169617 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362627 Page 1 of 1
ONE CIVIC SQUARE KURT SHANAYDA CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032
3391 S BELL CREEK RD
YORKTOWN IN 47396
CHECK NUMBER: 169617
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUN PO NUMBER INVOI NUMBER AMOUN DE SCRIPTION
1202 4343004 150.00 TRAVEL PER DIEMS
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CITY OF CARMEL Expense Report re Uired for all travel expenses)
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EMPLOYEE NAME: Kurt Shanayda DEPARTURE DATE: 2/16/2009 TIME: 12:30 PM
DEPARTMENT: IS RETURN DATE: 2/18/2009 TIME: 4:30 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
Date Transportation Gas /Tolls/ Lodging Meals Misc. Total.:
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
2116109 $50.00 $50:00
2117/09 $50.00
;,..$50:00
2118109 $50.00 $50.00
$0 .00
$oo:o
$000
$0:00
$0.00
$0:00
$0:00
$0.00
$0:00
$0.00
$000
$o;oo
$o 00
$0
$0:00
0.00
Total $0 °9� $0.00' $0 00 $0':00 $0.00 $O.OQ $U.QQ $0.00 $0:00 $150.00l $0:00 $150k00'
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 For 6 Date 2119!2409 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 N 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 th ate of my return. Failure to return unused funds will result in the amount of the unused funds (total
advance minus documented expenditur eing deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: 1 Dater
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City of Carmel Form ER06 Revision Date 2/19/2009 Page 2
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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
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Page 1 of 1
Shanayda, Kurt A
From: Janet Tomlin Utomlin @igic.org]
Sent: Monday, February 09, 2009 10:54 AM
To: Shanayda, Kurt A
Subject: RE: IGIC
Yes, I will add you to the list.
Janet Tomlin
Indiana Geographic Information Council, Inc
140 N. Senate Avenue
Indianapolis, IN 46204
317.489.3806
www.i gicorg
From: Shanayda, Kurt A mailto:kshanayda @carmel.in.gov]
Sent: Monday, February 09, 2009 9:42 AM
To: jtomiin @igic.org
Subject: IGIC
Hi Janet,
I was wondering is there still spots open for the tour of the computing facility?
Thanks for the info, Kurt Shanayda
2/19/2009
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
Kurt Shanayda 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 I' NO.
Kurt anay a ALLOWED 20
IN SUM OF
$150.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Information Systems
Board Members
POft or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice or
1202 0 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
20
Sigh t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund