214777 11/20/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 355224 Page 1 of 1
�. ONE CIVIC SQUARE DAWN PATTYN CHECK AMOUNT: $1,150.70
CARMEL, INDIANA 46032 141 SHERMAN DRIVE
o: CARMEL IN 46032 CHECK NUMBER: 214777
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 1, 150 . 70 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: \cam DEPARTURE DATE: TIME: AM CPW
DEPARTMENT. ��- RETURN DATE: TIME: AM PIVI
REASON FOR TRAVEL �O_�STINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
11/10/12 $739.20 $32.50 $771.70
11/11/12 $65.00 $65.00
11/12/12 $65.00 $65.00
11/13/12 $65.00 $65.00
11/14/12 $65.00 $65.00
11/15/12 $54.00 $65.00 $119.00
$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 $0.00 $54.00 $739.20 $0.0011 $0.00 $0.00 $0.00 $357.50 $0.00 e
DIRECTOR'S STATEMENT: I here y affirm that all expenses Hated conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
NOV 16 2012
City of Carmel Form#ER06 Revision Date 11/16/2012 Page 1
rp
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RESORT & CASINO.
LAS VEGAS
Dawn Pattyn
7901 Windhill Drive Conf No. 346558636
Arrival 2012-11-10
Departure 2012-11-15
DATE DESCRIPTION CHARGES CREDITS
2012-11-10 Deposit Applied 739.20
2012-11-10 Deposit Applied 184.80
2012-11-10 ARIA Refreshment Center(T) 7.00
2012-11-10 ARIA Refreshment Center Tax 0.57
2012-11-10 ARIA Room Revenue 165.00
2012-11-10 ARIA Room Tax-12% 19.80
2012-11-11 ARIA Room Revenue 165.00
2012-11-11 ARIA Room Tax-12% 19.80
2012-11-12 ARIA Room Revenue 165.00
2012-11-12 ARIA Room Tax-12% 19.80
2012-11-13 ARIA Room Revenue 165.00
2012-11-13 ARIA Room Tax-12% 19.80
2012-11-14 ARIA Room Revenue 165.00
2012-11-14 ARIA Room Tax-12% 19.80
2012-11-15 Visa 7.57
Total $931.57 $931.57
Balance ($0.00)
Registration - Step 7 Page l of?
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NC9VCR7f1'4/"0 14;2012 Exchange.,,
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REGISTRATION CONTACT INFO USER PROMS PACKAGES - ADD-ONS PAYMENT CONFIRMATION
Step 7 of 7
Online Confirmation
Thank you for registering for KronosWorks 2012.
Attendee Information
Confirmation a- KR2r) 05'24120300PATI
Name: Ms.Dawn Patten
job title: Payroll Administrator
Company: Carmel Firo Department
Address: 2 Civic Square
Carmel,IN 46032
United Stares of America
E-n+aib dpattyngtcarmel.m.gov
Telephone: 317.440-3316
Attendee type: Custome,
Emergency Contact: Jean)unket
317.440.3316
Payment Information
Billing Address: 2 Civic Square,
Carmel,IN 46032
United States of America
Order Date Description Charges Payments
May 24,2012 tltart20t2 $975.00 USD
1Payment by Check (check: 49992) pendmg�
Totals: $975.00 USD $0.00 USD
Balance Due: 1975.00 USD
Please mail or overnight check to:
Attention:Events•KronosWaiks 2012
Kronos Incorporated
297 Billerica Road
CnP.lmsford,MA 01824
978.250-9800
Badge Pickup
We are excited to Confirm your partiCIDatlon in the KrouosWorks"2012 conference,which will take place November 1'1-14 at the ARIA Resort In Las
Vegas,Nevada.
Your KronosWdrks 2012 conference materials and badge will be available for pick-up on site.
Registration Hours:
Pre-Conference Kronos TectlKnowledgy"
https://kronos.g2planct.com/kronosworks2O l2/step7 5/24/2012
Snyder, Denise W
Subject: FW: Southwest Airlines Confirmation-PATTYN/DAWN E-Confirmation: 45MZS6
From: Southwest Airlines [mailto:SouthwestAirlines(a luv.southwest.com]
Sent: Tuesday, June 05, 2012 3:40 PM
To: Debbie Tunstill
Subject: Southwest Airlines Confirmation-PATTYN/DAWN E-Confirmation: 45MZS6
You're all set for your trip!
L Awl
SOUTHN rG7'- My Account I View My Itinerary Online
Check In • Flight, . .• •
Ready for takeoff!
Thanks for choosing Southwest for your trip!You'll find everything you need to know EARLYBIRD
about your reservation below. Happy travels!
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Check-in $10
AIR Confirmation: 45MZS6 confirmation Date: 06/5/2012 for you
Orre-Way
Passenger(s) Rapid Rewards# Ticket# Expiration Est. Points
Earned
PATTYN/DAWN E -None Entered- 5262445292340 Jun 5, 2013 2101
Shop Hotels
Rapid Rewards points earned are only estimates.Not a member-visit http://www.southwest.com/rai)idrewards and EXCLUSIVE
sign up today! SOUTHWEST
Date Flight Departure/Arrival RATES AT
VEGAS
Sat Nov 10 2385 Depart INDIANAPOLIS IN(IND)at 1:45 PM HOTELS
Arrive in LAS VEGAS NV(LAS)at 3:05 PM
Travel Time 4 hrs 20 mins �
Waring Get Away
Thu Nov 15 3667 Depart LAS VEGAS NV(LAS)at 10:25 AM
Arrive in INDIANAPOLIS IN(IND)at 5:05 PM 1-877-306-4216
Travel Time 3 hrs 40 mins _
Wanna Get Away `3
Air Cost: 371.60
Carry-on Items: 1 Bag+small personal item are free see full details. Checked Items: First and a_
second bags are free, size and weight limits apply. Rent Some Wheels
Fare Rule(s): 5262445292340: NON REF/NONTRANSFERABLE/STANDBY REQ UPGRADE Explore your destination on
1
TO YL.
Valid only on Southwest Airlines. All travel involving funds from this Confirmation Number the perfect set of wheels.
must be completed by the expiration date. Unused travel funds may only be applied toward
the purchase of future travel for the individual named on the ticket.Any changes to this Rent a Car �►
itinerary may result in a fare increase. - --- -- -—------1
IND WN LAS162.79RLNUKNR WN IND162.79RLNUKNR 325.58 END ZPINDLAS d Ln�V S E
XFIND4.5LAS4.5 AY5.00$IND2.50 LAS2.50 1 !U
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Cost and Payment Summary _ 'rj :
15®POWs .
AIR-45MZS6 TODAY!
Base Fare
$ 325.58 Payment Information
Excise Taxes $ 24.42 Payment Type: Univ Air Travel
Segment Fee $ 7.60 XXXXXXXXXXX0068
Passenger Facility Charge $ 9.00 Date:Jun 5, 2012
September 11th Security Fee $ 5.00 Payment Amount: $371.60
Total Air Cost $ 371.60
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3
Irescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
$1,150.70
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
Dawn Pattyn
IN SUM OF $
$1,150.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I I 43-430.02 I $1,150.70 1 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
NOV 1 t6 201c
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund