157135 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00350879 Page 1 of 1
ONE CIVIC SQUARE TERRY KRUESKAMP CHECK AMOUNT: $46.08
CARMEL, INDIANA 46032
CHECK NUMBER: 957135
CHECK DATE: 3/5/2008
D15P ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 46.08 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
VNOIRNa
EMPLOYEE NAME: Theresa Krueskamp DEPARTURE DATE: 02/19/08,02/20/08 TIME: AM PM
DEPARTMENT: Department of Administration, IS RETURN DATE: 02/19/08, 02/20/08 TIME: AM PM
REASON FOR TRAVEL: 2008 Indiana GIS Conference DESTINATION CITY: Indianapolis
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT XX PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2/1.9/08 $12.00 $22.08 $34.08
2/20/08 $12.00 $32.00
$0 .00
$aoo
$0:00
$0, 00
$0.00
.00
$0.00
$0:00
$0:00
0 :00
$0:0.0
$0;00
$wQ0
$0:00
$0:00
0:00
Total $0:00 $0':00, $0 $24';00 $0:00 $0.00 $22.08 $0:00 $0;00 $0.901: $0,'00 $46,081
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 Revision Date 2/21/2008 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: Z Date: 1 7 1 T /�(IX��_
City of Carmel Form ER06 Revision Date 2/21/2008 Page 2
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Guests: 3
#60007 Join us on Tuesday nights for
Order Type: ORDER
Pub Quiz!!!
Ask your server for details!
Seat I Feedback Appreciated
Dpesenko',&c I addagh i r ShpUbs. coin
Diet Coke 2.25
Fish and Chips 12.99 GUEST COPY
S- Pub Chips
Side Cheese Sauce 1.50
Subtotal 16.74
Tax 1.34
Total 18.08
Complete Subtotal 16.74
Subtotal 16.74
Tax 1.34
Total 18.08
Balarice Due 1 E3 08
Join LIS on Tuesday nights for
Pub Quiz!
Ask your server for details!
Feedback Appreciated
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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
Theresa Krueskamp Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
VIGIAL 117 E xp epurt for 2008 GIS Conference $46.08
8
Total
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
VOUCHE�,� .33 8 38) WARRANT NO.
ALLOWED 20
Theresa Krueskamp
IN SUM OF
$46.08
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Informatin Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund