208108 04/12/2012 F CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE BRENT LIGGETT
0 CHECK AMOUNT: $200.00
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CARMEL, INDIANA 46032 12571 TRESTER LANE
FISHERS IN asosa CHECK NUMBER: 208108
CHECK DATE: 4/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 200.00 PER DIEM
X pc OF r
4
CITY OF CARMEL Expense Report (required for all travel expenses)
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
Transportation Gas/Tolls/ Meals
at 145 Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
4/51112 $50.00 $50.00
4/ ,6/12 $50.00 $50.00
44/12 $50.00 $50.00
4/-6712 $50.00 $50.00
4 -4/ $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 1 $0.001 $0.001 $0.001 $0.00 $246.48 $0.001 $0.001 $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 ER06 Revision Date 4/6/2012 Page 2
Indiana Code Education Seminar
Daily Agenda
April 2nd 5th, 2012
Monday (4/2)
10:00 am 12:00 pm Conference Registration
12:00 prn 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 FIAT 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
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Tentative schedule of events: education class schedule on pages 6 -7
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www.iabo.com Mon., April 2nd Registration, Education, Presidents Reception Auction
Tue., April 3rd Registration, IABO Annual Business Meeting, Education
Exhibitor Show, Exhibitor Dinner
G (oRSg ss Wed., April 4th Registration, FIAT Annual Business Meeting, Education,
Banquet Dinner (semi formal dress required)
`t�` z Thurs, April 5th Registration, Education, IABO Board of Directors Meeting
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ww%v,fiai.us *Lunches served Tuesday Wednesday
*Meal packages are available for all guests, call IABO office for details
*Banquet Dinner is semi formal this year, bring some nice clothes
*Hospitality room will be open nightly
*There is NO State reimbursement this year, the final cost is as advertised
This years event to be held at: HORSESHOE
SOUTHERN INDIANA
11999 Casino Drive
Elizabeth, IN 47117
1- 866 766 -2671
horseshoe.com
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VOUCHER NO. WARRANT N
ALLOWED 20
Brent Liggett
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$6-48
1
`Z4 4 1
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 I I
bill(s) is (are) true and correct and that the
A L
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 09, 2012
Dlrecto
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund