HomeMy WebLinkAbout186516 06/09/2010 o ff Q q 4. CITY OF CARMEL, INDIANA VENDOR: 00350336 Page 1 of 1
Q� ONE CIVIC SQUARE AMY J. STEIN CHECK AMOUNT: $275.90
CARMEL, INDIANA 46032 10160 GLEN ABBEY LANE
FISHERS IN 46036 CHECK NUMBER: 186516
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 IOWA 275.90 TRAINING SEMINARS
CITY OF CARMEL Expense Report (required for all travel expenses)
�`NDIANp=
EMPLOYEE NAME: Amy Stein DEPARTURE DATE: 5/25/2010 TIME: 11:00 A 1 PM
DEPARTMENT: Police RETURN DATE: 5/28/2010 TIME: 8:00 AM
REASON FOR TRAVEL: MATAI Conference DESTINATION CITY: Coralville, Iowa
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals misc.Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
4,,
5125/10 $5.30 $65.00 1$70:30
5/26/10 $5.30 $65.00 2,R
5/27/10 $5.30 $65.00
5128/10 $65.00 .$65:'00
WOO
m $0:00
W
:$0M
N Ti $0.00
K �6 $0:00
h:$000
x,$0:00
x$0:00
$0.00
$Q00
.t 0;00
E x 15.9@ O QQ y 0` @0 QO u$0 00 P_ .$260 00 e �$p''AO
�a x$0,.00. $0 00 T�. $0: @0 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 5/29/2010 Page 1
Aarnott. GUEST FOL10
CORALVILLE
HOTEL 6 CONFERENCE CENTER 300 East 9th Street, Cora lviIle, IA 52241 319.688.4000 Marriott.com /CIDIC
�r
713 STEIN /AMY 70.00 05/28/10 12:00 2164 2812
Room Name Rate Depart Time ACCT# GROUP
NQQG 05/25/10 17:35
Type Arrive Time
33 3 CIVIC SQUARE
CARMEL IN 46032 MR 581415171
C lerk Address Payment
03/23 ADVDP -CA CK183244 235.20
05/25 RBLOUNGE 8664 713 OrSO —P)
05/25 PARKING HL 5.0
05/25 SALES TX HL.
05/25 GPN "ROOM 713, 1 70.00
05/25 STATE TX 713, 1 3.50
05/25 OCC TAX 713, 1 4 40
05/26 PARKING AH 5.00
05/26 SALES TX AH .30
05/26 GP ROOM 713, 1 70.
05/26 STATE TX 713, 1 3.50 �fl
05/26 OCC TAX 713, 1 0��
05/27 PARKING AG 5.0
05/27 SALES TX AG .30
05/27 GP ROOM 713, 1 7
05/27 STATE TX 713, 1 3.50
05/27 OCC TAX 713, 1 4.90
22.97
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
LMATESOCARMEL.IN.GOV
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Marriott Rewards Account 581415171
Date 05/25 /10- 05/28/10 Est. Eligible Revenue $232.07
Est. base Points Earned: 2321
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credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on ibis account, you will owe us such amount. If you
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per month (ANNUAL RATE 18%), or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Amy J. Stein Purchase Order No.
10160 Glenn Abbey Lane Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/3/10 reimburse Sgt Amy Stein for meals and parking while 275.90
attending the MATAI Conference on May 25 28, 2010
in Coralville, lA
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Affiy J. Stein
IN SUM OF
10160 Glenn Abbey Lane
Fishers, IN 38
275.90
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 275.90 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
June 3 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund