226495 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1
ONE CIVIC SQUARE ASHLEY ULBRICHT CHECK AMOUNT: $612.51
CARMEL, INDIANA 46032 433 AUTUMN DRIVE
CARMEL IN 46032 CHECK NUMBER: 226495
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 612 . 51 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
./ry01At3P.
EMPLOYEE NAME: Ashley M Ulbricht DEPARTURE DATE: 09/29/13 8:20 AM
DEPARTMENT: Law Department RETURN DATE: 10/03/13 TIME: 12:30 AM
REASON FOR TRAVEL: IMLA Annual Conference DESTINATION CITY: San Francicso, CA
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/29/13- $65.00 $65.00
9/30/13 $65.00 $65.00
10/1/13 1 $65.00 $65.00
10/2/13 1 $65.00 $65.00
10/3/13 $65.00 $65.00
$0.00
10/1/13 $11.00 $11.00
10/1/13 $8.00 $8.00
10/2/13 $9.00 $9.00
10/2/13 $9.00 $9.00
bag fee $25.00 $25.00
bag fee $60.00 $60.00
bag fee $100.00 $100.00
shipping $45.51 $45.51
shipping $20.00 $20.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.0 . $287.511 $0.001 $0.001 $0.00 $0.00 $0.001 $0,001 $325.00 $0.00
DIRECTOR'S A TJ ereby affirm II expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Sign ture: Date: 1111413
City of Carmel For Revision Date 11/19/2013 Page 1
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Transaction History for Current Transactions
Transactions
Trans Date Post Date Transaction Description Amount
09/29/13 09/30/13 DELTA AIR 0068225386521 INDIANAPOLIS IN $100.00
09/29/13 09/30/13 DELTA AIR 0068226787280INDIANAPOLIS IN $25.00
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10/03/13 10/04/13 DELTA AIR 0068226246917SAN FRANCISCOCA $60.00
10/04/13 10/06/13 FEDEX 795845396847 800.4633339 TN $45.51
10/05/13 10/06/13 FEDEX 082097153828 800-4633339 TN $3.81
10/05/13 10/06/13 FEDEX 082097157461800-4633339 TN $20.00
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Transaction hislory may not include any charges pending.
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PASSENGER RECEIPT 01 EXCESS BAGGAGE
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t fedex.con for details. All merchandise sales final.
3dEx disclains all warranties, express or inplied,
icluding, without linitation, the inplied warranties of
?rchantability and fitness for a particular purpose.
its packaging is sold 'as is' 'with all faults.' By
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Visit us at: fedex.com
Or call 1.800.GoFPdFx
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
Ashley M. Ulbricht
Purchase Order No.
Terms
Carmel, Indiana 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/15/13 Reimburse Ashley M. Ulbricht for monies she personally $612.51
expended for expenses during IMLA's annual conference
9/29/13- 10/3/13 in San Francisco, CA- per the attached
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
A-,hIPV M Ulhricht IN SUM OF $
Carmel, Indiana 46032
$ $612.51
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
430-43002 External Training Travel
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1180 IMLA 43002 $547.00 bill(s) is (are) true and correct and that the
Postage 65.51 materials or services itemized thereon for
which charge is made were ordered and
received except
�6 fQ.(Vl 20 i3
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund