191141 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363885 Page 1 of 1
0 ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $707.24
CARMEL, INDIANA 46032 CIO UTILITIES
CHECK NUMBER: 191141
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
601 5023990 442.02 OTHER EXPENSES
651 5023990 265.22 OTHER EXPENSES
aF CARM...
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CITY OF CARMEL Expense Report (required for all travel expenses)
✓NDIANP
EMPLOYEE NAME: C✓��C GAMPBEI�� DEPARTURE DATE: 10� l9� I TIME: M PM
DEPARTMENT: �'Ttl. S RETURN DATE: 1 td TIME: 1 1 AM
REASON FOR TRAVEL: DESTINATION CITY: DAu.vS '17C
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM y
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Taxi Parking Breakfast Lunch Dinner Snacks Per Diem
10/19/10 $24.00 $24.00
10/19/10 $211.12 $211.12
10/19/10 1 $60.00 $60.00
10/20/10 $211.12 $211.12
10/20/10 $60.00 $60.00
10/21/10 $27.00 $27.00
10/21/10 $60.00 $60.00
10/21/10 54.00 $54.00
$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 $54.00 $54.00 $422.24 $0.00 $0.00 $0.00 $0.00 $180.00 $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 10/25/2010 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)
I
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 ERO6 Revision Date 1012512010 Page 2
GAYLORD TEXAN"
RESORT CONVENTION CENTER
SCOTT CAMPBELL.---.-
121 SHOSHONE DR,
CARMEL IN 46032
PAGE 1
ARRIVAL 10/19/10
DEPARTURE 10/21/10
NO. IN PARTY I
GROUP I.D. C -HCS10
RESV NUMBER 403996602535
ROOM AA 3190 FOLIO NUMBER 404702075879 STATEMENT DATE 10/21/10
DATE REFERENCE DESCRIPTION CHARGES CREDITS BALANCE
10/19/10 404699000810 RESORT FEE 16.24
RESORT FEE 16.24
10/19/10 404699000811 SELF PARKING I
NO CAR 16.24
10/19/10 404699003223 ROOM CHARGE AA 3190 174.00
TAX 20.88 211.12
10/20/10 .4047090007.74 RESORT FEE 16.24
RESORT FEE 227.36
10/20/10 404709000775 SELF PARKING
NO CAR 227.36
10/20/10 404709002882 ROOM CHARGE AA 3190 174.00
TAX 20.88
10/21/10 404712119152
Thank you for staying with us! BALAN DUB .00
fl90II (Wouto X80 0 OmywBma 1 960Qfl 0 9)8 0 0 �y�, p ®a�ll(boQaOdo¢oan
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Express Check O
Thank you for staying at Gaylord 'Texan R.esort Convention Center.
Our records indicate that you will be departing today.
Providing credit was established at check -in., we offer a quick
and seamless method of'checkout that does not require you to
visit the Front l7esk before your departure.
You may utilize our in -room v dl o checkout, or visit one of our kiosks
located In. the main lobby and the convention area. In addition,
we also offer voice mail checkout by dialing extension 82626.
Please take this bill for your records. If you have an automobile,
please take your guest room key to exit front any parking.
Any charges incurred after your departure
will be charged to your credit card.
If we can be of further assistance, please do not hesitate to
Contact the front D sk. Touch
Ike hope your have cnjIoycd your stay arul
wish you a safe jo1,rrney` how.
Pagel of 2
Monday, October 25, 2010
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10/22/2010 10/24/2010 Sale INDIANAPOLIS AIRPORT AUTH(Travel) 24299100295002237523434 $54.00
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10/21/2010 10/24/2010 Sale GAYLORD TEXAN FRONT DESK(Lodging) 24610430295004030003054 $422.24
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I
InHANCE CIS
CONFERENCE REGISTRATION
REGISTRANT INFORMATION (one registrant per form)
Organization: C#A[? -ME(_ UTt I-l'r t eS
Address: 760 3Ro P►VeNVe_ SW
City: CtMG t +6o3
Registrant Name: Title: McTr.� C� fo�t�K.yEKV
Phone Number: l 2 4{ Fax Number: Sl-1 L 2-
Email Address: SGawaral'B6l e, e're .&I. Crl• 0✓
I am bringing guests) prices below
Guest Name(s):
SESSIONS
TRA CK 3
Sessions Sessions Sessions
DAY 1 0 20 3 4 5 6 10 O O 3 4 5 6
DAY 2 7® 9 10 A 7 9 10
DAY 3 11 12 11 12 11 12
FEES
Early Registration Late Registration On -Site Registration TOTAL
Received by July 31" August 1 September 30` After October I"
ATTENDEE $850.000SD $1000.00USD $1,150.000SD
GUEST $175.000SD $200.00USD $225.000SD
TOTAL FEES DUE $Sb• ov
Registration forms wilt not be processed until payment is received. You will not receive an invoice.
Attendee fees include admission to all Sessions, Exhibits, Partner Showcase, Support Center and conference sponsored meals.
Guest fees include the Cocktail Reception on Wednesday evening and the Banquet on Thursday evening ONLY.
Registrations received after July 31 2010 will not receive conference giveaways.
METHOD OF PAYMENT
Check
(Checks should be made payable to HARRIS COMPUTER SYSTEMS) 'VIS4
W
O Credit Card 1. Credit card payment can be made HERE
2. Attach a copy of the confirmation page to the registration or
record your confirmation number below.
Confirmation Number:
HOW TO REGISTER
MAIL: Harris Computer Systems Fax: (613) 226 -3377
Attn: Terry Valliquette Email: tvalliquette @harriscomputer.com
1 Antares Drive, Suite 400
Ottawa, Ontario, Canada
K2E 8C4 r
a
inHANCE CIS
CONFERENCE DETAILS
Conference sessions will begin on Wednesday, AGENDA AT A GLANCE
October 20` 2010 and conclude on Friday, October 22
2010.
Tuesday, October 19 2010
ATTENDEES: 5:30pm 7:3Opm Registration
The registration fee includes: th 2010
Admission to all conference sessions and exhibits Wednesday, October 20
Partner Showcase 7:30am 8:45am Registration Breakfast
Support Center 8:45am 10:15am Opening Address
All conference sponsored meal and social functions (as 10:15am 10:30am Break
outlined in the Agenda) 10:30am 11:30am Business Unit Opening Address
The 'Early Bird' registration fee is $850USD. 11:30am- 12:30pm Lunch
12:30pm 1:30pm Session 3
GUESTS: 1:40pm- 2:40prn Session 4
The guest registration fee includes: 2:40pm MOM Break
o Admission to the cocktail reception on Wednesday 3:00pm 4:0013m Session 5
evening 4:10pm- 5:10pm Session 6
Admission to the banquet on Thursday evening 6:00pm 8:ODpm Cocktail Reception
This fee is intended for use by registered attendee's spouse
or guest and is not for use by co- workers. The 'Early Bird' Thursday, October 21 2010
guest fee is $175USO. 7:30am 8:45am Breakfast
Registration forms will not be processed until 8;45am 10:15a m Session 7
payment is received. 10:15am 10:30am Break
10:30am 12:OOpm Session 8
Registrations received after July 31 2010 will be subject to 12:00pm 1:0013m Lunch
the 'Late' fee. Registrations received after October 1 1:00pm 2:30pm Session 9
2010 will be subject to the 'On -Site' fee. 2:30pm 2:45pm Break
2:45pm 4:15pm Session 10
NOTE: you will receive an email confirmation that your 6:00 m 10:0010m Cocktail Reception Banquet
registration form was received, if you do not receive an p
email, please email tvalliguette harriscomputer.com to Friday, October 22 2010
verify we received your registration. 7;30a m 8:45am Breakfast
A full refund will be provided if a written cancellation is 8:45am 10:15am
Session 11
received before July 31", 2010. No refunds will be provided 10:15am 10:30am Break
for cancellations received after July 31 2010. 10:30am 12:0010m Session 12
12:00pm 1:00pm Lunch Closing Remarks
1:0Opm 2:30pm Session 13
i Bill
A Fa
ADS
A.",
FoPrescrd by rm No. 301St-S (e9oRev. 1995) oCaunts .ACCOUNTS PAYABLE VOUCHER
Form 307 7995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5-11-10-1.6.
z:
Officer ✓Title
VouAer No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
'SANITATION DEPARTMENT ACCT
CARMEL, INDIANA NO
S yl� "or of
C 0
Total Amount of Voucher
Deductions
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYGF FORMS SYST17M$ b800- 382 -8702 325
Prescribed by State Board of Accounts
Form No. 301 Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
19
Signature Title
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.
c vim'
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
5-011 01 1 1avor Of
Total Amount of Voucher
Deductions
Amount of Warrant
Month of 19.
Acct.
VOUCHER RECORD No.
Source of Su pply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation -Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS -SYSTEMS 1- 800 -3B2 -8702 325