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HomeMy WebLinkAbout183759 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1 ONE CIVIC SQUARE DARCY CASE CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $26.00 'y CARMEL IN 46033 CHECK NUMBER: 183759 CHECK DATE: 312912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4343002 26.00 EXTERNAL TRAINING TRA c1 i NAIL QprnEk f CITY OF CARMEL Expense Report (required for all travel expenses) �:koinNP NAME Darcy Case START DATE TIME: AM/PM Carmel Clay Communications Center RETURN DATE: TIME: AM/PM LOCATION Sheraton Inn Indianapolis EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEME x Transportation Gas /Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Lunch Dinner Snacks 3124/10 $26.00 $26.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $0. ©0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.00 00 $0.00 $0.00 $0.00 $26.001 $0.00 $0.00 $0.00 DIRECTOR'S STATEMENT: I he hat zM; to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 3/24/2010 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 3 ys after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus document. expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. //ll Employee Signature: Date lv City of Carmel Form ER06 Revision Date 3/24/2010 Page 2 0045 Server: MEGAN N Rec: 34 03/23/10 12:36, Swiped T: 43 Term: 13 The Cheesecake Factory IN 8702 Keystone Crossing 4A Indianapolis, IN 46240 I (317)566 -0100 MERCHANT 67097870372 CARD TYPE ACCOUNT NUMBER VISA XXXXXXXXXXXXIT76 E Name: DARCY L CASE Indianapolis 00 TRANSACTION APPROVED AUTHORIZATION 023612 0045 TABLE 43 #Party 1 Reference: 0323010000045 MEGAN N SvrCk: 1 11 :53 03/23/10 TRANS TYPE: Credit Card SALE Separate checks: 1 -of -2 CHECK: 21 E34 Soda 2,95 Lunch Cobb Salad 9,95 T I P Low Carb Orig CC 6.95 TOTAL: (a_ Sub Total; 19.8 Tax: 9 Sub Total: 21.64 03/23 12:32 TOTAL 21 64 X *Duplica Copy CARDHOLDER WILL PAY CARD ISSUER ABOVE AMOUNT PURSUANT TO CARDHOLDER AGREEMENT Don't Worry Be Happy! Thank You! PLEASE LEAVE SIGNED COPY FOR SERVER!— 1 i rXin PRE CONFERENCE MARCH 22 23, 2010 CONFERENCE MARCH 24 -26, 2010 (Please Print) Name: (first) �D"s (last) C c Title: Q, G1h cZf Phone: Organization: CcacMC� ccr�,►Y,y�'�Co- -'�a(v First time attendee ?x Yes CI No Mailing Address: 3 1 f S �V Z T -Shirt Size: S M L XL 2X 3X 4X 5X E -Mail: NENA Membership e e REGISTRATION RATES Member: Non- Member: $195 Vendor Show (WEDNESDAY Evening with Cocktail) 45= Vendor Show (THURSDAY 8:00 11:30) 45= Banquet Only: 45= Day Pass: X $100 Specify day(s): Wed O Thurs 13 Fri "•tree ^Tree"' free Tr ee "Tr Tra ee Tr ee "'Tree"Trae"Tree "'free "'tree "'free Tree"Tree' ""free "tree *NCMEC Train tiner(Supervisor /training officer class) Q Tues 3 -23 -10 Tr "Yre Yre "Tr "Tr e "Tr "Tre "Tre °Yre Training Courses _L x$100 *Cultural Diversity life on the Other side Mon 3 -22 -10 Terrorism Awareness/ The Dispatchers Role Mon 3 22 NCMEC Train the Trainer (Supervisor /training officer class) Tues 3 -23 -10 *Critical Incident Stress Management/ Suicide Prevention Tues 3 -23 -10 *Suicidal Callers (4hr 4 1 hour breakout sessions ❑Thurs 3 -25 -10 "Resource Management During Emergencies Fri 3 -26 -10 Wed, Thurs and Fri classes are includel in Full Conference Re istration TOTAL AMOUNT DUE: National Center for Missing Exploited Children class will be a class offered for free of charge F courses marked with an asterisk will be instructed by Deputy Miles Turner. Back by popular demand. Payment (circle one): Check Money Order Name: MAIL OR FAX REGISTRATION FORM PAYMENT TO: Indiana -NENA Conference, Attention: Cindy Snyder, 205 S. Martha St. Ste 102, Angola, IN 46703 Fax 260.665.5469 e-mail: can der nel co.steuben.in.us ALL PA YMENTS MUST BE SENT TO THE AAfGOLA ADDRESS The National Emergency Number Association(IndianaNENA) is a nonprofit 501c(3) association, tax ID number 200923577. I NO REFUNDS will BE GIVEN AFTER MARCH 7 2010. i VOUCHER NO. WARR NO. ALLOWED 20 Darcy Case IN SUM OF 13154 Dunwoody Lane Carmel, In 46033 $26.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #1TITLE AMOUNT Board Members 1115 43- 430.02 $26.00 I 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 Wednesday, March 24, 2010 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)) 03/24/10 I I I $26.00 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