172898 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00353099 Page 1 of 1
ONE CIVIC SQUARE JOHN JOKANTAS CHECK AMOUNT: $420.19
CARMEL, INDIANA 46032 CIO COMM CENTER
CIO COMM CENTER CHECK NUMBER: 172898
CHECK DATE 5/2712009
DEPARTMENT r. ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 192.69 EXTERNAL TRAINING TRA
1,115 .4343004 227.50 TRAVEL PER DIEMS
Amone, Janet R
rom: Debbie Tunstill Dabble .Tunstill@Metravelagentinc.com)
Sent:. Monday, January 26, 2009 $:50 PM
To: Amon. Janet R
Subject: Confirmed Flight for John Jacanas
SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: JAN 26
2009
ACCOUNT CPD SVPL50 PAGE: 01
FOR:
JOKANTAS /JOHN
TO: CITY OF CARMEL CITY OF CARMEL- COMMUNICATION CTR
ONE CIVIC SQUARE 3RD FLOOR ATTN:JANET ARNONE
CARMEL IN 46032 31 1ST AVE NW
CARMEL IN 46032
28 APR 09 TUESDAY MILES- 1591 ELAPSED TIME- 4:20
AIR LV INDIANAPOLIS 230P SOUTHWEST FLT: 170 COACT[ CLASS
CONFIRMED
AR LAS VEGAS 350P NONSTOP
SOUTHWEST CONF JHHMVA
01 MAY 09 FRIDAY MILES- 1591 ELAPSED TIME- 3:40
AIR LV LAS VEGAS 300P SOUTHWEST FLT: 165 COACH CLASS
CONFIRMED
AR INDIANAPOLIS 940P NONSTOP
SOUTHWEST CORP JHHKVA
*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 1OPCT ON TTL COST OF BOOKED TOURS- CRUISES
LAND HOTEL PKGS WILL APPLY, AIRLINE CHECKED BAGGAGE NOTICE
FOR DOMESTIC AND INTERNATIONAL TRAVEL AIRLINES MAY CHARGE
THE TRAVEL AGENT THANKS YOU -317 646 9619..DEBBIE...WWW.TTA.TRAVEL
AIR TRANSPORTATION 202.80 TAX 36.40 TTL 239.20
PROCESSING FEE 35.00
SUB TOTAL 274.20
CREDIT CARD PAYMENT 274.20
TOTAL AMOUNT 0.00
1 1
64
CITY OF CARMEL Expense Report (required for all travel expenses)
t` FUA
NDIAN
1 START DATE 4/28/2009 TIME: AM PM
Carmel Clay Communications Center T o koir1 emu) RETURN DATE 5/1/2009 TIME: AM PM
Las Vegas
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT x
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
4/28/09 $65.00
4/29/09 $65.00 $65.00
4/30/09 $65.00 $65.00
5/11/09 $192.69 $65.00 $257.69
$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
$0.00
$0.00
0.00
Total $0.00 1 $192.691 $0.001 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 UW $0.00
DIRECTOR'S STATEMENT: I hereb at 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 5/22/2009 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 a nditures) bVW deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date:
City of Carmel Form ER06 Revision Date 5/22/2009 Page 2
PLEASE PRINT (as it should appear on badge) t
PWU moopk a ropy or tAis hrrtr for fA(H Pf&50N who wrtr be aaeang. CONFERENCE REGISTRATION REGISTRATION OPTIONS
APRIL 29 —MAY 1, 2009 (WEDNESDAY FRIDAY) Yo us Apruy�
passports INCLUDE admission to all regular conference sessions,
Address l b4_ __j4 t IU 6
the opening reception, the exhibit hall, and two box lunches.
$515
❑CorlereRCe Passport r
DISCOUNTS ([NECK ONLY ONE, AS ONLY ONE APPLIES), DISCOUNT Ciry Sl,/Pn.
C NINA Membership (10:
0
IAAED membership 01): T -$40 Postal Code !I 4 0 a 01 Covitry A _sA
Group Rote l3 a mae Uon sw age", s MIW at tl e sane nef •S70
Accrediteci Center ((u oACE) $100
Email Address
[]I -d (Price per day, Wednesday— Friday, Check below) $195
❑Spouse /Guest Admission (Name:
(Admission only to ex(tibi( includes Iwo lunches and opening twprmn.) PLEASE CHECK ALL THAT APPLY
11 Keynote and Awords Lnadwm, May 1 (Friday) $25 FUNCrtorl
0 PAC Safaty NIXAha
Medcd fie C Police
PRE CONFERENCE PROGRAM SUMMARY P0mmedk/fAlT/r1rd010 Training/Giroadmara
Canon. Cenlat 3oP&wr /w wget )a fnstutoi
APRIL 26 -28, 2009 (SUNDAY TUESDAY) u &Acdarm
[snot. [enter Dtreda� /CNaf
NAED CERTIFICATION COURSES commet(ovenEor /cowitant oar
(Prkes es marked. HAW m Wah and (estirrg fees 1NMED) EMPLOYER
3 DAYS, SUN—TUE, APRIL 26 -28, 8:3o AM -5:30 PM $295 Combination Poe /Meem10014a ice Sarvice
11 EMO: Emergency MEDICAL Dispatch Cerrificatian Course law Enfa wwi
El EFD: Emergency FIRE Dispatch (ertifimtian {curse $29S M w a l/ egi c l G
POLICE Oispahh {erTification Course S29S G MuniaPd/Refn°^°I6o,enrnem C] PmvteAirbubnce
C3 EPD: Emergency $475
LTCi: Emergency T lnstrrxtar (curse ❑sea
2 DAYS, SUN —MON, APRIL 2627, 8:30 AM -5:30 PM $SSO SITE Of (O MUA. CENTER (mewed W (on a9 om1
EMD9: MEDICAL Dispatch 01 CeIII&atian Course ([loss 1) $550 I to 2 3 )Q ro 6 9 Of own
[PH: POLICE Dispatch 01 CerMimtian Course PRIMARY SERVICE AREA
2 DAYS, MDR —TUE, APRIL 27 -28, 8:30 AM -5:30 PM S550 p Urban W &bAw E3 Bwol ❑Mixed
EMiN7: MEDICAL Dispatch 01 Certifitotion Course (Class 21 $550 YEARS Of COMM. CENTEa ExPFRIEKCE
EM FIRE Dispatch Ol Ced icaiion Course Cl 1 105 6 ro 10 i ro 20 21 or more
1 DAY, MON, APRIL 27, 8:30 AM -5:30 PM $2SO
EN: Recertif cotim Course
NENA 6r NA ED SPECIAL TOPIC WORKSHOPS
I DAY, MONDAY, APRIL 27, 8:30 AM -5:30 PM $190 I
C] NINA: Intmductian m Next Genemtim 9.1.1 $190 V 4.
Q NENA: Drercoming Negativity in the COMMSkations Left
1 DAY, TUESDAY, APRIL 28, 8:30 AA -5:30 PM �e Next teen PSAP $190
C7 NENA: Next Gen Employ $190 Card
NENA: Prepamt m for PW Management
'h DAY, TUESDAY, APRIL 28, 8:30 AM -12:30 PM $95 Card Exp.
O NAM. Acaeditalion Warkshap $95
C3 NAED: Data Meling 101
th DAY, TUESDAY, APRIL 28,1:30 PM -5:30 PM Cardholder Name h
WD: Exeanive WA* $95
NAED: Data Mining 201 Signature
Workshop Subtotal %1w
Total Enclosed
Aa daEus
—RE
wry
EXPRESS RETURN RECEIPT
RR #145974474
PLAN:MCLD RATE CLS:D
DAYS 2 a 77.49 154.98
RENTAL: 04/29/09 09:31 FLAMINGO HOTEL, LAS VEGAS 0573625 SUBTOTAL S 154.98
RETURN: 05/01/09 10:00 FLAMINGO HOTEL, LAS VEGAS 0573625 VEH LIC COST RECOV T S 6.20
FUEL SVC S 7.10
JOHN JOKANTAS MILEAGE IN: 28889 REFUEL FEE S
MILEAGE OUT: 28873 TAXABLE SUBTOTAL S 154.46
MILES DRIVEN: 16 TAX .15750 S 24.41
TOTAL CHARGES S 192.6"
CHARGED ON VISA S 192.6'
SIR MARINER 4XS CLS:Z NVL:N
02194/1069640 SAT RADIO:Y
FUEL SVC a S .444 MI S 7.99 GL
FORM: OF: P.AYMEN.T:VISA XXXXXXXXXXXX6721
THIS IS NOT AN INVOICE
Ff1R RTI I TNr. TNf111TQTF4 CAI 1 1 -R00 -49;4 -4173
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))
05/22/09 $260.00
05/22/09 $192.69
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
VO UCHER NO. WARR N O.
ALLOWED 20
John Jokantas
IN SUM OF
634 W. 136th Street
Carmel, Indiana 46032
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 1 hereby certify that the attached invoice(s), or
1115 43- 430.02 $192.69
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
Friday, May 22, 2009
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund