HomeMy WebLinkAbout228228 1/22/2014 F CITY OF CARMEL, INDIANA VENDOR: 356917 Page 1 of 1
ONE CIVIC SQUARE MELANIE LENTZ
CARMEL, INDIANA 46032 CHECK AMOUNT: $651.49
7817 CASTLE LANE
iNOPLSIN 46256 CHECK NUMBER: 228228
CHECK DATE: 1/22/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4343001 72 . 57 TRAVEL FEES & EXPENSE
1203 4343003 353 . 92 TRAVEL & LODGING
1203 4343004 225 . 00 TRAVEL PER DIEMS
k,(of Cqq��,
CITY OF CARMEL Expense Report (required for all travel expenses)
a n
NDIANP EXHIBIT A
EMPLOYEE NAME: tk\(\t�Z DEPARTURE DATE: j TIME: M)PM
DEPARTMENT 001\ v\,.�n\�5�1 �I,e`Cn"1�Y1 -� On � RETURN DATE: ii(. TIME:
REASON FOR TRAVEL7r-_r,,y)_,�)P4. r_ tU \-iQ✓) 000 fS e,DESTINATION CITY: N
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Air-fare Car Rental Other Parkin Lodging Misc. Total
9 Breakfast Lunch Dinner Snacks Per Diem
1/13/14 $88.48 $50.00 $138.48
$0.00
1/14/14 $88.48 $50.00 $138.48
$0.00
1/15/14 $88.48 $50.00 $138.48
$0.00
1/16/14 $88.48 $50.00 $138.48
$0.00
1/17/14 $25.00 $25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
LTotal $0.001 $0.001 $0.001 $0.001 $353.92 $0.00 $0.00 $0.001 $0.001 $225.00 $0.00
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: j�Y�JDate:
City of Carmel Form#ER06 Revision Date 1/21/2014 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 al► 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#ERO6 Revision Date 1/21/2014 Page 2
Ball State University
Muncie,Indiana Invoice
Number. C 03663
Invoice
Date: 12/17/2013
ID NUMBER:
FCity of Carmel Originating Area: BBC
Melanie Lentz
1 Civic Square Workshop Number. EDC1907-3-1-2014
( Carmel IN 46032
DATE DESCRIPTION AMOUNT
1/13/2014 2014 Indiana Economic Development Course
Melanie Lentz
Workshop_Number. EDC1907-3-1-2014 $695.00
$695.00
TOTAL: $695.00
MAKE CHECKS PAYABLE TO BALL STATE UNIVERSITY
AND MAIL TO: CARMICHAEL HALL ROOM 104
BALL STATE UNIVERSITY
MUNCIE, INDIANA 47306
ORIGINAL INVOICE
B-11 APPROVED STATE BOARD OF ACCOUNTS FOR BALL STATE UNIVERSITY 1968 REVISED 1980,1990
Page 1 of 1
Indiana Economic Development Course (EDC): January :13-17, 201.4
Monday 1/13/14 Tuesday 1/14/14 Wednesday 1/15/14 Thursday 1/16/14 Friday 1/17/14
Breakfasts 7:15 am Horizon 7:15 am Horizon 7:15 am Horizon 7:15 am Horizon
8:00–10:00 am 8:00–10:00 am 8:00–9:15 am 8:00–9:15 am
Strategic Planning Business Retention and Site Selection and Analyze and Profile a
Thayr Richey* Expansion Business Location Local Economy
Jason Hester* Kate McEnroe* Carol Rogers*
Breaks 10:00– 10:15 am 10:00-10:15 am 9:15–9:30 am 9:15–9:30 am
9:00-10:00am 10:15 am-12:15 pm 10:15 am-12:15 pm 9:30-11:30 am 9:30-10:30 am
Registration Marketing/Attraction ED Finance Real Estate Development and Perspectives on the Local
Bob St.Claire,Richard George Robertson* Reuse Economy
Heupel* Anne Mannix* Mike Hicks*
10:00–10:45 am 10:30 am –11:00 am
Welcome and Course Graduation Ceremony
Overview
Sarah Browning*
10:45 am- 12:OOpm
Introduction to ED
Richard Heupel*
Lunches 12:00–1:15 pm 12:15 –1:15 pm 12:15–1:30 pm 11:30 am– 12:45 pm
Indiana Economic Indiana Office of Community
Development Corporation and Rural Affairs
1:30–3:30 pm 1:30–2:30 pm 1:45–3:45 pm 1:00–3:00 pm
Managing ED EDTalks—Tourism, Arts and Workforce Development Small Business and
Organizations Culture Jack Hess* Entrepreneurship
Jim Plump* Development
Rob Mathews*
Breaks 3:30–3:45 pm 2:30–2:45 pm 3:45-4:00.pm 3:00–3:15 pm
3:45–6:00 pm 2:45–6:00 pm 4:00–6:00 pm 3:15–4:15pm
Professional Ethics Site Selection Game Community/Neighborhood EDTalks
Jim Plump* Richard Heupel* Development
Scott Truex*
4:15-5:15
Putting the Pieces Together
and Professional Development
Richard Heupel*
Social 5:30 pm
Event
Class Picture
6:00 pm
TGIT Party
Horizon Convention Center
*=Confirmed
Account: 318853129
Comfort Inn & Suites (IN248)
Date: 1/17114
3400 N. Marleon Drive Room: 310 GROUP-
Muncie, IN 47304 Arrival Date: 1/13/14
(765)587-0294 DepartureC,f;n: 1/17/14
BY CHOICE HOTELS GM.IN248@choicehotels.com Check In Time: 1/13/14 6:13 PM
Check Out Time:
LENTZ, MELANIE
Rewards Program ID:
Building Better Communities Course
You were checked out.by:
1 CIVIC SQUARE
You were checked in by: tbasti
Carmel, IN 46032
Total Balance Due: 0.00
7 4i
;Post DatedDescrlption� Comment
Amount
�e
v � a_
1/13/14 Room Charge #310 LENTZ, MELANIE 79.00
1/13/14 State Tax 5.53
1/13/14 City i County Tax 3.95
1/14/14 Room Charge #310 LENTZ, MELANIE 79.00
1/14/14 State Tax 5.53
1/14/14 City/County Tax 3.95
1/15/14 Room Charge #310 LENTZ, MELANIE 79.00
1/15/14 State Tax 5.53
1/15/14 City/County Tax 3.95
1/16/14 Room Charge 4310 LENTZ, MELANIE 79.00
1/16/14 State Tax 5.53
1/16/14 City/County Tax 3.95
1/17/14 (35192)
, Folio Summary11.1,3114 1117114
Room Charge 316.00
State Tax 2212
!City/County Tax 15.80
Visa Payment (353.92)
Balance Due: 0.00
This rate is not eligible for partner rewards.
THIS HOTEL IS 100%SMOKE FREE. IF EVIDENCE IS FOUND OF THIS
POLICY BEING VIOLATED,EITHER THROUGH ODOR AND/OR PHYSICAL
EVIDENCE,THERE SHALL BE A$150 CHARGE TO THE ROOM BILL.
Thank you for staying with us! Questions and comments are greatly
appreciated,please feel free to give us a call at(765)587-0294 or email us at:
gm.in248@choicehotels.com.
X
CHOICE privileges-
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101(1986)
MILEAGE CLAIM ,fin�\a�\t
TO. ' ' IX(nI;- /y
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
I�DATE��11 READING + NATURE OF BUSINESS MILES @ , -5w 0
`1 POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS 1 5-7
+ SPEEDOMETER READING 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 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legal d e, after allowing 1 just credits ,
and that no part of he same has been paid.
Date g�
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law .
That it is based upon statutory authority.
That it is apparently correct
'incorrect
Disbursing Officer
On Account of Appropriation No. for
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Melanie Lentz
IN SUM OF $
One Civic Square
Carmel, IN 46032
$651.49
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Mileage Claim 43-430.01 $72.57 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1203 Expense Report 43-430.04 $225.00
materials or services itemized thereon for
1203 Expense Report 43-430.03 $353.92 which charge is made were ordered and
received except
Tuesday, January 21,2014
{
Director, Community Relations/Economic Development
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))
01/21/14 Mileage Claim $72.57
01/21/14 Expense Report $225.00
01/21/14 j Expense Report $353.92
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