159167 05/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00351060 Page 1 of 1
ONE CIVIC SQUARE DENNIS STILTS CHECK AMOUNT: $269.75
CARMEL, INDIANA 46032 cl/0 cccc
ci0 cccc CHECK NUMBER: 159167
CHECK DATE: 5/7/2008
DEPARTMENT ACC OUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 269.75 TRAVEL PER DIEMS
i
�1Y of CA9M�
t „xreeky�`O!�
CITY OF CARMEL Expense Report (required for all travel expenses)
✓NDIARA
EMPLOYEE NAME: _Dennis Stilts DEPARTURE DATE: 4/2612008 TIME: 05:30 AM PM
DEPARTMENT: Communications Center RETURN DATE: 4/30/2008 TIME: 22:30 AM PM
REASON FOR TRAVEL: CAD Conference DESTINATION CITY: Scottsdale AZ
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
4/26108 $20,0 $59.50 $79.50
4/27108 $24.43 24. $48.90
4/28/08 $7.29 $7.29
4/29108 $8.37 $8.37
4/30/08 $40.00 $40.00 $19.43 $99.43
$0.00
5 $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 i $0.00 $60.00 $40.00 $0.00 $43.86 $0.00 $83.97 $15.661 $0.001 $0,00
DIRECTOR'S STATEMENT: I m that all a ense s 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 5/5/2008 Page 1
t r
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 docume d expenditures) being deduct o the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: y Q S
City of Carmel Form ER06 Revision Date 5/5!2008 Wage 2
3 New World Systems' Invoice
The Public Sector Software Company
888 W. Big Beaver Page: 1
Suite 600
Troy. MI 48084
(248)2b9 -1000 Number: 00000511.78
Date: 12/19/2007
Customer: HAM 1237
s
Carmel Communications Center
31 First Avenue NW
Carmel, IN 46032 USA
Net Due 30 Days
PO I 0 r
Aegis 2008 Executive Customer Conference Each 1.0 945.00 945.00
Dennis Stilts
Aegis 2008 Executive Customer Conference Subtotal 945.00
Sales Tax 0.00
945.00
ARZTCOO 1.rpt
B y STnii. HoA3D OF ACCOUNTS G- ORM xo. !oj (jSEs)
MILEAGE CLALM
TO
(GO V L��'M�
4 ON ACCO ?1T OF P °RC1'PI= iCN NO FOR C
c �c-�,d�S
SFEr�CMET�� AU 7�A
FROM TO TO GE
DATZ II F ING I I
9 POINT POINT i S ART
J e U I Go I 12 Z ii II I i
i it j I 1 II Ij it j
it c� a s c% ,��Q II I!
i !I I tl I ii i,
i i I II 11 !j jl
it I jj I; i� II
I�E i I I E
I II it
Aft
AUTO LIC Z- NO. TOT
:Nk T r uns -o u ea n „tee e` i-r
:.1�0�4.1 s 27 ri._J_�lC ....:L' c_ IO .Dc ii..2._ o nl y GiSi�.__CE :�Oi�NBe_ 7GE_ -:S Cca%oi .c'"' QeicT: c :__nCE C: ..._:C:__ ._GA'Nc`
1 r Q that I"� �.�.i -e jn L.y: G t-�. -..r •fie 1err_ i1: j i) :C
p F =i= *s ce *I.v t_,a:t__e Coo e �cc
u az::. se =ov___o�s e �e�- .ies of Chaple_ ;T t aWo�I a..__._ c� ��e, a ,Ic. a_ic:T c =e is
is ial .0 m—n C-, the Sa=e �ec— _L aia.
y I certify that lire within hill is true and corlout; flat tlP, mileage llleleill itenlizod
a1 0 and for which charge is made was ordered by ule and was y
uecessar to the public
m H business; and that the rate per Mile is ill accuzc�arlce Will statutes or governing
H ordinances except
�N ti1
O 0
N P, b
O ri
o CS
PP q
U U r7 nr N
o b
a of
v
v
v
o>
p o n r
7 o
:a
0 V I
E-
PC, �d
N U
i -i
O 9)
qq
o d
o u v
z
N P o
N O
U
a
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))
05/05/08 I I $269.75
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
Cleric- Treasurer
VOUCHER NO. WARRA NO.
ALLOWED 20
Dennis Stilts
IN SUM OF
41 Druid Hill Court
Carmel, Indiana 46032
$269.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 430.04 $269.75 1 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
Monday, May 05, 2008
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund