183511 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363969 Page 1 of 1
ONE CIVIC SQUARE WILLIAM D MCGEE CHECK AMOUNT: $523.50
CARMEL, INDIANA 46032 218 ARBOR DR
CARMEL IN 46032 CHECK NUMBER: 183511
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 292.50 EXTERNAL TRAINING TRA
1115 4343004 231.00 TRAVEL PER DIEMS
i 9
d
I
Claim No. Warrant No. r have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated cis required
by law;
That it is based upon statutory authority;
That it is apparently cones
L incorrect
On Account of Appropriation No. for
T sburcing Officer
°Sa@
Allowed 20L m o
in the sum of
o n
En
a3.
'(QD
�(D�
CD
0 �0
o
(Socud or Commis m) O
FI= CD
n
C)
a
(D
(D
cn (q
r-t
f (OficiN Title) R1
(D y a
t
9
Prescribed by State Board cf Accounts 4 General Form No.
2 TO /l/ Q—s%�� L9 -P—�� DR.
(Governmental Unit)
On Account of Appropriation No. `r�Q 7 for
M c e Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE
20 ID Point Point Start Finish TRAVELED PER MILE
/o bo r 96 Al t, i rc CO ire �m NicG
Glr0Y7e I T c 1 rYl
D
S
Auto License No.
TOTALS a D
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, 1 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.
I
Date `Y
G \�y of CAR,y
ER
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: l i Gt 4 2. `e DEPARTURE DATE: 2/21/2010 TIME: 12 :45 er P
DEPARTMENT: Cea r/nel C I&4 C omlNu *C4 41d ✓5 RETURN DATE: 2/2612010 TIME: 3:40 AM
REASON FOR TRAVEL: A PCo C0rn0I4N :_C4 1 r`o Ny DESTINATION CITY: ROMEOVILLE, ILLINOIS
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 $29-90 3 Z .:3' $20.00
2/22/10 $65.00 $65.00
2/23/10 $65.00 $65.00
2/24/10 $65.00 $65.00
2/25/10 $65.00 $65.00
$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
Total $0.00 $0.001 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $280 -GO 1 $0.006
ze? 2- sm zq 2, ,S
DIRECTOR'S STATEMENT: I h r that all ex enses t d conform to the City's travel policy and are Within my department's appropriated budget.
ii
s
Director Signature: Date:
City of Carmel Form ER06 Revision Date 3/4/2010 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 $60 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals
while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to:
1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and
2) Return all unused funds to the office of the Clerk- Treasurer
I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first
paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: W l I Y n cl Date:
City of Carmel Form ER06 Revision Date 3/4/2010 page 2
r
Student Registration Form
PLEASE PRINT CLEARLY, WITH BLACK or BLUE INK
STU DENT IN F23MATI
V/ L e
M c G e
First Name Middleinitial Last Name (exact,y as you want it to appear on your certificate)
C or(yl C)61 C O rrrnu ol I Ca tOh 5
Agency Name
Agency M ailing f +actress
Carm e) bn32
,ty Q p+
W 9 e Qrm e- I ri gov Would you like to h•; !ded to the Institute u stserv? O Yes No
E mail address (Required for Web Classes)
(3t7) 5 X11 -2.586 S 1 257 3.5
Agency Phone Num er gene
Are you a memhnr of APCO? O Ye$X No It yes, your membership number is
(Membership wdr' be vedried in order to receive tuition discount.)
CLASS INFOR
P re- Service. Co 0a +-'01j s. 1 Sr
F� r e� 2 8'1 1 /g
Class Name (lull name, please) i Class Number
R :T:7L ZZ, 2010
Location (City aye! State) Starting Date (Month and Day)
Class Tuitic:l Price 379 DL= count Code
Online Class: add $50 Distance Learning fee
Total Tuition Price
METHOD 0 PAYMENT (US FUNDS ONLYI
❑Check enc' -r'd I Mail to: APCO Class Registration
*urchasc L:�r COPY REQUIRED 351 N. Williamson Blvd.
OVISA O "AasterCard ❑Discover 0AN'.!..X Daytona Beach, FL 32114
OR
Card Exp. Date_ Fax to: 386- 322 -9766
Card Hold 3 or 4 Digit Security Code: Reg ister n ow!
i
rueuc
Card Holders address:
SAFETY
Signa.h.!re: i
AkO Institute: Training Course Schedule Registration Page 1 of 1
Fire Service Communications .1st Edition
Price: $379 Member Discount $20 Institute Online Class add $50
A J in the Conf column indicates class is Confirmed to begin as scheduled.
Classes are normally confirmed about 3 weeks prior to the start date.
Register Conf Class Location Class Dates
Q Institute Online 27170 Starts Feb 10, '10
(Web Class)
0 Romeoville, IL 28140 Feb 22 -25, '10
0 J Titusville, FL 28454 Mar 8-11,10
0 Institute Online 27182 Starts Mar 10, '10
(Web Class)
0 Walhalla, SC 28589 Mar 16 -19, '10
Q Institute Online 27393 Starts Apr 14, '10
(Web Class)
0 Yorkville, IL 28794 May 4 -7, '10
0 Deerfield Beach, FL 28445 May 18- 21,'10
Q Institute Online 27405 Starts May 12, '10
(Web Class)
0 Institute Online 27494 Starts Jun 9, '10
(Web Class)
http: /www.apcointl.org/ institute /schedule_ registration. htm 2/16/2010
VO "JCHER NO. WARRANT NO.
ALLOWED 20
Bill McGee
IN SUM OF
218 Arbor Drive
Carmel, IN 46032
$523.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 430.02 $292.50 I hereby certify that the attached invoice(s), or
1115 43- 430.04 $231.00 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
Friday, March 12, 2010
KII.-
Director
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))
03/05/10 $292.50
03/05/10 $231.00
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