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Home My WebLink About159064 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1 ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $1,468.81 CARMEL, INDIANA 46032 13791 LAREDO DRIVE CARMEL IN 46032 CHECK NUMBER: 159064 CHECK DATE: 4/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1701 R4343004 1,468.81 TRAVEL PER DIEMS I i h..aib.d by Stet. Board o: Acoounu, .,—n W Fora N.. !Ol Ll*St MILEAGE CLAIM OV NMENT UNITI TO p� DR. ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE. BOARD. DEPARTMENT OR INSTITUTION) DATE FROM 70 SPEEDOMETE=R I AUTO MILEAGE READ[NG+ MILES POINT POINT STARFIN ISH 19 NATURE OF BUSINESS TRAVELED PER MILE 74- T FIN I I I I I i ii I AL I I I I I I l 1 I I I I I I II I L AUTO LICENSE NO. T07ALS +SPEEDCMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway snap. Pursuant to the provisions and penalties of Chapter 155. Acts 1955, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just cred and that no part of the same has been paid. Date Claim No. Warrant No I have examined -the with- in: claim and hereby IN FAVOR OF certify as follows; T"nat it is in proper form. 7nat it is duly authenticated as required by law. That it is based upon statutory authority. That it is apparently correct incorrect On Account of A iation Nd'. for ibis ursing Officer J c m G O Q m Allowed 19 Q O in the sum of .q r- A 0 o A Q. h (Board or Commission) x Q O O FILED a CD (Official Title) `D Q C A O n R- a° A. C. BOYCE Co.. YVN CI 1. IN D- 0B312 n CD n CITY OF CARMEL Expense Report (required for all travel expenses) /dUTAN`. EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: 08 TIME: PM DEPARTMENT: it RETURN DATE: f TIME: AM REASON FOR TRAVEL: DESTINATION CITY: (A EXPENSES ARE FOR (check all that apply): TRA ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIE Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 60 $0.00 X0.00 R V IL, 10 vv a rL $0.00 -1124 Sc>v $0.00 $0.00 c) $0.00 t „p $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;001 $0.00 $0.00 $0.001 $0.00 $"01 $0.00h= 1 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated b get. Director Signature: Date: City of Carmel Form ER06 Revision Date 5/1/2008 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: Date: City of Carmel Form ER06 Revision Date 5/112008 Page 2 Manage Reservation Page 1 of 2 Welcome CYNTHIA L SHEI=KS 19,390 1 i_ S A I RWAYS up to Enou 9 Tm a 1 h for an award trek b GUTS 2 miles Book travel Dividend Miles Specials Travel tools I Abc Z Home ?Travel tools Manage reservations My reservation p View a rind Manage My Reservation friendlyver; Travel tools Web Check -in Please note: Our 24 -hour Reservations Desk is always available to assist you over the phone. If you hav Manage reservations questions regarding your reservation, please call our 24 -hour Reservations Desk at 1- 800 428 -4322. Flight status schedules We're sorry, we are unable to modify this reservation online. To modify this reservation, please contact th Internet Help Desk at 1- 800- 327 -7810 and a reservation agent will be happy to assist you. Agents are avail At the air port 24 hours a day, 7 days a week. In the air BBac gage Confirmation DFDL9P b New_ Baggage Policy„ Mobile US Airwa Date Issued 2/812008 P Make -_a._ Hotel_Reservation Make a Car Reservation Policies special needs Form of Payment 0 View Online b Reserv__a_ti_o_ ns Prod ucts services Ema n il Reservation Car go Grand Total $425.00 h Download Reservation to Outl00 US Airwa Club Unflown Value Not Available Passenger Information Need Help? Party of (1) Dividend Miles Ticket Seats CYNTHIA SHEEKS K226M16 3D, 7C Contact Information Contact Name Day Phone Destination Phone CYNTHIA SHEEKS (317) 846 -9619 (317) 571 -2414 Email us F Callus 800 -428- Passenger Itinerary 1 4322 Depart Arrive Flight and Details 11:55 AM 26 Apr 2008 1:28 PM 26 Apr 2008 Flight: 2332 Meal: None Indianapolis, IN Charlotte, NC Class: Coach On -Time: N/A Travel Time: 1 t 4:30 PM 26 Apr 2008 5:35 PM 26 Apr 2008 Flight: 3604 Meal: None Charlotte, NC Charleston, SC Class: Coach On -Time: N/A Travel Time: 1 t 11:20 AM 30 Apr 2008 12:17 PM 30 Apr 2008 Flight: 2255 El Canadair Regional Jet 700 Meal: None Charleston, SC Charlotte, NC Class: Coach O -Time: N/A Travel Time: 0 t 1:15 PM 30 Apr 2008 2:57 PM 30 Apr 2008 Flight: 1736 Embraer 190 Meal: None Charlotte, NC Indianapolis, IN Class: Coach On -Time: 80 -90% Travel Time: 1 t Flight operated by PSA Airlines Summary (1 Passe Base Fare Taxes and Fees Grand Total $4 Terms and Conditions Ticket is non transferable. Ticket is non refundable. Unused tickets must be cancelled by midnight on the date of departure to retain value. htip: /www.usairways.com/awa/ managereservation /ManageReservation.aspx 5/1/2008 Manage Reservation Page 2 of 2 Any change to this reservation, including f ignts, pates, or cities, is subject to a tee_p new itinerary will be priced at the lowest available published fare at the time of change, which may in a fare increase. PSA, Airlines will operate one or more flights in this itinerary. Due to smaller -sized overhead compartments on our Express aircraft, carry-on bag size is limited t following dimensions for these flights: 19 "x15 "x11 Changes to the country of origin are not permitted, except for changes between the United States U.S. territories. Travel Tips January 23, 2007: All U.S. citizens (including infants and children) must have a vati.d_ passport to travel to from Bermuda, Canada, Mexico, Central and South America, and the Caribbean (excluding Puerto Rico the U -S- Virgin Islands). You need a valid passport to re -enter the U.S. This policy also applies to foreign nationals of Canada, Bermuda and Mexico. International travel Required documents and helpful information on internationai_trav_el. Carry -on update Get the latest carry on_ updates. Prepare for checkpoint inspection All passengers are required to show their boarding pass at the security checkpoint. View checkpoint prot Arrive early Allow extra time for unexpected delays, parking, security and check -in. View our recommended airport cl times. Safe travel Learn about saf..e. travel. tip..s.. Get tips on traveling.-with infants and children, child- safety or having_a healthy flight. Rules of Carriage To view, download or print the US Airways Rules of Carriage, visit our Contract of Carria page. Careers i Privacy Rights I Usage Agreement I System Requirements I Security I Site Map I Contact US Airways I _I _1 In United. Kingdom Belgium European Union t=rance Germany Ireland Spain Italy Sweden Netherlands Switzerland Reservation questions? Call US Airways at 800 -428 -4322 or entail us. Copyright 2008, US Airways Inc. All Rights Reserved. http:// www. usairways. com/ awa/ managereservation /ManageReservation.aspx 5/1/2008 05/01/2008 10:17 843 -723 -4633 FRANCIS MARION HOTEL PAGE 02/02 F ffAM0 14 0 T E L Cindy Sheeks One Civic Squ 05101/081 Page No. 1 of 1 Carmel, IN 46032 Us Room No. 1024 Arrival 04/26/08 Departure 04/30/06 CO YOFEMACE Folio No. 27340 AIR Number Cashier No, 115 Company Name User ID CAROLYNW Rr rt t r "+T a�,' r^9' r .J 'a�3'rti d. J',� Y �y� r 4 �.i ��`�',7' r ?°t.+sr �Y�', 04!26108 Roam r329,tN1 04/26/08 Room Tex 6.5% 21.39 04122608 Occupancy Tax 6,01% 19.74 04/27106 Room 169.00 04/27/08 Room tax 6.3 1l0 10.99 04/27108 Omrpancy Tax 6.0% 10,14 04/28/08 Room 16900 0401m Room Tex 6.5% 10.99 040.8108 Omipency Tax 6.0% 10.14 0412910$ Roam 169,00 04/29108 Room Tex 6.5% 10.99 04/29/09 Occupancy T,x 6,0% 10 04/30/08 idefrtamilb �,cr.tttriur 1 z TOO 940,52 940,52 Tr■ %ieerkitn lD r; Ge V114Cerrjlixry F UdlCndo Balance 0.00 1 A�lMV�V v�flWlr�ti 7T7'�M�clhtll Arl�Et Lr 1.. 1 Total incl. tax 940.52 NdAmount 836.00 R oom Ta 6.5% 54.36 Occupancy Trot 6.0% 50.16 O,DO E -Mail: info6athelrancl8t ild0ri,com l Wall Address: www•frandsmarioncharle9ton,Corn Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itefiized 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)) Total I 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 's IN SUM OF 1 ON ACCOUNT OF APPROPRIATION FOR C7* 4 �v /rL, 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 2 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund