190861 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 360934 Page 1 of 1
ONE CIVIC SQUARE CAMERON MASON
CARMEL, INDIANA 46032 3943 S 400E CHECK AMOUNT: $744.40
TIPTON IN 46072 CHECK NUMBER: 190861
CHECK DATE: 10/13/2010
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 744.40 EXTERNAL TRAINING TRA
CarteGraph AUG 0 2 2010 Invoice
CarteGraph Systems, Inc. 33018
3600 Digital Drive Dubuque, Iowa 52003
7/23/2010
FEIN: 42- 1419553
City of Carmel, IN City of Carmel, IN
Attn: Cameron Mason Attn: Cameron Mason
3400 W 131 st Street 3400 W 131 st Street
Carmel IN 46074 Carmel IN 46074
For Billing Questions, Please Call Mary Jo at 563- 556 -8120, ext. 6123.
P.O. Number Customer 1.b. Payment Terms LICENSEE (if different than above)
CARMECIIN Net 30
Ship Date Ship Via
112-372010 us mAiL
Quantity item Type Item Description Unit Price Extended Price
1.00 UCOOOOOOOOOOOOO Cartegraph CONNECT 2010 549.00 $549.00
Subtotal $549.00
Thank you for your purchase! $0.00
Shipping
Sales Tax $0.00
Accounts that are past due will be assessed a monthy 1.5% finance charge
retroactive from the invoice date
]Balance: $549.00
ail
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Grandi faMor
R E S O R T A N D W A T E R P A R K
Cameron Mason Charge Summary
3400 W 131st St Total Charges $267.00
Carmel, IN 46074 Taxes $32.04
USA Payments 4299.04
Total Due $0.00
Guest 343501
Room 440
Arrival: 10/4/2010 Departure: 10/7/2010 We !rope you have enjoyed your stay with us.
Adults: 1 Children: 0 Infants: 0
We took forward to seeing you again!!
Group: Cartegraph Group
Extended Total
Date Description Price Otv Cost Tax I Tax 2 Charge Balance
Mon 10 /4/10 Adv. Dep. Rcv. CHECK 189801 299.04 1 -299.04 0.00 0.00 299.04 299.04 1
Mon 10 /4 /10 Nightly Chg. Room 440 89.00 1 89.00 10.68 0.00 99.68 199.36 1
Tue 1015110 Nightly Chg. Room 440 89.00 1 89.00 10.68 0.00 99.68 -99.68 1
Wed 10 /6 /10 Nightly Chg. Room 440 89.00 1 89.00 10.68 0.00 99.68 0.00 1
350 Bell Street, Dubuque, 1A 52001 The Port of Dubuque
Tel: (563) 690 -4000 Fax: (563) 690 -0558
www.grandharbor
Folio Printed On: Thu, 10 /7/10 3:05AM Page# 1
350 Bell Street
Dubuque, Iowa 52001
(563) 690 -4000
Cameron Mason Arrival Monday Oct 4, 2010
3400 W 131st St Departure Thursday Oct 7, 2010
Carmel, IN 46074
Nights 3 Adults 1
USA
Room Type Requested Two Doubles (Non -Smk
Platinum Club
Group Cartegraph Group
Available Points
Confirmation 343501
Guaranteed Confirmation Thank you!
Thank you for choosing Grand Harbor Resort for your accommodations. The credit card above
guarantees this reservation. Your account may be settled with a credit card presented at check -in
or by cash. Functions may be held at the Resort or at the Grand River Center. The Grand River
Center is connected to the Grand Harbor via climate controlled second floor sky walk.
During your stay, enjoy a great view and meal in our on -site restaurant, The RiverWalk. Take a
relaxing break with a stroll along the Mississippi River. You may catch a glimpse of the local wild Charge Summary
life! If time allows, visit one of the many area attractions, such as the Diamond Jo Casino or the
National Mississippi River Museum Aquarium which are both within walking distance. Total Room Charge $267.00
Taxes $32.04
Please note that if you are reserving more than one room, check -in for guest rooms and issuance
of room keys will be limited to the guest whose name and address appear on this confirmation. Total Balance Due 299,04
Identification will be required. Please contact our reservations department at least 72 hours prior
to arrival with complete names and address information if you wish to grant another individual
access to your confirmed resen ation.
Cancellation Police: Reservation must be cancelled prior to 72 hours (3 days) of the arrival date.
Cancellations made within 3 days of the arrival date will result in a penalty one night's room
charge. Additional restrictions and penalties apply for weekends and Holidays.
This is a guaranteed reservation and is subject to all cancellation policy and fees.
We look forward to seeing you on: Monday Oct 4, 2010
Check -in 4:00 pm. Check -out 11:00 am.
Room Rate Detail
Date Description Room Rate of Days Total Room Charge
Mon 10/4/10 Group Rate Single 89.00 1 89.00
Tue 10 /5 /10 Group Rate Single 89.00 1 89.00
Wed 10/6/10 Group Rate Single 89.00 1 89.00
Total Room Charge 267.00
Group Confirmation Confirmation Printed On: 9/3/2010
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Return Date: Nov L J 11 0 12 pm Ll
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A Nov 06, 2010 Nov 06, 2010
Exrlus affers=dsmm AMERICAN AIRLINES 4053 ORD Chicago 05:40 PM Dap Dubuque 06:30 PM ER4
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Fare Summary
Average Fare per Person: 358.00 USD
Passenaer_Type Used in Prictra Adult
Fare per Person 358.00 USD
Total Fare cer Person 358.00 USD
Additional Taxes and Fees per Person SD
Total Price 400.80 USD
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: _Cameron Mason DEPARTURE DATE: IoW 10 TWE:
DEPARTMENT: STREET t� II A RETURN DATE: 10j 1 I d TIME: AM M
REASON FOR TRAVEL: X_TRAINING 'tN L 1XVIL c DESTINATION CITY: Chicago, IL
EXPENSES ARE FOR (check all that apply): TRAVEL ANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM _X_
83 {rs d x 50 t' 07 l
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/3/10 $209.70 $65.00 $274.70
10/4/10 $65.00 $65.00
10/5/10 $65.001 $65.00
10/6/10 1 $65.00 $65.00
10/7110 $209.70 $65.00 $274.70
$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 $0.00 $419.40 $0.001 $0.00 $0.001 $0.001 $0.00 $0.00 $325.00 $0.00
DIRECTOR'S STATEM T: I hereb affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: 7- c Date:
City of Carmel Form ER06 Revision Date 10/8/2010 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: N
City of Carmel Form ER06 Revision Date 10/8/2010 Page 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cameron Mason
IN SUM OF
c/o Street Department
$744.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 43- 430.02 $744.40 1 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
Friday, October 08, 2010
i
Street, Commissioner
Street (,C?mmiccinno.
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))
10/08/10 $744.40
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