HomeMy WebLinkAbout196758 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00352429 Page 1 of 1
ONE CIVIC SQUARE MINDY COLLINS
CHECK AMOUNT: $1,436.78
ra CARMEL, INDIANA 46032 cro CCCc
crocccC CHECK NUMBER: 196758
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
1115 4343004 1,436,78 TRAVEL PER DIEMS
�1Y OF GqA�
G rQ ..arne�y�p l
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
EMPLOYEE NAME: _Mindy Collins DEPARTURE DATE: TIME: M
DEPARTMENT: b /1 CI U4 11111 j(�r7 1 &BLS �Lk RETURN DATE: 3 z b 1 I TIME: AM PM
REASON FOR TRAVEL: N �,awt .er DESTINATION CITY: L ts S t v r7(..
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
4117111 $6.50 $166.88 3z 5 -W $238.38
4/18/11 $166.88 $65.00 $231.88
4/19/11 $166.88 $65.00 $231.88
4/20/11 $166.88 $65.00 $231.88
4/21/11 $166.88 $65.00 $231.88
4/22/11 $166.88 $65.00 $231.88
4/23/11 $6.50 $65.00 $71.50
$0.
$0.00
$0:00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
t 1y $0.00
0.00
Total l. $0,001 $0.001 $13.00 $0.00, $1,001.281 $0.0 $0.00 $0.001 $0.001 $4 $0.00
DIRECTOR'S STATEMENT: I he that all ex ses nform to the City's travel policy and are within my department's appropriated budget.
Director Signature: �r Date:
City of Carmel Form ER06 Revision Date 4/24/2011 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 $65 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 $32.50 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 $32.50 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 $65 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 nditures) being ded 'ted from the first paycheck issued more than 30 days after the date of my return.
i
Employee Signature: l Date:
City of Carmel Form ER06 Revision Date 4/2412011 Page 2
f D t i IrC veI
E D McCarron International Airport (LAS) is approximately
D O NadvtWAoade nfdof6ney em L� 4 miles south of the hotel. Exit the airport via Swenson
St. Turn left on E. Tropicana Ave., and then turn right on
Los Vegas Bbd S. (the Strip). The hotel is on the right.
r•'r� NAED is the world's foremost standard setting
and certification organization for emergency Getting to the Hotel
communications with nearly 53,OS00 members in Bell Transportation provides a shuttle
38 countries. More than 2,974 communications from Los Vegas McCarron Airport
f t centers take advantage of NAED's protocols to the Paris Las Vegas for $5.1
and training translated into 18 languages/ per person, depending on the day.
dialects —for medical, fire, and police dispatching.
Estimated taxi fare: $20
Of those, are than 100 have become Accredited
(enters of Excellence (ACE). For more information,
r�LTU call (800) 960 -6236 or (801) 359.6916 a
(international) or visit www.emergencydispot(h
.org.
VO /tr
0 0 o o fi% o o o a WM@W_S Sponsoring/Exhibiting Info: r
m W Dom fo0 WO Claire Colborn
(801) 359 -6916 ext. 234 1
O Program Info:
&E mwww a Claire Colborn
a a o o d fig G g%-@ b (801) 359.6916 ext. 234
Re Info:
(8 8) 725.5853 Paris Las Vegas
General Info: 3655 Las Vegas Bbd So.
@w 05 a j fkaD a tr @Mlims o o (800) 960 -6236 Las Vegas, Nevada 89109
afift OA X&P M@ 60 wift fib we@ Reservations: 877. 603 -4389
Special Navigator Room Rate:
7J/rS�t7RCCCIIICCI lC0/1 $149 per night (single or double)
Attendance will be credited toward continuing Rooms at this rate are limited so make
Wow o o b& dispatch education (COE) requirements for your reservations early. When calling to
NAED recertification in EMD, EFD, EPD, EDA book your reservation, please refer to
f and ETC. A certificate of completion will be the group code SPNAVI" to receive the
provided at the end of the conference. special $149 discounted room rate.
Online Reservations:
hit www.harrahs.(om CheckGrou Availabilit
f i71' 1 do ?propCode= PLVBgroupCode= SPNAVI
S cow
a o a Register onIme for the conference at:
0 0 D —0, i http: /www.emergearydispatch.org /NAVIGATOR
uMiJ l]a].1aJ�1J t_7NV�1�.1 V�.lLil� l`SlllA7A71/.17 11 1 U'J 1 1 UlU f,�U:LL?L 1 I 1 �11A�U 1 11 1 1
PRE -CON: APRIL 17 -19 CONFERENCE: APRIL 20 CONFERENCE: APRIL 21 CONFERENCE: APRIL 22
SUNDAY, April 17 WEDNESDAY THURSDAY FRIDAY
Preconference Workshops Opening Keynote Keynote Speaker Conference Sessions
8:30 AM -5:30 PM I 2011 Dispatcher of the Year Award ACE Award Recognition 8:00 AM -12:45 PM
MONDAY, April 18 8:30 AM -10:30 AM 8:30 AM -10:00 AM Closing Luncheon
Preconference Workshops Conference Sessions Conference Sessions Keynote Speaker
8:30 AM -5:30 PM 12:30 PM -5:15 PM 10:15 AM -5:15 PM Dr. Jeff Clawson Leadership Award
TUESDAY, April 19 Exhibit Hall Hours Exhibit Hall Hours CCM Graduates
Preconference Workshops 10:30 AM -4:00 PM 10:00 AM -1:00 PM 1:00 PM -2:30 PM
8:30 AM -5:30 PM Exclusive Exhibit Hall Hours Exclusive Exhibit Hall Hours
10th Annual Navigator 10:30 AM -12:30 PM 1 1:15 AM -12:30 PM
Golf Tournament Box Lunch in Exhibit Hall Box Lunch in Exhibit Hall
8:00 AM -1:00 PM 1 1 :30 AM -12:30 PM 1 1 :30 AM -12:30 PM
Opening Gala Reception in the Pool Party
Exhibit Hall 6:00 PM 8:00 PM of conference sessions and events.
6:00 PM -8:00 PM
FOR THE LATEST CONFERENCE UPDATES VISIT: VHWW.EMERGEPNCYDISFATCH.ORG /NAVIGATOR 3
Expense Affidavit for Mindy Collins
04 -23 -2011
Shuttle bus transport from hotel (Paris Hotel Las Vegas to McCarran Airport)
$6.50
This expense was paid by cash and no receipt available. I certify that the amount above
listed is accurate.
Signed
Date 6 Z {o Z O l
From: National Academies of Emergency Dispatch STATE
139 E. South Temple; Suite 200
Salt Lake City, Utah 84111
Toll Free: (888) 725 -5853 No. N l l -9629
Int'I /Local: (801) 746 -5853
Fax: (801) 359 -0996
Email: navigator @emergencydispatch.org Date: March 24, 2011
Website: www.emergencydispatch.org
Carmel Clay Communications Center
Attn: Accounts Payable
Bill to: Mindy Collins
31 ist Ave NW
Carmel, IN. 45032 P.O. NUMBER
United States of America 27561
Descn n
pha a, �Umt Rrice
Navigator Conference Passport $515.00
People FIRST Management $190.00
Data Mining 101 $95.00
Payment Terms: Net 30 days Invoice Total $800.00
CANCELLATION POLICY
Please provide cancellations in writing no later than Less amount received 800.00
March 26, 2011. Your registration fee will be refunded,
minus a $25 processing fee. After March 26, 2011 no $U.UU
refunds will be issued. N DUE
If there is a balance due, admittance to the conference
is not guaranteed. Even if a PO is on file, please arrange
for payment in advance of the conference to ensure
hassle free check -in.
Cl: MPRICOPI 4/17/11 9:12 PM
CO: MJACKSON2 4/23/11 5:19 AM
Arrival Date: 4/17/11
Departure Date: 4/23/11
LAS VEGAS
ix 3655 Las Vegas Blvd. South Las Vegas, NV 89109
FOR RESERVATIONS CALL 1- 888 -266 -5687
702 -946 -7000
Name: MINDY COLLINS
*SEE F11
Address: 547 GRABILL DRIVE
Group Code: SPNAVI
WESTFIELD IN 46074
Casino ID: ResvJD: 405952168085
Room RR 2648P Folio ID: 406497007069 Page: 1
Date Reference Description Balance
04/17/11 PP 1472ROOM CHARGE PP 1472 149.00
TAX
17.88 166.88
04/17/11 APPLIED DEPOSIT 166.8
*3474
04 /18/11 RR2648PROOM CHARGE RR 264 149.00
TAX 17.88 166.88
04/19/11 RR2648PROOM CHARGE RR 2648P 149.00
TAX
1 17.88 333.76
04/20/11 RR2648PROOM CHARGE RR 2648P I 149.00
TAX 17.88 500.64
04/21/11 RR2648PROOM CHARGE RR 2648P 149.00,
TAX 17.88; 667.52
04/2.2/11 RR2648PROOM CHARGE RR 2648P 149.00;
TAX 17.8 834.40
04/23/11 FRONT DESK i r' 834.4 0
C
I
1
s
l
i
a
1
f
00
3
Thank You for Staying at Pads Las Vegas
ar
Page I of I
Collins, Mindy L
From: Arnone, Janet R
Sent: Wednesday, February 23, 2011 1:05 PM
To: Collins, Mindy L
Subject: FW: Confirmed Flight for Mindy L Collins
You're booked!
From: Debbie Tunstill [ma i [to: Deb bie.Tu nsti I I@thetravelagentinc. com]
Sent: Wednesday, February 23, 2011 1:04 PM
To: Amone, Janet R
Subject: Confirmed Flight for Mindy L Collins
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: FEB 23 2011
ACCOUNT N9QHVM PAGE: 01
FOR:
COLLINS/MINDY L
TO: CITY OF CARMEL CITY OF CARMEL- COMMUNICATION CTR
ONE CIVIC SQUARE 3RD FLOOR ATTN:JANET ARNONE
CARMEL IN 46032 31 1ST AVE NW
CARMEL IN 46032
17 APR 11 SUNDAY MILES- 1591 ELAPSED TIME- 4:05
AIR LV INDIANAPOLIS 630P SOUTHWEST FLT:2300 COACH CLASS CONFIRMED
AR LAS VEGAS 735P NONSTOP
SOUTHWEST CONF XRMVP5
23 APR 11 SATURDAY MILES- 1591 ELAPSED TIME- 3:35
AIR LV LAS VEGAS 845A SOUTHWEST FLT:1082 COACH CLASS CONFIRMED
AR INDIANAPOLIS 320P NONSTOP
SOUTHWEST CONF XRMVP5
**YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES-REFUNDS-CHANGES. AFTER
HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373
CODE A09-$15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON
TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL
FOR TERMS AND CONDITIONS-AIRLINE LUGGAGE POLICES AND
OTHER SERVICES OFFERED.
THANK YOU. DEBBIE TUNSTILL 317 730 6210 OR OFFICE AT 317 846 9619
AIR TRANSPORTATION 319.40 TAX 00 TTL 319.40
PROCESSING FEE 35.00
SUB TOTAL 354.40
CREDIT CARD PAYMENT 354.40-
TOTAL AMOUNT 0.00
ti
4w
4/13/2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mindy Collins
IN SUM OF
11429 Pegasus Drive
Noblesville, IN 46060
$1,436.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO, I ACCT #/TITLE AMOUNT Board Members
1115 I I 43- 430.04 I $1,436.78 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, April 25, 2011
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))
04/25/11 $1,436.78
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer