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Home My WebLink About227870 1/9/2014 ��,f CITY OF CARMEL, INDIANA VENDOR: 354816 Page 1 of 1 0 ONE CIVIC SQUARE BRIAN M.SMITH CHECK AMOUNT: $162.50 CARMEL, INDIANA 46032 6777 S ARBA PIKE �° LYNN IN 47355 CHECK NUMBER: 227870 9��ION�°` CHECK DATE: 1/9/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4343002 162 . 50 EXTERNAL TRAINING TRA 14�1V OF Cq j�F `py.TVCRr�a 4 ? CITY OF CARMEL Expense Report (required for all travel expenses) j' TAM?�� EXHIBIT A EMPLOYEE NAME: - -INO �1 iM��V\ DEPARTURE DATE: TIME: g: C di/ PM DEPARTMENT: CORETURN DATE: TIME: W AM PM REASON FOR TRAVEL: &4,0 CRtS-�Q VY) I 4 DESTINATION CITY: Sc hGV M v L 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 Z (oS(M ,_$0:00 fZ CO lZ °32. -$0.00 $0.00 ;$0:00 ,!,:$0:00 $0.00 _$0.00 ?$0:00 ,:`,W00 $0.00 ;$0.00 $0:00 =$0:00 $0.00 :$0:00 _.$0.00 Total 0':00 °" 0:00 :,h:: .,,: I ,:,,.ar,.,. h.. $ :,$0'00 $ $0.00 . $0.00 $0':00 ;$0:00 $0:00 $0:00 ' $0:00 e 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 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 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#ER06 Revision Date 1!8!2014 Page 2 Arnone, Janet R d From: Smith, Brian M-CCCC Sent: Monday, December 23, 2013 10:17 AM To: Luckoski, Todd C; Arnone, Janet R Subject: RE: Travel Expenses I was back at 12 noon on the 20tH From: Luckoski, Todd C Sent: Monday, December 23, 2013 10:06 AM To: Arnone, Janet R Cc: Smith, Brian M-CCCC Subject: Travel Expenses HR's little handbook says we just get the flat rate for the per diems. $65.00 dollars per day. The days would be Dec 18th,19th and Dec 20th. However I believe Dec 20th we came back at 5:00 pm and this day has to be pro-rated. Can you get this for Brian and I. Thanks Todd Todd C. Luckoski City of Carmel Information and Communication Systems 31 1't Ave NW Carmel,Indiana 46032 Office (317)-571-2590 Mobile (317)-710-6145 Fax (317)-571-2588 Help Desk(317)-571-2777 E-Mail:TLuckoski@carmel.in.gov 11+nrka a 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 [ma iIto:Daniel le.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, 'LEndrdate: utions 2/18/13 /20/13 ook by: 12/2/13 (s)offering your special gro p rate: o Renaissance Schaumburg Convention Center Hotel for 100.00 USD per night Book your group rate: Motorola Solutions>> Let us know if you have any questions. Thanks, Danielle Godar, PMP i 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)) i 01/06/14 I I I $162.50 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT�NO. w _ ALLOWED 20 Brian M. Smith IN SUM OF $ 6777 S. Arba Pike Lynn, Indiana 47355 $162.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#,(TITLE I AMOUNT Board Members i 1115 43-430.02 $162.50 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 Vou c1 -&K- received except Tuesday, December 31, 2013 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund