185970 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351060 Page 1 of 1
ONE CIVIC SQUARE DENNIS STILTS
0 CHECK AMOUNT: $564.00
CARMEL, INDIANA 46032 cio cccc
cro cccc CHECK NUMBER: 185970
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 547.00 EXTERNAL TRAINING TRA
1115 4343004 17.00 TRAVEL PER DIEMS
Q 7xr�ex I F
CITY OF CARMEL Expense Report (required for all travel expenses)
MA�w i
NAME Dennis Stilts START DATE 5/15/2010 TIME: 04:00 AM PM
Carmel Clay Communications Center RETURN DATE: 5/20/2 TIME: 02:00 AM PM
LOCATION New World Conference San Diego
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5/15/10 $23.00 $38.00 $65.00 $126.00
5/16/10 $65.00 $65.00
5/17/10 $65.00 $65.00
5/18/10 $65.00 $65.00
5/19/10 $23.00 $38.00 $65.00 $126.00
5/20/09 $100.00 $100.00
$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
Totai $46.00 $0.001 $76.00 $0.001 $0.00 $0.001 $0.001 $0.00 $0.00 $325.00 $100.00 i
DIRECTOR'S STATEMENT: I m that all a nse t 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 5/24/2010 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 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: Date:
City of Carmel Form ER06 Revision Date 5/24/2010 Page 2
New World Systems®
kF6+
The Public sector soflu�are Coutlmn
April 30, 2010
Dennis Stilts
Supervisor, CAD Support
Hamilton County Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032
Dear Mr. Stilts,
The 2010 New World Systems Aegis Executive Customer Conference is just around the corner! We are
excited you will be joining us in San Diego May 16 18 for this informative and fun event.
Your hotel room is reserved at the Hotel del Coronado for arrival and departure on the following dates:
Saturday, May 15, 2010— Wednesday, May 19, 2010
Your confirmation number is 7898942.
The Hotel del Coronado is located at 1500 Orange Avenue, Coronado, CA 92118. The phone number is
(800) 468 -3533.
Your conference registration fee includes hotel accommodations for Sunday and Monday nights only. You
will be responsible for additional nights reserved as well as any incidentals you incur.
If you will be accompanied by a guest who is 21 years of age and older, please make sure we have his /her
name to provide him /her with a guest badge for entrance to conference meals, Meet Greet Welcome
Dinner and the Peer -2 -Peer Networking Event. Guests under the age of 21 are not permitted at any
conference events or meals.
If you have not already paid for your participation in the conference, we ask that you do so prior to the start
of the conference by sending a check directly to New World Systems. If this is not possible, we will accept
payment during the conference registration. Please note that we do not have credit card payment
capability.
Enclosed in this packet you will find the conference agenda as well as other important information
pertinent to the conference.
If you have any questions, please feel free to call me at 248 -269 -1000, ext. 1248.
We look forward to seeing you in San Diego!
Sincerely,
Thor Diachenko
Director of Marketing
New World Systems Corporation
Corporate: 888 West Big Beaver Road ,Suite 600 Trot, Michigan 48084 -4749 248- 269 -1000 zvww.netvworldsYsterns.coin
J.
Since Last Statement
Show
Show Me my account activity
Trans
Date v Post Date Type Description Transaction Number Amount
05/18/2010 05/20/2010 Sale USAIRWAYS 24792620139642000560789 $23.00
0372389142021 (Travel)
05/14/201005/16/2010Sale USAIRWAYS 24792620135642000495386 $23.00
0372388673961 (Travel)
L����- p
Prescribed by State Board of Accour!s General Form No. i0i {i955;
MILEAGE CLAIM
TO DR.
(Governmental Unit)
Cc— U� S On Account of Appropriation No. 43r) b for Jt&`'
,Office, Board. Department or Institution)
DATE FROM TO
ODOMETER READING' NATURE OF BUSINESS l Au I V MILES MILEAGE _2 J
20 Point Point Start Finish TRAVELED PER MILE
d J S3
Auto License No. TOTALS DO
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 ciai. s legally due, after
allowing all just
credits, and that no part of the same has been paid.
Date
Clam No. Wmant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
Q 1 0
p C:
C v
Allowed 20 (D o
0 K
in the sum of o
CD
N CD
C r.-rr
CD �m rn
m
(D
(D ��B
(Board or Commission) I N N Q
J (D
FILID `C
n CD
C)
a¢�
C I
�N C
C
(Official Title)
(D
O CD
Ln
a
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dennis Stilts
IN SUM OF
41 Druid Hill Court
Carmel, Indiana 46032
$564.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $547.00 1 hereby certify that the attached invoice(s), or
1115 43- 430.04 $17.00
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, May 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))
05/24/10 $547.00
05/24/10 $17.00
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
Cierk Treasurer