navajo Drive
West Lafayette, IN 47906
Host Agency and Contact:
Host Agency: West Lafayette Police Department
Contact: Sgt. John Watson
Phone: (765) 775 -5260
E -mail Address: jdwatson @westlafayettepd.us
For additional information regarding course location or local directions, please call the
host agency's contact person at the above number. With any other questions, or to make
additional registrations, please contact PowerPhone at 1- 800 537 -6937 (outside the U.S.,
please call +1 203 245 8911).
STUDENTS REGISTERED
Total Students Registered: 6
Callahan, Nicholas P.
Case, D arcy
Polonik, Tara
Reed, Michele
Southerland, Nicholas
PAYMENT TERMS
Payment in full is due upon receipt of order. All course registrations must be paid in
full prior to the start of class for students to attend.
CANCELLATION POLICY FOR COURSE REGISTRATIONS
If you cancel up to 30 days before the start of a program, there is no penalty. For any
cancellation, you must call PowerPhone at 1 -800- 537 -6937 and obtain a cancellation number.
Outside the U.S., please call +1 203 245 -8911.
The agency or individual is responsible for full payment to PowerPhone for any
registration cancelled less than 30 days before a program, or for any student who is
registered but does not attend. Student substitutions may be made at any time.
PowerPhone, Inc.
9 -1 -1 Calls Us(TM)
2
Arnone, Janet R
From: Heinzman, Mike D
Sent: Monday, March 08, 2010 7:54 PM
To: Thalia Savakis
Cc: Polovick, Tara L; Callahan, Nicholas P; Case, Darcy L; Southerland, Nicholas R; Jokantas,
John M; Reed, Michele R; Akers, William P; Arnone, Janet R
Subject: RE: PowerPhone Registration Confirmation
Actually one of the attendee's names is misspelled, below...
"Tara Polovick"
Thank you!
*REMINDER TO ALL ABOVE
Enjoy your class!
Original Message
From: Thalia Savakis [mailto:thalia @powerphone.com]
Sent: Monday, March 08, 2010 10:33 AM
To: Heinzman, Mike D
Subject: PowerPhone Registration Confirmation
This confirms your PowerPhone Course Registration
Thank you for choosing PowerPhone!
Below is your confirmation for the PowerPhone course listed below. Please review this
information carefully, including all student names. If any information needs to be
changed, please reply to this e -mail as soon as possible and let us know what needs to be
changed.
Billing Information
You will receive a separate invoice or receipt for your order from PowerPhone's accounting
department.
Date: 3/8/2010
YOUR INFORMATION
Carmel Clay Communications
Contact: Mike Heinzman
31 First Ave Nw
Carmel, IN 46032
Phone: (317) 571 -2586
Fax: (317) 571 -2585
E -mail: mheinzman @carmel.in.gov
COURSE INFORMATION
Course 09 -1174
1
VO NO. WARRA NO.
ALLOWED 20
John Jokantas
IN SUM OF
634 W. 136th Street
Carmel, Indiana 46032
$27.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 430.02 $2788 1 hereby certify that the attached invoice(s), or
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
,yam Friday, March 12, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
03/10/10 I I $27.88
1 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