176345 08/19/2009 a CITY OF CARMEL, INDIANA VENDOR: 196800 Page 1 of 1
b ONE CIVIC SQUARE CAROL MCMANAMA
CARMEL, INDIANA 46032 3313 BEACON COURT CHECK AMOUNT: $1,790.60
INDIANAPOLIS IN 46222
CHECK NUMBER: 116345
CHECK DATE: 8/1912009
DEPARTMEN AC COUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
601 5023990 062709 895.30 OTHER EXPENSES
651 5023990 062709 895.30 OTHER EXPENSES
r
103rd Annual Conference Registration Form Seattle, Washington June 28 -July 1, 2009 .12
Please print or type. Register online at www.gfoa.org a
Early Registration Advanced Registration Full Registration Conference Registration: 3 70
(Postmarked and paid (Postmarked and paid (Postmarked and paid
If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted by,lanuary30,2009) by April 30, 2009) after May 1, 2009) Preconference Seminar(s):
with credit card payments only. Please affix your mailing label here, and active
make changes to your record in the spaces provided below. Government $370 0 $410 Cl $455 New member fee: See page 18 or visit
Member wwwgfoa. org
Member Private U $500 13$545 $620 Discount for paid new member: $25.00`)
ir: Ms, Coral S. McManama Sector
Chief Financial officer 10% group discount for 3 or more registrants`
city of Carmel utili Nonmember
fit! 13$525 $560 $610
760 3rd Ave SW Ste 110 Government Sub Total:
Carmel IN 46432 -2070
jr Private Sector
Nonmember LJ $790 $820 D $895 GFOA Grand Slam Event:
of tickets /adults $40.00 x
Aailing Address Student
(Full -time, $130 $135 $145 of tickets /children under 18 $15.00 x
Unemployed (Children under 5, complimentary)
;Ity only)
Total Fees: j J
Mate /Province Zip/ Postal Code Country you will receive a 10 percent discount on your conference seminar registration if
2/ S 11 -2 V I Preconference seminar registration: and fees are separate from three or more people from your jurisdiction are attending the annual conference
ele hone annual conference registration and fees. (registrations must be submitted together). This discount does not apply to Pre
P conference seminars.
ax
31 7 S 7 .�2 Check the seminar(s) of your choice:
a
Cl Fiscal First Aid: Budgeting Tactics for Bad Economic Times r r
C!- kn C- 01 6� n '9. m e- Lim 0- a.rr4 e_-/, i Y-3, 0 0 ii June 26, 2009 Full Day 9:00 am 5:00 pm
-mail Address (REQUIRED) _J dPayment by Check, Send to:
v Sustainability GFOA 3076 Eagle Way Chicago, IL 60678 -1030
P�A 0 z9-v 1,e June 26, 2009 Half Day 1:00 pm 5:00 pm
referred Name for Badge Making the Transition to Performance Management Payment by Credit Card (Fax: 312/977 -4806)
Indicate if you are substituting for an active member. June 27, 2009 •Full Day 9:00 am Send to: GFOA 203 North LaSalle Street Suite 2700 5:00 pm Chicago, IL 60601 -1 21 0
Assessing the Finance Function: A Critical Look in the Mirror
ame of Active Member June 27, 2009 Half Day 1:00 pm 5:00 pm CJ Amex ❑Discover ❑MasterCard ❑VISA
Ll Getting a Handle on Your IT Costs
June 27, 2009 Half Day 1:00 pm 5:00 pm Name on Card
int name(s) of additional guest(s). Please attach additional names
needed. Check rate below:
Jvdy G A� V)9,,me—
Please Check One: Member Nonmember Card Number Expiration Date
st Name Last Name Each Full -day Seminar D $310 $430
Each half -day Seminar $150 $265 Signature
•st Name Last Name ❑Bill Me
lildren 12 or Under P.O. Number:
;,t name(s) of child(ren) 12 or under. Please attach additional Member Type* Please Check One
Ali billed registrations should be mailed to: GFOA
needed. Active Government Member Member Private Sector 203 North LaSalle Street •Suite 2700 Chicago, IL 60601-1210
D Nonmember
'Join the GFOA today and receive $25 off your conference reoistration foe with a .aid r'-CnA c
Last Name
OF Cg94
4 Q arnsR o
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Carol McManama DEPARTURE DATE: 6/27/09 TIME:11:52 AM 1 PM
DEPARTMENT: Utilities RETURN DATE:7 /2 /09 TIME: 8:40 AM/PM
REASON FOR TRAVEL: Conference DESTINATION CITY: Seattle
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Lil Air -fare Car Rental Other Parking Breakfast Lunch Snacks Per Diem
6/27109 $44.00 $26432 $60.00 $15.00 $383.72
6/28/09 $26432 $60.00 $324.72
6/29/09 $264.72 $60.00 $324.72
6/30/09 $264.72 $60.00 $324.72
7/1/09 $264.72 $60.00 $324.72
7/2/09 $33.00 $60.00 $15.00 $108.00
$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
Totall $0.001 $0.00 $77.00 $0.001
0.00 $1,323.601 $0.001 $0.00 1 $0.001 $360.00 $30.00
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 Carmet Form LR06 Revision Date 8/14/2009 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 EXPENDI` ORES:
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.
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 8/14/2009 Page 2
G R A N D T Grand Hyatt Seattle
H A Y I Pine Street
Seattatt le, WA. 98101
206- 774 -1234
S E A T T L E 206- 774 -6120
INVOICE
Room No. 2415
Payee Carol Mcmanama
Arrival 06 -27 -09
760 3rd Av Sw Departure 07 -02 -09
Carmel IN 46032 Page No. 1 of 2
United States
Folio 67989
Membership Invoice
Bonus Code
Confirmation No. 2658953701 Cashier No. 764
Group Name Govt Finance Officers Assn User ID EHERBST
D 1 escrlptlQn
fi r r�;� hs C18rgeS� Cr0d1 #S
k.. a.._�.�.;.... „_.w_�s ......w ._..5.3. -a.. s, w:o-r..2 z`g ,:.h r:. ap ..4• ...a,
06 -27 -09 Ruth's Chris Steak House CHECK# 0116598 29.85
06 -27 -09 Group Room 229.00
06 -27 -09 Room Tax 35.72
06 -28 -09 Ruth's Chris Steak House CHECK# 0111756 25.75
06 -28 -09 Group Room 229.00
06 -28 -09 Room Tax 35.72
06 -29 -09 Ruth's Chris Steak House CHECK# 0113565 30.55
06 -29 -09 Group Room 229.00
06 -29 -09 Room Tax 35.72
06 -30 -09 Ruth's Chris Steak House CHECK# 0116773 26.00
06 -30 -09 Group Room 229.00
06 -30 -09 Room Tax 35.72
07 -01 -09 Ruth's Chris Steak House CHECK# 0112575 Mcmanama Carol 27.30
#2415= >Selamat Rainy #2124 Selamat
Rainy #2124 >Mcmanama Carol #2415
07 -01 -09 Group Room 229.00
07 -01 -09 Room Tax 35.72
07 -02 -09 XXXXXXXXXXX; XX /XX 1,463.05
H �_r
✓'�14 1���M �C�i a GLa 5[!V�hl
HYATT EXPRESS CHECK -IN KIOSK
3 The Hyatt Express Check in Kiosk, located in the hotel lobby, allows you to check in and check out with the simple touch of a
screen
HYATT FAST BOARD"m
Make travel easier by printing your airline boarding pass in the lobby at our Fast Board terminal.
HYATT E- CONCIERGE
H YATT Plan spa and droner reservations, destination activities or in -room indulgences weeks in advance online with Hya" F- Cencierge 7c
access this service, request an email confirmation when making your reservation
HYATT WEB CHECK -IN
Hyatt Gold Passport niembers c'eLK -irl for their next Hyatt stay in advance of arrival through the Interr,ct, PCA or ar,v wets
y� enabled device.
WEB CHECK -IN
HYATT GOLD PASSPORT' Faro ree enjoy y Hyatt Gold Pas g lobal g P ro f ni hts and eno exclusive bershi mem benefits with H join our lobal frequent uAst ram.
P To I g
please call 800 51 HYATT or vsit goldpassport.com.
�i...- h.,,. I I 9 it:.. i FIyaH ..�;,I. 3 M•u,i ,r S ,u r
+I a' it It
u. •i ^i vide J. i i., '_i: O ''I �.i "f .'Y h31' 0i a
ASH /Q.o;R pg ,k
G R A N D Grand Hyatt Seattle
H —T J att le, WA. 98101
Pine Street
Y I Seattle,
206 -774 -1234
S E A T T L E 206 774 -6120
INVOICE
Room No. 2415
Arrival 06 -27 -09
Payee Carol Mcmanama
760 3rd AV Sw Departure 07 -02 -09
Carmel IN 46032 Page No. 2 of 2
United States
Folio 67989
Membership Invoice
Bonus Code
Confirmation No. 2658953701 Cashier No. 764
Group Name Govt Finance Officers Assn User ID EHERBST
17
No frequent traveler account has been credited for this
stay. To enroll in Gold Passport, call 1- 800 -51- HYATT. Total 1, 463.05 1,463.05
Balance 0.00
WE HOPE YOU ENJOYED YOUR STAY WITH US!
Guest Signature We trust you enjoyed your stay at the Grand Hyatt Seattle. Please let us know your thoughts at:
SEAGH- Shared -MB- QUALITY @hyatt.com or contact us by telephone at (206) 774 -1234.
1 agree that my liability for this bill is not waived and I agree to be held
personally liable in the event that the indicated person, company or We thank you for your business and appreciate your loyalty,
association fails to pay for any part or the full amount of these charges. For questions concerning your bill, call (888) 472 -2870,
or email: na.customerservice @hyatt.com
accept delivery of The Wall Street Journal M -F (Gold Passport, Club, For questions on your Gold Passport account, call 800 -30 -HYATT
Suite and VIP rooms only). If refused, a refund of $1 will be provided. Please remit payment to:
Grand Hyatt Seattle
PO BOX 94706
Seattle, WA 98124 -9428
I
�Cr;��
I
\Vy' t (t laJ`, a,pIM, to'" [r1p)*"� vv. r n xy°frtf l't
HYATT EXPRESS CHECK -IN KIOSK
The Hyatt Express Check -in Kiosk located in the hotel lobby, allows you to check, in and check out with the simple touch of a
screen.
HYATT EAST BOARDT
Make travel easier by printing your airline- boarding pass in the lobby at our Fast Board terminal.
HYATT E- CONCIERGE
H_Y/ -T T Plan spa and d inner reservations, destination activities or in -room indulgences weeks in advance online wlt� Hyatt F- Concierge
e access this service, request an email confirmation when making your reservation.
n HYATT WEB CHECK -IN'
�I r
t Hyatt G ,,d Passport rar check -in for their next Hyatt stay in advance of arrival through the Internet PDA o any we�-
H_Y-}`1�t enabed device.
WEB CHECK -IN
r= EYATT GOLD PASSPOR
u
HYATT Goo PA95FORT. Farn free nights and enjoy exclusive membership benefits with Hyatt Gold Passport. To join our global frequent guest program,
please call 800 51 HYATT or visit goldpassport.com.
r t i rt l 6 r r Pr �.�ta 'r r an 'Cr." ^s r r wr. ..t P n 9, a.NL 2 c; oar': feting I, a!i F,,., n K.. i r t -i. r r
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r ,r .;h ^•ewe e >,.•y.,. �r cI Hyatt c ane ar ;.mad pld: es' nr roue.' a erns rc^ •rat.m J'L; e gar, u� r
trc er n n �,'rr.i s rr Cans sdilahc �r oa�'roc:;', g c. res e•r'v E, reS� C^er,.r K,9,aS .adei r
ASH -/919 (R�w nx,ror,;
AS 06/23/09 07/22/09 Manage your account online:
www. chase.com/creditc aids
Minimum Payment: $129.00
Payment Due Date 08/16/09
Additional contact information
ACCOUNT SUMMARY VISA Account Number: conveniently located on reverse side
Previous Balance $531.13 Total Credit Line $23,500
Payment, Credits $531.13 Available Credit $17,012
Purchases, Cash, Debits +$6,487.65 Cash Access Line $4,700
New l3alance $6,487.55 Available for Cash $4,700
ACCOUNT ACTIVITY
Date of
Transaction Merchant Name or Transaction Description Amount
07/08 Payment Thank You Image Check 53113
06122 ESI'MAIL PHARMACY S 800 -451 -6245 MO 60.00
06/24 MARATHON OIL 006809 XXX CARMEL IN 20.82
06124 ROYAL CARIBBEAN CRUISES 800- 327 -6700 FIL
i
06/25 MOL-CARMEL CARMEL IN 8.16
06125 HOOSIER FOOT AND ANKLE COLUMBUS IN 107.50
06/28 TULLYS 00014001 SEATTLE WA 8.68
06/29 MOBYS RESTAURANT SEATTLE WA 33.60
06127 NWA AIR 0122501796706 800 2252525 MN 15.00
06/29 SEATTLE DAILY GRILL 34 SEATTLE WA 30.00
06/30 CHEESECAKE SEATTLE SEATTLE WA 31.10
07/01 ESPRESSO CAFFE DIOR SEATTLE WA 5.93
07/01 WARS ACRS OF CLAMS #1 SEATTLE WA 32.60
07/02 NWA AIR 0122502029731 800- 2252525 MN 15.00
07/03 APPEL HEATING AND AC CO 317- 8460434 IN 170.00
07/03 HYATT HOTELS SEATTLE SEATTLE WA 1,463.05
07/08 MARATHON OIL 006809 XXX CARMEL IN 20.55
07/09 DOOLEY O TOOLES CARMEL IN 22.40
07/10 MACARONI GR25800002584 CARMEL IN 22.82
07/12 ABUELOS INDIANAPOLIS INDIANAPOLIS IN 20.45
07/14 MCL CARMEL CARMEL IN 10.76
07/14 B W PLUMBING HE 3172433581 IN 492.85
07/15 MARATHON OIL 006809 XXX CARMEL IN 17.14
07/18 HONDA WEST INDIANAPOLIS IN 50.50
07/16 MACARONI GR25800002564 CARMEL IN 21.30
FINANCE CHARGES
Finance Charge Transaction
Daily Periodic Rate Corresp. Average Daily Due To Fee Accumulated FINANCE
Category 30 days in cycle APR Balance Periodic Rate Service Charge Fin Charge CHARGES
Purchases V .02942% 10.74% $0.00 $0.00 $0.00 $0.00 $0.00
Cash advances V .05271% 19.24% $0.00 $0.00 $0.00 $0.00 $0.00
Total finance charges $0.00
Effective Annual Percentage Rate (APR): 0.00%
Pease see Information About Your Account section for balance computation method, grace period, and other important information
The Conesponding APR is the rate of interest you pay when you carry a balance on any transaction category.
The Effective APR represents your total finance charges including transaction fees
such as cash advance and balance transfer fees expressed as a percentage.
0000001 FIS33336 C 1 000 N Z 22 09107,22 Page 1 of 1 00225 MAMA 01176 20310000010800117601
INS13973
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
196800
CAROL MCMANAMA Purchase Order No.
3313 BEACON COURT Terms
INDIANAPOLIS, IN 46222 Due Date 8/14/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/2009 062709 $895.30
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 092742 WARRANT ALLOWED
196800 IN SUM OF
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
062709 01- 6040 -08 $895.30
n
Voucher Total $895.30
Cost distribution ledger classification if
claim paid under vehicle highway fund
Q nnwa.
Date: 02JUL09 E- Ticket Nbr: E01221751937Ei7
Depart Arrive Fare Code Issued Date: 27JUN09
Seattle Tacoma, VIA Mpls'St. Paul, MN Baggage Charge Name/Place of Issue: Seattle /Tacoma, WA
Mpls,St, Paul, MN ndianapolis. IN EXE 41 1 502029731
Fatal Pieces 1 USD15.00 Retain this receipt for your recort!s
MCMANANIA /CAROL.S Total Fare This Ticket: USD 7.5.00
FARE 15.00 Form of Payment' Endorserrlents: Restrictions
Card Nbr: Baggage Charge
E- Ticket Nbr: E0122178193767
EXB# 01:2502029731
TOTAL USD 15.00 ConfirmE.tion Nbr: OPJ437
PASSENGER RECEIPT
C nWa. %J
De,art Arrive Date Fare code
E- Ticket Nbr: E0122178193767
Indianapolis, IN Mpls /St. Paul, MN 27JUN09 Baggage chg 271UN09 E'
Issued Date:
Name /Place of Issu Indiana olis, IN e: p r
t
Retaiin this receipt
a1 Pieces 1 USD15.00
Ex13012 50v96706
MCMANAMA /CAROL.S Total Fare This Ti4EkeI.: USD 15.00
confirmation Nbr: OP1437
TIRE 15.06 Form of Payment: VISA Endorsements estrictions
card Nbr: xxxxxxxxxxxxxx5668 Baggage rharge:
E- Ticket Nbr: E0122178193767
EXBO122501796706 Transportation subject to terms of carriage
TOTAL USD 15.00 PASSENGER RECEIPT printed inside;: ticket jacket
Yellow Cab Tq SSEOCIn ONIIVERY
622 -6500 455 -4999 455 -4999
Seattle Eastside So. King County
DATE ?/2/0 TIME yo7 .DRIVER'S NAME
RECEIVED FROM CAB#
AMOUNT S 33 ov FOR HIRE#
FROM v> n,4 Li
TO
24 HOUR COMPUTER DISPATCH/CORPORATEACCOUNTS WELCOME -206- 622 -7395
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903rd Annual Conference Registration Form Seattle, Washington O June 28 July 1, 2009 1 Z
Please print or type. Register online at www.gfoa.org EM=
r o Early Registration Advanced Registration Full Registration Conference Registration: 370
(Postmarked and paid (Postmarked and paid (Postmarked and paid
you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted by January 30, 2009) by April 30, 2009) after May 1, 2009) Preconference Seminar(s):
Ath credit card payments only. Please affix your mailing label here, and Active
hake any changes to your record in the spaces provided below. Government 6d$370 $410 $455 New member fee: See page 18 or visit
Member www.gfoa.org
irc Ms. carol s. cManama m Member Private $500 $545 13 $620 Discount for paid new member: $25.00
Sector
Chief Financial officer 10% group discount for 3 or more registrants"
Cit Ave Ste 110 G
litil N onmemb er $525 $560 $610
Carmel IN 460.32 -2470 Government Sub Total: 370
)r T Nonmember
Private Sector p $790 $820 C1 $895 GFOA Grand Slam Event:
of tickets /adults $40.00 x
hailing Address Student
(Full -time, $130 $135 $145 of tickets /children under 18 $15.09 x
Unemployed (Children under 5, complimentary)
;Ity only)
Total Fees: -j 7
Mate Province Zip/ Postal Code Country 'You will receive a 10 percent discount on your conference seminar registration if
Preconference seminar registration and fees are separate from three or more people from your jurisdiction are attending the annual conference
elepltorte annual conference registration and fees.
(registrations must be submitted together). This discount does not apply to pre
conference seminars.
3 7 .2 G Check the seminar(s) of your choice:
ax
Fiscal First Aid: Budgeting Tactics for Bad Economic Times
rn C— r)" A rn a r)'? e-- e 0-r`y 1 ri% v,, June 26, 2009 Full Day 9:00 am 5:00 pm �Payme
-mail Address (REQUIRED) C3 Sustainability GFOA 306 Way d Chicago, IL 60678 -1030
L afro June 26, 2009 Half Day 1:00 pm 5:00 pm
referred Name for Badge O Making the Transition to Performance Management Payment by Credit Card (Fax: 312/977 -4806)
Indicate if you are substituting for an active member. June 27, 2009 Full Day 9:00 am 5:00 pm Send to: GFOA 203 North LaSalle Street Suite 2700
Chicago, IL 60601 -1210
Assessing the Finance Function: A Critical Look in the Mirror
ame of Active Member June 27, 2009 Half Day 1:00 pm 5:00 pm Amex Discover MasterCard VISA
Getting a Handle on Your IT Costs
June 27, 2009 Half Day 1:00 pm 5:00 pm Name on Card
Int name(s) of additional guest(s). Please attach additional names
needed. Check rate below:
Please Check One: Member Nonmember Card Number Expiration Date
st Name Last Name Each Full -day Seminar $310 Cl $430
Each Half -day Seminar $150 $265 Signature
'st Name Last Name
Bill Me
tiidren 12 or Under P.O. Number.
fi names) of children) 12 or under. Please attach additional Member Type* Please Check One: All billed registrations should be mailed to: GFOA
needed. Active Government Member Member Private Sector 203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1210
Nonmember
[he GFDA today and receive $25 off your conference registration fee with a naid r rnA r:,. ni,,...r
Last Name
4 r Pa TfiF. RCii��
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME. Carol McManama DEPARTURE DATE: 6127/09 TIME:11:52 AM/PM
DEPARTMENT: Utilities RETURN DATE:7 /2/09 TIME: 8:40 AM/PM
REASON FOR TRAVEL: Conference DESTINATION CITY: Seattle
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Snacks Per Diem
6/27/09 $44.00 $264.72 $60.00 $15.00 $383.72
6/28109 $264.72 $60.00 $324.72
6/29/09 1 $264.72 $60.00 $324.72
6130109 $264.72 $60.00 $324.72
7/1109 $264.72 $60.00 $324.72
7/2109 $33.00 $60.00 $15.00 $108.00
$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 $77.00 $0.00 $1,323.60 $0.00 $0.00 $0.00 $360.00 $30.00
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: kll �Q
City of Carmel Form ER06 Revision Date 8(1412009 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: Date:
City of Carmel Form ER06 Revision Date 8/14/2009 Page 2
G R A N D Grand Hyatt Seattle
721 H TJ Seattle, Pine Street
Seattle, WA. 98101
206 774 -1234
S E A T T L E 206 -774 -6120
INVOICE
Room No. 2415
Arrival 06 -27 -09
Payee Carol Mcmanama
760 3rd Av Sw Departure 07 -02 -09
Carmel IN 46032 Page No. 1 of 2
United States
Folio 67989
Invoice
Membership
Bonus Code
Confirmation No. 2658953701 Cashier No. 764
Group Name Govt Finance Officers Assn User ID EHERBST
06 -27 -09 Ruth's Chris Steak House CHECK# 0116598 29.85
06 -27 -09 Group Room 229.00
06 -27 -09 Room Tax 35.72
06 -28 -09 Ruth's Chris Steak House CHECK# 0111756 25.75
06 -28 -09 Group Room 229.00
06 -28 -09 Room Tax 35.72
06 -29 -09 Ruth's Chris Steak House CHECK# 0113565 30.55
06 -29 -09 Group Room 229.00
06 -29 -09 Room Tax 35.72
06 -30 -09 Ruth's Chris Steak House CHECK# 0116773 26.00
06 -30 -09 Group Room 229.00
06 -30 -09 Room Tax 35.72
07 -01 -09 Ruth's Chris Steak House CHECK# 0112575 Mcmanama Carol 27.30
#2415= >Selamat Rainy #2124 Selamat
Rainy #2124 >Mcmanama Carol #2415
07 -01 -09 Group Room 229.00
07 -01 -09 Room Tax 35.72
07 -02 -09 XXXXXXXXXX: XX /XX 1,463.05
GRAND Grand Hyatt Seattle
721 Pine Street
H -y-/�i -TAT Seattle, WA. 34
206- 774 -1234
S E A T T L E 206- 774 -6120
INVOICE
Room No. 2415
Arrival 06 -27 -09
Payee Carol Mcmanama Departure 07 -02 -09
760 3rd AV Sw
Carmel IN 46032 Page No. 2 of 2
United States Folio 67989
Invoice
Membership
Bonus Code
Confirmation No. 2658953701 Cashier No. 764
Group Name Govt Finance Officers Assn User ID EHERBST
D. tlOrl"�".;„� ;r� �^j*t,,��ChaC:ges ��;•,E.�liFedlts
„Date
No frequent traveler account has been credited for this
stay. To enroll in Gold Passport, call 1- 800 -51- HYATT. Total 1, 463.05 1,463.05
Balance 0.00
WE HOPE YOU ENJOYED YOUR STAY WITH US!
Guest Signature We trust you enjoyed your stay at the Grand Hyatt Seattle. Please lei us know your thoughts at:
g SEAGH- Shared -MB- QUALITY @hyatt.com or contact us by telephone at (206) 774 -1234.
1 agree that my liability for this bill is not waived and I agree to be held We thank you for your business and appreciate your loyalty.
personally liable in the event that the indicated person, company or For questions concerning your bill, call (888) 472 -2870,
association fails to pay for any part or the full amount of these charges. or email: na.customerservice @hyatt.com
I accept delivery of The Wall Street Journal M -F (Gold Passport, Club,
For questions on your Gold Passport account, call 800 -30 -HYATT
Suite and VIP rooms only). If refused, a refund of $1 will be provided. Please remit payment to:
Grand Hyatt Seattle
PO BOX 94706
Seattle, WA 98124 -9428
`nMrIL- ;lop
www. chase.com/cred itcar
Minimum Payment: $129.00
Payment Due Date: 08/16/09
Additional contact information
conveniently located on reverse side
J ACCOUNT SUMMARY VISA Account Number
Previous Balance $531.13 Total Credit Line $23,500
Payment, Credits $531.13 Available Credit $17,012
Purchases, Cash, Debits +$6,487.55 Cash Access Line $4,700
New Balance $6,487.55 Available for Cash $4,700
ACCOUNT ACTIVITY
Date of
Transaction Merchant Name or Transaction Description Amount
07/08 Payment Thank You Image Check 531.13
06/22 ESI'MAIL PHARMACY S 800 451 -6245 MO 60.00
06/24 MARATHON OIL 006809 XXX CARMEL IN 20.82
rill
06124 ROYAL CARIBBEAN CRUISES 800 327 -6700 FL
06125 MGL CARMEL CARMEL W
8..16
06/25 HOOSIER FOOT AND ANKLE COLUMBUS IN 107.50
06128 TULLYS 00014001 SEATTLE WA 8.68
06/29 MOBYS RESTAURANT SEATTLE WA 33.60
06/27 NWA AIR 0122501796706 800 2252525 MN 15.00
06/29 SEATTLE DAILY GRILL 34 SEATTLE WA 30.00
06/30 CHEESECAKE SEATTLE SEATTLE WA 31.10
07/01 ESPRESSO CAFFE DIOR SEATTLE WA 5.93
07/01 WARS ACRS OF CLAMS #1 SEATTLE WA 32.60
07/02 NWA AIR 0122502029731800 2252525 MN 15.00
07/03 APPEL HEATING AND AC CO 317 8460434 IN 170.00
07/03 HYATT HOTELS SEATTLE SEATTLE WA 1,463.05
D7/08 MARATHON OIL 006809 XXX CARMEL IN 20.55
D7/09 DOOLEY O TOOLES CARMEL IN 22.40
)7/10 MACARONI GR25800002584 CARMEL IN 2282
)7/12 ABUELOS INDIANAPOLIS INDIANAPOLIS IN 20.45
D7/14 MCL CARMEL CARMEL IN 10.76
37/14 B W PLUMBING HE 3172433581 IN 492.85
)7/15 MARATHON OIL 006809 XXX CARMEL IN 17.14
)7/18 HONDA WEST INDIANAPOLIS IN 50.50
)7/16 MACARONI GR25800002584 CARMEL IN 21.30
FINANCE CHARGES I
Finance Charge Transaction
Daily Periodic Rate Corresp. Average Daily Due To Fee Accumulated FINANCE
?ategory 30 days in cycle APR Balance Periodic Rate Service Charge Fin Charge CHARGES
'urchases V .02942% 10.74% $0.00 $0.00 $0.00 $0.00 $0.00
:ash advances V .05271% 19.24% $0.00 $0.00 $0.00 $0.00 $0.00
Total finance charges $0.00
ffective Annual Percentage Rate (APR): 0.00%
'lease see Information About Your Account section for balance computation method, grace period, and other important information.
The Corresponding APR is the rate of interest you pay when you carry a balance on any transaction category.
the Effective APR represents your total finance charges including transaction fees
,uch as cash advance and balance transfer fees expressed as a percentage.
i
)000001 FIS33338 C 1 000 N Z 22 09/07/22 Page 1 01 1 00225 MAMA 01176 20310000010800117601
N S 13973
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
196800
CAROL MCMANAMA Purchase Order No.
3313 BEACON COURT Terms
INDIANAPOLIS, IN 46222 Due Date 8/14/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/2009 062709 $895.30
hereby certify that the attached invoice(s), or bili(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096261 WARRANT ALLOWED
196800 IN SUM OF
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
O INV ACCT AMOUNT Audit Trail Code
062709 01- 7040 -08 $895.30
U
Voucher Total $895.30
Cost distribution ledger classification if
claim paid under vehicle highway fund