173553 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00351060 Page 1 of 1
ONE CIVIC SQUARE DENNIS STILTS CHECK AMOUNT: $325.00
CARMEL, INDIANA 46032 cio cccc
o �s cio cccc CHECK NUMBER: 173553
CHECK DATE: 6/10/2009
DEPARTME ACCOU PO NUMBER INVOI NUMBER A DESCRIP
1115 4343002 325.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Dennis Stilts DEPARTURE DATE: 5/16/2009 TIME: 5:30 AM AM PM
DEPARTMENT: Commincations Center RETURN DATE: 5/20/2009 TIME: 9:30PM AM PM
REASON FOR TRAVEL: New World CAD conference DESTINATION CITY: Orlando
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
5/16/09 $65.00 $65.00
5/17/09 $65.00 $65.00
5/18/09 1 $65.00 $65.00
5/19/09 $65.00 $65.00
5/20/09 $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
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.00 $0.00 e e
DIRECTOR'S STATEMENT: I hereby ffir at 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 it ER06 Revision Date 5/27/2009 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 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 Si nature: Date:
City of Carmel Form ERO6 Revision Date 5/27/2009 Page 2
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SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: MAY 06 2009
ACCOUNT CPD SS5T3C PAGE: 01
FOR:
STILTS /DENNIS
TO: CITY OF CARMEL CITY OF CARMEL- COMMUNICATION CTR
ONE CIVIC SQUARE 3RD FLOOR ATTN:JANET ARNONE
CARMEL IN 46032 31 1 STAVE NW
CARMEL IN 46032
16 MAY 09 SATURDAY MILES- 828 ELAPSED TIME- 2:10
AIR LV INDIANAPOLIS 722A AIRTRAN AIR FLT: 418 COACH CONFIRMED
AR ORLANDO /INTL 932A NONSTOP
20 MAY 09 WEDNESDAY MILES- 828 ELAPSED TIME- 2:22
AIR LV ORLANDO /INTL 616P AIRTRAN AIR FLT: 370 COACH CONFIRMED
AR INDIANAPOLIS 838P NONSTOP
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH CONF. TICKET IS NONREFUNDABLE IF UNUSED.
MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY.
CONF AIRTRAN Z6HHGS
*"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
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))
05/27/09 I I I $325.00
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
Dennis Stilts
IN SUM OF
41 Druid Hill Court
Carmel, Indiana 46032
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $325.00 1 hereby certify that the attached invoice(s), or
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
Thursday, May 28, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund