HomeMy WebLinkAbout173774 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363000 Page 1 of 1
ONE CIVIC SQUARE ASHLEY COLLINS
is 1 0I� CHECK AMOUNT: $717.81
,.•�,�a CARMEL, INDIANA 46032 3521 W 48TH ST
INDIANAPOLIS IN 46228 CHECK NUMBER: 173774
CHECK DATE: 6/24/2009
DEPAR ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1115 4343002 717.81 EXTERNAL TRAINING TRA
xn
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Ashley Collins DEPARTURE DATE: 7 �f TIME:
DEPARTMENT: _Communications RETURN DATE: O -,0 TIME: 11 AM M
REASON FOR TRAVEL: Crystal Reports Class DESTINATION CITY:
EXPENSES ARE FOR (check all that apply: TRAVEL ADVANCE TRAVEL REIMBURSEMENT
Date Transportation Gas[Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
617/09 $2.40 $176.71 $32.50 $5.00 $216.61
6/8/09 $2.00 $65.00 $67.
6/9/09 $2.00 $65.00 $67.
6/10/09 $4.40 $65.00 $5.00 $74.
$0.0
$0.
$0.0
$0.0
$0.0
$0.
$0.0
$0.0
$0.0
$0.
$0.0
$0.0
$0.0
$0.0
$0.0
$0.0
Total 1 $0.00 $0.001 2.00 $10.801 $176.71 $0.00 $0.00 $0.00 $0.00 $227.50 $10.00
DIRECTOR'S STATEMENT: I h that all nse nfo to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06,, Revision Date 6/2412009 Page 1
f i
Travel Expense Affidavit Tolls /Tips
Ashley Collins CTO Class; Romeoville, IL June 7 10, 2009
The following will act as a miscellaneous expense affidavit for travel to, from, and during
my CTO class to Romeoville, IL June 7-10,2009.
June 7, 2009 80 tolls x 3 2.40
June 7, 2009 5.00 tip x 1 $5.00 (bellhop check -in)
June 8, 2009 1.00 toll x 2 2.00
June 9, 2009 $.1.00 toll x 2 2.00
June 10, 2009 1.00 toll x 2 2.00
June 10, 2009 .80 toll x 3 2.40
June 10, 2009 5.00 tip x 1 5.00 (bellhop check -out)
June 7-10,2009 Grand Total 20.80
I affirrt es expenses t be true and accurate.
Name Date
I/
Page 1 of 1
Arnone, Janet R
From: Collins, Ashley M
Sent: Sunday, June 14, 2009 11:09 PM
To: Arnone, Janet R
Subject: Mileage /Expense Reimbursement
Janet
I have submitted to you my mileage /expense report for my CTO School in Romeoville, IL. I wanted to send this email as a
follow -up to each column since there's no place to explain expenditures and in case you had questions.
f
I put my gas costs on day 1 and 4 according to the sheet, as well as toll costs. There were 3 .80 tolls going and coming
from Illinois. And then $1.00 /toll each way to and from the hotel to the class. (I read the Carmel Travel Ordianance and it
reads something about filling out an affidavit for tolls? I was unable to find this)
I pro -rated the Per Diem to half on 6/7/09 since I didn't leave until the afternoon, I'm presuming that's the correct rate.
The Misc 5.00 were tips to the Bellhop helping me with luggage as the hotel offered a bag to room while check -in /out
etc.
I also put in the hotel cost in the day one lodging area.
On the mileage report, I excluded mileage for anywhere I went after class as well as to breakfast etc. I did drive times only
to and from class and lunch.
I hope this makes sense, and if I need to change anything just advise.
Thanks again, I had a great class!
Ashley
6/15/2009
V lQ pT'F./(q CA F
16 AR
CITY OF CARMEL Expense Report (required for all travel expenses)
A
�.!NDIANP 'i
NAME C Inns M)
Carmel Cla START DATE 2 M TIME: 3 �I AM Communicat 0 AM ions Center RETURN DATE: 7 TIME: PM
Clay �6
LOCATION f b (L
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
6/7/09 $176.71 ($32.50 $5.00 $299.66
6/8/09' $2.00 $65.00 $67.00
6/9/09 $2.00 $6 $67.00
6/10/09 $5.00 $137.56
$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
tal
To $0.00 $0.00 $0.00 $157.01 $176.71 $0.00 $0.00 $0.001
0.00 $0.00 $227.50 $10.00
DIRECTOR'S STATEMENT: I here that all expenses li ted conform to the City's travel policy and are within my department's appropriated budget. lkU
Director Signature: Date:
City of Carmel Form ER06 Revision Date 6/14/2009 Page 1
Mot
A
MR
:International Inc*
Communications Oiiicials
APCO Institute Inc,
ZO
Communications 9raining O'ffi c e r
in recognition of having completed the requirements of the APCO Institute, Inc. Communications
Training Qfficer, 4th Edition course, APCO Institute, Inc. hereby awards
certification to:
L A VINIMI
Aahley Coill.".s
MTITUTETm
Issued: 06/08/2009
24 Credit Hours
Julie Troutrn�n, Institute Director
one
t W4- 'A. W-4- 711 0 RM
All Right� Resewed LITHO. IN U.S.A.
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Check -In Date: Sunday, June 7, 2009
Check -Out Date: Wednesday, June 10, 2009
Priceline Hotel Request Number: 595 831 741 -01
Priceline Customer Service Number: 1- 800 657 -9168
Hotel Name: Wyndham Hotel Lisle
3000 Warrenville Road
Lisle, Illinois 60532
630 505 -1000
Confirmation Number: Room 1 67180933
Summary of Charges
Billing Name: Ashley M Collins
Billing Address: 3521 W 48th Street
Indianapolis, IN 46229
Billing Date: March 29, 2009
Payment Method: Visa ending in 1599
Your Offer Price: $50.00
Number of Rooms: 1
Number of Nights: 3
Subtotal: $150.00
Taxes and Service Fees $26.71
Total Charges $176.71
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Arnone, Janet R
From: Vicki Menzel [menzely @apco911.org]
Sent: Tuesday, March 24, 2009 8:08 AM
To: Arnone, Janet R
Cc: Arnone, Janet R
Subject: FW: APCO Institute Student Registration Form
Thank you for your registration. It will be held aside until your purchase order is
received. Please fax the PO to us at (386) 322 -9766.
Be sure to include the student(s) names on the PO and the course information. Once your
purchase order is received, your registration(s) will be finalized. If you have any
questions or concerns, please call the Institute at 888 272 -6911.
Original Message----
From: mheinzman @carmel.in.gov mailto:mheinzman carmel.in.gov]
Sent: Tuesday, March 24, 2009 5:21 AM
To: Institute Clerk
Subject: APCO Institute Student Registration Form
INSTITUTE STUDENT REGISTRATION INFORMATION
STUDENT INFORMATION
Last Name: Collins
First Name: Ashley
Middle Initial:
Title: Ms.
Student Email: acollins @carmel.in.gov
Confirmation Email: mheinzman @carmel.in.gov
Addressl: 31 1st AV NW
Address2:
City: Carmel
State: IN
Country: USA
ZIP: 46032
Phone: (317)571 -2586
Additional Registrants:
AGENCY INFORMMATION
Agency Name: CARMEL -CLAY COMMUNICATIONS
Addressl: 31 1ST AV NW
Address2:
City: CARMEL
State: IN
Country: USA
ZIP: 46032
Phone: (317)571 -2586
Fax:
APCO INFORMATION
How Learned: Web Site
APCO Member: No
Member Number:
Send Member Info: No
Class: Communications Training Officer, Romeoville, IL,
26809, Jun 8 -10, 2009
1
Totaldue: 259
PAYMENT INFORMATION
APCO cannot direct -bill any agency without an original purchase order.
Please fax original purchase order to 386 322 -9766 prior to the class start date or call
the Institute at 888 272 -6911.
For Agencies in New Jersey, the original purchase order(s) must be received by mail to
process for payment.
Payment method: Purchase Order
Purchase Order Number: 20361
Contact person for payment: JANET ARNONE
Contact person phone number: (317)571 -2586
Credit Card Number:
Expiration Date:
Card Holder:
Authorized Signature:
Comments:
PLEASE CONTACT JANET ARNONE, OFFICE ADMINISTRATOR, FOR PO AND PAYMENT INFO. (317)571 -2586
OR EMAIL AT JARNONE @CARMEL.IN.GOV
We welcome your comments and suggestions. Please feel free to contact us if you have any
questions.
Any registration received within ten (10) days of the class start date is subject to a
$25.00 late registration fee, and must be included with the tuition payment.
All cancellations must be submitted in writing.
Any registration cancelled more than 21 days prior to the start of the scheduled course
will receive a refund minus a $25.00 administrative fee.
Cancellations less than 21 days before the class will receive a 50% tuition refund.
No shows or cancellations the first day of class are not eligible for a refund.
This policy applies to all APCO Institute courses and seminars.
You will receive separate confirmation of your class enrollment. If you register for a
class that is already full, we will contact you to make alternate arrangements. If you do
not receive confirmation 10 days prior to the class start date, please contact APCO
Institute at 888.272.6911. You can also contact APCO via email at institute @apco9ll.org.
APCO Institute
351 N WIlliamson Blvd
Daytona Beach, FL 32114 -1112
2
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I
;Y SA BCARD OF ACCOUNTS
Ge =7ERAL FORM NO. 101 (1986)
MILEAGE CLAIM 1 j
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(GOVERNYJ—NTAL UNIT)
C ON ACCOUNT OF APPROPRIATION NO. O
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(OFFICE., BOARD, DEP4R'rML NT OR Li57M. tCM
FROM TO SPEEDOMETER
STE READING AUTO MIL AGE
NATLRE OF BUSINESS MILES Q �j e
POINT POINT START I FINISH I TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS i( l o
DOMETER READING columns are to be used only when distance between points cannot be determined by fixed miieage or efficialrighway map. 1
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount Claimed is 1 �gally due liowi_�
l alter agi�ll just credits
that no part of the same has been paid. I11In' fi r'
G.
1 certify that to within hill is true and correct; that the utiluayc lh)jnaiu itemized
and f which charye is made as ordered by rue and wa:1 necessary to the jzuh is
v
_a d business; and that the rate her mile is hl accord
with statutes or yoveturuy
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ASHLEY M COLLINS Valued Cardmember Since 2008
Page 1 of 2
ACCOUNT SUMMARY PAYMENT SUMMARY BALANCE SUMMARY
ACCOUNT 0@11EIRIDBM MINIMUM PAYMENT' am
NUMBER PREVIOUS BALANCE
g ap
CASH CREDIT LIMIT t 4WW PAYMENT DUE DATE 07/05109 PAYMENTS /CREDITS some
CASH LIMIT AVAILABLE so CURRENT PAYMENT DUE' PURCHASES/DEBITS
TOTAL CREDIT LIMIT OEM See About Your Payment on reverse for LATE PAYMENT CHARGE $0.00
TOTAL CREDIT LIMIT l an explanation of these amounts. MISC. FINANCE CHARGE $0.00
AVAILABLE
FINANCE CHARGE $0.00
STATEMENT DATE 06 110/09 NEW BALANCE
t Cash Credit Limit is a portion of the Total Credit Limit
TRANSACTION SUMMARY
(For additional transaction detail go to www.orchardbank.com)
TRANS POST TRANSACTION REFERENCE AMOUNT
DATE DATE DESCRIPTION NUMBER CHARGES CREDITS
05/21 05/21 PAYMENT -THANK YOU 6515599914101 VTWF4ZXKHC $100.00
06/03 06/03 PAYMENT THANK YOU 6515599915401S19ND1T0RL $100.00
06 /05 06/05 PAYMENT THANK YOU 65155999156019X43DLXNJJ $100.00
05/11 05/12 WM SUPERCENTER INDIANAPOLIS IN MT091320109000010099368 $18.44
05/12 05/12 REDBOX'DVDRESERVATION 866 733 -2693 IL MT091320109000010091257 $1.07
05/12 05112 REDBOX'DVDRESERVATION 866 733 -2693 IL MT091320109000010091258 $1.07
05/12 05/12 REDBOX'DVDRESERVATION 866 733 -2693 IL MT091320109000010091259 $1.07
05/13 05/14 MCALISTER'S DELI #10039 CARMEL IN MT091340108000010130958 $8.70
05/14 05/15 WAL- MART #1601 CARMEL IN MT091 3501 0800001 01 21 346 $12.53
05/14 05/15 REDBOX'DVD RENTAL 866 733 -2693 IL MT091 3501 0800001 01 31 792 $1.07
05115 05/15 REDBOX'DVD RENTAL 866 733 -2693 IL MT091350114000010088399 $1.07
05115 05115 REDBOX'DVD RENTAL 866- 733 -2693 IL MT091350114000010088400 $1.07
05115 05116 MEIJER INC #130 Q01 CARMEL IN MT091360103000010125326 $32.76
05/24 05/25 APL'ITUNES 866 712.7753 CA MT091450103000010100820 $1.06
05/26 0527 MAGICJACK 561 -594 -2140 WEST PALM BEA FL MT091470105000010155102 $3.95
05/27 05/28 KROGER #962 INDIANAPOLIS IN MT091480113000010085888 $51.01
06/06 06108 TIRE BARN 22 INDIANAPOLIS IN MT09159010400001.0278007 $79.99
j O6/�09 -05r^ 5 MAP ?,THQNO1L082925C96:NDIANAPOL!S !N VT09159010 °0 00/0 304704 $40.00
MAIL PAYMENTS TO: QUESTIONS? 2 MAIL INQUIRIES TO:
HSBC CARD SERVICES 24 -HOUR AUTOMATED ACCOUNT INFORMATION HSBC CARD SERVICES
PO BOX 4155 ENGLISH 1- 800 477 -1024 PO BOX 80084
CAROL STREAM IL 60197 -4155 ESPAIJOL 1 -503- 293 -4834 SALINAS CA 93912 -0084
Q Manage your account online at:
www.orchardbank.com
ODS1
1105905 10 0000000508 G STMT12 D C 00029011
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT: To Assure Proper Credit Please Write Your Account Number On Your Check
Account Number
Payment Due Date 07/05/09
New Balance Current Payment Due
tmd
Include account number on check to HSBC CARD SERVICES. Do not send cash. Send payment
7 to 10 days prior to the Payment Due Date to ensure timely delivery.
Amount
Enclosed
#BWNHYTS
#498052283559#
ASHLEY M COLLINS �IIIII��r�rI��IIII����rr�I�I�I��rlr�ll����I�II�r���rirrrr��ll��rr
3521 W 48TH ST
INDIANAPOLIS IN 46228 -2084 HSBC CARD SERVICES
PO BOX 4155
CAROL STREAM IL 60197 -4155
515599005228355700001500000275722
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ASHLEY M COLLINS Valued Cardmember Since 2008
Page 2 of 2
TRANSACTION SUMMARY
(For additional transaction detail go to www.orchardbank.com)
TRANS POST TRANSACTION REFERENCE AMOUNT
DATE DATE DESCRIPTION NUMBER CHARGES CREDITS
06 /07 06/ SHELL OIL 57425731106 MERRILLVILLE IN MT0916001 CEO 00010143699 $43.05
06/08 06109 WAYPORTINTERNEVSVCS`WAYPORT.NET TX MT091600102000010137840 $9.95
06108 06/09 IKEA BOLINGBROOK BOLINGBROOK IL MT091600104000010139151 $33.59
YOUR ANNUAL FEE OF $79.00 WILL BE CHARGED ON NEXT MONTH'S STATEMENT. SEE REVERSE FOR ADDITIONAL INFORMATION.
PERIODIC FINANCE CHARGE SUMMARY
This is a grace account. Grace period information on back.
Balance Subject Daily Days Finance Charges NOMINAL
To Finance Charge Periodic in Billing At Periodic ANNUAL
Average Daily Rate Cycle Rate PERCENTAGE
Balance RATE
PURCHASES $0.00 0.04083 %(v) 31 $0.00
CASH ADVANCES $0.00 0.05726 %(v) 31 $0.00 law
ANNUAL PERCENTAGE RATE** 0.000
"May be higher then Nominal Percentage Rate if statement includes misc. finance charges.
(V) indicates variable rate
https /www.faniilyhorizonsonline. con Vonlinesery /HB /Summary.cgi ?n...
Family Horizons Credit Union
Print Date June 17, 2009
Member Number:
Member Name Ashley M. Collin
Account Title Checking w /OD Priv Account Balance $896.76
Account Number 2 Available Balance $718.75
Account Type Share Draft 2009 Dividends $0.00
2008 Dividends $0.00
Account #2 History
06 -10 -2009 to 06 -12 -2009
Transaction
Date Credit Debit Balance
L
�t
i
`L
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))
06/15/09 $294.80
06/15/09 $571.22
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
V NO. WARRAN NO.
ALLOWED 20
Ashley Collins
IN SUM OF
3521 W. 48th Street
Indianapolis, IN 46228
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
ll 001 1
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 1 hereby certify that the attached invoice(s), or
1115 43- 430.02
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, June 22, 2009
Direc
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund