HomeMy WebLinkAbout184716 04/27/2010 r
CITY (f F CARMEL, INDIANA VENDOR: 355677 Page 1 of 1
r ONE CIN IC SQUARE ANGELINA CONN CHECK AMOUNT: $824.87
CARME I DIANA 46032 CHECK NUMBER: 184716
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO N UMBE R INV OICE NUM AMOUNT DES CRIPTI ON
1192 4343002 599.87 EXTERNAL TRAINING TRA
1192 4343004 225.00 TRAVEL PER DIEMS
00 C,6q
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Angelina Conn DEPARTURE DATE: 4/9/2010 TIME: 2:30 PM
DEPARTMENT: ROCS RETURN DATE: 4/13/2010 TIME: 11:00 PM
REASON FOR TRAVEL: National Planning Conference DESTINATION CITY: New Orleans, LA
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X
Date Transportation axi Gas /Tolls/ Meals
Parkin Lodging Misc.- Total
Air -fare Car Rental Other
Breakfast Lunch Dinner Snacks Per Diem t3Ggs,ctirck2�
4/9 -4/13 $36.00 $453.87 $20.00 $509.87
4/9/10 $35.00 $30.00 $65.00
$0.00
4/11/10 $65.00 $65.00
4/12/10 $65,00 $65.00
4/13/10 $35.00 $65.00 $20.00 $120.00
$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
Tr, #al $0001 $0100 $70.00 $36;00 $453,87 $OA0 $0:00 $0.00 $0,00' $225 :00 $40.00
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 4/15/2010 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 $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 $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 $65 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of ';Zq '�1 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: U _Date:
City of Carmel Form EROS Revision Date 4/15/2010
Page 2
04 -13 -10
Angelina Conn Folio No. 71534 Cashier No. 6 Room No. 1111
1340 N Dequincy St A/R Number Arrival 04 -09 -10
Indianapolis, IN 46201 -1824 Group Code Departure 04 -13 -10
us Company goverment Conf. No. 64175116
Membership No. PC 726753126 Rate Code IIVIGOV
Invoice No. Page No. 1 of 1
Date I Description Charges Credits
04 -09 -10 Room Accommodation 133.00
04 -09 -10 State Occupancy Tax 11.97
04 -09 -10 Flat Tax 1.00
04 -09 -10 City Occupancy Tax 5.32
04 -10 -10 Room Accommodation 133.00
04 -10 -10 State Occupancy Tax 11.97
04 -10 -10 Flat Tax 1.00
04 -10 -10 City Occupancy Tax 5.32
04 -11 -10 Room Accommodation 133.00
04 -11 -10 State Occupancy Tax 11.97
04 -11 -10 Flat Tax 1.00
04 -11 -10 City Occupancy Tax 5.32
04 -12 -10 Suite Shop 2.00 v
04 -12 -10 Room Accommodation 133.00
04 -12 -10 State Occupancy Tax 11.97
04 -12 -10 Flat Tax 1.00
04 -12 -10 City Occupancy Tax 5.32
04 -13 -10 607.16
Thank you for staying at Staybridge Suites by Holiday Inn New Orleans. Qualifying points for 'Total 607.16 607.16
this stay will automatically be credited to your account. To make additional reservations
online, update your account information or view your statement please visit www.
priorityclub.com. We look forward to welcoming you back soon. Balance 0.00
5 8
g
Guest Signature:
1 have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
Staybridge Suites New Orleans501 Tchoupitoulas StreetNew Orleans, LA 70130Telephone: (504) 571- 1818Facsimile: (504) 571 -1811
Order Receipt Page 1 of 1
2010 National Planning Conference
Conference Registration Receipt
name: Angelina V. Conn
APA ID: 133101
Receipt Date: 12/3012009 �y �y
Order Items 5A y
1 M002 Conference Only (April 11 -13) $595.00
1 P900 Awards Luncheon Invitation $0.00
Sub -total 595.00
Payment
Expires 03/11
Total
Amount Paid $595.00
On -Site Registration Things to Remember
Don't forget to pick up your conference materials in the
Friday, 1:OOpm S:OOpm Ernest N. Morial Convention Center, outside of Hall A.
Saturday, 7:OOam S:OOpm
Sunday, 7:00am 5:00pm
P Monday, 7:OOam 4: 00pm
Tuesday, 7:00am 12.00pm
(c)2005 APA. All Rights Reserved Print Contact Us Privacy Statement FAQs Legal
http. /Iplanning.org /conference/ registration /receipt.htm ?EventID= 8666 &TRANS_N UMB... 12/30/2009
E-Mail: confregistrationoplanning.org
Phone: 312 -431 -9100
Fax: 312 -786 -6735
American Planning Association Federal ID Number: 52- 1134021
Making Great Communities Happen
Meeting Confirmation Notice
133101 March 20, 2010
Angelina V. Conn
Urban Planner
City of Carmel Ping Zoning
1340 n dequincy st
indianapolis, TN 462.01
United States
2010 APA National Planning Conference Welcome to the world's premier educational event for planners and
planning officials, With hundreds ofsessions, workshops, mobile workshops, and networking events.
Dear Angelina:
You are registered for the following. Date Time Quantity Amount
M002 Conference Only. (April l I -13) Sunday, April 11, 2010 12:00:00AM 1 595.00
5700 Opening Keynote Sunday, April 1 1, 2010 8:45:OOAM 1 0.00
5429 Sustainable Water Recycling Sunday, April 11 2010 10:30:OOAM l 0.00
5446 T1P's Past, Present, and Future Sunday, April 1 I, 2010 1:00:OOPM 1 0.00
5451 Grid /StrceUPlace and Sustainable Urbanism Sunday, April 1 1, 2010 2:30:OOPM 1 0.00
S424 New Orleans's 21 st Century Master Plan Sunday, April 11, 2010 10:30:OOAM 1 0.00
S461 Sustaining Aging Sunday, April 11, 2010 2:30:OOPM 1 0.00
5465 Environmental Requirements and Rural Highway Sunday, April 1 I, 2010 4:00:OOPM 1 0.00
Corridors
S470 From Boomburg to Build Out Sunday, April I L 2010, 4:00:OOPM 1 0.00
P900 Awards Luncheon Invitation Monday, April 12, 2010 12:00:OOPM 0.00
5495 The Future of the Housing Market Monday, April 12, 2010 9 :00:OOAM I 0.00
5504 Unconventional Approaches to Public Involvement Monday, April 12, 2010 9:00:OOAM 1 0.00
5509 Engaging the Public Using Technology Monday, April 12, 2010 10:30:OOAM 1 0.00
5530 Progressive Place -Based Planning in College Monday, April 12, 2010 2:30:OOPM 1. 0.00
Towns
5531 Street Design and the Fire Code Monday, April 12, 2010 2:30:OOPM 1 0.00
S534 Cold Cash for Bonus Densities Monday, April 12, 2010 4:00:OOPM 1 0.00
S541 Planning for Sustainable Communities Monday, April 12, 2010 4:00:OOPM 1 0.00
5586 Rethinking Urban Freeways Tuesday, April 13, 2010 9:00:00AM 1 0.00
S583 Leading from the Middle Tuesday, April 13, 2010 9:00:OOAM 1 0.00
S593 Living Below Sea Level Tuesday, April 13, 2010 10:30:OOAM 1 0.00
5702 Closing Keynote Tuesday, April 13, 2010 12:00:OOPM 1 0.00
Total 595.00
Credit. Card Payment(s) 595.00
Balance 0.00
AFFIDAVIT
Relating to Reimbursement for Taxi Payment in New Orleans
On April 9, I paid $35 cash in order to to take a taxi from the New Orleans airport to my
hotel, and on April 13, I paid $35 cash in order to take a taxi from my hotel to the New
Orleans airport.
The undersigned agrees that the aforementioned is true and accurate.
Signed:
Angie Conn
(Typed)
STATE OF INDIANA
County of 0 SS:
Before me the undersigned, a Notary Public for t�CS�
(county of residence)
County, State of Indiana, personally appeared kv .e- cm rN
(name of person)
and acknowledged the execution of the foregoing instrument this
S t day of l 2010.
ry Public ignature
V PU
CANDY L. MARTIN
SEAL County of Res: Hamilton
My Comm. Expires 08 -26 -2011
3 N D i Comm, No. 527232
026 rd ed or Typed)
My Commission Expires:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Angie Conn
IN SUM OF
C/O One Civic Square
Carmel, IN 46032
$824.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.02 $599.87 1 hereby certify that the attached invoice(s), or
1192 43- 430.04 $225.00 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, Aril 26, 2010
ector, DOC
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
04/23/10 Hotel, luggage, taxi and parking fees, Angie, APA, New Orlea $599.87
04/23/10 Travel Per Diems Angie APA New Orleans $225.00
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