157459 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 361022 Page 1 of 1
ONE CIVIC SQUARE LARRY EIDSON JR
I, CARMEL, INDIANA 46032 9010 N. 500 EAST CHECK AMOUNT: $123.03
SHERIDAN IN 46069
CHECK NUMBER: 157459
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMO DESCRIPTION
651 5023990 123.03 EMPLOYEE PENSIONS B
pt N CB
s era i eW ip
CITY OF CARMEL Expense Report (required for all travel expenses)
AND I AN�
EMPLOYEE NAME: �4tf j 1< 1 DEPARTURE DATE: d 0$ TIME: 10:00 AM PM
DEPARTMENT: Saw1r Co�1 RETURN DATE: 01�0� 9 08 TIME: 41'00 AM PM
REASON FOR TRAVEL: PV mfr aeO.Jer �jtpp DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _LX TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2/26/08 $9.00 $6.55 $16.91 $32.46
2/27/08 $9.00 $13.73 $16.95 $5.61 $45.29
2/28/08 $9.00 $13.73 $6.75 $2.07 $31.55
2/29/08 $13.73 $13.7.3
$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
Total $0.001 $0.00 $0.00 $27.00 $0.00 $41.19 $30.251 $22.52 $2.071 $0.001 $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 3/3/2008 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 3/3/2008 Page 2
�r
Kempa, Lisa L
From: Arnone, Paul S
Sent: Friday, February 01, 2008 2:40 PM
To: Kempa, Lisa L
Subject: FW: Pumpershow Registration Transaction No. 1709336796
Lisa: This is what they sent me please let me know if it has enough information.
Thanks again, Paul
From: Pumpershow Registration [mailto :service @colepublishing.com]
Sent: Monday, January 28, 2008 10:15 AM
To: Julie G
Cc: Arnone, Paul S
Subject: Pumpershow Registration Transaction No. 1709336796
New registration for Pumpershow processed on Mon Jan 28 9:15:23 CST 2008.
Mailing Information:
Company City of Carmel
Name Calvin Cooper
Street 1 3rd Ave. SW
Street 2
City Carmel
State or Province Indiana
Postal Code 46032
Country US
Phone 317 -571 -2645
Fax 317 -571 -2629
Email pamone @carmel.in.gov
Order Details:
2/1/2008
iu6v vl t,
Attendees:
Name Calvin Cooper
Position Foreman
Is Child
Name Aaron Hoover
Position Inspector
Is Child
Name Larry Eidson
Position Operator
Is Child
Name Randy Massingill
Position Operator
Is Child
Categories:
A TV Video Inspection
B Pipeline Rehabilitation Sewer Repair
C Drain/ Sewer, Cleaning (Rooting, Jetting)
E Grease Pumping Disposal Treatment
F Septage or Sludge Disposal Treatment
G Government Municipality POTW
Comments:
Other Information:
Do not release phone /address.
Price Paid: $160
New registration for Pumpershow processed on Mon Jan 28 9:15:23 CST 2008.
2/1/2008
4
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As of January 31, 2008 19:00 ET Shop Online with confidence
Cash or Credit $
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Total Minimum Payment Ray Online yv
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Recent Activity Next Statement Closing Date: February 26,
2008
Posting Transaction Ref Card CategoryTransactions Charges Credits (CR)
Date n Date 0 Type
POSTED TRANSACTIONS
01/30/2008 01/28/2008 7669 $160.00
OTEMPORARY AUTHORIZATIONS
01/31/2008 TEMP CHULA VISTA RESORT WISCONSIN DEL $330.20
In Case of Errors or Questions About Your Recent Activity
If your recent activity contains an error or if you have' a problem with the goods or services that
you purchased with your credit card, contact us
Contact _Us I Privacy I Se curity Sta I Ter ms of Use
1999 -2008 FIA Card Services, N.A.
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VOUCHER 085004 WARRANT ALLOWED
71012 IN SUM OF
EIDSON, LARRY
CARMEL SEWER
T
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
022608 01- 7040 -01 $123.03
u
Voucher Total $123.03
-)st distribution ledger classification if
~claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1012
EIDSON, LARRY Purchase Order No.
CARMEL SEWER Terms
Due Date 3/5/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2008 022608 $123.03
hereby certify that the attached invoice(s), or bill(s) is (are) true and r
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date 'Off i er