169526 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353070 Page 1 of 1
�i. ONE CIVIC SQUARE DAVID MCCOY
l CARMEL, INDIANA 46032 CHECK AMOUNT: $150.00
cro
cro is CHECK NUMBER: 169526
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBE INVO NUMBER AMOUNT DESCRIPTI
1202 4343004 150.00 TRAVEL PER DIEMS
ii
4�ZY
TN CARM 01
CITY OF CARMEL Expense Report (required for all travel expenses)
\DIAN P
EMPLOYEE NAME: David McCoy 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
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2116109 $50.00
2117109 $50.00 $50.0.0
2/18109 $50.00 ...$50.00
$0:00
$0..00
$0.00
$0.00
$4:00
$0.00
$0.00
$0.00
X0:00
$0:00
$0.00
$0.00
$000
$000
$0.00
$00U
0.00
Total $0:00 $0:04 "$0.00: .$0:00 $0.00 $.0.00 $4.00 $0;00.' $0.00 $150:OO $0.40$150 U0
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: Z
City of Carmei Form ER06 Revision Date 2/19/2009 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 Signature: v�' Date: 22�
City of Carmel Form ER06 Revision Date 2/19/2009 Page 2
COURTY Bloomington by Marriott 310 South College Ave
Bloomington Bloomington IN 47403
Aarnoft T 812.335.8000
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City Of Carmelo Rate $109 DO CleFrii ALS
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16Feb09 Check 732.48
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 MCCOYIDAVID
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 2
McCoy, David W
From: Janet Tomlin Otomlin @igic.org]
Sent: Friday, January 30, 2009 10:50 AM
To: McCoy, David W
Subject: RE:
You are confirmed.
Janet Tomlin
Indiana Geographic Information Council, Inc
140 N. Senate Avenue
Indianapolis, IN 46204
317.489.3806
www.i gic.arg
From: McCoy, David W [mailto:DMcCoy @carmel.in.gov]
Sent: Friday, January 30, 2009 10:36 AM
To: Janet Tomlin
Subject: RE:
Hi Janet,
I would like to attend this. Please let me know if there is a spot available.
Dave McCoy
GIS Technician, City of Carmel
317 571 -2566
From: Janet Tomlin [mailto:jtomlin igic.org]
Sent: Tuesday, January 27, 2009 2:24 PM
To: McCoy, David W
Subject:
Indians
g 3 p
Sr
Hello David,
2119/2009
Page 2 of 2
As a conference attendee you are being invited to tour IU's newest super computing and secure data storage
facility. IGIC will have a 1 -hour tour of the new facility at 3pm on February 16th, right before the IGIC Annual
Board meeting being held at the Wrubel Computing Center (WCC).
If you wish to take the tour please notify me as soon as possible. Currently we have openings for 35 people. Only
the first 35 people responding will be able to take the tour. If you miss the opportunity thank you for your
understanding as space is limited.
Janet Tomlin
i tomlin Q@ig ic.or g
317- 489 -3806
2/19/2009
Pres;:ribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 5995)
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
David McCoy Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
re
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
VOUCHEFOW NO.
aVl C 0y ALLOWED 20
IN SUM OF
$150.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Information Systems
Board Members
P T INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 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
Si ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund