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C*RMEL. INDIANA 4*Oau po BOX ^,,r CHECK AMOUNT: $oyo.»r
uxnucL/m 46082-1117 CHECK NUMBER: 177464
CHECK DATE: 9/16v2009
DEPARTMEN ACCOUNT PO NUMB INV OICE NUMBER
I202 423I400 38.87 GASOLINE
I302 4343002 360.00 PE8DIEM
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Rebecca Chike DEPARTURE DATE: 8/16/2009 TIME: 11:00 AM
DEPARTMENT: IS RETURN DATE: 21 -Aug -1,W TIME: 8:30 PM
REASON FOR TRAVEL: VMWARE Training DESTINATION CITY: Detroit, MI
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT x PER DIEM x
Transportation Gas /Tolls! Meals
Date Lodging Misc. Total.
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8116/09 $60.00 $60:00
8117/09 $60.00 $60.00
8/18/09 1 $38.87 1 $60.00 $98.87
8/19/09 $60.00 460.00
8120/09 $60.00 $60.00
8/21/09 $60.00 $60.00
$0.00
$0.00
$0.00
$0:00
$0.00
$0:00
$000
$o;oo
$o:oo
$0.00
$0:00
Woo
$0:00
$.0.00
0:00
Total $0:;00
$0:00 $0 00 $38.8'7 $0.00 $O.UQ $0.00 $0.00 $0.00 $3GO.Ofl $O.QO 2 ,=$398 87
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: r Date: 0 7
City of Carmel Form 4 O6 Revision Date 8/24/2009 Page 1
For advance payments, claim form must be submitted ten (10) business days in advance of travel.
Claim will not be processed without the following documentation:
1) Conference or course registration form, if applicable
2) Travel itinerary or car rental agreement, if applicable
3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt)
Prorated meal allowance:
For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel
For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals
while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to:
1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and
2) Return all unused funds to the office of the Clerk- Treasurer
I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first
paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: a
City of Carmel Form ER06 Revision Date 8/24/2009 Page 2
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Rebecca Chike Room No. 367
3 Civic Square Arrival 08 -16 -09
Carmel, IN 46032 Departure 08 -21 -09
us Page No. 1 of 3
Folio No. 310665
INVOICE Conf. No. 283928
Membership No. Cashier No. 12
A/R Number Invoice No. 0
Group Code
Company Name 08 -21 -09
Date Text Charges Credits
08 -16 -09 Check 1,062.16
08 -16 -09 Room Routed From Chen Jun Of Room #359 97.00
08 -16 -09 State Tax 6% Routed From Chen Jun Of Room #359 5.82
08 -16 -09 Occupancy Tax 2% Routed From Chen Jun Of Room #359 1.94
08 -16 -09 Local Tax 1.5% Routed From Chen Jun Of Room #359 1.46
08 -16 -09 Roorn 97.00
08 -16 -09 State Tax 6% 5.82
08 -16 -09 Occupancy Tax 2% 1.94
08 -16 -09 Local Tax 1.5% 1.46
08 -17 -09 Room Routed From Chen Jun Of Room #359 97.00
08 -17 -09 State Tax 6% Routed From Chen Jun Of Room #359 5.82
08 -17 -09 Occupancy Tax 2% Routed From Chen Jun Of Room #359 1.94
08 -17 -09 Local Tax 1.5% Routed From Chen Jun Of Room #359 1.46
08 -17 -09 Room 97.00
08 -17 -09 State Tax 6% 5.82
08 -17 -09 Occupancy Tax 2% 1.94
08 -17 -09 Local Tax 1.5% 1.46
08 -18 -09 Room Routed From Chen Jun Of Room #359 97.00
08 -18 -09 State Tax 6% Routed From Chen Jun Of Room #359 5.82
08 -18 -09 Occupancy Tax 2% Routed From Chen Jun Of Room #359 1.94
08 -18 -09 Local Tax 1.5% Routed From Chen Jun Of Room #359 1.46
08 -18 -09 Room 97.00
08 -18 -09 State Tax 6% 5.82
1 agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company or association
fails to pay for any portion or the full amount of these charges.
Guest Signature
Radisson Hotel Detroit Bloomfield Hills
39475 Woodward Ave.
Bloomfield Hills, MI 48304
Telephone: (248) 644 -1400 Fax: (248) 644 -5449
Email: rhi_blmi @radisson.com
6
Rebecca Chike Room No. 367
3 Civic Square Arrival 08 -16 -09
Carmel, IN 46032 Departure 08 -21 -09
us Page No. 2 of 3
Folio No. 310665
INVOICE Conf. No. 283928
Membership No. Cashier No. 12
A/R Number 0
Invoice No.
Group Code
Company Name 08 -21 -09
Date Text Charges Credits
08 -18 -09 Occupancy Tax 2% 1.94
08 -18 -09 Local Tax 1.5% 1.46
08 -19 -09 Room Routed From Chen Jun Of Room #359 97.00
08 -19 -09 State Tax 6% Routed From Chen Jun Of Room #359 5.82
08 -19 -09 Occupancy Tax 2% Routed From Chen Jun Of Room #359 1.94
08 -19 -09 Local Tax 1.5 Routed From Chen Jun Of Room #359 1.46
08 -19 -09 Room 97.00
08 -19 -09 State Tax 6% 5.82
08 -19 -09 Occupancy Tax 2% 1.94
08 -19 -09 Local Tax 1.5% 1.46
08 -20 -09 Room Routed From Chen Jun Of Room #359 97.00
08 -20 -09 State Tax 6% Routed From Chen Jun Of Room #359 5.82
08 -20 -09 Occupancy Tax 2% Routed From Chen Jun Of Room #359 1.94
08 -20 -09 Local.Tax 1.5% Routed From Chen Jun Of Room #359 1.46
08 -20 -09 Room 97.00
08 -20 -09 State Tax 6% 5.82
08 -20 -09 Occupancy Tax 2% 1,94
08 -20 -09 Local Tax 1.5% 1.46
08 -21 -09 Cash 0.04
Total 1,062.20 1,062.20
Balance 0.00
I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company or association
fails to pay for any portion or the full amount of these charges.
Guest Signature
Radisson Hotel Detroit Bloomfield Hills
39475 Woodward Ave.
Bloomfield Hills, MI 48304
Telephone: (248) 644 -1400 Fax: (248) 644 -5449
Email: rhi_blmi@radisson.com radisson.com
Il
Rebecca Chike Room No. 367
3 Civic Square Arrival 08 -16 -09
Carmel, IN 46032 Departure 08 -21 -09
US Page No. 3 of 3
Folio No. 310665
INVOICE Conf. No. 283928
Membership No. Cashier No. 12
A/R Number Invoice No. 0
Group Code
Company Name 08 -21 -09
Date Text Charges Credits
Join goldpoints plus today! Enroll in goldpoints plus at a participating hotel front desk or on line at
gold pointsplus.com and start earning Gold Points today!
Thank You For Staying With Us
I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company or association
fails to pay for any portion or the full amount of these charges.
Guest Signature
Radisson Hotel Detroit Bloomfield Hills
39475 Woodward Ave.
Bloomfield Hills, MI 48304
Telephone: (248) 644 -1400 Fax: (248) 644 -5449
Email: rhi_blmi @radisson.com
Chike, Rebecca J
From: education @vmware.com
Sent: Thursday, August 06, 2009 3:43 PM
To: Chike, Rebecca J
Subject: Registration Confirmation: VMware Infrastructure 3: Fast Track V3.5 (2526354)
This message confirms your registration for the following class:
Student Info:
Name: Rebecca Chike
Order: 2526354
Class Info:
Title: VMware Infrastructure 3: Fast Track V3.5 [34048]
Category: VMware Infrastructure 3 (VI3)
Begins: 17- Aug -09 8:00 AM
Ends: 21- Aug -09 6:00 PM
Time Zone: Eastern Time (US Canada)
Location: Detroit MI (Beverly Hills MI)
31301 Evergreen
Beverly Hills MI 48025
United States
http: /mylearn.vmware.com /mgrreg /locations.cfm ?a info &id_ location =2720
Room: Room TBD 1
Calendar: http: mylearn .vmware.com /lcros /mL_ course /calendar /34048.ics
Billing Info:
Cost: 5495.00(USD)
Paid: 5495.00
Due: 0.00
Payment Info:
ID: 548552
Date: 08/04/09
Type: Discount
Amount: 1648.50
ID: 551480
Date: 08/06/09
Type: Purchase Order (551480)
Amount: 3846.50
myLearn Registrar
1
r Prescribed by Siatj Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
R e becca Chike Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
p Per Diem for travel to Detroit
Total
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 NR$ 0 9 WARRANT NO.
ALLOWED 20
IN SUM OF
$398.87
ON ACCOUNg ff 4 P,� rdA.TIJON FOR
ND
1202 Information Systems
Board Members
PO# or
DEPT INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or
120 430 -02
$380.00 bill(s) is (are) true and correct and that the
i9ng 3114 materials or services itemized thereon for
7 which charge is made were ordered and
received except
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund