HomeMy WebLinkAbout165915 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362157 Page 1 of 1
ONE CIVIC SQUARE KERRY PHILLIPS CHECK AMOUNT: $103.98
CARMEL INDIANA 46032 8854 ALGECIRAS DRIVE APT 1A
INDIANAPOLIS IN 46250 CHECK NUMBER: 165915
CHECK DATE: 11/12/2008
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1115 4343002 16.23 EXTERNAL TRAINING TRA
i 1115 4343004 87.75 TRAVEL PER DIEMS, j
N p
I
i
:p n 9 P 9 d
A P a
Yiv
��g i
,c�1V of
fQ RT \'F.Ff
�R
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANj
EMPLOYEE NAME: DEPARTURE DATE: I4- Dg TIME: AM PM
DEPARTMENT: L- nfflL� Uctki (hmnuI\la RETURN DATE: 1c h? t7� TIME: AM PM
REASON FOR TRAVEL: -Ir(� �t DESTINATION CITY: a'
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
10/14/08 'f `j -$4.0- $a• g
10/15/08 $6.47 $6.47
$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 $0.001 $0.00 $0.00 $1.6:60 so-o $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: I her at all expe es lis conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: �1�' Date:
City of Carmel Form ER06 Revision Date 10/29/2008 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 OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
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: ``('S Date: �o D
City of Carmel'Form ER06 Revision Date 10/29/2008 Page 2
BY SATE 3CARD OF ACCOUNTS Gea'r,AAL FORM NO- 101 (1986)
MILEAGE CLAIM
TO-
(GOVEBNM&iTAL UNr1') R /V.
ON ACCOUNT OF APPROP NO. FOR
(OFFICE., BOARD, DEPABTbfr *IT OR IN �i5"'iUI'ICN)
SPEEDOMETER M
ATE FROM TO I READING NATURE OF BUSINESS MTT-ES
POINT POINT START I FINISH TRAVELED PER YJLE
Ili l�L I I I u -1 o n tu nc tl D
I ors a alay. I �t 5o I I
AunL
I I I I II i I -1
II I II j II
it II I
I II I II I II II II I
!I j J 1.
I tl f I I II it li I
H
I II I II II it I
II it II !I
II jl u
I I I 14 I 1{ II II
I
j II
II i II I! li I
it I it II 'I I
I
J I
II j j I it _II II I
AUTO LICENSE NO. TOTALS II
DOMETER READING columns are to be used only when distance between points cannot be determined by fixed•miieage or official highway map.
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 legally ue, al liowinc all just credits
that no part.of the same has been paid.
•t• at tile ufiloagc lhc3naiu itemized ..p f c•erlily that the WOW is true. aul.l correc.
v
and [or wlficL cltarye is made was orderer[ by ute and was necessary to lira pub is
business; and that llte rate per mile is in accordance will statutes or yovellfillq
11 d J t u ordinauces except
0 3
0.
a, 1
w
U
r1 11 O
cu
7ii 1j'
I
tU
P )d
iU N
d 1
rd �d
c
.tt
V)
p V cl r
Z �7;
O
U h
Yr� N 0 1
t U
rt, 1_ I
7 0 1,
1,1: i i 1x�
i•i
V) i
V t'
U
d O KC
U
I
I
Pagel of 2
Arnone, Janet R
From: Akers, William P
Sent: Monday, October 06, 2008 AM
To: Arnone, Janet R
Subject: FW: IDACS Class
Confirmation for this class for Kerry and Michele.
From: Stilts, Dennis
Sent: Monday, October 06, 2008 7:45 AM
To: Akers, William P; Phillips, Kerry N; Reed, Michele R
Cc: Wolfe, LiAnn L; Jokantas, John M
Subject: IDACS Class
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 10/14/2008. CLASS WILL BEGIN Ar
8:30 AM LOCAL TIME.
KERRY PHILLIPS
MICHELE REED
*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 HAND:
ON TRAINING.
PLEASE PROVIDE A COPY OF THIS MESSAGE UPON ARRIVAL TO CLASS
-SP IDACS 741 CNW
10/6/2008
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))
10/29/08 $16.23
10/29/08 $87.75
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Key "ry Phillips IN SUM OF
8854 Algeciras Drive Apt 1
Indianapolis, IN 46250
$103.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $16.23 1 hereby certify that the attached invoice(s), or
1115 43- 430.04 $87.75
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
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund