179647 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363021 Page 1 of 1
ONE CIVIC SQUARE STEVEN EDWARDS
CHECK AMOUNT: $430.00
CARMEL, INDIANA 46032 10409 cuAROHiLL LnNr
FISHERS IN 45038 CHECK NUMBER: 179647
CHECK DATE: 11/2412009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 430.00 EXTERNAL TRAINING TRA
:k:
\t{ 0 Cqy,�
E
CITY OF CARMEL Expense Report (required for all travel expenses)
FOP�N
NOIANa
EMPLOYEE NAME 7 Z�_ C L� n� DEPARTURE DATE: TIME: AID PM
DEPARTMENT. RETURN DATE: TIME: AM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
1117/09 $20.00 $65.00 $85.00
1118/09 1 $65.00 $65.00
11/9109 $65.00 $65.00
11/10/09 $65.00 $65.00
11/11/09 $65.00 $65.00
11/12/09 $20.00 $65.00 $85.00
$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 $40.001 $0.00 $0.001 $0.00 $0.00 $0.001 $0.00 $390:00 $0.00
DIRECTOR'S STATEMENT: I herelpy affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
NOV 2 3 2009
Director Signature: Date:
City of Carmel Forfn ER06 Revision Date 11/19/2009 Page 1
INTERCONTINENTAL,
LOS ANGELES CENTURY CITY
11 -12 -09
Mr Steve Edwards Folio No. Room No. 0730
10409 Guardhill Ln A/R Number Arrival 11 -07 -09
Fishers, IN 46038 Group Code RED Departure 11 -12 -09
u5 Company Cont. No. 62431838
Membership No. Rate Code
Invoice No. Page No. 1 of 2
Date Description Charges Credits
11 -07 -09 Check Approval code 6294 3,182.50
11 -07 -09 "Accommodation Routed From Edwards Steve Of Room #0706 279.00
11 -07 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06
11 -07 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19
11 -07 -09 'Accommodation 239.00
11 -07 -09 Room Tax -14% 33.46
11 -07 -09 CA Assessment 0.19
11 -08 -09 Parking 3rd Party 11 -07 -09 Edwards Steve #0706= >Edwards Steve #0730 35.20
11 -08 -09 "Accommodation Routed From Edwards Steve Of Room #0706 279.00
11 -08 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06
11 -08 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19
11 -08 -09 `Accommodation 239.00
11 -08 -09 Room Tax -14% 33.46
11 -08 -09 CA Assessment 0.19
11 -09 -09 Parking 3rd Party 11 -08-09 Edwards Steve #0706= Edwards Steve #0730 3520
11 -09 -09 Parking 3rd Party #706 POSTING Edwards Steve #0706 >Edwards Steve 35.20
#0730
11 -09 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00
11-09-09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06
11 -09 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19
11 -09 -09 "Accommodation 239.00
11-09-09 Room Tax -14% 33.46
11 -09 -09 CA Assessment 0.19
11 -10 -09 Parking 3rd Party #706 POSTING Edwards Steve #0706 >Edwards Steve 35.20
#0730
11 -10 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00
11 -10 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06
InterContinental Los Angeles Century City
2151 Avenue Of the Stars
Los Angeles, CA 90067
Telephone: (310) 284 -6500 Fax: (310) 284 -6501
.NTERCONTINENTAL
LOS ANGELES CENTURY CITY
11 -12 -09
Mr Steve Edwards Folio No. Room No. 0730
10409 Guardhill Ln A/R Number Arrival 11 -07 -09
Fishers, IN 46038 Group Code RED Departure 11 -12 -09
us Company Conf. No. 62431838
Membership No. Rate Code
Invoice No. Page No. 2 of 2
Date Description Charges Credits
11 -10 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19
11 -10 -09 'Accommodation 239.00
11 -10 -09 Room Tax -14% 33.46
11 -10 -09 CA Assessment 0.19
11 -11 -09 Parking 3rd Party #706 POSTING Edwards Steve #0706= >Edwards Steve 35.20
#0730
11 -11 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00
11 -11 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06
11 -11 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19
11 -11 -09 "Accommodation 239.00
11 -11 -09 Room Tax -14% 33.46
11-11-09 CA Assessment 019
Total 3,130.50 3,182.50
Balance 52.00
Guest Signature:
I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
InterContinental Los Angeles Century City
2151 Avenue Of the Stars
Los Angeles, CA 90067
Telephone: (310) 284 -6500 Fax: (310) 284 -6501
I, Steve Edwards hereby certify that I paid $20 for luggage for the return trip to Indianapolis. For a
total of $20 for luggage expenses.
Respectfully submitted,
Steve Edwards
U 6A Cv p JET 0J r%
4-1
CA
Page 1 of 2
Snyder, Denise W
From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com]
Sent: Monday, October 19, 2009 3:36 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Steven Edwards
SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: OCT 19 2009
ACCOUNT LCRQ48 PAGE: 01
FOR:
EDWARDS /STEVEN L
TO: CITY OF CARMEL CITY OF CARMEL -FIRE DEPT
ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER
CARMEL IN 46032 TWO CIVIC SQUARE
CARMEL IN 46032
07 NOV 09 SATURDAY MILES- 381 ELAPSED TIME- 1:30
AIR LV INDIANAPOLIS 1232P DELTA FLT:3336 ECONOMY CONFIRMED
AR MEMPHIS 102P NONSTOP
RESERVED SEATS 6B
AIRLINE CONFIRMATION:DL POLDUW
MILES- 1619 ELAPSED TIME- 4:19
AIR LV MEMPHIS 215P DELTA FLT:3005 ECONOMY CONFIRMED
AR LOS ANGELES 434P NONSTOP FOOD TO PURCHASE
AIRLINE CONFIRMATION:DL POLDUW
SEAT ASSIGNED AT AIRPORT CHECK IN ONLY.
12 NOV 09 THURSDAY MILES- 1814 ELAPSED TIME- 4:03
AIR LV LOS ANGELES 1145A DELTA FLT:2998 SPECIAL CL CONFIRMED
AR INDIANAPOLIS 648P NONSTOP FOOD TO PURCHASE
RESERVED SEATS 19A
AIRLINE CONFIRMATION= POLDUW
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.
DELTA CONF POLDUW
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS- CHANGES. FOR
AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL
877 6456373 CODE A09. $15.00 PER CALL FEE WILL BE CHARGED
A CANCELLATION FEE OF 15PCT ON TTL COST OF BOOKED TOURS- CRUISES
LAND HOTEL PKGS WILL APPLY. AIRLINE CHECKED BAGGAGE NOTICE
11/19/2009
VOUCHER NO. .WARRANT NO.
ALLOWED 20
Steve Edwards
IN SUM OF
$430.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 430.02 $430.00 1 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
NOV 2 t2nnrt
P
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$430.00
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