165492 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 355375 Page 1 of 1
ONE CIVIC SQUARE NICHOLAS CALLAHAN
t CHECK AMOUNT: $658.45
CARMEL, INDIANA 46032 634 VERNON PLACE
WESTFIELD IN 46074 CHECK NUMBER: 165492
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1115 4343002 •325.00 EXTERNAL TRAINING TRA
1115 4343004 333.45 TRAVEL PER DIEMS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: lG Ur► 5 P il4o &L-AA DEPARTURE DATE: l0 t3 I aa TIME: ON °a AM PM
DEPARTMENT: 4-4- rr0..ts RETURN DATE: 10 I a0A TIME: IS AM/PM
REASON FOR TRAVEL: DESTINATION CITY: 04fL �,4Eie+_ W�
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 Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/13/08 $65.00 $65.00
10/14/08 $65.00 65.00
10/15/08 1 $65.00 $65.00
10/16/08 $65.00 $65.00
10/17/08 1 $65.00
$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 $0.00 $0.00 i $0.00i $0.00 $0.00 $0. 00 $0.00 $325.00 $0.00 e
DIRECTOR'S STATEMENT: I h m that all soonse t conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form 9 ER06 Revision Dale 1 012 01200 8 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 da e of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documents aexend( r es) ei deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: a O
City of Carmel Form EROG Revision Date 10/20/2008 Page 2
PVK%," iu�uLuLc k JLL4UV11L i�_r,813UMIUIL l'U1111
Arnone, Janet. R
From: Heinzman, Mike D
Sent: Tuesday, July 22, 2008 3:43 PM
To: Arnone, Janet R
Subject: FW: APCO Institute Student Registration Form
Janet, please see their email below. They are requesting the PO faxed to them in advance, please.
Thank you,
Mike Heinzman
Training Coordinator
Carmel -Clay Communications Center
31 1st AV NW
Carmel, TN 46032
317.571.2586
317.571.2585 fax
317.571.2690 ext 8909 voicemail
email: mheinzman@carmel.in.gov
This message is from Carmel -Clay 911 Center and may contain confidential or privileged
From: institute @apco911,org [mailto: institute @apco911.org]
Sent: Tue 7/22/2008 2 PM
To: Callahan, Nicholas P; Heinzman, Mike D
Subject: APCO Institute Student Registration Form
INSTITUTE STUDENT REGISTRATION INFORMATION
STUDENT INFORMATION
Last Name: Callahan
First Name: Nicholas
Middle Initial: P
Title:
Student Email: NCallahan@CarmeLln.Gov
Confirmation Email: MHeinzmanCCarmel.In.Got
Address 1: 31 1 st AV NW
Address2:
City: Carmel
State: IN
Country: USA
ZIP: 46032
Phone: (317)71 -2556
7/23/2008
t .rl.V 11MILULG JLllLLURL AGg'1JL1t1L1U11 rLnin Z L)i J
Additional Registrants:
AGENCY INFORMATION
Agency Name: Carmel Clay Communications Center
Addressl: 31 1st AV NW
Address2:
City: Carmel
State: IN
Country: USA
ZIP: 46032
Phone: (317)571 -2586
Fax: (317)571 -2585
APCO INFORMATION
How Learned: Web Site
APCO Member: No
Member Number:
Send Member Info: No
Class: Communications Training Officer, Oak Creek, WI, 24714, Oct 14 -16, 2008
Totaldue: 259
PAYMENT INFORMATION
APCO cannot direct -bill any agency without an original purchase order. Please fax original purchase order to 386- 322 -9766 prior to
the class start date or call the Institute at 888 272 -6911.
For Agencies in New Jersey, the original purchase order(s) must be received by mail to process for payment.
Payment method: Purchase Order
Purchase Order Number: 18396
Contact person for payment: Janet Arnone
Contact person phone number: (317)571 -2586
Credit Card Number:— xxxx
Expiration Date:
Card Holder:
Authorized Signature
Comments:
NVe welcome your comments and suggestions. Please feel free to contact us if you have anv questions.
Any° registration received within ten (10) days of the class start date is subiect to a 525.00 late registration fee, and must be included
7/23:2008
tlrl,lJ 111SULUM JIUUGIIL ACgIJLIQL1U11 rU1111 3 U1 j
with the Tuition payment.
All cancellations must be submitted in writing.
Any registration cancelled more than 21 days prior to the start of the scheduled course will receive a refund minus a S25.00
administrative fee.
Cancellations less than 21 days before the class will receive a 50% tuition refund.
No shows or cancellations the first day of class are eligible for a refund.
This policy applies to all APCO Institute courses and seminars.
You will receive separate confirmation of your class enrollment. If you register for a class that is already full, we will contact you to
make alternate arrangements. If you do not receive confirmation 10 days prior to the class start date please contact APCO Institute at
888.272.6911. You can also contact APCO via email at instituteCapco9l l.org.
APCO Institute
351 N Wllliamson Blvd
Daytona Beach, FL 32114 -1112
x/23/2008
BY SA BOARD OF ACCOUNTS
j' n GRY'dgAL FOa2.( 1 40. 101 (1986) ���LLCiii"'
MILEAGE CLAIM
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DOMET�R RE cclumns are to be used only ',Vhen distance between pcints cannot be deterrnined b�; =ised•miieage or cficial highway clap
'Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and cerect, that the amount claimed is legal du" f er 1 J i_ 1 just credits
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'—VOUCHER NO. WARRANT NO.
ALLOWED 20
Nick Callahan
IN SUM OF
634 Vernon Place
Westfield, Indiana 46074
$729.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
t
bv- f d Cam- -r�-
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT, Board Members
1115 43- 430.04 4 1 hereby certify that the attached invoice(s), or
1115 43- 430.02 $325.00 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, October 20, 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))
10/20/08 $404.24
10/20/08 $325.00
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
20
Clerk- Treasurer