169505 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350879 Page 1 of 1
ONE CIVIC SQUARE TERRY KRUESKAMP
CHECK AMOUNT: $234.15
CARMEL, INDIANA 46032
CHECK NUMBER: 169505
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT tP NUMBER INVOICE NUMBER AM OUNT D
1202 J 4343002 84.15 EXTERNAL TRAINING TRA
1202 4343004 150.00 TRAVEL PER DIEMS
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM �Q r
TO n 2 i'?
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER AUTO MILEAG
READING
E.
POINT POINT START FINISH NATURE OF BUSINESS MILES r
TRAVELED PER MILE
J
0//
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance -between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claime is legal y due, aftei wing a just credits
ad that no par of t e. same has been paid.
sate 0a q 0
C''laim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it is apparently I correct
J t incorrect
Disbursing Officer
On Account of Appropriation No. for o tr a
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Allowed 19_ n a
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in the sum of b m
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(Board or Commission) 0
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A.E. BOYCE CO., INC. MUNCIE, IN 01136
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Theresa Krueskamp DEPARTURE DATE: 02/16/2009 TIME: 12:30 AM/ PM
DEPARTMENT: IS RETURN DATE: 18 -Feb TIME: 4:30 AM/PM
REASON FOR TRAVEL: Indiana GIS Conference DESTINATION CITY: Bloomington, IN
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2/16/09 $50.00 $50.00
2/17/09 $50.00 i$50 00
2/18/09 $50.00 $50:00
$0.00
$0.00
$0.00
$0.0.0
$0.00
$0`.00
"$0:00
$0.00
$0.00
$0 00
$0:00
$0.00
$0.0.0
$0.00
$0.00
$0.00
......$0..00
0:00
Total
so $0.00 $0;00 $0.00. $0.00 $0.00 $0.00 $0.00 $15,0.001 $0.00 $150.00;
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.
`7
Director Signature: Date:
City of Carmel Form ER06 Revision Date 2/19/2009 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:
City of Carmel Form ER06 Revision Date 2/19/2009 Page 2
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Page 1 of 1
Krueskamp, Theresa A
From: Janet Tomlin Utomlin @igic.org]
Sent: Tuesday, January 27, 2009 2:24 PM
To: Krueskamp, Theresa A
Indiana
Hello Terry,
As a conference attendee you are being invited to tour Vs newest super computing and secure data storage
facility. IGIC will have a 1 -hour tour of the new facility at 3pm on February 16th, right before the IGIC Annual
Board meeting being held at the Wrubel Computing Center (WCC).
If you wish to take the tour please notify me as soon as possible. Currently we have openings for 35 people. Only
the first 35 people responding will be able to take the tour. If you miss the opportunity thank you for your
understanding as space is limited.
Janet Tomlin
i tomlin @igicorg
317 489 -3806
2/19/2009
CO Bloomington by Marriott 310 South College Ave
Bloomington Bloomington IN 47403
Aarnott T 812.335.8000
Thres Kruesksmp Room: 408
3111 East 48th S; Room Type: QQSQ
Indiana{olisIN 46205 Number of Guests: 1
City Of Carmel Rate: $109.00 Clerk: ALS
}�rttre [I"ebF� TtEie,p47PM Ueprt$l�eksl3gt11e lµooli4
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„„_..c d,1,•..es_..:tS�br.. .SE.:...,3 4.iM....3
16Feb09 Check 732.48
16Feb09 Room Charge 109.00
16Feb09 Room Tax 7.63
16Feb09 City Tax 5.45
17Feb09 Room Charge 109.00
17Feb09 Room Tax 7.63
17Feb09 City Tax 5.45
Charges Transferred FROM 90837 SHANAYDA/
KURT
16Feb09 Room Charge 109.00
16Feb09 Room Tax 7.63
16Feb09 City Tax 5.45
17Feb09 Room Charge 109.00
17Feb09 Room Tax 7.63
17Feb09 City Tax 5.45
Total Charges Transferred FROM 90837 244.16
Charges Transferred FROM 90838 MCCOY /DAVID
16Feb09 Room Charge 109.00
16Feb09 Room Tax 7.63
16Feb09 City Tax 5.45
17Feb09 Room Charge 109.00
17Feb09 Room Tax 7.63
17Feb09 City Tax 5.45
Total Charges Transferred FROM 90838 244.16
Balance: 0.00
As a Marriott Rewards member, you could have earned points towards your free dream vacation today. Start earning
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r
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
T heresa Krueskamp Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Mileage
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 M/09/09 WARRANT NO.
rues amp ALLOWED 20
IN SUM OF
$234.15
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Information Systems
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 5 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1202 430 -04 $150.00 which charge is made were ordered and
received except
20
Sign t re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund