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183363 03/16/2010
CITY OF CARMEL, INDIANA VENDOR: 358818 Page 1 of 1 ONE CIVIC SQUARE BRENT LIGGETT CARMEL, INDIANA 46032 12571 TRESTER LANE CHECK AMOUNT: $746.40 y FISHERS IN 46038 pox CHECK NUMBER: 183363 CHECK DATE: 3116/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4239002 REIMB 67.00 REFERENCE MANUALS 1192 4343002 REIMB 324.00 EXTERNAL TRAINING TRA 1192 4343004 REIMB 355.00 TRAVEL PER DIEMS Qr aT- exFl�\ CITY OF CARMEL Expense Report (required for all travel expenses) \HpIANA J� EMPLOYEE NAME: _Brent Liggett DEPARTURE DATE: 9 All TIME: j-0$ pm DEPARTMENT: Building and code services RETURN DATE: A&71jy TIME: f am REASON FOR TRAVEL: Training DESTINATION CITY: Las Vegas, Nevada EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas /Tolls) Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 2/21/10 $15.00 $30.00 $45.00 2/22/10 $65.00 $65.00 2/23/10 1 $65.00 $56.00 $121.00 2/24/10 $65.00 $11.00 $76.00 2/25/10 $65.00 $65.00 2/26/10 $72.00 $237.40 $65.00 $374.40 $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 $0.00 �$0.00 $0.00 $0.00 $0.00 $0.00 $355.00 $67.00 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. 'I Director Signature: Date: City of Carmel Form ER06 Revision Date 3/3!2010 Page 1 20532 pp© Ofk14ERMA700MAL COME COUMCOL S A]LIES DIER 1171 1 W. 85TH STREET SHOW THIS NUMBER ON °ao INTERNATIONAL LENEXA, KS 66214 INVOICE, PACKING LIST, LABELS CODE COUNCIL° (800) 786 -4452 MEMBER NO. DAB I� r SOLD T0: T J NAME TELEPHONE SHIP TO. ADDRESS ATTN: STOCK NO. DESCRIPTION CITY CHB' SHIP UNIT PRICE AMOUNT 1 I 2 3 I 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 CASH CAV CHARGE BILL CHECK NO. SALES PERSON Sub Total n Tax Prepaid 1 1 AUTHORIZED SIGNATURE X Amount Due NOTES: I,D�IIN l,� �o�li Customer Has Books WHITE ICC YELLOW"-'CUSTOMER COPY RETURN TO: RETURN TO: International Code Council International Code Council 11711 W. 85TH Street 11711 W. 85TH Street Lenexa, KS 66214 Lenexa, KS 66214 Return authorization number Return authorization number RETURN LABEL TAPE TO PACKAGE RETURN LABEL TAPE TO PACKAGE I IMPORTANT INFORMATION ®O NOT DISCARD �nternaUona� Code CouncH Returned Goods Roli7 condftion. bpd_ We exercise maximum care in packing and shipping to ensure that you get what you want in good INTERNATIONAL want you to be satisfied with your order. If there is a problem with your order, please follow the guidelines below CODE COUNCIL so that we may serve you better. Before returning any item to ICC, it is necessary that you call our We strongly recommend that your returned merchandise he shipped office and receive a return authorization number to be used for the through the United Parcel Service to ensure prompt and efficient return. To receive such a number, please call our Customer Service delivery. Materials shipped book rate are not traceable through the Department at ($00) 786 -4452, Monday- Friday, 7.00 a.m. 7:00 p.m. United States Postal Service. We are not responsible for packages Central Time, returned via USPS, and will not be able to credit your account if lost. Include a copy of your packing list or invoice along with an cxpla- THE RETURN AUTHORIZATION NUMBER MUST BE WRI"ITEN nation of how you would like the problem resolved. ON THE OUTSIDE OF THE PACKAGE OR YOUR RETURN WILL BE REFUSED BY OUR RECEIVLNG DEPARTMENT. Refunds are not made for videocassette or software products. We If' we made an error on your order or if the goods you received were Fill, however, be happy to exchange defective item. defective, we will reimburse you for the postage used in returning the ❑Merchandise returned is subject to a 20 °h restocking fee. goods. Please remember to write your return authorization number on the outside of the package. Please allow 3 -4 weeks for return merchandise to be processed and If you wish to return unused books, they must be in new condition. re- shipped. Your return must be made no later than 30 days from date ol'delivery and Thank you, you must pay alt shipping charges. ICC Customer Service 11711 W. 85TH STREET SALES ORDER SHOW THIS NUMBER ON INTERNATIONAL LENEXA, KS 66214 INVOICE, PACKING LIST, LABELS CODECOUNCIC (800) 786 -4452 MEMBER NO. DATE SOLD TO: NAM TELEPHONE SHIP TO: r ADDRESS ATTN: STOCK NO. DESCRIPTION QTY CHB' SHIP UNIT PRICE AMOUNT Ij 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 CASH CHARGE BILL CHECK NO. SALES PERSON Sub Total Tax Prepaid AUTHORIZED SIGNATURE I Amount Due NOTES: 'b 0 Customer Has Books.. WHITE ICC YELLOW CUSTOMER COPY RETURN TO RETURN TO International Code Council International Code Council 11711 W. 85TH Street 91711 W. 85TH Street Lenexa, IBS 66214 Lenexa, KS 66214 i Return authorization number F Return authorization number RETURN LABEL TAPE TO PACKAGE RETURN LABEL TAPE TO PACKAGE IMPORTANT 9NFORMATION DO NOT DISCARD gnternaUonaa Code Caunc H Returned Goods Relic We exercise maximum care in packing and shipping to ensure that you get what you want in good condition. We INTERNATIONAL want you to be satisfied with your order. If there is a problem with your order, please follow the guidelines below CODE COUNCIL® so that we may serve you better. Before returning any item to ICC, it is necessary that you call our We strongly recommend that your returned merchandise be shipped office and receive a return authorization number to be used for the through the United Parcel Service to ensure prompt and efficient return. To receive such a number, please call our Customer Service delivery. Materials shipped book rate are not traceable through the Department at (800) 786 -4452, Monday Friday, 7:00 a.m. 7:00 p.m. United States Postal Service. We are not responsible for packages Central Time. returned via USPS, and will not be able to credit your account if lost. Include a copy of your packing list or invoice along with an expla- THE RETURN AUTHORIZATION NUMBER MUST BE WRITTEN nation of how you would like the problem resolved. ON THE OUTSIDE OF THE PACKAGE OR YOUR RETURN WILL BE REFUSED BY OUR RECEIVING DEPARTMENT. Refunds are not made for videocassette or software products. We F� If we made an error on your order or if the goods you received were will, however, be happy to exchange defective item. defective, we will reimburse you for the postage used in returning the Merchandise returned is subject to a 20% restocking fee. goods. Please remember to write your return authorization number on the outside of the package. Please allow 3 -4 weeks for return merchandise to be processed and If you wish to return unused books, they must be in new condition. re- shipped. Your return must be made no later than 30 days from date of delivery and Thank you, you must pay all stripping charges. [CC Customer Service THE ORLEANS HOTEL CASINO 4500 W. TROPICANA AVENUE LAS VEGAS, NEVADA 89103 FOR RESERVATIONS CALL (800) 675-3267 www.orleanscasino.com L A S V E G A S Folio ID: 401838220427 Arrival Date: 02/21/2010 Name: BRENT LIGGETT Departure Date: 02/26/2010 Address:: 12571 TRESTER LANE Room No: T3 498 FISHERS IN 46038 Guests: 1 Group Code: YINTRIO DATE REFERENCE DESCRIPTION CHARGES BALANCE 02/21/2010 402299000544 RESORT FEE 5,00 RESORT FEE 02/21/2010 402299002699 ROOM CHARGE T3 498 45.00 TAX2 5.40 02/21/2010 402291452145 APPLIED DEPOSIT 50.40- ************6911 02/22/2010 402309000185 RESORT FEE 5.00 RESORT FEE 02/22/2010 402309001970 ROOM CHARGE T3 498 35.00 TAX2 4.20 02/23/2010 402319000201 RESORT FEE 5.00 RESORT FEE 02/23/2010 402319002121 ROOM CHARGE T3 498 35.00 TAX2 4.20 02/24/2010 402329000234 RESORT FEE 5.00 RESORT FEE 02/24/2010 402329002278 ROOM CHARGE T3 498 35.00 TAX2 4.20 02/25/2010 402339000317 RESORT FEE 5.00 RESORT FEE 02/25/2010 402339002378 ROOM CHARGE T3 498 40-00 TAX2 4.80 02/26/2010 402341580607 FRONT DESK 187.40- ************6911 1 agree that my liability is not waived and agree to be held personally liable in the even that the indicated person, company or association fails to pay for any part of the full amount of these changes. GUEST SIGNATURE BALANCE DUE: 00 APPROVED BY THANK YOU FOR CHOOSING THE ORLEANS HOTEL CASINO VOUCHER NO. WARRANT NO. Brent Liggett ALLOWED 20 IN SUM OF c/o One Civic Square Carmel, IN 46032 $746.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 42- 390.02 $67.00 1 hereby certify that the attached invoice(s), or 1192 43- 430.04 $355.00 bill(s) is (are) true and correct and that the 1192 43- 430.02 $324.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, March 15, 2010 Director, OCS Titl Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) 03/03/10 Reference manuals from Edu -Code $67.00 03/03/10 Daily per diem $355.00 03/03/10 parking, shuttle and hotel costsw $324.00 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