159131 05/07/2008 CITY OF CARMEL, INDIANA VENDOR: 008840 Page 1 of 1
ONE CIVIC SQUARE BILL AKERS
CARMEL, INDIANA 46032 C/0 COMMUNICATIONS CENTER CHECK AMOUNT: $75.00
C/O COMMUNICATIONS C CHECK NUMBER: 159131
CHECK DATE: 5/7/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1115 4343004 75.00 TRAVEL-PER DIEMS
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANP
EMPLOYEE NAME: n S DEPARTURE DATE. `7 �'I J TIME: AM PM
DEPARTMENT: C J h'. C� c v RETURN DATE: L` TIME: AM PM
REASON FOR TRAVEL: ,r� �'r� "I:�,�i F6i �c� DESTINATION CITY:
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
4/26/08 $15.00 $12.95 $47.05 $75.00
$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
$0.00
$0.00
$0.00
ia Total $0.00 $0.00 $15.00 $0.00 $0.00 $0.00 $12.95 $47.05 $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: I h that all ex nses a 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 5/5/2008 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
City of Carmel Form ER06 Revision Date 5/5/2008 Page 2
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CAMELBACK INN M RRIOTT RESORT
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7001 North Scottsdale Road TBL 26,
Scottsda AZ 85253 26APR'08'11.21AM
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D a t e; A`p r• 2 6' 0 8 0 9: 4 5 P 1 CHIX QUESADILLA 9.00
Card Type: 1 ICED, iEA 3:00
Acct XXXXXXXXXXXX2591 I Sub-Total:, 12.00
Trans Key: AFE000648211654 Tax 95
Exp Date: XX /XX 11:49 TOTAL' DUE
Auth Code; 337510
Check 6985 PLEASE COM FT�4FOR ROOM CHARGES
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Table: 25/1
Check ID: 25- CARTER GRATUITY
Server: 10 17 110 W 1 l..iam
TOTAL
Subtotal: 66 .34
ROOM NUMBER
Gratuity: _)_a_�_o0
PRINT LAST NAME
3
Total 4; SIGNATURE_
Guest's Copy
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New world Systems'" Invoice
The Public Sector Software Company
888 W. Big Beaver Page: 1
Suite 600
Trov, MI 48084
(248)269 -1000 Number: 0000051179
Date: 12/19/2007
Customer: HAM1237
Carmel Communications Center
31 First Avenue NW
Carmel, IN 46032 USA
Net Due 30 Days
Aegis 2008 Executive Customer Conference Each 1.0 945.00 945.00
Bill Alters
Aegis 2008 Executive Customer Conference Subtotal 945.00
Sales Tax 0.00
e 945.00
ARZTCOO I .rpt
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bill Akers
IN SUM OF
13967 Wakefield Place
Fishers, In 46038
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $75.00 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
Monday, May 05, 2008
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))
05/05/08 I I I $75.00
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