204961 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 279500 Page 1 of 1
ONE CIVIC SQUARE JAMES SEMESTER JR
�.o CARMEL, INDIANA 46032
CHECK NUMBER: 204961
CHECK DATE: 1212012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 294.40 TRAVEL LODGING
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIANA f
EMPLOYEE NAME: Jim Semester DEPARTURE DATE: 12/15/2011 TIME: 5 :52AM AM PM
DEPARTMENT: Police Department RETURN DATE: 12/16/2011 TIME: 6:59PM AM/PM
REASON FOR TRAVEL: FBI Graduation DESTINATION CITY: Washington, DC
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
12/15/11 $65.00 $65.00
12/16/11 $65.00 $65.00
$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 a $0.00 $0.00 so'.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $130.001 $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.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 12/19/2011 Page 1
SALES PERSON: DT2 ITINERARY /INVOICE NO. 76038 DATE: NOV 30 2011
ACCOUNT SJRHTO PAGE: 01
?OR:
SEMESTERJR /JAMES S
C0: CITY OF CARMEL CITY OF CARMEL- POLICE DEPT
ONE CIVIC SQUARE 3RD FLOOR ATTN:LUANN MATES
CARMEL IN 46032 THREE CIVIC SQUARE
CARMEL IN 46032
L5 DEC 11 THURSDAY MILES- 476 ELAPSED TIME 1:38
kIR LV INDIANAPOLIS 552A UNITED FLT:3484 ECONOMY CONFIRMED
AR WASH /DULLES 730A NONSTOP
RESERVED SEATS 15D
AIRLINE CONFIRMATION:UA SJRHTO
L6 DEC 11 FRIDAY MILES- 476 ELAPSED TIME- 1:47
kIR LV WASH /DULLES 512P UNITED FLT:5861 COACH CLASS CONFIRMED
AR INDIANAPOLIS 659P NONSTOP
RESERVED SEATS 15C
AIRLINE CONFIRMATION:UA SJRHTO
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY
NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL
TRAVEL DATE. FEES WILL APPLY.
UNITED CONF SJRHTO
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS- CHANGES. AFTER
HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373
CODE A09- $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON
TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL
FOR TERMS AND CONDITIONS- AIRLINE LUGGAGE POLICES AND
OTHER SERVICES OFFERED.
THANK YOU. DEBBIE TUNSTILL 317 805 5762
TICKET NUMBER /S:
SEMESTERJR /JAMES S 7999797097 CARD 605.40
ELECTRONIC
f�
PERSON: DT2 ITINERARY /INVOICE NO. 76038 DATE: NOV 30 2011
ACCOUNT SJRHTO PAGE: 02
SEMESTERJR /JAMES S
T0: CITY OF CARMEL CITY OF CARMEL POLICE DEPT
ONE CIVIC SQUARE 3RD FLOOR ATTN:LUANN MATES
CARMEL IN 46032 THREE CIVIC SQUARE
CARMEL IN 46032
AIR TRANSPORTATION 543.26 TAX 62.14 TTL 605.40
PROCESSING FEE 35.00
SUB TOTAL 640.40
CREDIT CARD PAYMENT 640.40-
TOTAL'AMOUNT 0.00
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 reimburse Lt. Semester for meals while at FBI graduation $130.00
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
James S. Semester
IN SUM OF
$130.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 430.03 $130.00
I hereby certify that the attached invoice(s), or
I
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, December 19, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
OF &AHgy�
h%T� R,�
CITY OF CARMEL Expense Report (required for all travel expenses)
\NDIANP
EMPLOYEE NAME: Jim Semester DEPARTURE DATE: 12/1512011 TIME: 5:OOAM AM PM
DEPARTMENT: Police Department RETURN DATE: 12/16/2011 TIME: 6:59PM AM/PM
REASON FOR TRAVEL: FBI Graduation DESTINATION CITY: Washington, DC
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total,
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
12/15/11 $25.00 $25.00
12/16/11 $25.00 $114.40 $139.40
$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 $50.001 $0.001 $114.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: 1 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 ER06 Revision Date 12/19/2011 Page 1
Hampton Inn Dumfries /Quantico
16959 Old Stage Road Dumfries, VA 22025 U S A
l �p�p J
Phone (703) 441 9900 Fax (703) 441 6800 lJV
Official Sponsor
If the debit/credit card you are using for check -in
SEMESTER, JAMES name is attached to a bank or checking account, a hold
room number: 320 /KXTY will be placed on the account for the full anticipated
3 CIVIC SQ. address arrival date: 12/15/2011 2:53:OOPM
departure date: 12/16/2011 dollar amount to be owed to the hotel, including
CARMEL, ID 46032 estimated incidentals, through your date of check out
US adult/child: 1/0 and such funds will not be released for 72 business
room rate: $104.00 hours from the date of check -out or longer at the
discretion of your financial institution.
RATE PLAN L -GVS
HH# 330785753 BLUE
AL
BONUS AL CAR
Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value unattended in
Confirmation: 80139623 your room. A safety deposit box is available for you in the lobby. I agree that my liability for this bill is not waived and agree
to be held personally liable in the event that the indicated person, company or association fails to pay for any part or the full
amount of these charges. I have requested weekday delivery of USA TODAY. If refused, a credit of $0.75 will be applied to
12/16/2011 PAGE 1 my account. In the event of an emergency, I, or someone in my party, require special evacuation due to a physical disability.
Please indicate yes by checking here:
signature:
n
date reference description amount it
12/15/2011 762675 GUEST ROOM $104.00
12/15/2011 762675 STATE TAX $5.20
12/15/2011 762675 COUNTY TAX $5.20
WILL BE SETTLED TO MC *6050 $114.40
EFFECTIVE BALANCE OF $0.00
ESTIMAT D CURRENCY TOTAL
for reservations call 1.800.hampton or visit us online at hampton.com thanks.
account no. date of charge folio /check no.
card member name authorization initial
establishment no. and location establishment agrees to transmit to card holder for payment purchases services
taxes
tips misc.
signature of card member
X total amount 0.00
CON RAD n 161n^ e.
wnrooar Ornrd,:n inn t7l omv r'�+^ o HOME H H O N O R S
ASIORI4' HIItO❑ DOUBI F,l'RP,{: wins Grand Vac:rtiuns
HILTON WORLDWIDE
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 baggage fees lodging $164.40
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
James S. Semester
IN SUM OF
$164.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 430.03 $164.40 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
Monday, December 19, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund