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HomeMy WebLinkAbout213759 10/17/2012 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $674.37 CARMEL IN 46033-9501 CHECK NUMBER: 213759 CHECK DATE: 10/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 674 . 37 TRAVEL PER DIEMS AFFIDAVIT FOR EXPENSES I, Diana L. Cordray, incurred expenses while traveling to the IACT annual conference in French Lick, IN. These expenses (56.00)were tips for the bellman. Diana L. Cordray Clerk Treasurer Oct. 16, 2012 \,6 of CAq� �! 3 CITY OF CARMEL Expense Report (required for all travel expenses) flM , !NOIANP EXHIBIT A EMPLOYEE NAME: 1�I� ;1��; VC�;GL� DEPARTURE DATE: .�t l TIME: __� AM /S PM DEPARTMENT: L� I RETURN DATE: TIME: AM M REASON FOR TRAVEL: DESTINATION CITY: Frfj =Gv �-.tc K� EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM " Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Taxi Tips Luggage Parking g g Breakfast Lunch Dinner Snacks Per Diem Total 61 C 6 156, W DIRECTOR'S STATEN NT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: i�- ✓ Date: /OJI?l City of Carmel Form#ER06 Revision Date 3/18/2009 Pagel ' - o °^ o mo l AC7 ':.!^:"` »oo m H U � �J �J | | � i (`/l�J � � D � �J�` � ��' � ' � ��' `� �~��' � ^ � ``� ' ��� � BOARD OF DIRECTORS �� ��� �1 | A |l-|���J �� �'^^ ^ . �^ ^ ' ��^ ` RESPONSE FORM ) O | ? | J-- [\ � N C H LICK Full Name Municipality Title Address City/Town Zip Code pq I plan to attend the following events on Tuesday,October c: P/-800ulofDirectors Meeting,2:00 P.M.—345p.00,Windsor III DaDnonou'French Lick Springs Hotel � �� ��ovacdofDirectooDiuoor'7:ooy.no.-8:3op.nu.,WostBadeoD0000,WootBudeoSpriogsHotol 0 I will not be able to attend any of the events this year Name nf guest/spouse also attending: tA Mail to: Indiana Association of Cities and Towns Email to: uhort@okicauodbowuu.ocg Attention: Natalie Hurt Fax to: (317)237-62o6 uoo South Meridian Street,Suite 340 [uJiaoupnliu'IN 46225 SGn94 N7'sgOdvumpul 046 qI-q OOn 9on¢L4z CLt£):mxed ]+uFl a)g}aN�,m!W]1V aro�muol[mesa�lra�v,alu:ol tm,,,d su..oLpm!sary�}nnOr,mrissy cue�pnl :o,�a{q :BmPua1}e as}c asnOds/lrau9}0—N rea66,g}4nav a,p}a 6,re p,vpemalge aq}m,lN^I ❑ A>nH SBuuaS uaF.ea isaM'�ogl o^peaN M'md0£:g—�.a'd oO:L'aawrp sm»a..Q}o pnv,ni9, IalO}I S9uudS�rl gaaa�taowaeg lI[�OSPm.Li`m dSC.£—wdoo:s'9m1a0yt U07J';Q}u FucO�/' '" :n n9rn�ro'F°!'a"u.zm smana�"°s'4l°Ja�P Irn'+m m s'[d[ �Q •1/J 'o /�J—JP 1� �jfv a"04d uswVkm a a,n �J�p 65i1�� ! raw ,Cplad—W Fi�N3bI ZIOZ )VU03a.SNoam Noin]IHXJ'S STIO.L0mOcIO(wou 4DN321]JN0D1VnNNV I,1 IDV1 x>?3_d I }j odc ns }ou swop uo i }au i }sa4 (9 -3 az i s [ i Vw_] Xvw papaaDx3 (5 '3 u o i }—u u o D a I i w i S—j o N (t .3 J z M s u a ON (E '3 A s n 9 (Z '3 l ' �} a u i ( a o d o 2 u 2 H aoaaa ) o} uoseay ---------------------------------------------------------------------------------------------------- �0 l d M9LH6 X1 Aa °waW l8 o ---------------------------------------------------------------------------------------------------- 1uaS ION [nsa� (s) 2d uoi ��ui �sa,d apoN •0N NV90 :6 ZIoZ 6l daS ; awi,l/aj�Q cz c( AVLO : 6 ZloM poda� jjnsa� uoq ., iunwwoo l d . WEST BADEN SPRINGS H O T E L Name: DIANA CORDRAY Arrival Date: 10/02/2012 Cl Clerk DPARKS Address: 11843 STONEY BAY CIR Departure Date: 10/04/2012 CO Clerk CARMEL IN 46033 Group Code: 101 21R Room #: `: WB 4357 Resv 41 1420539491 Page,= 1 of 1 Date 'Reference Description Charges ' Credits 10/02/2012 41 1839000536 ROOM CHARGE WB 4357 169.00 TAX1 11.83 TAX2 6.76 10/03/2012 41 1849000513 ROOM CHARGE WB 4357 169.00 TAX 1 11.83 TAX2 6.76 Total Due 375.18 1 agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card, the hold on funds may last from 7-10 business days after your check-out date. Guest Signature: West Baden Springs Hotel 8538 West Baden Avenue West Baden, IN 47469 888.936.9360 frenchlick.com II III III II FMNCH LICK RESORT Name: LOIS FINE Arrival Date: 10/03/2012 CI Clerk RPADGETT Address: 1 CIVIC SQUARE Departure Date: 10/04/2012 CO Clerk VIDEO CARMEL IN 46033 Group Code: 101 21A Room #: FL 2525 Resv 411410524002 Page 1 of 1 Date Reference Description Charges . Credits 10/03/2012 411849000308 ROOM CHARGE FL 2525 129.00 TAX1 9.03 TAX2 5.16 10/04/2012 41 1851229352 FL FRONT DESK 143.19 Total Due .00 I agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card, the hold on funds may last from 7-10 business days after your check-out date. Guest Signature: French Lick Springs Hotel 8670 West St Road 56 French Lick, IN 47432 888.936.9360 frenchlick.com Indiana Association of Cities & Towns: Services Index Page 1 of 1 IACT Home TACT Annual Conference 6t Exhibition AboutIACT Member Resources back Government Affairs Affiliate Groups Corporate Partners News Room Site Search Go t t t t� 9tAttt` t t t r t ►r+esi9 t t t 1 t M g l l d I! 8 M 9 Y gtA } � �a:�:,; Ate• y, ••<�,':s '� ,£ Y y .s� „i• 3,5 B Online registration is now closed. Please register onsite, Join us at the state's largest gathering of municipal leaders, October 2-4, 20121 "It is through educating ourselves,advocating for our towns and cities,and congregating with our peer municipal government leaders that we will be best prepared to meet that common calling you all share,of public service.Together,we can build upon the ideas and perseverance of our municipal leaders.Together,we can build a stronger Indiana,one community at a time." Matt Greller IACT Executive Director e CEO Contact Information If you have any questions regarding this service, please contact Natalie Hurt via email <nhurt.@cities andtowns,_org>or call 317-237-6200 ext. 233 or via fax at 317-237-6206 Keywords:TACT Annual Conference 8 Exhibition back Last Modified:Thu September 27,2012 at 09:09 Indiana AsSoCat ion of Cities and Towns Station Place 200 South Meridian Street,Suite 340 Indianapolis,IN 46225 (317)237-6200 Site Design and Content©2007 egpy ,Content Management System by eGov Strategies LLC http://www.citiesandtowns.org/egov/apps/services/index.egov?path=details&action=i&id... 10/17/2012 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)) U 7 Total J 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. et-fdo a" ALLOWED 20 cli IN SUM OF $ $ U�4, 3-� ON ACCOUNT OF APPROPRIATION FOR (itCT Cl�tVA�-,n L- Board Members PO#or INVOICE NI O. 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 -C)L �� which charge is made were ordered and q-306 143 •( f received except 20 g u P Cost distribution ledger classification if itle claim paid motor vehicle highway fund