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Home My WebLink About173689 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