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Home My WebLink About209384 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 318025 Page 1 of 1 ONE CIVIC SQUARE DAVID R VANDERBECK CHECK AMOUNT: $1,608.55 CARMEL, INDIANA 46032 CHECK NUMBER: 209384 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 1,587.55 TRAVEL LODGING 1110 4351100 21.00 CAR CLEANING CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: DAVID VANDERBECK DEPARTURE DATE: 5/11/2012 TIME: 400 AM PM DEPARTMENT: CARMEL PD RETURN DATE: 5/16/2012 TIME: 1900 AM/PM REASON FOR TRAVEL: HONOR GUARD DESTINATION CITY: WASHINGTON D.C. EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas /Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 5/11/12 $65.00 $65.00 5/12/12 $13.00 $65.00 5/13/12 $4.00 $65.00 $69 5/14/12 1 $65.00 $65.00 5/15/12 $65.00 $65.00 5/16/12 $8.00 $1,193.55 $65.00 $1,266.55 $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 $21.001 $4.00 $1,193.55 $0.001 $0.00 $0.00 $0.00 $390.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated bu Director Signature: Date: City of Carmel Form ER06 Revision Date 5/18/2012 Page 1 HOMEWOOD 4850 Leesburg Pike Alexandria, VA 22302 S�T Phone (703) 671 -6500 Fax (703) 671 -9322 Reservations Name Address Hilton homewoodsuites.com or 1- 800 -CALL -HOME VANDERBECK, DAVID Room 309/TGSN Adult/Child 2/0 Room Rate 219.00 RATE PLAN LV3 HH# 905655612 BLUE AL: BONUS AL: CAR: CONFIRMATION NUMBER: 82491375 5/16/2012 PAGE 1 DATE REFERENCE DESCRIPTION AMOUNT 5/11/2012 1648305 GUEST ROOM $219.00 5/11/2012 1648305 STATE TAX $10.95 5/11/2012 1648305 COUNTY TAX $8.76 5/12/2012 1648470 GUEST ROOM $219.00 5/12/2012 1648470 STATE TAX $10.95 5/12/2012 1648470 COUNTY TAX $8.76 5/13/2012 1648664 GUEST ROOM $219.00 5/13/2012 1648664 STATE TAX $10.95 5/13/2012 1648664 COUNTY TAX $8.76 5/14/2012 1648872 GUEST ROOM $219.00 5/14/2012 1648872 STATE TAX $10.95 5/14/2012 1648872 COUNTY TAX $8.76 5/15/2012 1649056 GUEST ROOM $219.00 5/15/2012 1649056 STATE TAX $10.95 5/15/2012 1649056 COUNTY TAX WILL BE SETTLED TO $1,193.55 EFFECTIVE BALANCE OF $0.00 EXPENSE REPORT SUMMARY 1 00:00:002 12:00:OOAM 012 12:00:OOAM12 12:00:OOAM ROOM TAX $238.71 $238.71 $238.71 $238.71 DAILY TC TAL $238.71 $238.71 $238.71 $238.71 EXPRESS CHECK -OUT DATE OF CHARGE FOLIO NO. /CHECK NO. Good Morning We hope you enjoyed your stay. With Express Check -Out AUTHORIZATION 187171 JL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of late last evening. PURCHASES SERVICES For any charges after your account was prepared, you may: pay at the time of purchase. TAXES charge purchases to your account, then stop by the Front Desk for an updated statement. or request an updated statement be mailed to you within two business days. TIPS MISC. Simply call the Front Desk from your room and tell us when you are ready to depart. Your account will be automatically checked out and you may use this TOTAL AMOUNT statement as your receipt. Feel free to leave your key(s) in the room. 0.00 Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. PAYMENT DUE UPON RECEIPT 1.5% PER MONTH INTEREST CHARGE WILL BE APPLIED TO ALL PAST DUE INVOICES. IMF HOMEWOOD 4850 Leesburg Pike Alexandria, VA 22302 ST n T Phone (703) 671 -6500 Fax (703) 671 -9322 VL 1 s Reservations Name Bs Address Hilton homcwoodsuites.com or 1- 800 -CALL -HOME VANDERBECK, DAVID Room 309/TGSN 703 BENNETT RD Arrival Date 5/11/2012 1:17:00PM Departure Date 5/16/2012 CARMEL, IN 46032 US Adult/Child 2/0 Room Rate 219.00 RATE PLAN LV3 HH# 905655612 BLUE AL: BONUS AL: CAR: CONFIRMATION NUMBER: 82491375 5/16/2012 PAGE 2 DATE REFERENCE DESCRIPTION AMOUNT 1 00:00:00 STAY TOTAL ROOM TAX $238.71 $1,193.55 DAILY TC TAIL $238.71 $1,193.55 You have ear ied approximately 10950 Hilton HHonors points for this stay. Visil HHonors.com to check your point ba nce from stays at any of the 3,700 hotels within the Hilton Worldvide portfolio. EXPRESS CHECK -OUT DATE OF CHARGE FOLIO NO. /CHECK NO. 7V Good Morning We hope you enjoyed your stay. With Express Check -Out AUTHORIZATION 187171 ITIAL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of late last evening. PURCHASES SERVICES For any charges after your account was prepared, you may: pay at the time of purchase. TAXES charge purchases to your account, then stop by the Front Desk for an updated statement. or request an updated statement be mailed to you within two business days. TIPS MISC. Simply call the Front Desk from your room and tell us when you are ready to depart. Your account will be automatically checked out and you may use this TOTAL AMOUNT statement as your receipt. Feel free to leave your key(s) in the room. 0.00 Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. PAYMENT DUE UPON RECEIPT 1.5% PER MONTH INTEREST CHARGE WILL BE APPLIED TO ALL PAST DUE INVOICES. VOUCHER NO. WARRANT NO. ALLOWED 20 David R. Vanderbeck IN SUM OF $1,608.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 43- 511.00 $21.0 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 43- 430.03 $1,587.55 materials or services itemized thereon for which charge is made were ordered and received except Friday, May 18, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/17/12 car washes Police Memorial week $21.00 05/17/12 reimbursement for Police Memorial week $1,587.55 1 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