HomeMy WebLinkAbout161120 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361440 Page 1 of 1
ONE CIVIC SQUARE AMY UNDERWOOD
CARMEL, INDIANA 46032 1516 HILLCREST DRIVE CHECK AMOUNT: $77.20
o� NOBLESVILLE IN 46060 CHECK NUMBER: 161120
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 13.57 EXTERNAL TRAINING TRA
1115 4343004 63.63 TRAVEL PER DIEMS
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GLiF.Rf L FORM 1i0. 101 (1586)
MILEAGE CLAIM.
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u H G I cerlily tllal.tlie witliiir Lill is true and correct; that the mileage tlrorein iloutized
m 0 acid for which chaige is ivade was ordered by rice and was necessary to the public
n fd business; and that the rate per wile is in accordance with statutes or goverrriuy
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HARDFU3 10857
PENDLElON
(105) 778-7822
|/ENDLETON. IN
Re01sta| l Order is Tendered
6/10/2008 11:34:50 AN
D[iYcThrU 02137
I Dig Hot Ham CH A
I NRd Bev 00r
1 X�d Fry it
CA BG Hot Hnm $5.58
Big Hot Ham CH N
Mad Fry 8
He( Bev Bar
Sub Total $638
Discounts $0.00
Tax $0.45
Total $6 J3
Credit $0.03
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CITY OF CARMEL Expense Report (required for all travel expenses)
\NDIANp
EMPLOYEE NAME:. DEPARTURE DATE: (of IO Cg TIME: AM P M
DEPARTMENT: wll� 6tiS C�C11 RETURN DATE: �c !Z TIME: AM PM
REASON FOR TRAVEL C 5 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 g Breakfast Lunch Dinner Snacks Per Diem
6/10/08 $6.03 $6.03
6/11/08 $7.54 $7.54
$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 $0.001 $0.00 $0.00 $0.00 $0.00 $13.57 $0.00 $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: I hereby a m 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 6/17/2008 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
C ADI nvGG er•kNOWLEDGEME NT EXP
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: v�
City of Carmel Form ER06 Revision Date 6/17/2008 Page 2
i
Reference: 02DF00003L
Msg ID 02DF00003L
Msg Key AM
Date /Time: 20080602100920
Ent Agy
Requester: IDACS
User
ORI INISP0023
Source USER
Dest INO290101
Control MRI4583862
Summary AM: CNWHALEN, IDACS, INO290101
TXT: 06022008 -001 INISP0023 06022008
CARMEL PD
ATTN IDACS COORDINATOR
THIS IS TO CONFIRM THE FOLLOWING ARE SCHEDULED TO ATTEND THE IDACS CLASS BEING
HELD AT STATE POLICE POST PENDLETON STARTING 6/10/2008. CLASS WILL BEGIN AT
8:30 AM LOCAL TIME.
AMY UNDERWOOD
*ALL STUDENTS ATTENDING WILL BE REQUIRED TO BRING A COPY OF THE IDACS LESSON
PLAN EQUIVALENT TO THEIR CERTIFICATION. THE LESSON PLAN CAN BE FOUND UNDER
IDACS TRAINING IN FORCE.
*BEFORE ATTENDING CLASS, ALL STUDENTS MUST HAVE A MINIMUM OF 40 HOURS OF HANDS
ON TRAINING.
PLEASE PROVIDE A COPY OF THIS MESSAGE UPON ARRIVAL TO CLASS
SP IDACS 1015 CNW
MRI 4583862 IN: SPHQ0023 2 AT 02JUN2008 10:09:20
OUT: CARD0000 17 AT 02JUN2008 10:09:20
Page 1
WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
d IN SUM OF CITY OF CARMEL
)rive An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
46060 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$77.20 Payee
Purchase Order No.
JT OF APPROPRIATION FOR
Terms
Clay Communications
Date Due
Invoice Invoice Description Amount
)ICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
43- 430.02 $13.57 1 hereby certify that the attached invoice(s), or
43- 430.04 $63.63 06/19/08 $13.57
bill(s) is (are) true and correct and that the
06/19/08 $63.63
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 19, 2008
Director
Title
bution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
motor vehicle highway fund with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer