173689 06/22/2009 CITY-OF INDIANA VENDOR 065950 Page 1 of 1
ONE'CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $578.42
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033-9501 CHECK NUMBER: 173689
CHECK DATE: 6122/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 230.98 SBA SCHOOL
"'1701 4357004 347.44 ILMCT CONFERENCE
4 C44
OF M
4
CITY OF CARMEL Expense Report (required for all travel expenses)
HOIANP EXHIBIT A
EMPLOYEE NAME: DEPARTURE DATE: �1�� O�! TIME: 1A AM! PM
DEPARTMENT: C� RETURN DATE: ��lS1a TIME: A), 3e z A& PM
REASON FOR T RAVEL: ��d� C6h Ce DESTINATION CITY: �V
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT y1 TRAVEL PER DIEM
Transportation Gas/Tolls! Meals
Date p parkin Lodging Misc. Total
Taxi Tips Luggage g Breakfast Lunch Dinner Snacks Per Diem
crG D_ 0-6
Ir
Total 0 a Dd It
I.
DIRECTOR'S STATEM 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:O`t
Ci. of Carmel Form ER06 Revision Date 3/16/2009 Pagel
i
c
AFFIDAVIT FOR EXPENSES
1, Diana L. Cordray, incurred expenses while on City business (State Board of
Accounts School and ILMCT) where a receipt was not possible. The following non
receipted expense(s) are as follows:
West Baden Hotel Bellman $3.00 June 14, 2009
Shuttle to French. Lick Hotel (tip) 2.00 June 14, 2009
Shuttle to French Lick (tip) 2.00 June 16, 2009
West Baden. Hotel Bellman 3.00 June 17, 2009
Total $10.00
Diana L. Cordray
Clerk Treasurer
June 22, 2009
E
I
STATE OF INDIANA
AN EQUAL OPPORTUNITY EMPLOYER STATE BOARD OF ACCOUNTS
302 WEST WASHINGTON STREET
ROOM E418
INDIANAPOLIS, INDIANA 46204 -2765
Telephone: (317) 232 -2513
Fax: (3 17) 232-4711
Web Site: www.iti.gov /sboa
CERTIFICATE
I hereby certify that MS. Diana Cordray Clerk- Treasurer
(Name) (Title)
City of Carmel Indiana attended a School for City Clerks, City Controllers and City and
(City or Town)
Town Clerk- Treasurers in French Lick, Indiana, on June 16 and 17, 2009, called by the State Examiner,
pursuant to IC 5- 11 -14, and is entitled to mileage at a rate per mile determined by the city or town council
to the person furnishing the conveyance, for each mile necessarily traveled to the place of the meeting
and return, as provided by law.
Reimbursement for lodging is also authorized for the nights preceding the meeting dates in an
amount not to exceed the hotel's single room rate. Reimbursement for meals purchased while attending
the meeting in an amount determined by the city or town council is also authorized.
STATE 130 D OF AC NTS
Bruce A. H man, CPA
State Examiner
(This certificate is to be attached to an accounts payable voucher and filed in the Controller's or Clerk
Treasurer's office for payment from the General Fund in the same manner as other claims. No
appropriation is required for payment of the expense.)
AGENDA
STATE BOARD OF ACCOUNTS SCHOOL
FRENCH LICK RESORT
FRENCH LICK, INDIANA
TUESDAY, JUNE 16, 2009
Registration Each day in the Registration Area on Level 2 in the Event Center
WINDSOR II and III
9:00 AM Welcome
Mr. Bruce A. Hartman, CPA, State Examiner
State Board of Accounts (SBA)
Mr. Tim Rushenberg, Commissioner
Department of Local Government Finance (DLGF)
9:15 AM New Legislation
Mr. Charles W. Pride, Sr., CPA (SBA)
10:15 AM BREAK
10:30 AM Indiana Department of Revenue (IDOR) Regulations
Mr. Nick I=etchina, Sr. Field Examiner (IDOR)
11:15 AM Internal Revenue Service (IRS) Regulations
Ms. Raelane K. Hoff, CPA
Federal, State, and Local Government Field Specialists (IRS)
12:00 PM LUNCH
AGENDA
STATE BOARD OF ACCOUNTS SCHOOL
FRENCH LICK RESORT
FRENCH LICK, INDIANA
WEDNESDAY, JUNE 17, 2009
Registration Each day in the Registration Area on Level 2 in the Event Center
WINDSOR 11 and III
9:00 AM Computerized Annual Report Preparation
Mr. Todd A. Austin, CPA (SBA)
Ms. Linda Baker (SBA)
Mr. Charles W. Pride, Sr., CPA (SBA)
10:00 AM BREAK
10:30 AM Computerized Annual Report Preparation (Continued)
11:30 PM LUNCH
1:00 PM Budget Preparation Guidelines
Mr. Dan Jones, Assistant Budget Director (DLGF)
2 :00 PM BREAK
2:15 PM Question and Answer Session/Wrap -up*
Mr. Todd A. Austin, CPA (SBA)
Mr. Charles W. Pride, Sr., CPA (SBA)
Mr. Dan Jones (DLGF)
3:00 PM Adjourn
*A question box will be provided on both days of the school for deposit of your written questions.
WEST BADEN SPRINGS
H O T E L
Name: DIANA CORDRAY Arrival Date: 6/14/09 Cl Clerk NHART
Address: ONE CIVIC SO Departure Date: 6/18/09 CO Clerk DNEWTON
SEE REMARKS!!! Group Code:
CARMEL IN 46033
Rooni WB 4333 ResJ.` 398550638109 Page 1 of 1
Date Reference
Des ion: Charges Credjts
06114/09 399779000778 ROOM CHARGE WB 4333 59.00
TAX 1 4.13
TAX2 2.36
06/15/09 399789000915 ROOM CHARGE WB 4333 U4.
TAXI TAX2 06/16/09 399799001017 ROOM CHARGE WB 4333 TAX 1 TAX2
06/17/09 399809000864 ROOM CHARGE WB 4333 59.00
TAXI 4.13
TAX2 2.36
06/18/09 39981 1628894 WB FRONT DESK
Total Due .00
I agree to remain personally liable for the payment of this account if the corporation or other third party
fails to pay part or all of these charges. I also agree that all charges contained in this account are correct
and any disputes or requests for copies of charges must be made within five (5) days after my departure.
If you are using a credit card, the hold may last up to 3 business days past your check -out date. If you
are using a debit card, the hold on funds may last from 7 -10 business days after your check -out date.
Guest Signature:
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))
oCk job.
Total v "f a--
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.
MA ALLOWED 20
IN SUM OF
L ID
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C Z39�0 :�g bill(s) is (are) true and correct and that the
J10U 3 materials or services itemized thereon for
which charge is made were ordered and
received except
20
r
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund