167479 12/23/2008 F CITY OF CARMEL, INDIANA VENDOR: 361440 Page 1 of 1
ONE CIVIC SQUARE AMY UNDERWOOD CHECK AMOUNT: $287.82
CARMEL, INDIANA 46032 9432 CANOPY LANE
FISHERS IN 46038 CHECK NUMBER: 167479
CHECK DATE: 12/2312008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 287.82 TRAVEL PER DIEMS
C`Y
BY S BOARD OF ACCOUNTS
i GLY'dRAI„ RM 1 10.,101 (1966)
MILEAGE CLAIM
(GOVERNME2iTAL UNM
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMe 4T OR L'7S11
SPEEDOMETER
AUTO MILEAG�F,
ATE FROM TO READING i NATURE OF BUSINESS MILES
POINT POINT START I FIN_Si? TRAVELED PER MILE
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AUTO LICENSE NO.. TOTALS iF
DOMETER READING- columns are to he used only w distance hetween points cannot he determined b"r fixed mileage or Official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I herehy certify that the foregoing account i just and correct, that the amount claimed is legally e, alter alio ng all just credits
that no part of the same has been paid.
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I c;etlify that the within bill is late and correct; lhal fire mileage therein itemized
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Page 1 of 2
Arnone, Janet R
From: Stewart, Marvin
Sent: Thursday, November 13, 2008 8:06 AM
To: Collins, Mindy L; Arnone, Janet R
Cc: Heinzman, Mike D
Subject: RE: Amy Underwood EMD class request
This is approved
From: Collins, Mindy L
Sent: Thursday, November 13, 2008 1:09 AM
To: Arnone, Janet R; Stewart, Marvin
Cc: Heinzman, Mike D; Collins, Mindy L
Subject: Amy Underwood EMD class request
Carmel -Clay Communications
Training Request
THIS FORM IS TO BE USED WHEN REQUESTING TO ATTEND A SEMINAR, SCHOOL, OR A TRAINING EVENT
OFFERED OUTSIDE THE COMMUNICATIONS CENTER. PLEASE FILL THIS FORM OUT COMPLETELY FOR YOUR
REQUEST TO BE CONSIDERED INA TIMELYMANNER.
REQUESTED BY (NAME) Amy Underwood requested by EMD Coordinator Mindy Collins
COURSE OFFERED BY: Priority Dispatch National Academy of Emergency Medical Dispatch
COURSE TITLE :Advanced EMD certification
LOCATION OF CLASS (ADDRESS -IF KNOWN, CITY, STATE): 1975 E. Davis St Arlington Heights, IL
60005
PHONE NUMBER FOR CLASS /INFO /SCHEDULING 847- 398 -1130
PURPOSE FOR YOUR REQUEST (HOW IT RELATES TO DISPATCHING) :refresher for initial EMD
certification
DATE (S) OF INSTRUCTION: 12-08-2008 12 -09 -2008 12 -10 -2008
COST OF CLASS: 295.00
PER DIEM EXPENSES? (TRAVEL /LODGING $gas for driving expenses (mileage reimbursement) three nights hotel stay at Holiday Inn
Express at 847 -593 -9400 and food expenses for travel per diem (ESTIMATED) (IF NONE, TYPE N /A)
DATE FORM SENT: 11 -13 -2008
AFTER FILLING OUT THIS FORM ON A PC, PLEASE SEND IT VIA EMAIL TO THE TRAINING COORDINATOR by clicking on
"File" above, then choose "Send to" mail recipient as attachment (THIS MAY TAKE A FEW SECONDS TO LOAD AND THEN SEND IT
VIA EMAIL WHEN THE EMAIL WINDOW OPENS UP.)
REMAINDER OF THIS FORM FOR ADMINISTRATIVE USE ONLY
APPROVED NOT APPROVED
11/13/2008
w Page 2 of 2
DATE DECISION MADE:
DATE SENT TO REQUESTEE
ADDITIONAL ADMIN. INSTRUCTIONS/REQUESTS:
AFTER FILLING OUT THIS FORM ON A PC, PLEASE SEND IT VIA EMAIL TO THE TRAINING
COORDINATOR by clicking on "File" above, then choose "Send to" mail recipient as attachment
(THIS MAY TAKE A FEW SECONDS TO LOAD AND THEN SEND IT VIA EMAIL WHEN THE
EMAIL WINDOW OPENS UP.)
.PLEASE RETURN THIS FORM TO THE TRAINING COORDINATOR WHEN
COMPLETE FOR DISPURSEMENT TO THE REQUESTEE.
Dist:
Mindy Collins
EMD Coordinator
Carmel Clay Communications Center
mcollins @carmel.in.gov
11/13/2008
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))
12/17/08 I I I $287.82
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
V N WAR NO.
ALLOWED 20
Ashy Underwood
IN SUM OF
1514 Hillcrest Drive
Noblesville, IN 46060
$287.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $287.82 1 hereby certify that the attached invoice(s), or
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
Friday, December 19, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund