HomeMy WebLinkAbout179011 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00350879 Page 1 of 1
ONE CIVIC SQUARE TERRY KRUESKAMP
0 CHECK AMOUNT: $350.45
CARMEL, INDIANA 46032
CHECK NUMBER: 179011
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 350.45 EXTERNAL TRAINING TRA
THE TRAVEL AGENT tel 317846.9619 800.347.2512
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Fstablished 1979. email info @thetravelagent.travel VI R1 UO S O M E .\4 B E R.
11562 Westfield Boulevard Carmel, Indiana 46032 web www.thetravelagent.travel SPFCIALI5 IS IN THE AKf OF TRAVE
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AS YOURTRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER..
FOR TERMS AND CONDITIONS, REFER TO: WWW.TTA.TRAVEL✓TERMS
THE TRAVEL AGENT tel 317846.9619 800.347.2512
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Established 1979. email info @thetravelagent.travel VI R7'U0S O M L.\4 B L R.
11562 Westfield Boulevard I Carmel, Indiana 46032 web www.thetravelagent.travel 6- 1- Ir51TTHE ARTOF T-EL
SALES PERSON: DT2 ITINERARY /TN'JO:CE NO 57532 DATE: SEP 03 2009
ACCOUNT NM2W6F PAGE: 02
FOR:
KRUESKAMIP /THERESA A
TO: CITY OF CARMEL CITY OF CARMEL —INFO SYS DEPT
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL IN 46032 -7569 CARMEL IN 46032
AID 'IRAN 'OR 'ATION 2 00 93 ":'x 34 77 TTL 235. 7E
PROCESSING FEE 35.00
SUB TOTAL 270.70
CREDIT CARD PAYMENT 270.70
TOTAL AMOUN 0.00
AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS. TRAVELER INSURANCE SERVICES IS OUR PREFERRED PROVIDER..
FOR TERMS AND CONDITIONS, REFER TO: WWW.TTA.TRAVEL/TERMS
The Westin Charlotte
601 South College Street
Charlotte, NC 28202
Tel: 704.375.2600 Fax: 704.375.2623
1226
Theresa Krueskamp 192.00
2
3 Civic Square 922446 EX -A
Carmel, IN 46032 1
12- OCT -09 16:50
14- OCT -09
BEN509 MC
12- OCT -09 RT1226 Room Chrg Grp Corporate 192.00
12- OCT -09 RT1226 State Tax 15.84
12- OCT -09 RT1226 Occupancy /Tourism Tax 15.36
12- OCT -09 CK Check 446.40
13-OCT-09 RT1226 Room Chrg Grp Corporate 192.00
13- OCT -09 RT1226 State Tax 15.84
13- OCT -09 RT1226 Occupancy /Tourism Tax 15.36
14- OCT -09 MC MasterCard /Eurocard 0.00
Total -Due 0.00
We have prepared this zero balance folio indicating a $0 account balance.
Charges not yet reflected on this folio will be charged to the credit card on
file with the hotel and may occur after departure. You are responsible for
paying all charges incurred. For billing and folio related questions, please
email us at 01383ARQwestin.com. Thank you for being our guest.
EXPENSE REPORT SUMMARY
Date Room Food /Bev Telcomm Other Other Total Payment
12- OCT -09 223.20 0.00 0.00 0.00 0.00 223.20 446.40
13-OCT-09 223.20 0.00 0.00 0.00 0.00 223.20 0.00
Total 446.40 0.00 0.00 0.00 0.00 446.40 446.40
become a fan at WWW. FACEBOOK.COM /THEWESTINCHARLOTTE
As a Starwood Preferred Guest you have earned at least 768
Starpoints for this visit A42081978462
Theresa Krueskamp ROOM DEPART AGENT The Westin Charlotte
FOLIO: 922446 12- OCT -09 1226 Tel: 704.375.2600
CITY OF CARMEL Expense Report (required for all travel expenses)
F
ryDIANP i;;
EMPLOYEE NAME: Theresa Krueskamp DEPARTURE DATE: 10/12/2009 TIME: 1:50 AM PM
DEPARTMENT: Administration IS RETURN DATE: 10/14/2009 TIME: 3:01 AM/PM
REASON FOR TRAVEL: GIS Seminar DESTINATION CITY: Charlotte, NC
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
10/12/09 $25.00 $5.00 $48.00 0 31" $110.50
10/13/09 $65.00 $65.00
10/14/09 $25.00 $5.00 $50.00 $65.001 $145.00
$0.00
$0
$0.00
$0.00
$0
$0:00
$0.00
$0.00
$0.00
$0.00
$0 .00
$0,00
$O.00
M00
$0:00
$0.00
$0.00
A'00
Total $50.00 $0.00 $10.00 $98.00 $0.00 $0.001 $0.001. $0.00 $162.50 $0:00 50
i
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: 0
City of Carmel Form ER06 Revision Date 10/15/2009 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 $65 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 deduc ed from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date: CQ ocU
City of Carmel Form ER06 Revision Date 10/15/2009 Page 2
Agenda for Be Inspired Infrastructure Best Practices Symposium and Awards Page 1 of I
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Ske Hello Login I United States Change I Contact I Partners I SELECTservices
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Infrastructure Best Practices
Symposium and Awards
P.,4 at"
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Be Inspired: Infrastructure Best Practices Symposium and Awards Agenda Announcement:
Be Inspired Award
View the Best Practices Agendas I See All the Roundtable Topics f Winners
,1 Jr.
Held at the Westin Hotel in Charlotte. NC, USA. October 12 -14. the finalists of the 2009 Be Inspired
Awards will present their projects best practices to their industry peers and to key members of the
trade press. That evening, the winning projects will be recognized at Be Inspired Awards dinner.
Be Inspired is also an opportunity to participate in interactive roundtable discussions on the topics
which are driving the buslne'ss and design of infrastructure. Be Inspired Home
View the event overview below:
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MONDAY. OCTOBER 12
1 5:00 Prvl to 9:00 P "4 Welcome Reception
TUESDAY, OCTOBER 13
About Be Inspired
7:00AWi to 8:00 A.tvt Breakfast
1
8:00 AD4 to 9'45 AM Welcome Keynote Address
Greg Bentley, CEO
Keith Bentley, CTO
1000 AM to 1745 Pty Best Practices Presentations
12 45 I'M to 1:45 I'M Lunch
1 :45 I'M to 5:00 FM Best Practices Presentations Agenda
6:30 Pivi to 715 I'M Be Inspired Awards Reception
7:15 PPA to 10:00 PM Be Inspired Awards Dinner
10:00 I'M to Midnight Be Inspired Awards Celebration
y
WEDNESDAY, OCTOBER 14
8: 00 AIM to'1:00Atvi Breakfast
9.00 A to 11.33 AM, Executive Roundtables
Year in Infrastructure I Meet the Finalists I Contact Us
Special Recognition Awards
Blogs I Job Opportunities I Privacy I Terms of Use I Contact webma ster I Site flip
2009 Bentley Systems, Incorporated 1 1- 800 BENTLEY or rt- 610 -458 -5000
http: /www.bentley.com/en- US /PromoBe +Inspired /Agenda.htm 10/15/2009
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Affidavit for travel expenses
"Tips or gratuities for bellhops, skycaps, taxi /shuttle drivers and others who provide
necessary services directly related to business travel."
On 10/12/2009 on the trip from the Charlotte, NC airport to the hotel and again on the
return trip on 10/14/2009, I paid the taxi /shuttle driver for Queens Transportation Inc.
$5.00 in tips, for a total of $10.00.
Terry Krueskamp
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
To /herp4�
4 Cdr Mel, /?d A 6�1—
(G v AL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
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(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO READING NATURE OF BUSINESS MILES SS 0
POINT POINT START FINISH TRAVELED PER MILE
r ry to
AUTO LICENSE NO. TOTALS 5I�
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 lega y due, afte lowi g all just credits
and that no part of the. same has been paid.
Date 1�/
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as fellows:
That it is in proper form.
j That it is duly authenticated as required
by law
That it is based upon statutory authority.
Tha it is apparently I correct
1 incorrect
Disbursing Officer
On Account of Appropriation No. for
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Prescribed by State 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
11r.SG5� ,o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
11 ALLOWED 20
l���KG,�� IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. l I hereby certify that the attached invoice(s), or
j bill(s) is (are) true and correct and that the
12 -Z 3Z materials or services itemized thereon for
which charge is made were ordered and
received except
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Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund