HomeMy WebLinkAbout177633 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 356653 Page 1 of 1
ONE CIVIC SQUARE ALEXIA DONAHUE WOLD
CHECK AMOUNT: $276.82
CARMEL, INDIANA 46032 664 NEWBURY ST.
APT. 1338 CHECK NUMBER: 177633
CARMEL IN 46032
CHECK DATE: 9/29/2009
DEPA ACCOUNT PO NUM IN VOICE NUMBE AMOU DESCRI
1192 4343002 211.82 EXTERNAL TRAINING TRA
1192 4343004 65.00 TRAVEL PER DIEMS
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Alexia K. Donahue Wold DEPARTURE DATE: 9/22/2009 TIME: 3:00 PM
DEPARTMENT: Department of Community Services RETURN DATE: 9/23/2009 TIME: 8:15 PM
REASON FOR TRAVEL: Preparation class for the AICP Exam DESTINATION CITY: Chicago, IL
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/22/09 $211.82 $211.82
9/23/09 $65.00 $65.00
$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
$0.00
$0.00
o.a0
Total $0.00 $0.00 $0.00 $0.00 $211.82 $0.00 $0.001 $0.00 $0.001 $65.00 $0.00
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.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 9/24/2009 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 $65 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
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 9/2412009 Page 2
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Club Quarters Central Loop 111 West Adams Street Phone: 312 214 -6400
Chicago, IL 60603 Fax: 312 601 3300
Check -in: Tue, Sep 22, 2009 1500
Check -out: Wed, Sep 23, 2009 1200
Room description: Studio 1 queen bed
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Room rate Tue Card holder's Name:
Sep 22 $184.00 i Alexia K Donahue Wold
Subtotal $184.00 Card type:
Visa
Taxes and fees $27.82
Card number:
Total charges 211.82 USD i xxxxxxxxxxxx5447 i
Excludes incidental charges
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Wednesday coPtional =A vance Registration Nee d))
8:30A -4:30P AICP.Exam Training Course ($50.06 per person)
8:30A 9:30A Plenary Session -The Legacy of the Plan of Chicago CM 1
9:45A- 11:45A- Morning Mobile Sessions (Choose 1 -Advance Registration Needed)
i TO1. Burnham by Boat C.PA
T02. Chicago's Near North Transformation into a Mixed Income Community CNI
El T03. Waterfront Planning (Northerly Island A Century of Progress) `NI 1.5
1 T04. 100 Years of Wacker Drive <_M 2
T05. Redevelopment Revitalization in Rockford CM.
T06. Chicago's Central Area Action Plan: Envisioning $158 in Capital Improvements by 2020 CM i.5
TOT Gold Coast Evolving C10 2
TO8. Addressing Rapid Neighborhood Change "Reconnecting Neighborhoods "Series) CNi 1.5
T09. Planning a Riverwalk: Capturing a Public Space on a Waterway CM
T10. Underground Chicago C.M
T11. Extreme Re -Use Projects
T12. State Street Redevelopment C. P,1
T13. Chicago's South Lakefront Bike Tour (Short Version) CM 1,5
12:OOP -1:15P Lunch Plenary Session The Chicago 2016 Olympic Bid CM 0.5
1:45P 5:45P Afternoon Mobile Sessions (Choose 1 Advance Registration Needed)
R01. CREATE: Freight, Passenger, Economic Benefits for the Nation CM 4
R02. Quality of Life Planning in Urban Neighborhoods CM 2
R03. Rogers Park Glenwood Ave Arts District CM 3
R04. Legacy of the Plan of Chicago CNI 4
R05. Mr.Obama's Neighborhood: Hyde Park CPA 4
R06.TODs in the South /Southwest Suburbs 0.1:3
ROT Early 20th- Century Industrial Housing as a 21 st- Century CNI 2.5
ROB. Law Ethics Seminar Panel Discussion CM 3 Ethic s and I_akiv
R09. 100 Years of Wacker Drive C 2
RIO. Uptown Park Ridge CM 2
R11. Comprehensive Planning for a Mature Unique City CM 1.5
R12. Pullman: Model Industrial Town CM =1
R13. Revitalizing the Central Axis: the Congress Parkway Streetscape the Burnham Plan (.NI 2.5
R14. Small Plans, Big Impacts: Near Southside's Hull House CM 1.5
R15. Motor Row Landmark District Past, Present, Future CM 2
R16. Leveraging Olympic Investments "Reconnecting Neighborhoods "Series) CNI 3
R17. Burnham by Bicycle: Ripping Up the Road CM 2
R18. Chicago's South Lakefront Bike Tour (Long Version) CN13
6:30P 8:30P Opening Reception Crystal Gardens at Navy Pier (t ticket included with registration)
Friday
8:30A 9:30A Plenary Session Virtual Burnham
9:45A 11:45A PowerPlanningPalooza CM 2
12:15P -1:15P Awards Luncheon CM 0.5
1:45P 5:45P Afternoon Mobile Sessions (Choose i Advance Registration Needed)
F01. Rogers Park Glenwood Ave Arts District CNt 3
F02. "The Last Four Miles" Plan Northerly Island CNI 3
F03. Creating New Chicago Neighborhoods CM 4
F04.The Neighborhood Sports Arena: An Oxymoron? "Reconnecting Neighborhoods "Series) CM 3
FOS. Rails to Trails Urban Parkway Project CNI4
F06. Chicago's Parks Boulevards: Burnham Beyond CNI
F07. Forging Successful Housing Partnerships in Suburbia CM 3
F08.The Legacy of Edward Bennett in Lake County CM
F09. AICP Code of Ethics Ethical Behavior in Planning Practice CNI Ethics
F10. A Century ofTOD via the CTA's Brown -Line CM -1
F11. Riverside Historic Planned Community CM 3.5
F12. Comprehensive Planning for a Mature Unique City CK1 13
F13.TODs in the Western Suburbs CM 3
F14. Downtown Evanston Walking Tour: Downtown Planning, Economic Development, &TODCIVI2
F15. Campus Environment: Having It Both Ways CM 2.5
F16. Preservation Planning in Oak Park Cm, 4
F17. Planning a Riverwalk: Capturing a Public Space on a Waterway Ci\A
F18. Revive Wacker Drive: the Burnham Plan the 2002 Rehabilitation of Wacker Drive CM 2
F19. Burnham by Bicycle: Ripping Up the Road C Ni 2
F20. Chicago's South Lakefront Bike Tour (Long Version) C.NA 3
6:OOP 9:OOP Food For Thought Excursions to Chicago's Ethnic Neighborhoods (not included in reg.)
Saturday
9:OOA 12:OOP Burnham Colloquium CM 3
Certification Maintenance (CM) Credits pending approval. Detailed descriptions of sessions and events
are available at www.ilapa.org.
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))
09/24/09 Travel per diem Chicago $65.00
09/24/09 Lex Hotel Chicago trip $211.82
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alexia Donahue Wold
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$276.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 430.04 $65.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.02 $211.82
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
Monday, September 28, 2009
i ctor, D S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund