HomeMy WebLinkAbout204945 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 363278 Page 1 of 1
ONE CIVIC SQUARE JOSHUA REDDICK
y� CARMEL, INDIANA 46032 8545 CORALBERRY LN CHECK AMOUNT: $85.54
iNDPLS IN 46239 CHECK NUMBER: 204945
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 85.54 TRAVEL PER DIEMS
Clam No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
'CS
m
Allowed 20 N go
in the sum of o
(D f
c¢(
U
0�
(D s4a
m
CD
I (D a 9
(Board or Commission) OO
FILED
5- U
m
(D
(Official Title)
CD 0
O CD
0 N Q
Prescribed by State Hoard of Accounts
ene�al Form No. (1955j
MILEAGE CLAIM
v
C l l' b t� TO DR.
,Governmental unit)
C C> W1 ✓vi k �A r�C- C-A rp O 1 /1 S On Account of Appropriation No. `f for
(Office, Board, Department or Institution)
DATE FROM TO
ODOMETER,READING` NATURE OF BUSINESS AUTO MILES MILEAGE C
20 Point Point Start Finish TRAVELED PER MILE
5+ T d 1 2 is i r a h i M L G°
f
P L 1 t,
I
1 ESL H-o v-,V- e 0,( i ��e6
I2 -/v 2b 5f 3.5
2 L e 10,z
i
I
i
I
i
I
I
i I I
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be detern;ined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
r
Date 12 0 If p vl uc1 ScIL
of CAhij�.
c
CITY OF CARMEL Expense Report (required for all travel expenses)
f
EMPLOYEE NAME: Josh Reddick DEPARTURE DATE: 12/12/11 i TIME: 8:00 AM
DEPARTMENT: Communications RETURN DATE: 12/14/11 TIME: 5:00 PM
REASON FOR TRAVEL: CTO School DESTINATION CITY: Indianapolis
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT 1 TRAVEL PER DIEM X
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
12/12/11 $20.96 $20.96
12/13/11 $19.99 $19.99
j 12/14/11 $22.28 $22.28
$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 $0.001 $0.001 $0.00 $0.001 $0.00 $63.231 $0.001 $0.00 $0.00 $0.00
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.
I
Director Signature: Date: I
City of Carmel Form ER06 Revision Date 12/18/2011 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 MEAT_ 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: Josh Reddick electronic signature) Date: December 18, 2011
f
I
City of Carmel Form ER06 Revision Date 12/18/2011 Page 2
Vivian,
I have to pay 14% shipping since the class is less than 21 days out?
From: Nowaczewski, Vivian K fmailto:ViNowaczewski psc.IN. ov]
Sent: Tuesday, August 23, 20118:03 AM
To: Heinzman, Mike D; Akers, William P; Jokantas, John M
Cc: Arnone, Janet R
Subject: RE: CTO TRAINING COURSE (APCO IPSC) 9.13.11 9.15.11 /POLOVICK/CASE RED DICK
I have attached a copy of the order form. Use my name as the instructor's name. Order the CTO 4 1 Edition. After
October APCO will be going to the 5th Edition. I had a CTO class schedule in November
However due to a scheduling conflict it has been cancelled. I will announce an alternative later.
I have everyone registered as requested.
Please contact me if you have any other questions.
Vivian Nowaczewski
Training Director
_NAWAS`@oordinator
Integrated?ublic SafetypCommission
8500 East 21st Street
Indianapolis, IN 46219
yinowaczewski ftsc.IT(&y
Office 317 899 -8534
Cell 317 447 -7686
Fox 317 899 -8282
From: Heinzman, Mike D rmailto :MHeinzman@)carmel.in,govl
Sent: Tuesday, August 23, 20112:58 AM
To: Nowaczewski, Vivian K; Akers, William P; Jokantas, John M
Cc: Arnone, Janet R
Subject:_CTO2TRAINING�,COUR_S— APCO,) IPS 9aQ3�liW =�9 1�5 1z1 /POL®VICK %CASE %REDDICK7
CS.ep -3 1 �Communicafio s' Tra n ng�Officers eIPSC Train ng r.
011 Course T(CTb)' -Center-,
85Q0.E. 21st St.
Indianapolis, IN
46219
PROPOSED ATTENDEES:
c Tara;Poloyick',Darcy_Cd se -Josh Reddick
Cost of class: Free
Cost of APCO CTO book X 3 (required) Unknown Vivian, can you advise how to order this book (can't find on APCO
website) and please register us to attend?
John, I just noticed I will be out of town during most of the above class (Sept 14 18), 1 will go later if possible.
2
CTO December 12th 14th, 2011
NAME AGENCY SIGNATURE
Josh Reddick Carmel PD
Darcy Case Carmel PD
Tara Polovick Carmel PD V
Cathie Austin Fountain Warren County,
Susan Baugher Porter County 1.
Jessica Neff Noblesville
Nick Tucker Noblesville
Becky Feltz Hamilton County �4
Brenda King Hamilton County lj
Gina SoWe4;ec*- Hamilton County
James Miller Hamilton County
Sharon Decker Hamilton County
Melissa Hamilton County
Karen Stafford Hendricks County
Andrea Baughn Hendricks County
Leslye Harrell Hendricks County I
Darin Riney Wayne County:
Tina Lantz Indianapolis Airport
AdbOteU- Qayne Indianapolis Airport
Patricia Oros Lake County
Kara Ralowski Lake County
o ,j
Lloyd McCracken Capitol Police
Leesa Slover ISP Region III
1 lc-
ftAcy Stdvens ISP Region I
IW Ha n ISP Re goy)
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))
12/19/11 $63.23
12/19/11 $22.31
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
Joshua Reddick
IN SUM OF
8545 Coralberry Lane
Indianapolis, IN 46239
$85.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $63.23 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1115 43- 430.04 $22.31
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 19, 2011
D
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund