166009 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
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CITY OF CARMEL Expense Report (required for all travel expenses)
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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
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DIRECTOR'S STATEMENT: I h that all !x Rfnses conform to the City's travel policy and are within my department's appropriated budget.
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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.
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Employee Signatures �f Il, ��vL: Date:
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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
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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
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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.
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I 8/24/2008
BY STAia BCARD OF ACCOUNTS GivERAL FORM NO. 101 (1986)
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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
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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.
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I cezlily that the within Lill is lzue auc.l cC)rtect; lhal the ulileaye theu)iu ilenzired
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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
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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