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166712 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 129401 Page 1 of 1 ONE CIVIC SQUARE MICHAEL HOLLIBAUGH <J CARMEL, INDIANA 46032 GARnnE� w 46032 CHECK AMOUNT: $35.80 s CHECK NUMBER: 166712 CHECK DATE: 12110/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343002 24.00 EXTERNAL TRAINING TRA 1192 4343004 11.80 TRAVEL PER DIEMS A C4q,�f, i Q ¢,TeRsi CITY OF CARMEL Expense Report (required for all travel expenses) �`YOIAN Pi EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 11/20/2008 TIME: AM PM DEPARTMENT: Community Services RETURN DATE: 11/20/2008 TIME: AM PM REASON FOR TRAVEL: APA Infrastructure Task Force Hearing DESTINATION CITY: Chicago, IL EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 11/20/08 $24.00 $9.03 $2.77 $35.80 $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 $24.00 $0.00 $0.00 $9.03 $0.001 $2.771 $0.00 $0.00 DIRECTOR'S STATEMENT: hereby ffirm hat al ex a es listed conform to the City's travel policy and are within m d appropriated bud Y P Y P Y Y P PP et. 9 Director Signature: Date: Z 6 d City of Carmel Form ER06 Revision Date 11/26/2008 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: o City of Carmel Form ERO6 Revision Date 11/26/2008 Page 2 r i American Planning Association APA is the premier nonprofit education, research, and 4 National Infrastructure Investment Task Force advocacy organization f devoted to urban, suburban, 6 rr; k JUST ANNOUNCED IN CHICAGO regional, and rural planning. Regional Field Hearing Thursday, November 20, 2008, 9:30 a.m. -noon Through serial publications, research monographs, online American Planning Association resources, and distance and 122 South Michigan Avenue, Suite 1600 Chicago, I l l i n o i s 60603 face -to -face training, we reach frontline professionals Rebuilding America is an initiative working to engage planners, transportation experts, policy and decision makers. with makers, and engaged citizens in a national conversation about how to address our infrastructure more than 44,000 members crisis and increase investment in building communities of lasting value. and established partnerships with numerous academic, Join us on Thursday, November 20, from 9:30 a.m. -noon to learn from industry experts the about nonprofit, and public state of infrastructure and to share ideas and information about the specific needs and issues institutions, APA is connected facing infrastructure planning and investment in the Midwest. Please note that following the hearing, from 1:30 -4:30 p.m., the Chicago Metro Section of the APA Illinois Chapter is hosting to practic al l thinki and the practical a program entitled On the Eve of the Centennial: Daniel Burnham, Big Thinkers, and the Future of a realitiees s of Metropolis at the Claudia Cassidy Theater, Chicago Cultural Center, 75 East Washington Street. the planning profession. For more details, visit: www.ilapa.org /calendar.htm]. Please RSVP to infrastructure @planning.org. About Rebuilding America Mission Led by President Robert Hunter FAICP President -Elect Bruce Knight, FAicP, and Immediate Past President David Siegel FAICP the task force will evaluate current conditions and challenges affecting the nation's vital infrastructure, develop a new vision for the nation's infrastructure, and identify specific recommendations for changes in public policy, funding, and planning practice needed to meet the infrastructure needs of the 21 st century. This work will lay out a blueprint for action needed to increase and improve performance, competitiveness, community quality of life, citizen choice, equity, and efficiency. Reports from the Field Rebuilding America was launched at the National Design Professionals Infrastructure Summit in Washington, D.C., on October 20, 2008, when planners, architects, landscape architects, and engineers began a discussion of the state of the nation's infrastructure and heard from experts about options for federal policy and investment. Now the task force wil l be conducting a series of regional field hearings throughout the U. S. convening regional leaders, planners, issue experts, academics, allied professionals, and engaged citizens. These events will focus on identifying major issues of local regional concern related to infrastructure policy and investment. A Plan for Progress Watch the APA website for new regional meeting locations and dates. These hearings will culminate in the proposal of policy and practice recommendations to be presented at the National Planning Conference in Minneapolis, April 28 -29, 2009. mage aedirs:Oisrockpnoros For more information, visit www.planning.org. American Planning Association Making Great Communities Happen Prescribed by State,ppard of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 1 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 Z 1�/ L 'f Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 2.0 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 C IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 15 bill(s) is (are) true and correct and that the 9 4,-1)' D,�-- Lj W materials or services itemized thereon for which charge is made were ordered and received except f WJ X2 Sig nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund