HomeMy WebLinkAbout169605 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358571 Page 1 of 1
wF ONE CIVIC SQUARE LAURA ROUSE DEVORE
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CARMEL, INDIANA 46032 9709 W. CONSTELLATION DRIVE CHECK AMOUNT: $382.03
o PENDLETON IN 46064 CHECK NUMBER: 169605
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343002 J 92.03 EXTERNAL TRAINING TRA
1192 4343004 290.00 TRAVEL PER DIEMS
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CITY OF CARMEL Expense Report (required for all
tra vel I expenses)
EMPLOYEE NAME: Laura Rouse- DeVore DEPARTURE DATE:
DEPARTMENT: DOCS- Building and Code Services RETURN DATE: �9 TIME: 4 PM
REASON FOR TRAVEL: EDU CODE /ICC Conference DESTINATION CITY: TIME: C)o
Las Ve P M
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT gas, Nevad
TRAVEL PER DIEM x
Transportation Gas/Tolls/
Date Air -fare Car Rental Other Parking Lodging Meals
Breakfast Lunch Dinne
2/22/09 $7.00 r Snacks Per D1 Misc.
2/22/09 Total
2/23/09 1 $30.00
$7.0
2/24/09 $65.00 $30.00
2/25/09 $65.00
2/26/09 $7.00 $65.00 $65.00
2/26/09 $65.00
2/26/09 $78.03 $65.00 $7.00
$65.00
$78.03
a. $0.00
$0.00
1 $0.00
V $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00'
$0.00;:
$0.00 $0.001 $14.001 $0.001 78.03 $0.00 $0.00 $0.00 $0.00 $0.00 fi "s
$290.00 0.00
$0.00
STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my d epartment's a
°v Pero nated bud
W C
P get.
iature: Date:
C
j el Form ER06 Revision Date 2/27/2009
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 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-0 �-Q Date: a a Uq
City of Carmel Form ERO6 Revision Date 2/27/2009 Page 2
THE ORLEANS HOTEL CASINO
4500 W. TROPICANA AVENUE
LAS VEGAS, NEVADA 89103
FOR RESERVATIONS CALL (800) 675 -3267
www.orleanscasino.com
LAS V E G A S
o. e o a a o.. o.• r o e
Name: Statement Dates:
LAURA DEVORE 398412419025
Address:: 9709 W CONSTELLATION DR 2/22/09
Amount Due:
PENDLETON IN 460647528 2/26/09
Wing /Room T3 294
Invoice 1
Account EDUO221
DATE DESCRIPTION AMOUNT DUE
02/22/09 398659000767 RESORT FEE 5.00
RESORT FEE
02/22/09 398659002410 ROOM CHARGE T3 294 67.00
TAX2 6.03
02/22/09 398652995192 APPLIED DEPOSIT 139.26-
02/23/09 398669000462 RESORT FEE 5.00
RESORT FEE
02/23/09 398669002002 ROOM CHARGE T3 294 38.00
TAX2 3.42
02/24/09 398679000402 RESORT FEE 5.00
RESORT FEE
02/24/09 398679002035 ROOM CHARGE T3 294 38.00
TAX2 3.42
02/25/09 398689000489 RESORT FEE 5.00
RESORT FEE
02/25/09 398689002300 ROOM CHARGE T3 294 38.00
TAX2 3.42
02/26/09 398693055221 FRONT DESK MASTERCARD 78.03-
************3517
I agree that my liability for this bill is not waived and agree to be held personally liable in the
event that the indicated person, company or association fails to pay for any part of the full
amount of these charges.
.00
Amount Due:
THANK YOU FOR CHOOSING THE ORLEANS HOTEL CASINO
THE ORLEANS HOTEL CASINO
4500 W. TROPICANA AVENUE
LAS VEGAS, NEVADA 89103
FOR RESERVATIONS CALL (800) 675 -3267
www.orleanscasino.com
LAS VEGAS
Name: Statement Dates:
LAURA DEVORE 398412419025
Address:: 9709 W CONSTELLATION DR 2/22/09
Amount Due:
PENDLETON IN 460647528 2/26/09
Wing /Room T3 294
Invoice 1
Account EDU0 2 21
DATE DESCRIPTION AMOUNT DUE
02/22/09 398652995192 APPLIED DEPOSIT 139.26-
MCA fr I
And
I agree that my liability for this bill is not waived and agree to be held personally liable in the
event that the indicated person, company or association fails to pay for any part of the full
amount of these charges.
139.26
Amount Due:
THANK YOU FOR CHOOSING THE ORLEANS HOTEL CASINO
DeVore, Laura B
From: Debbie Tunstill [Debbie.TunstiII @thetravelagentinc.com]
Sent: Wednesday, February 18, 2009 4:53 PM
To: DeVore, Laura B
Cc: Stewart, Lisa M
Subject: Confirmed Flight
SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: FEB 18
2009
ACCOUNT CPD VNN4VS PAGE: 01
FOR:
DEVORE /LAURA ROUSE
TO: CITY OF CARMEL CITY OF CARMEL COMMUNITY
SERVICES
ONE CIVIC SQUARE 3RD FLOOR ATTN:LISA STEWART
CARMEL IN 46032 ONE CIVIC SQ
CARMEL IN 46032
22 FEB 09 SUNDAY MILES- 1591 ELAPSED TIME- 4:15
AIR LV INDIANAPOLIS 640P SOUTHWEST FLT: 107 COACH CLASS
CONFIRMED
AR LAS VEGAS 755P NONSTOP
SOUTHWEST CONF JSA4IB
26 FEB 09 THURSDAY MILES- 1591 ELAPSED TIME- 3:40
AIR LV LAS VEGAS 1020A SOUTHWEST FLT: 388 COACH CLASS
CONFIRMED
AR INDIANAPOLIS 500P NONSTOP
SOUTHWEST CONF JSA4IB
"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 10PCT 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 -317 846 9619..DEBBIE WWW.TTA.TRAVEL
AIR TRANSPORTATION 239.20 TAX 00 TTL 239.20
PROCESSING FEE 35.00
SUB TOTAL 274.20
CREDIT CARD PAYMENT 274.20
TOTAL AMOUNT 0.00
1
Print Page 1 of 1
From: institutes @iccsafe.org (institutes @iccsafe.org)
To: lbdevore@yahoo.com
Date: Thursday, February 5, 2009 12:19:21 PM
Subject: 2009 Institute Registration Confirmation
Success! Your registration was successful.
Order ID 0000000752 54079335
Billing
Bill To: Laura B Rouse- DeVore
9709 W. Constellation Drive
Pendleton IN 46064
(317) 223 -8677
lbdevore @yahoo.com
Payment Method
Payment Type: Purchase Order
$450.00 has been billed to purchase order 19735
Your 2009 Educode Schedule
ID Event Date Start Time Length Session Description
15 02/23/2009 7:30 AM 1 Full Day(s) Property Maintenance and Housing
31 02/24/2009 1:00 PM 1/2 Day(s) Preparing Cases for Court Litigation: Witness
Preparation
30 02/24/2009 7:30 AM 1/2 Day(s) Preparing Cases for Court Litigation: Case
Preparation
44 02/25/2009 7:30 AM 1/2 Day(s) Managing Code Compliance Programs:
Customer Service and Support
45 02/25/2009 1:00 PM 1/2 Day(s) Managing Code Compliance Programs:
Enforcement, Integrity Ethics
Subtotal: $450.00
Total: $450.00
http://us.mg20l.maii.yahoo.com/dc/launch?.rand=lb6k7Okuf3l9s 2/20/2009
Print Page 1 of 2
From: Rhonda Jackson (rjackson @iccsafe.org)
To: lbdevore @yahoo.com
Date: Thursday, February 5, 2009 12:24:35 PM
Subject: 2009 EduCode confirmation...
Required fields
First Name: Laura
Middle Initial: F
Last Name: Rouse- Devore
Title: 1
Nickname: l
Jurisdiction /Organization: City of Carmel, Indiana
Address: lone Civic Square
City: lCarmel
Non -US and Non Canadian, please disregard State /Province and Zip Fields.
State /Province: I Indiana
Zip: 146032
Country: United States ❑j
E -Mail: lbdevore @yahoo.com
Day Phone: (317) 223 -8677 Ext:
Evening Phone: (317) 223 -8677
Fax: 1 (317) 571 -2499
Special Needs:
Notes:
Edit Personal Info.
Billing Information
Payment Type: Purchase Order
Purchase Order Number: 19735
Registration Information
http /us.mg201.mail.yahoo.com/dc /launch ?.rand =l b6k70kuf319s 2/20/2009
Print Page 2 of 2
Your 2009 Educode Schedule
ID Event Date Start Time Length Session Description
15 02/23/2009 7:30 AM 1 Full Day(s) Property Maintenance and Housing
31 02/24/2009 1:00 PM 1/2 Day(s) Preparing Cases for Court Litigation: Witness
Preparation
30 02/24/2009 7:30 AM 1/2 Day(s) Preparing Cases for Court Litigation: Case
Preparation
44 02/25/2009 7:30 AM 1/2 Day(s) Managing Code Compliance Programs:
Customer Service and Support
45 02/25/2009 1:00 PM 1/2 Day(s) Managing Code Compliance Programs:
Enforcement, Integrity Ethics
Subtotal: $450.00
Total: $450.00
http:Hus.mg201.mail.yahoo.com/dc /launch ?.rand =l b6k70kuf319s 2/20/2009
CITY OF CARREL D.O.C.S.
STAFF EDUCA T ®ON AND TRAINING REQUEST FORM
Amended September, 2008
Please complete this form, attach any supporting documents or explanation regarding the
training, and submit to supervisor for approval.
Specify what type of training you are requesting (i.e. management, planning,
customer service, etc.):
Name of group or organization providing this training:
Explain what new skills or knowledge will be acquired through this training:
V, ku'eci a Pfthyt kmiffi A ma ow 41 r W� uA. �L Ak,
Specify if this train�,,, education requirement for professional
licenses and /or certification: OF-- U S /cCY7_ ��1n l AN
l
Additional Comments:
(19
Location of Training:
Dates of Training: Lo Fib, y FP O, o--T apoq
*Pl40yeeWHgfflTdUr1e---- J Printed Name Date of Request
Supervisor Comments:
Of(1. O
Approved Date
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))
02/22/09 $290.00
03/02/09 $14.00
03/02/09 Laura Hotel Vegas $78.03
'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
Laura Rouse Devore
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$382.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $290.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.02 $14.00 bill(s) is (are) true and correct and that the
1192 43- 430.02 $78.03
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 02, 2009
Director OCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund