165701 11/12/2008 i
CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
ONE CIVIC SQUARE DARCY CASE
CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $47.99
CARMEL IN 46033 CHECK NUMBER: 165701
CHECK DATE: 11/12/2008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1115 4343002 18.74 EXTERNAL TRAINING TRA
1115 4343004 29.25 TRAVEL PER DIEMS
r,
3
CITY OF CARMEL Expense Report (required for all travel expenses)
Darcy Case 10/30/2008 TIME: AM/PM
Carmel Clay Communications Center RETURN DATE: TIME: AM PM
NAMI Training R$trr
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x
Ivil
Date Transportation Gas /Tolls/ Lodging Meals sc Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/30/08 $3.98
10/30/08 $14.76 $14.76
$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 $0.00 $0.00 $3.98 $14.76 $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: I he pPf f hat all expenses Iii ed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: GOO
City of Carmel Form ER06 Revision Date 10/31/2008 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 OE MEAL ADVANCE AND OBLIG=ATION TO DOCUMENT EXPENDITURES:
1 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 documen expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: f
City of Carmel FornS ER06 Revision Date 10/31/2008 Page 2
Message Page 1 of 3
Heinzman, Mike D
From: Heinzman, Mike D
Sent: Sunday, August 24, 2008 6:27 PM
To: Case, Darcy L; Arnone, Janet R
Cc: Heinzman, Mike D
Subject: JANET, PLEASE MAIL WITH PAYMENT ASAP (SEE BELOW)
National Alliance on Mental Illne
page printed from NAMI Indiai
Registration Form
NAMI.(National Alliance on Mental Illness' Indiana's 2008
Mental Health Criminal Justice Training
Please complete a registration form for each Person that will attend a training.
Title (i.e. Ms. /Dr. /Sgt.) Ms.
Last Name CASE
First Name DARCY
Company CARMEL CLAY COMMUNICATIONS
Job Classification/Position TELECOMMUNICATOR
Address 31 1 ST AV NW
City CARMEL State IN
Zip Code 46432
Telephone number (317)571 -2586
Fax number (317)571 -2585
Email DCASEkCARMEL.IN.GOV
8/24/2008
Message Page 2 of 3
Each day -long training begins promptly at 9 a.m. and ends at 4:30 p.m.
All trainings are located in the Small Auditorium at LaRueCarter Hospital (2601 Cold Spring Rd.
in Indianapolis, IN.
Park in the South parking lot of the hospital and enter the building by walking up the long ramp
the back door.
Please indicate which class you will attend:
Thursday, August 14, 2008: Categories ofl.mental Illness, Biological Basis of Mental Illnes'
Interacting with Persons with Mental Illness and a State Hospital View -Point
X_X_XThursday, October 30, 2008: Categories of Mental Illness, Biological Basis of Mental
Illness, Interacting with Persons with Mental Illness and a State Hospital View -Point
To register and pay online, CLICK HERE.
-OR-
Register by completing this form, enclosing payment (make checks payable to NAMI Indiana, Inc
and mailing to:
NAMIIndiana, Inc.
Attn: Kellie Meyer kmeyer @nami.org
P.O. Box 22697 317- 925 -9399
Indianapolis, IN 46222 Fax: 317 925 -9398
Check number 1"eAf
Does your place of employment require an invoice? YES
If yes, please list name of company, complete address and name of contact person:
JANET ARNONE (317)571 -2586
CARMEL CLAY COMMUNICATIONS
31 1ST AV NW
CARMEL, IN 46432
8/24/2008
Message Page 3 of 3
Registration cost per person, per training (lunch is not included):
Training only XXX $65.00
OR
Yes, I would like to join NAMI and attend a training $90.00
Space is limited to 50 participants per class, so register early. Registration costs are refundable until
ten business days prior to the training date. Questions? Please contact Carmela Rosner by email at
crosner @nami.org or call at 317- 925 -9399 or 1- 800 677 -6442.
8/24/2008
j
BY SATE BCARA OF ACCOUNTS
Gc.7"nA.4L FORM NO. I01 (1986)
MILEAGE CLAIM
To
(GOVERNN- R UNt)
ON ACCOUNT OF APPROPRLATIGN NO. FOR
(OFFICE, BOAAD, 013ART:. ENT OR L`7S
ATE FROM TO SPEEDCMETIER
AUTO MILEAGE
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AUTO LICENSc NO. TOTALS
DOMETbR PLEADING cclunns are to be used only when distance between points cannot be determined by nxec•miieage or official l.ighway map. i
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is le Ily due, aft ic-ing all just credits,
that no part of the same has been paid.
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ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$47.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 430.02 $18.74 1 hereby certify that the attached invoice(s), or
1115 43- 430.04 $29.25
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
Wednesday, November 05, 2008
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))
10/31/08 $18.74
10/31/08 $29.25
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