210232 07/02/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS
CARMEL, INDIANA 46032 13791 LAREDO DRIVE CHECK AMOUNT: $156.40
CARMEL IN 46032
o CHECK NUMBER: 210232
CHECK DATE: 7/2/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 156.40 SBA SCHOOL
Undy
AGENDA
SUNDAY, JUNE. 2a, 2012
4:00 pm -6:oo pm Conference Registration (Regency AB Foyer)
4:00 pni -6:oo pin Executive Committee Meeting (Discovery)
6:0o pm -8:oo pill Executive Committee Dinner (Eagle's Nest)
8:00 pn1- Midnight Conference Networking Suite (Room 2007)
MONDAY, JUNE 2.1j, 2012
Too am -5:00 pill Conference Registration (Regency AB Foyer)
9:0o am -12:00 pm Institute /Academy Class
Building Budgets, IIMC Categop• i (Regency CD)
Excelling as Manager or Supervisor, IIMC Category II
(Regency AB)
12:00 pill -coo pill Institute /Academy Lunch (Regency AB)
1:00 pn1 -4:00 Pro Handling Negative Attitudes in the Workplace, IIMC
Categon II (Regency AB)
6:0o pni -8:oo pill Welcome Reception (Artsgarden)
8:0o pm- Midnight Conference Networking Suite (Room 2007)
TUISDAY, JUNE 26, 2012
7:00 am -5:00 pm Conference Registration (Regency A13 Foyer)
7:30 am -8:45 am Continental Breakfast
(Regency A -D)
9:00 am -12:00 pill State Board of Accounts School (Regency A -D)
12:00 pill -coo pill Lunch
1:30 p111-3:00 pm Opening Business Session (RegencyA -D)
3:00 pm -8:oo pm Dinner on Your Own or with Vendors
6:0o pm- Midnight Conference Networking Suite (Room 2007)
WEDNESDAY, JUNE 27, 2012
Too am -8:45 am Conference Registration (Regency AB Foyer)
7:3o am -4:00 pm Exhibit Hall Open (Cosmopolitan Ballroom)
7:3oani -8:45 am Continental Breakfast w /Exhibitors
(Cosmopolitan Ballroom Foyer)
9:0o am -1o:oo am Public Access /Public Records law (Regency A -D)
to:oo am -10:3o am Break with Exhibitors
10:30 anru:3o am State Board of Accounts School (Regency A -D)
ii:3o am -i:oo pin Lunch with Exhibitors
1:00 pill -2:00 pm State Board of Accounts School (Regency A -D)
2:00 p111-2:15 pill Break
2:15 pn1 ;3:00 pin Question and Answer Session
3:00 pni -4:00 pm Break w /1xhibitors Grand Prize Door Prizes
(Cosmopolitan Ballroom)
4:00 pn1 -6:oo pin Conference Networking Suite (Room 2007)
6:0o pm -7:00 pin President's Reception (Regency A -D Foyer)
7:00 pm- Midnight Annual Banquet (Regency Ballroom A -D)
THURSDAY, JUNE 28, 2012
8:0o am -1o:oo am Closing Session (Regency A -D)
Ci d y
I D: p I A Pd A P 1:� I S 2 Q i i
76TH ANNUAL CONFERENCE
STATE 3:3ARD C'F A(- SCHOO
lreasurinc7 the Past ?�ansr`�rrninq the �u *.ure
Cindy Sheers
Deputy
Carmel
4 CytiNFj[
7
CITY OF CARMEL Expense Report (required for all travel expenses)
/HDIANP EXHIBIT A
EMPLOYEE NAME: ��n ,h� DEPARTURE DATE: 6 TIME: AM PM
DEPARTMENT: RETURN DATE: l TIME: AM M
REASON FOR TRAVEL: J DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIE
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
CZj $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
$0.00
$0.00
$0.00
X77 0.00
Total $0.00 $0.00 so-001 $0.00 $0.00 $0.00 $0.00 $0.00 $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 6/28/2012 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 $32.50 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 $32.50 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 6/28/2012 Page 2
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
INS M OF
U
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
2
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
h..cib.d by St-to Board of Acac=Es.
;eo at al Forta No. 101 (1 q[
MILEAGE CLAIM
(GOVERN EN A IT V V J OR.
L U N IT) TO
ON ACCOUNT OF APPROPRIATION NO. FO
(OFFICE. BOARD. DEPARTMENT OR INSTITUTION)
1 SPEEDOMETER AUT
DATE FROM TO O MILEAGE
READING+ I MILES
START FINISH
Ao
POINT POINT NATURE OF BUSINESS I TRAVELED PER MILE
/R l
J`
V r
I
i
I
I
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I
I
AUTO LICENSE NO. TOTALS
+SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155. Acts 1953. I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due. after allowinq. all just creel
and that no part of the same has been paid.
Date
Clain No. Warrant No. I have examined the within claim and.hereby
IN FAVOR OF
certify as follows:
That it is in proper form
That it is -duly authenticated as required
bylaw.
That it is based upon statutory authority.
That it is apparently —corr t�;
incorrect
On Account of Appropriation No, �s7 /Y Disbursing Officer
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