HomeMy WebLinkAbout227772 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 186700 Page 1 of 1
1 � ONE CIVIC SQUARE TODD LUCKOSKI CHECK AMOUNT: $195.00
CARMEL, INDIANA 46032 210 CONCORD LANE
CARMEL IN 46032 CHECK NUMBER: 227772
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 195 . 00 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
NL)IANPEXHIBIT A
EMPLOYEE NAME: 1n ����f��4�) DEPARTURE DATE: j TIME: �`� AM M
DEPARTMENT 1-� a>J a RETURN DATE:
41 .' ;' _ TIME. AM i PM
REASON FOR TRAVEL: KCtt�i� .S�Qm—�t-�t.(�` DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
/� T 7� CD $0.00
112719, 4 $0.00
t7
$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
cam-'F
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ,�.=$9 0U " $0.00=
DIRECTOR'S STATEMENT: I hereby affirm'that all expenses fisted 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 1/8/2014 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 ppm. (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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
hereby acknowledge receipt of$ , 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 docu ent on shall result in the total amount of the advance being deducted from the first
paycheck issued more than 30 days after the date of r rn. ailure to return unused funds will result in the amount of the unused funds (total
advance minus documentepend.exures) b ing de c d fr the first paycheck issued more than 30 days after:the d to of my return.
Employee Signature: Date: .
City of Carmel Form#ERO6 Revision Date 1/8/2014 Page 2
Arnone, Janet R
From: Luckoski, Todd C
Sent: Thursday, November 21, 2013 3:09 PM
To: Arnone,Janet R
Cc: Smith, Brian M-CCCC
Subject: FW: Staging Hotel Information
Please book us 2 rooms for Dec 18th and 19th
Thank You
Todd
From: Godar Danielle-C22249 [mailto:Danielle.Godar@motorolasolutions.com]
Sent: Thursday, November 21, 2013 1:56 PM
To: Dan Stevens; Joe Wright; Mike Snowden; Ryan Horine; Steve Dirks; Luckoski, Todd C; Tom Sivak
Cc: Reilly Brian-JCNP38; MOE RON-CRM033
Subject: Staging Hotel Information
All,
Below is what Brian forwarded me for hotel reservations for staging.
Hello Brian,
Thank you for planning your event with us! Below you will find the reservation links your guests can use to make online
reservations.
If you have questions or need help with the links,please do not hesitate to ask. We appreciate your business and look forward
to a successful event.
Sincerely,
Motorola Solutions
j Start date: 12/18/13
End date: 12/20/13
LLast day to book by: 12/2/13
Marriott hotel(s)offering your special group rate:
o Renaissance Schaumburg Convention Center Hotel for 100.00 USD per night
Book you group rate:Motorola Solutions>>
Let us know if you have any questions.
Thanks,
Danielle Godar, PMP
1 -
VOUCHER NO. WARRA,\NT'NO
ALLOWED 20
Todd Luckoski
IN SUM OF $
210 Concord Lane N.
Carmel, IN 46039 I
ON V TION FOR
C Inions
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 43-430.02 $195.00
I hereby certify that the attached invoice(s), or
I I
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
Tuesday, December 31, 2013
ell-
Director
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))
01/06/14 I I ( $195.00
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