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Home My WebLink About178057 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 359257 Page 1 of 1 ONE CIVIC SQUARE WENDY BODENHORN l CARMEL, INDIANA 46032 CHECK NUMBER: 178057 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 REIMB 715.00 TRAINING SEMINARS C`S pF.(Zp 9l CITY OF CARMEL Expense Report (required for all travel expenses) /NDIAN? EMPLOYEE NAME: Wendy M. Bodenhorn DEPARTURE DATE: 9/13/2009 TIME: 5:00 PM DEPARTMENT: Police Department RETURN DATE: 9/25/2009 TIME: 4:00 PM REASON FOR TRAVEL: Training DESTINATION CITY: Elizabethtown, KY EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals'"°` Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem °K? 9/13/09 $32.50 9/14/09 $65.00 $65:.00 9/15/09 $65.00 $65:09 9/16/09 $65.00 $65. 9/17/09 $65.00 9/18/09 $65.00 $65:00 9/20/09 $32.50:$32:50 9/21/09 $65.00 $65:00 9/22/09 $65.00 $65.00 9/23/09 $65.00 $65:00 9/24/09 $65.00 &$,65.00 9/25/09 $65.00 L AO."00 x$0.00 $0.00 x$0.00 0.00 °:$0.00 '$0.00 t $U:00 Total $0,:00 0.00 $OA0 a. $0,00 "'$0 00 $0,00 $0,.00'' $0 00" 00 x$0:00 `$715:00 $0 00, e 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: Date: City of Carmel Form ER06 Revision Date 9/29/2009 Page 1 KENTUCKY ST'A'TE POLICE: APPLICATION FOR D.A.R.E..OFFICER TRAINING PARTICIPANT PLEASE PRINT OR TYPE Last Name. pr>r1 First Middle Ih,case:of ewer enc contact.-. Tele hone �I&S Do..ou .Have an 'si nificant health ro lems? v Yo'r.:name,as ou:wish'it to:a ear on our: tent r th Certificate o M LAW %ENFORCEMENT. EXPERIENCE Please read and carefully answer each uestion I am a sworn police officer'with full enforcement authority: Yes No Number.of years of full time street .experience as:a sworn;officer: I am assigned or have had assignments to: School Resource Cffficer Uniform/Patrol Juvenile Conununi /Public:Relations Invest ations ❑Narcotics CERTIFICATION leaseread and carefully answer each uestion YES NO Iunderstand' that D:A.R.E.'is an assignment which requires wearing a uniform: I understand and agree to be'monitored by the State Police after certification for guideline compliance: A school has agreed to use me as theirD.A:R.E. Officer: I am able to completely devote my time and:energies to this training: My calendar, is cleared of:an• ,and all obligations for the duration of this trainin TO BE ,COMPLETED BY AGENCY HEAD YES NO O'uragency`ini'ends to use the officer /applicant during the next school year. The applicant/officer will t e used- Full,Time Part Time Relief/S bstitute Hasihe.applicant had any disciplinary actions against him/her within the pasta years n The applicant/of cer will be given sufficient lime to properly.deliver D A R.E. Iunde'rstand'that the D.A.R.E: Offcer is requiredto teach inuniform:and_will be periodically monitored by the State Police for guideline,compliance. 7� R I, understand that D.A R E. officer Training is a comprehensive program that will demand the undivided attentionof the applicantlofficer, and I am aware that attendance at,all classroom sessions is mandatory: I understand that -the applicant /officer must successfully demonstrate the knowledge, attitudes and skills necessary to effectively deliver the D.A.R.E. curriculum in order to be certified and after certification may be decertified; for causes APPLICANT SURVEY I am attending the D.A.R.E.; Officer' Training. seminar'because: 2 I have requested to attend. M I have been ordered to attend. I am to'evaluate the potential use of this program,for my agenc am not certain. 11 My knowledge of D.A.R.E. Very j ittle ❑Some knowledge Good,understanding How: many schools /classes>will you be teaching during the nett semester? Schools Classes Please describe'how you were selected for this training. (appointment' pe i ivese ection process Why do you want to be a D:A.R.E. Officer? 44> O�tc��.L► .cam. w,a.•� �-p-P a-d� c9 u.�° ��'►'r%�� A .►'`-t What do you hope toreceive duriniz this traininiz? Ccc/Y� Have ,you ever attended or been refused admission to any prior D:A.R.E. Officer Training Class? Yes No If yes, please explain in detail. (Date,location, "training agency, etc:) AUTHORIZATION Partici ariCs'Si ature: 2 Date: Agency Head's Si nature: Date: Forward this application and application fee to: Kentucky State: olice DARE Unit, 919 Versailles, Road, Frankf6r ,'KY`40601 Application fee: In -State $100 Out ofState $250;00 Revised 05/22/08 Ui'11 \11'11,1,1, 1 uL�41i.LLi1 Al\ 1.1V11:1Y 1 APPLICATION FOR SPECIALIZED TRAINING Today's Date: 08/1,0/2009 Employee: 2352 Wk, J n rf N a, A, tJ Name of School: DARE U Cost: unknown Location of School: Elizabeth Town State: KY Topic Subject Matter: DARE officer training Dates of School: From: 09/14/2009 To: 09/25/2009 Contact Person: Bruce Olin Telephone Number: (502)'695 -6343 How will this School benefit You and the Department? I will be certified to teach inside the schools. Will you need C.P.D. Transportation? Yes ONo Will you need accommodation? ZYes F�No "OVERTIME COMPENSATION WILL.NOT BE PAID IF YOU VOLUNTEER TO ATTEND.A.SCHOOL, ONLY IF YOU ARE ORDERED TO ATTEND. Officer's Signature: Supervisor' Signature: Dater Division Commande Date: Training Officer: Date: [.N *OFFICE USE ONLY A THIS LINE* 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 Wendy M. Bodenhorn Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/7/09 reimburse Officer Wendy Bodenhorn for meals while attending the DARE Officer training on September 25 2009 in Elizabethtown KY 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 NO. WARRANT NO. ALLOWED 20 W endy M. Bodenhorn IN SUM OF 715.00 ON ACCOUNT OF APPROPRIATION FOR c ont ed fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 210 570 715.00 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 October 7 20 Og A&Aui h 4=A Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund