HomeMy WebLinkAbout207947 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 358818 Page 1 of 1
ONE CIVIC SQUARE BRENT LIGGETT
CARMEL, INDIANA 46032 12571 TRESTER LANE CHECK AMOUNT: $246.48
a' FISHERS IN 46038
CHECK NUMBER: 207947
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 246.48 TRAVEL FEES EXPENSE
Uf a wy p F
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANP.
Brent Liggett 4/5/2012 am TIME: AM PM
DOCS 4/8/2012 pm TIME: AM PM
Training Elizabeth, IN
hotel room and daily per diem
at Transportation Gas/Tolls/ Lodging Meals
Misc. Total
Parkin g
a U Air -fare Car Rental Other Breakfast Lunch Dinner Snacks Per Diem
4/R12 $50.00 $50.00
4/ $50.00 $50.00
44/12 $50.00 $50.00
4/_712 $50.00 $50.00
4A-45 $246.48 $246.48
$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 $0.001 $0.001 LO.001 $0.001 $246.481 $0.00 $0.00 $0.00 $0.001 $200.001 $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 4/6/2012 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 $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 $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 $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: Date:
City of Carmel Form ERO6 Revision Date 4/6/2012 Page 2
Page: 1
HORSESHOE
SOUTHERN INDIANA •CASINO HOTEL
11999 Casino Center Drive, Elizabeth IN 47117
RESERVATIONS 1.866.766.2671 1.877.237.6626
Name: BRENT L I G G E T Room: CI 509
Address: 1221 IRON W O O D DR Arrive: 4102112
CARMEL IN 46033 Depart: 4/05/12
Persons: 2
Company Name: Deposit Amt:
Convention Code: SO4I ABO Reservation ID: 409961418130
Travel Agent No.: Guest Folio ID: 410011498691
DATE REFERENCE DESCRIPTION TKT# S AMOUNT DATE REFERENCE DESCRIPTION TKT# S AMOUNT
04/05/12 410031537723 ROOM CHARGE CI 509 509 62.97
TAX 2.52
GRP RATE
04102112 410009000210 ROOM CHARGE CI 509 CI 509X 99.99
TAX 4.00
XFR FRM 409961418130 BRENT LIGGET
04/03/12 410019000196 ROOM CHARGE CI 509 CI 509X 99.99
TAX 4.00
XFR FRM 409961418130 BRENT LIGGET
04/04/12 410029000230 ROOM CHARGE.,CI 509 CI 509X 99.99
TAX 4.00
XFR FRM 409961418130 BRENT i Trr,FT
04/05/12 410031537830 HORSESHOE 246.48
TOTAL .00
C/O CASHIER KARA
WE APPRECIATE YOUR BUSINESS! COME RACK SOON!
Indiana Code Education Seminar
Daily Agenda
April 2nd 5th, 2012
Monday (4/2)
10:00 am 12:00 pm Conference Registration
12:00 pm 5:00 pm Education
6:00 pm 9:00 pm Presidents Reception Dinner Auction
9:30 pm 11:30 pm Hospitality Room
Tuesday (4/3)
7:00 am 8:00 am Breakfast
8:00 am 10:00 am Registration
8:00 am 10:00 am IABO Annual Business Meeting
10:00 am 5:00 pm Education (classes rotate to attend
exhibitor show)
12:00 pm 1:00 pm Lunch
1:00 pm 5:00 pm Exhibitor Show
6:00 pm 8:30 pm Exhibitor Dinner
8:30 pm 11:00 pm Hospitality Room
Wednesday. (4/4)
7:00. am 8:00 am Breakfast
8:00 am 10:00 am Registration
8:00 am 10:00 am FIAI Annual Business Meeting
10:00 am Noon Education
1:00 pm 5:00 pm Education
6:30 pm 9:00 pm Banquet Dinner (semi formal dress)
9:30 pm 11:30 pm Hospitality Room
Thursdayday (4/5)
7:00 am 8:00 am Breakfast
8:00 am 9:00 am Registration
9:00 am Noon Education
Noon 2:00 pm Board of Directors Meeting
6
VOUCHER NO. WARRANT NO,
ALLOWED 20
Brent Liggett
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
8
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 43- 430.01 $2- 46:-48
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
v materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 09, 2012
/r
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund