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Home My WebLink About178775 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00353070 Page 1 of 1 ONE CIVIC SQUARE DAVID MCCOY CHECK AMOUNT: $212.50 CARMEL, INDIANA 46032 cro C/o is CHECK NUMBER: 178775 CHECK DATE: 10/28/2009 6EPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4343002 REIMB 212.50 EXTERNAL TRAINING TRA TQ grurp,c CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: David McCoy DEPARTURE DATE: 10/12/2009 TIME: 1:50 PM DEPARTMENT: IS RETURN DATE: 10/14/2009 TIME: 3:01 PM REASON FOR TRAVEL: GIs Seminar DESTINATION CITY: Charlotte, NC EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM X Transportation Gas /Tolls/ Meals Date Lodging Misc. Total. Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per PieTff 10/12/09 $25.00 $57:50 10/13/09 $fi5:00 10/14/09 $25:00 $65.00 $9000 $0.00 oT t $0.00 $0.04 $0.00 $0.00 $0.00 $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 $Q.00 $0.0,0 $0.00 $0:00 Total $000 $0.00 $50.00 $0:00; $0;00. $0.00 $O:QO $0:00 $0.00 $1fi2.50 $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 10/15/2009 Page 1 Agenda for Be Inspired Infrastructure Best Practices Symposium and Awards Page 1 of 1 Search f3e nt (ey Hello I Login 1 United states Change j I Contact I Partners I SELECTservices Solutions Products Training Learning Support Services Corporate Communities Be Inspired: Infrastructure Best Practices Symposium and Awards Agenda Announcement: Be Inspired Award View the Best Practices Agendas I See All the Roundtable Topics Winners Held at the Westin Hotel in Charlotte, NC. LISA, 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 [lie 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 business and design of infrastructure. Be Inspired Home View the event overview below: g f4ONDAY, OCTOBER tZ V "eiconepvr;eptiart TUESDAY OCTOBER 13 About Be Inspired 3 ,.al ';i breakfast ry Md r >iRi tt' E Welcnrne &Xoynatu Address a Grey Bentfcy, CEO I i0 7:; All Keiert Saiplta C rte y:_ Es.. J�'r; i� °'t.� i fl4:S11�4'a r, ti�t;S WteS�'itt2ltQitS 121,10 F o' €rt :5 P'A t.uneli 1� U ik'V Best pi aces- Neseiitatiols Agenda V r .'w Be irispired A yards Receptica x Be Inspired Awards Os. €,tCA Be tln3prred Avis €ds 12e €e4a?'atieri WEDNESDAY, OCTOBER 14 Brslal:ftst Exac live 3iouriata€alps Year in Infrastructure Meet the Finalists Contact Us Special Recognition Awards t31op6 l .io4 O {iporiuniEieS I Privacy I Terms of Use I Gontac! weamasier I Site Map i 2009 Be rdley Systems, Incorporated I 1 -800- BENTLEY or *14,10.458 -5000 http /www,bentley.CoiT /en -US /Promo /Be +lnspired /Agenda.litm 10/15/2009 The Westin Charlotte 601 South College Street Charlotte, NC 28202 Tel: 704.375.2600 Fax: 704.375.2623 1228 Dave Mccoy 192.00 2 3 Civic Square 922447 EX -A Carmel, IN 46032 1 12- OCT -09 16:54 14- OCT -09 BEN509 DI 12- OCT -09 RT1228 Room Chrg Grp Corporate 192.00 12- OCT -09 RT1228 State Tax 15.84 12- OCT -09 RT1228 Occupancy /Tourism Tax 15.36 12- OCT -09 CK Check 446.40 13-OCT-09 RT1228 Room Chrg Grp Corporate 192.00 13- OCT -09 RT1228 State Tax 15.84 13- OCT -09 RT1228 Occupancy /Tourism Tax 15.36 14- OCT -09 DI Discover 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 /THEWESTINCnARLOTTE As a Starwood Preferred Guest, you could have earned 768 Starpoints for this visit. Please provide your member number or enroll today. Dave Mccoy ROOM DEPART AGENT The Westin Charlotte FOLIO: 922447 12- OCT -09 1228 Tel: 704.375.2600 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 for out -of -state travel, 0 3 For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $32a 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: 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 Signature: ✓1 Date: City of Carmel Form ER06 Revision Date 10/15/2009 Page 2 THE TRAVEL AGENT tel 317846.9619 800.347.2512 v �a�i<la�u�G �za z eGrau«r fax 317848.3998 Gstabllshe<l 1979 email infowthetravelagent.travel VI R'T UOS O M E \ri R C R. 11562 Westfield Boulevard Carmel, Indiana 46032 web www.thetravelagent.travel SA1,ES PERSON: DT2 ITINERARY,'INVOICE NO. 57834 DATE: SEP 03 2009 ACCOUNT NZ9L13 PAGE: 01 'I 2( DAVID K i'• "i: C7_" y OF ''AR.MEL CITY OF CARMEL -INFO SYS DEPT ONE CIVIC SQUARE 3RD FLOOR ONE CIVIC SQUARE �ARMEL IN 46032 CARMEL IN 46032 3 OCT 09' MONDAY MILES- 428 ELAPSED TIME 1:32 1TR ;V Iii ?DIANAPOLIS 150P US AIRWAYS FLT:3562 SPECIAL CL CONFIRMED AR CHARLOTTE 3 2 2 P NONSTOP RESERVED SEATS 7D Tj ?l1NE CONFIRMATION:' CCT485H �Ntl: iv Ii,H:_ 4:2 8 r:. L Eli,. T I'lr 1 -.r.• -,.Tn �'LT' IJ �.7 Aa. �'r,-t�l': I 1% C.vT \C�:I C "I!A -tip F, NID1 1 IS 301 -y' N01\1ST0P AIRLINE, CONFIRMATION: US CV4o I IC= 1S AN ELECTRONIC ".'ICKET. PLEASE PRESS_3T PHOTO A`_!' C.iIF:CK I11 rv'I�1'H AIRLINE C'ONF TICKET IS 0 3 ITC!?v: _E!' I �II7A}Ri1E -IF UNKUSED. ,MAY CHANGE ONLY PRIOR TO ORIGINAL RAVST� DATE. FEES WILL APPLY. C'01 US CAT485H *YOI7 P %ST VERIFY ALL INFORMATION IS CORRECT. ON {WE ISSUED 2_., J AN PENALTIES EXIST FOR REISSUE —RF "JIV`US —C.Hr GES. FOR EF HOURS EMERGENCIES ON 'RXISTING R SERVAI.'1ONS CALL 645637.3 C'ODF `iD9. $15.00 PER "ALL, FEE r vV.L LL BE CHARGED A C_'ANCE':L1,ATION FEE: OF' 7. 5 CT ON :y "T COST Or BOOKFD TC�UTRS -CRUISES I T `?,D HOTEL PK: S (WILL AP CHFC'K:EL BAGGAGE NOTICE ]OY..:r:STIC: AND INTER-ItATION �L P:K__k\TEL A17 ,IVES MAY CHARGE \Tr: :'�(�L. -dT >1.IA:R ?K 'O. -3.- 8 r', 3 l ..DE�3t3;_ ,....Vvnnlrn..Tf.,.T T.mil K3 m S u L' ✓ti CC,a rz? ti -"I' `'did d'i S 43 I 1 6 E T T C' AS YOUR TRAVEL ADVISOR, WE RLCOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS- TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER_ FOR TERMS AND CONDITIONS, REFER TO: WWW.TTA.TRAVEL/TERMS 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. M Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 21�o -3 o 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. gnWARRANT NO. t 11 ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE A OUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 102 materials or services itemized thereon for which charge is made were ordered and received except 20 Sin re J Cost distribution ledger classification if Title claim paid motor vehicle highway fund