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193124 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 133000 Page 1 of 1 ONE CIVIC SQUARE JEFFREY J HORNER CHECK AMOUNT: $889.56 CARMEL, INDIANA 46032 CHECK NUMBER: 193124 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4343002 889.56 EXTERNAL TRAINING TRA �b�tv OF Cgq' w CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Jeffrey Horner DEPARTURE DATE: 12/7/2010 TIME: 10:30 AM/PM DEPARTMENT: Police RETURN DATE: 12/912010 TIME: 11:00 AM/PM REASON FOR TRAVEL: Training DESTINATION CITY: Las Vegas EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Lj Transportation Gas/Tolls/ Meals `r Date Lodging Misc. 1 'T't'�! Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Die 12/7/10 $299.40 $6.00 $178.08 $65.00 �$544�48 12/8/10 $178.08 $65.00$2430$ 12/9/10 $6.00 $27.00 $65.00 R$9819-0 $0:00 $000 d .$,o 00 moo $0;00 T Woo i=1 v. t �fi ,'auras ei m S x,;,.:$299.44 $0.00 50', $O.O,U ©,00...$b.OQ $0`0.0 ,.3., 00 �:x $12,00 $27� 00,_ $316. 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 12/13/2010 Page 1 `1west Airlines Purchase Confirmation Pagel of 3 THv�.COW Thank you for your purchase! Air Confirmation: X3RJF4 Hotel Confirmation: 131019877 Indianapolis, IN to Las Vegas, NV (12/07/2010 12/10/2010) Air Hotel Car Conf X3RJF4 Conf 131019877 Choose from 14 different Air. Total $598.80 Hotel Total $477,00 rental companies. Browse cars Total Paid Now $598.80 Total Remaining $477.00 Trip Total $1075.80 Air Passenger Type Name Confirmation Number Rapid Rewards Number ADULT JEFFREY HORNER X3RJF4 00000415767741 ADULT ANGELA HORNER X3RJF4 None Entered ITINERARY DEPART Indianapolis, IN to Las Vegas, NV #3588 Depart Indianapolis, IN (1ND) 12:25 PM DEC 1'uesday, I:)ecernber 7, 2010 Arrive in Las Vegas, NV (LAS) 1:40 PM 7 'I'nvel 1'ime4 h 1.5 m (Nonstop) Add EarlyBird Check -In RETURN Las Vegas, NV to Indianapolis, IN #432 Depart Las Vegas, NV (LAS) 1:50 PM DEC Friday, Deeembcr J -0, 2010 Arrive in Indianapolis, IN (IND) 8:25 PM 10 !'ravel Time 3 h 35 IT] (Nonstop) Add EarlyBird Check -In PRICE httDs: /www. southwest. com/ reservations confirm- reservations.html ?disc =0 %3A 18 %3A 1291034... 11/29/2010 thwest Airlines Purchase Confirmation Page 2 of 3 Passenger Type Trip Routing Fare Type Base Fare Govt. Taxes Quantity Total and Fees Adult Depart IND -LAS Wanna Get Away $129.30 $20.40 2 2 4 Adult Retum LAS -IND Wanna Get Away $129.30 $20.40 2 299.4 Please read the fare rules associated with this purchase. Effective January 28, 2011, unused travel funds may only be applied toward the purchase of $258.60 $40.80 2 $598.80 future travel for the individual named on the ticket. Total $598.80 Hotel Guest Confirmation Number JEFFREY HORNER 131019877 ITINERARY DEC Check -in Bellagio Room Description 7 Tuesday, December 7, 2010 3600 Las Vegas Blvd South Las Vegas, Deluxe room 510 sq. Ft featuring 1 3:00 PM NV 89109 US king or 2 queen beds. DEC Check--out 10 Friday, December 10, 2010 12:00 PM PRICE Night Rooms Rate Tue Dec 7, 2010 1 $159.00 Wed Dec 8, 2010 1 $159.00 Thu Dec 9, 2010 1 $159.00 Taxes Fees Unavailable Total $477.00 DETAILS Payment Policy: Deposit Learn more Cancellation Policy: CANCEL BY 1.1PM AND 05- DEC -10 TO AVOID PENALTY Hotel is solely responsible for fulfilling all reservations. https /www. southwest. com reservations /confirm- reservations.html ?disc =0 %3A 18 %3A 1291034... 11/29/2010 Sl thwest Airlines Purchase Confirmation Page 3 of 3 Billing Purchaser Name Billing Address Jeffrey Homer 12617 Royce Ct. Carmel, IN 46033 Form of Payment Amount Applied ,dIIQjFYWMxxxxxxxx93M $598.80 Total Paid Now $598.80 Total Remaining $477.00 Trip Total $1075.80 h"s://www. southwest. com/ reservations confirm- reservations.html ?disc =0 %3A 18 %3 A 1291034... 11/29/2010 e- -r"' 4��' I G 1 0 L A S V E G A S Room No. 04003 Jeffrey Horner Conf No. 131019877 12617 Royce St Arrival 12/07/10 Carmel, IN 46033 Departure 12/10/10 DATE DESCRIPTION CHARGES CREDITS 12/07/10 Deposit Applied 178.08 12/07/10 Room Rate 159.00 12/07/10 BEL Room Tax 12% 19.08 12/08/10 Room Rate 159.00 12/08/10 BEL Room Tax 12% 19.08 12/09/10 Room Rate 159.00 12/09/10 BEL Room Tax 12% 19.08 12/10/10 356.16 XXXXXXXX XX /XX Total 534.24 534.24 Balance 0.00 i7 c. Js k vF '�4-- "s4�'..a "li�'�,'� �Ql '�r Yx'•+,- .'.�`'F' ti✓�".`*�,.�u, i��,ra'L q �}l�;e �y ]ha r't'a:. 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Y�,•1 I YY tI�I,, i ,�I,, r rl,,, I,• i� r ei:• VB `E OF A"ITENDANCE r• ems' Worfi,,v,& Vio 00 SpHR a�A a p+ as The Delp Center December 8 -9, 2010 Las Vegas, Nevada �`�fcatio�+ ti t Recertification Credit Hours Awarded: 8.25 This program,ORG- PROGRAM- 80056, has been approved for 8.25 (General) recertification credit hours toward. PHR, SPHR and GPI- IR,recertification through the HR Certification Institute. Please be sure to note the program ID cumber on your recertification application form. For more infounation about certification or recertification, please visit the HR Certification Institute website at zz- www.hrci.ora The use of this seai is not an endorsement by the HR Certification Institute of the quality of the program. 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ALLOWED 20 Je€€&Py Horner L IN SUM OF $889.56 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1201 120710 120910 43- 430.02 $889.56 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 Monday, December 20, 2010 Director, HR 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)) 12/07/10 1 120710 120910 $889.56 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 1 20 Clerk Treasurer