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HomeMy WebLinkAbout228013 1 /14/2014 CITY OF CARMEL, INDIANA VENDOR: 367774 Page 1 of 1 ONE CIVIC SQUARE CARA GRAY CHECK AMOUNT: $175.69 CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 228013 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 175 . 69 TRAVEL FEES & EXPENSE elm By sue BOARD or ACOOMIn ammm New p0.Im(Me _ tdciht3o\ � MILEAGE CLAIM �tnu�k eSe Tamil j� ro_ i P��;: w-.,atca ' ON ACCOUNT OF A"ROPSIATION NO. FOR `4�4� Mn .wwasnme on nUM DA FROM TO RKADtPOW POINT START a MMNATM OP t109INB88 R 0 -US t _�}CWW% mtiII E 5. 3 Nhr%-, - C t eta c 3S rk/'cLm ' I. e O )'2- m £a k 3 2- 13 z'1vt'1 CI. 101T s n .3 3 SS`i5 i tAk~Gnkr -k cue? 2 �b blaurn '[,eta, h- 21 2-S eno'n � 4.G,tic n.o 2.b Ca/k- 1 yv i�thiM b• 3 2 22 o JA'- C 77'Th,AM 25. as 1 c P, 0 1 .0. 1 1 k 35 GYM 1 zs, I 35 U S cel 2S,CPA l 351 `nam \o er0n A.` � A,�A c 9.b `a'l $S AUTO L1CtN88 NO. TOTALS + 3P€BDOMETIDi TREADING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 135,Acts 1893,I hereby certify that the foregoing account is just and correct,that the amount claimed Is legally due,after allowing all just credits, end that no part of the same hes been paid. Date OD I DEC 3 12013 I 4r . +r� Carmel * Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 12-3-13 � D8lg DVO 1'.ark. . 00 v 5"13 J 1i 5n 1 a81 g9 b o� C� Cot All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $ d�� '•� p o� Employeen Name(print) Address 1$�S�\� ► �( Check —� payable to: City, St,Zip N01o1oS"��`a IN �o0lofl Signature: Approved by: Date: `2-2-3-1"� Date: Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 Cara Gray From: Melissa Grutza <mgrutza@crisisprevention.com> Sent: Tuesday, October 15, 2013 3:30 PM To: Cara Gray Subject: Seminar Confirmation Follow Up Flag: Follow up Flag Status: Completed nonviolent crisis intervention �— t i o aCPI specialized offering Dear Cara, Thank you for registering for a CPI training program.We are pleased to have you join us for: Nonviolent Crisis Intervention'Four-Day Instructor Certification Program December 3-December 6,2013 9:00:00 AM-4:00:00 PM Crowne Plaza at Historic Union Station 123 W Louisiana St Indianapolis,IN,US,46225-1049 Phone:3176312221 If you need overnight accommodations,please contact the hotel directly and ask if a special CPI room rate is available.As you make plans to attend the program,please note the following: Program Time:9:00:00 AM-4:00:00 PM on the first three days.8:00:00 AM-3:00:00 PM on the fourth day. Please check in 15 minutes prior to the program start time. Food:/Beverages:Morning and afternoon beverages are provided.There is a one-hour lunch break on your own. Attire:Wear casual clothes with flat,closed-toe shoes as the program involves physical competency testing. Your participation in the full four days is required for successful completion of the course.Upon successful completion,you will be authorized to teach Nonviolent Crisis Intervention®training within Carmel Clay Parks And Recreation,and you will receive an Instructor Kit with materials to help you conduct your first training. Please keep in mind that if you haven't submitted payment yet,it is required prior to the start of the seminar.You can fax your payment information to 414.979.7112 or send it via mail.If you have any payment-related questions,please call 877.877.5409. Because your complete satisfaction is our priority,please contact us immediately if you are unable to attend the program listed above so we can best accommodate your needs.Please read our full Cancellation Policy below for more information. If you have any questions regarding your registration or the program,please don't hesitate to call us toll-free at 800.558.8976 or email info(ocrisisprevention.com.We look forward to meeting you! Sincerely, 1 . I Judith Schubert President Cancellation Policy:We understand that circumstances may arise that require you to cancel.Registrations cancelled 15 or more days prior to the program start date are fully refundable,transferable to another individual,or transferable to a program at a later date.Registrations that are cancelled within 14 days of the program start date are non-refundable;however,a substitute can be sent to that program or the registration can be transferred to another CPI program conducted within four months of the original program date for a$35 US/$40 CDN administrative fee.If you do not attend,you are responsible for the full program fee.CPI reserves the right to cancel a program.In the event of program cancellation,CPI?s responsibility will be limited to a refund of the program fees. �i ©2011 Crisis Prevention Institute,Inc.All rights reserved. 2 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 367774 Gray, Cara Invoice Invoice Description PO# Amount Date Number (or note attached invoice(s)or bill(s)) $ 157.69 12/10/13 Reimb Mileage 11/6/13 - 12/10/13 $ 18.00 12/23/13 Reimb Parking for training Total $ 175.69 oice(s),or bill(s)is(are)true and correct and I have audited same in accordance I hereby certify that the attached inv with IC 5-11-10-1.6 120— Clerk-Treasurer Voucher No. Warrant No. 367774 Gray, Cara Allowed 20 In Sum of$ $ 175.69 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Reimb 4343000 $ 157.69 1 hereby certify that the attached invoice(s), or 1081-99 Reimb 4343000 $ 18.00 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 9-Jan 2014 Signature $ 175.69 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund