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Home My WebLink About166009 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 357093 Page 1 of 1 ONE CIVIC SQUARE MARCIA WALTON CARMEL, INDIANA 46032 7434 CARROLL ROAD CHECK AMOUNT: $44.64 INDIANAPOLIS IN 46236 CHECK NUMBER: 166009 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUM I NVOI CE NUMBER AMOUNT DESCRIPTION 1115 4343002 9.54 EXTERNAL TRAINING TRA 1115 4343004 35.10 TRAVEL PER DIEMS �I i �'1 `SV OF C4, CITY OF CARMEL Expense Report (required for all travel expenses) NDIANp' EMPLOYEE NAME: M OVA C W ROM I DEPARTURE DATE: TIME: AM PM DEPARTMENT: C\ Oe RETURN DATE: 10- -2 CX TIME: IS C�j AM/PM REASON FOR TRAVEL: I11 T DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas /Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem 5 Sy $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 $0.00 0.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 QJ ,5 DIRECTOR'S STATEMENT: I h that all !x Rfnses conform to the City's travel policy and are within my department's appropriated budget. pr Director Signature: Date: City of Carmel Form ER06 Revision Date 10/31/2008 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. J V(J Employee Signatures �f Il, ��vL: Date: t fluty City of Carmel Form ER06 Revision Date 10/31/2008 Page 2 Message Page 1 of 3 Heinzman, Mike D From: Heinzman, Mike D Sent: Sunday, August 24, 2008 6:33 PM To: Walton, Marcia K; Arnone, Janet R Cc: Heinzman, Mike D Subject: RE: JANET, PLEASE MAIL WITH PAYMENT ASAP (SEE BELOW) please include check where indicated nfig National Alliance on Mental page printed from NAMI Registration Form NAMI (National Alliance ®n Mental Illness) Indiana's 21 Mental Health Criminal Justice Training Please complete a registration form for each person that will attend a training. Title (i.e. Ms./Dr. /Sgt.) Ms. Last Name WALTON First Name MARCIA Company CARMEL CLAY COMMUNICATIONS Job Classification/Position TELECOMMUNICATOR Address 31 1ST AV NW City CARMEL State IN Zip Code 46032 8/24/2008 Message Page 2 of 3 Telephone number (317)571 -2586 Fax number (317)571 -2585 Email MWALTON kCARMEL.IN.GOV Each day -long training begins promptly at 9 a.m. and ends at 4:30 p.m. All trainings are located in the Small Auditorium at LaRueCarter Hospital (2601 Cold Sprit in Indianapolis, IN. Park in the South parking lot of the hospital and enter the building by walking up the long, the back door. Please indicate which class you will attend. Thursday, August 14, 2008: Categories of Mental Illness, Biological Basis of Mental Interacting with Persons with Mental Illness and a State Hospital View -Point X_X_X Thursday, October 30, 2008: Categories of Mental Illness, Biological Basis of ME Illness, Interacting with Persons with Mental Illness and a State Hospital View -Point To register and pay online, CLICK HERE. -OR- Register by completing this form, enclosing payment (make checks payable to NAMI Indianf and mailing to: NAMI Indiana, Inc. Attn: Kellie Meyer kmeyer @nami.org P.O. Box 22697 317- 925 -9399 Indianapolis, IN 46222 Fax: 317- 925 -9398 Check number Does your place of employment require an invoice? YES If yes, please list name of company, complete address and name of contact person: JANET ARNONE (317)571 -2586 i CARMEL CLAY COMMUNICATIONS i 8/24/2008 Message Page 3 of 3 31 1ST AV NW CARMEL, IN 46032 Registration cost per person, per training (lunch is not included): Training only XXX $65.00 OR Yes, I would like to join NAMI and attend a training $90.00 Space is limited to 50 participants per class, so register early. Registration costs are refundable ten business days prior to the training date. Questions? Please contact Carmela Rosner by email a crosner @nami.org or call at 317- 925 -9399 or 1- 800 677 -6442. i I 8/24/2008 BY STAia BCARD OF ACCOUNTS GivERAL FORM NO. 101 (1986) r MILEAGE CLAIM r o r, TO— (GOVERNIAZ4TAL UNM ON ACCOUNT OF APPROPF.L4TICN NO. 7 FOR (OFFICE, BOARD, DEPART. '*iT OR L'1STiiUTICN) SPEEDOMETER AUTO ATE FR TO READING NATURE OF BUSINESS MILES Q G e POINT POINT START I FINISH TRAVELED PER MILE II 39 01 0 -DOLL/rd-1 1 ')LtS r u(In,t'1 11 6.0 `J I I I !I I II i II I II II II I II I I I II II tl I I II j II I it ii Il li i I II it Ii i I it I II i !I I! II i I II I !I I II it it I I I I I I I II II I I I II I II ii II I II I II i II I! II I I I II I j it II II I AUTO LICENSE NO. TOTALS DOMETER READING columns are to he used only when distance hetween points cannot he determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is lec due, alter aliowi�ng all just credits that no part of the same has been paid. T j U l� I cezlily that the within Lill is lzue auc.l cC)rtect; lhal the ulileaye theu)iu ilenzired w 1 w an(l lur which charge is ntarle wa 1 and as necess V s ordered by azy t the public Lt(silress; and that the rate per mile is ill accoldance with slatules or yovezlluu� (7 VIdillallcos except V E3 ii .F3 w V :Id d rl :J •V ,t7 ul .V N G 1, ii Ul .R p U cI r f 1 O v f, YL ti+ O o (J v V T U) o •U O V w �o 0 rt; U. II VOUCHER NO. WARRANT NO. ALLOWED 20 Klarcia Walton IN SUM OF 7434 N. Carroll Road Indianapolis, Indiana 46236 $44.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 43- 430.02 $9.54 1 hereby certify that the attached invoice(s), or 1115 43- 430.04 $35.10 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 Wednesday, November 05, 2008 Director Titie 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)) 10/31/08 $9.54 10/31/08 $35.10 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