HomeMy WebLinkAbout159919 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 359025 Page 1 of 1
ONE CIVIC SQUARE DAVID HUMPAL CHECK AMOUNT: $94.00
CARMEL, INDIANA 46032 7131 N OAKLAND AVENUE
INDIANAPOLIS IN 46240 CHECK NUMBER: 159919
CHECK DATE: 5/28/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 052308 94.00 OTHER EXPENSES
I
CITY OF CARMEL Expense Report (required for all travel experises)
NUIFNA
2008 mileage reimbursement rate is 50.5 centsimile
EMPLOYEE NAME: DAVE HUMPAL DEPARTURE DATE: 4/22/08 TIME: AM PN'I
DEPARTMENT: Utilities /Sewer RETURN DATE: 4/22/08 TIME: AM PNII
REASON FOR TRAVEL: IRWA SPRING CONFERENCE 2008 DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x_ TRAVEL PER DIEM
MISC. CLASS REGIRATION FEE
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
4/22/08 $14.00 $80.00 $94.00
$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
0.00
Total $0.00 $0.001 $0.001 $0.00 $0.00 $0.00 $14.00 $0-00L $0.00 1 $0.00 $80.00
DIRECTOR'S STATEMENT: I hereby affirm that 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 5/12/2008 Page I
Submit by Email Print For
Prescribed by State Board of Accounts General Form No. 101 (1 955)
MILEAGE CLAIM
CITY OF CARMEL TO DAVID HUMPAL DR
(G overnmental nit
UTILITIES /SEWER On Account of Appropriation No, for
P rice, board, DepartmeRl or institution
DATE FROM T O ODOMETER READING" NATURE OF BUSINESS AUTO MILES MILEAGE @0.505
20 Point Point Start Finish TRAVELED PER MILE
4/22 WWTP COLUMBUS IN HOLIDAY INN >;o _�Q IRWA SPRING CONF. ,o �a 29.89
4/22 COLUMBUS IN HOLIDAY INN WWTP 59.19 11838 IRWA SPRING CONF. 59.19 29.89
I
Auto License No. TOTALS F A 7 'r
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
Date
DATE No. 38232
RECEIVED FROM rs�6e j
Now v
W DOLLARS
OFOR RENT
OFOR K�WTT
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PAYMENT !Do CHECK 9 9 7
MONEY
BAL. DUE OORDER BY 2701
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REGISTRATION FORM IRWA SPRING CONFERENCE 2008
Please pflnt or type one form for EACH ATTENDEE! First time attendee?
Attendee Information: Billing Information:
Name Ct U e H am oct i Company Name:
Title ry cC e>5 Op�1r.4t6 Billing Contact
Spouse's name if attending
Address
Address 7 3 1 W Oct IC: m i d Au P City St Zip
city fAtah UtiS St vq zip 4
Telephone
Telephone 95 7- 13.o Fax
Fax
E mail I1 kn lkln Gl( Q1., ,6� f o l si n d E mail invoice
I will be submitting contact hours for
Please print clearly
W�4nr ll W�c4nw7fior Rlnnp_rl_ _PUrChas Order
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REGISTRATION FORM IRWA SPRING CONFERENCE 2008
Please print or type one form for EACH ATTENDEE! First time attendee?
Attendee Information: Billing Information:
Name Da u e H to 1'►�y Inot I i Company Name:
Title Pro C e 55 000_V u. -6
Billing Contact
Spouse's name if attending
Address
Address 71 N Oct Uv%gJ Au-e City St Zip
City St 'Glut Zip WJc D
Telephone
Telephone 3 9j j- I Xo Fax Fax
E -mail h to rL► et 6-E2I oh gl n s t` E -mail invoice
-1 will be submitting contact hours for Please print clearly
Water Wastewater None Purchase Order
Check H all you plan to attend:
Monday, April 21, 2008 Tuesday Wednesday, Apr. 22 23, 2008
Pre- Conference Fees Per Workshop IRWA Member 50.00 Non— Member 90.00
IRWA Member 25.00 Non Member $50.00 General/Technical Sessions
Math Refresher (8:30 11:30 pm) Board /Management Sessions
Operator Certification Refresher (9:00 am 4:00 pm)
Wastewater Sessions (1:00 5:00 pm) Tuesday Only, Apr. 22, 2008
IRWA Member 40.00 Non Member 80.00
Meals General/Technical Sessions
Monday Lunch Spouse $14.00 each Board /Management Sessions
.K Tuesday Lunch Spouse $14.00 each Figure Forum for Clerks Bookkeepers
(1) BOARD MEMBER or MAYOR per system is
entitled to (1) COMPLIMENTARY Tuesday Lunch
Wednesday Only, Apr. 23, 2008
Tuesday Evening Reception Spouse IRWA Member 25.00 Non Member 50.00
NO CHARGE- Please check if planning to attend!
(Courtesy of Sales Service Companies O) General/Technical Sessions
MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF)
Mon ue Wed 06 Lunch 1 0Z MGEF
Bill us Voucher /PO Enclosed Credit Card
Visa Mc Discover Amer Exp Exp.: Mail IRWA, PO Box 679,
Nashville, IN 47448
NAME ON CARD: Fax 812 -988 -6961
Questions MaryJane Miller
SIGNATURE Telephone: 812 -988 -6631
E -mail: rtrjmmillerGatt.net
No mail -in registrations will be taken after Friday, April 18, 2008. Please submit cancellation request in writing
We welcome registrations on -site after that date. No refunds after April 18, 2008.
t11;*'dA+p14 a �Rt. X N q
TUESDAY, April 22, 2008
LOCAL TIME
Begins at 6:45a REGISTRATION, Holidome
7:00a -5:30p EXHIBITS OPEN! CONCURRENT SESSIONS Conference Center BOARDS, MANAGERS, AND CLERKS
Refre shments courte our C Sale s T Service Companiesl O SEE NEXT PAGE
024 BOARD MANAGEMENT
Check -Up Program for Small Systems
7:45 -8:05a Welcome, Opening Ceremonies Thinking Strategically
Intro of Sales Service Persons! Utility Security: A Common Sense Approach
8:05- Maintenance and Repair Techniques CLERKS
w -1 to Avoid System Shutdown (Line Tapping, State Board of Accounts
Line Stopping and Valve Insertion)
Chris Callahan, ADS/Hydrastop o Asset Management /Cash Management
�5j Energy Management With Control Keeping the Office Running Smoothly
w- Bad Debt &Other Legal Matters
8:555
gy g Valves Roundtable Discussions
Tim Springer, Cla -Val
Gary Prehm, B. L. Anderson
9:45 -10:45 Prizes /Break EXHIBITS OPEN!
10:45 -11:35 Maximize Your Pump Efficiency
w Eric Williams Jim Williams,
Peerless Midwest, Inc.
11:35 -11:45 Awards Prizes EXHIBITS OPEN!
11:45 -12:00 Annual Membership Meeting
IRWA Member Utilities Please join us
for election of new Board members and
discussion of IRWA business.
12:00 -1:00 Lunch Poolside
1:00 -1:50 Terrorism or Legal Liability? lia
w -1 E�s Doug Cregor, Cregor Law
1:50- '40 Sewer and Water Utility Disconnects: W INDMILL RAFFLE
w -1�- Legal and Operational Issues We are continuing our tradition of the
George Peregrim, Sanitary Management Windmill Raffle. We will have several "high
and Engineering Company, Inc. end" items on which you can purchase
J. David Agnew, Ward King LLC chances. The winners will be drawn during
2:40 -3:40 Prizes /Break EXHIBITS OPEN! the Tuesday Vendor Reception (you must
be present to win). The funds generated
3:40- What's New 2008 Legislation, from this Raffle will benefit the Marilyn
w -2/ -2 Regulation, IDEM Agency Update Gambold Education Fund and IRWA's
Senator Beverly Gard (invited) educational programs.
Tom Easterly, IDEM Commissioner
Curt Gassert, IURC
Debbie Dubenetzky, IDEM
Mary Hollingsworth, IDEM
5:30 -6:00 Prizes Adjournment
EXHIBITS OPEN!
6:00 -7:00 VENDOR RECEPTION POOLSIDE 7:00 HOSPITALITY UPPER TERRACE
The IRWA Vendors cordially invite you to Courtesy of our Sales Service Companiesl O
attend their Complimentary Reception at
Poolside Must have a name tag to be Food, Beverages, Cards, Games,
served! Check your registration form 9
if you wish to attend!) Visiting and Relaxing
WINDMILL RAFFLE
Driving Directions from 9609 Hazel Dell Pkwy, Indianapolis, IN to Holiday Iiui Columbu... Page 1 of 2
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A: 9609 Hazel Dell Pkwy, Indianapolis, IN 46280 -2935
-1: Start out going SOUTH on HAZEL DELL PKWY toward E 96TH ST. 0.0 mi
2. Turn LEFT onto E 96TH ST. 0.7 mi
3 Turn LEFT onto ALLISONVILLE RD. 0.1 mi
rs
4 Turn LEFT onto ALLISONVILLE RD /ALLISONVILLE AVE. Continue to follow 1.5 mi
ALLISONVILLE RD.
5: Merge onto 1 -465 E via the ramp on the LEFT. 17.8 mi
6: Merge onto 1 -65 S via EXIT 53B toward LOUISVILLE. 37.9 mi
7: Merge onto IN -46 E/W IN -461W JONATHON MOORE PIKE via EXIT 68 toward 0.8 mi
COLUMBUS.
8: Make a U -TURN at BREX PARK onto IN -46 WAN JONATHON MOORE PIKE. 0.3 mi
4
9: End at 2480 Jonathan Moore Pike Columbus, IN 47201
Estimated Time: 1 hour 1 minute Estimated Distance: 59.19 miles
B: Holiday Inn Columbus: 2480 Jonathan Moore Pike, Columbus, IN 47201, (877)410 -6681
Total T_ime.: 1ah.o.u.r 1 minute Total Distance: 59.19 mikes
http: /www.mapquest.com /maps /9609 Hazel+ Dell +Pkwy +Indianapolis +IN +46280 /Holid... 4/10 /2008
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Prescribed by State Board of Accounts City Form Flo. 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1024
HUMPAL, DAVID Purchase Order No.
WWTP Terms
Due Date 5/16/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2008 052308 $94.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 085530 WARRANT ALLOWED
T1024 IN SUM OF
HUMPAL, DAVID
WWTP
E7
f'
E
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
052308 01- 7042 -05 $94.00
e
a Voucher Total $94.00
)Cost distribution ledger classification if
claim paid under vehicle highway fund