HomeMy WebLinkAbout167192 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361440 Page 1 of 1
ONE CIVIC SQUARE AMY UNDERWOOD
s. l CARMEL, INDIANA 46032 9432 CANOPY LANE CHECK AMOUNT: $260.00
FISHERS IN 46038
CHECK NUMBER: 167192
CHECK DATE: 12/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 260.00 EXTERNAL TRAINING TRA
i
C4
4 0 r CITY OF CARMEL Expense Report (required for all travel expenses)
/NO I PN Pi
EMPLOYEE NAME: Amy Underwood DEPARTURE DATE: Z 6 TIME: C7`,�� M PM
DEPARTMENT: CCC RETURN DATE: p o1 TIME: I 3', 0j AM/ NM
REASON FOR TRAVEL: Training DESTINATION CITY:
1j i
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
12/7/08 $65.00 $65.00
12/8/08 $65.00 $65.00
12/9/08 $65.00 $65.00
12/10/08 $65.00 $65.00
$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 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $260.00 $0.00 a
DIRECTOR'S STATEMENT: I hereby r at all expenses list d 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 12/11/2008 Page 1
Pagel of 3
Arnone, Janet R
From: Collins, Mindy L
Sent: Monday, November 17, 2008 6:14 PM
To: Heinzman, Mike D; Arnone, Janet R; Stewart, Marvin; Underwood, Amy m
Subject: RE: Amy Underwood EMD class request HOTEL RESERVATION NEEDS PAID IN ADVANCE, PLEASE
Amy has been registered online to attend this course with the PO number provided by Janet.
See Below Course Information:
Course Information
Course 114640
Type:
112.0 Advanced EMD Certification
Course Location: Arlington Heights, IL
Info
Start Date:
1 12/08/2008
End Date: 12/10/2008
Ll
1975 E. Davis St.
Address Arlington Heights, IL 60005
Holiday Inn Express 1847-593-9400
Hotel 1 2120 S Arlington Heights Rd
Arlington Heights, IL 60005
From: Heinzman, Mike D
Sent: Mon 11/17/2008 5:44 PM
To: Collins, Mindy L; Arnone, Janet R; Stewart, Marvin; Underwood, Amy m
Subject: RE: Amy Underwood EMD class request HOTEL RESERVATION NEEDS PAID IN ADVANCE, PLEASE
Amy's hotel reservation has been made as per the info below in the request. $109.00 per night king non smoking COnf
66557711 Amy Underwood -total amount: $362.97 to be paid by check in advance,
Janet Remittance: Holiday Inn Express, 2120 South Arlington Heights Rd, Arlington Heights, IL 60005 Katie
was the person I spoke to at the number indicated below for the hotel.
Please let me know when this check is sent for my follow up records. Amy, you are checking in the night before class
checking into hotel night of December 7th checking out morning of Dec 10th (your last day of class).
Thank you,
11/18/2008
Page 2 of 3
Mike
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 TIMELY MANNER.
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
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 DISP URSEMENT TO THE REQ UESTEE.
11/18/2008
Page 3 of 3
Dist:
Mindy Collins
EMD Coordinator
Carmel Clay Communications Center
mcollins @carmel.in.gov
11/18/2008
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amy Underwood
IN SUM OF
1514 Hillcrest Drive
Noblesville, IN 46060
$260.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $260.00 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
Monday, December 15, 2008
4*7�—
Director
Title
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))
12/12/08 I I I $260.00
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