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HomeMy WebLinkAbout232954 05/21/14 4a u/.£4gyP a! CITY OF CARMEL, INDIANA VENDOR: 027850 ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $*****2,470.1 1* ?� CARMEL, INDIANA 46032 CHECK NUMBER: 232954 tM„oN- CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343001 796.00 TRAVEL FEES & EXPENSE 1160 4343003 1,219.11 TRAVEL & LODGING 1160 4343004 455.00 TRAVEL PER DIEMS iF CA CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: James Brainard DEPARTURE DATE: 2/12/2014 TIME: 7 : 35 AN /PM DEPARTMENT: Mayor RETURN DATE:-2/23/2014 TIME: 3 :21 AM M + REASON FOR TRAVEL: 1) Climate Conference DESTINATION CITY: 1) Los Angeles, CA & 2) Paradise ValLey, AZ 2) U.S . Conference of Mayors EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 2/12/14 $183.00 $15.00 $65.00 $263.00 2/12/14 $6.00 $6.00 2/13/14 $65.00 $65.00 2/14/14 $307.38-7- $65.00 $372.38 2/20/14 $69.00 $60.00 ! $65.00 $194.00 2/21/14 $65.00 $65.00 2/22/14 $65.00 $65.00 2/23/14 $277.00 r $911.73 $65.00 $1,253.73 2/23/14 $60.00 $126.00 a $186.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total $529.00 $0.00 $141.001 $126.001 $1,219.11 $0.00 $0.001 $0.00 $0.00 $455.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all ex enses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: 4Date: J q City of Carmel Form#ER06 Revision Date 4/25/2014 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 4/25/2014 Page 2 Meeting Focus: Built Systems:Transportation,Water,Energy,and Facilities Infrastructure City Hall,Los Angeles California February 13,2014 DRAFT AGENDA Wednesday,February 12,2014 Evening Tentative: Social Event Thursday,February 13,2014 Morning Session 7:30am-8:30am Principals Breakfast 8:30am-9:OOam Welcoming Remarks • Governor Brown and Mayor Garcetti • Nancy Sutley and David Agnew 9.00am- 10:OOam Task Force Report Back Option A: Recommendations Update Subgroup co-chairs read out on key priorities&themes • Disaster Recovery and Resilience • Built Systems • Natural Resources&Agriculture • Communities Option B: Outreach Update 2-3 Task Force Members report back on their efforts to engage stakeholders and constituents-successes,challenges,and best practices. 10:OOam- 12:OOpm Roundtable Discussion:Built Systems/Infrastructure Administration Participants TBA 12:OOpm Close Morning Session Afternoon Session 12:30pm-3:OOpm Working Lunch Discussion with EPA,DOE,DOT,HUD Staff Water,Energy, Transportation,and Facilities Infrastructure Discussion Questions (provided in advance): • What gaps are in the existing recommendation matrix? • What challenges are you facing that the Built Systems Subgroup,should address in developing their recommendations? • Share examples of local experiences that could be scaled up or had transferability but that would benefit from Fed support/partnerships. 4:OOpm-5:OOpm Session on Tools&Information • CalAdapt Demo • Discussion Friday,February 14,2014 Morning Optional Subgroup Meetings Meeting space provided for Subgroups that decide to meet. 5121/2014 American E)press US:Manage Your Card Account Online Statement Transaction Date: Jan 29 2014 .....................................................................................................-................................................................................................................................................................................................................................................ Transaction Description: EXPEDIA INC BELLEVUE WA ........................................................................................................................................................ DELTA AIRLINES INC. ...................................................................................................................................................._ From: To: Carrier: Class: ..................................................................................................................................................... INDIANAPOLIS LOS ANGELES INTERN DL X ..................................................................................................................................................... N/A YY 00 ..................................................................................................................................................... N/A YY 00 ..................................................................................................................................................... N/A YY 00 ....................................................................................................................................................... Ticket Number:00673558253815 Date of Departure:02/12 ........................................................................................................................................................ Passenger Name:BRAINARDMAMES C ........................................................................................................................................................ Document Type: PASSENGER TICKET .............................................................._................................................................................................................................................................................................................................................ Cardmember Name: James CBrainard ....................................................................................................................................................................................................................................................................................................................................................... mount$: 183.00 ......................................................................................................-....................................................................--...................................................................................................................................................... .................. Doing Business As: DELTA AIR LINES ......................................................................................................_................................................................................................................................................................................................................................................ Merchant Address: ATLANTA AIRPORT ATLANTA GA 30320 UNITED STATES ......................................................................................................-................................................................................................................................................................................................................................................. Reference Number: 320140300266943750 .....................................................................................................-..................................................................................................................................................................................................................................... ........... Category: Travel-Airline httpsJ/online.americane)press.comlmycWestmVusfist.do?requesi type=autiveg—Statement&Face=en US&BPlnde)r-1&sorted index7-0&inav=menu frwcct%ie... 1/1 Itinerary: Los Angeles Page 1 of 1 Live updates on flight departure times. Download the free Expedia mobile app. I Expedia Itinerary# 169137105579 Los Angeles Wed Feb/12/2014-Wed Feb/12/2014 Indianapolis(IND)--+Los Angeles(LAX) COMPLETED Wed Feb/12/2014-Wed Feb/12/2014, 1 one way ticket DeltaHHRHMC Expedia.Booking-ID45560X— WI you had a great trip.Thank you for choosing Expedia for your travel reservations Price Summary Traveler Information Traveler 1:Adult $183.00 James C.Brainard Ticket#0067355825381 Flight $160.00 Adult......... .. ........_._..........._ .................... Taxes&Fees $23.00 t Seat assignments,special meals,frequent flyer point awards and special assistance requests should be --- Ij confirmed directly with the airline. Total:$183.00 Wed Feb/12/2014-Departure Nonstop Total travel time:4 h 42 m I All prices quoted in US dollars. Indianapolis Los Angeles A. IND 7:35am LAX 9:17am 4 h 42 m Additional Flight Services Delta 877 Economy/Coach(X)I Seat 19D I Confirm or change seats with the airlineThe airline may charge additional fees for checked baggage or other optional services. Airline Rules&Regulations • We understand that sometimes plans change.We do not charge a cancel or change fee.When the airline charges such fees in accordance with its own policies,the cost will be passed on to you. • Tickets are nonrefundable,nontransferable and name changes are not allowed. • Please read the complete penalty rules for changes and cancellations applicable to this fare�� • Please read important information regarding airline liability limitations. �' Visit our Customer Support page. v_ h4s://www.expedia.com/trips/169137105579 - 2/26/2014 2/2812014 American E)press US:Manage Your Card Account:Online Statement Transaction Date: 02/12/2014 Wed ........................................................................................................................................................................................................................................................................................................................................................ Transaction Description: ADY"UBERTECHNOLOGIE866-576-1039 MA ................................. 866-576-1039 ......................................................................................................................................................................................................................--............................................................................................................................. Cardmember Name: - JAMES C BRAINARD ...............-................................................................................................................................................................................................................................................................................................................................ mount$: 15.00 .......................................................................................................-...........................................................--................................................................................................................................................................................. Doing Business As: UBER .....................................................................................................-................................................................................................................................................................................................................................................ Merchant Address: NUMBER 8 182 HOWARD STREET SAN FRANCISCO CA 94105-1611 UNITED STATES ....................................................................................................................................................................................................................................................................................................................................................... Reference Number: 320140440469458472 ....................................................................................................................................................................................................................................................................................................... ..................... Category: Transportation-Other Transportation httpsJ/ordine.americane)press.comlmyca/estrnVusnistdo?requesi type=autlueg_Statement&Face=en US&BPlndex--l&sorted index7-0&jnUinIFSOAFins-State... 1/1 Kibbe, Sharon From: Brainard,James C Sent: Wednesday, February 12, 201411:53 PM To: Kibbe, Sharon Subject: Fwd: Uber Ride Receipt Sent from my iPad Begin forwarded message: From: Uber<supportlanuber.com> Date: February 12, 2014 3:41:53 PM PST To: Brainardjc@aol.com Subject: Uber Ride Receipt U B E R ... Receipt '.: • onirvwwir Thanks for riding Uber! BILLED TO James Brainard %� . t� TY,1 r ;^� , rsaryl( (f TRIP REQUEST DATE 117p February 12, 2014 at 03:33pm V;;� �e' PICKUP LOCATION s rh al 1, ic TO R4f l N 501-543 South Grand " �o�E Avenues Los Angeles' CA �,�r,li✓r 5'`� i� t ovt >. c a Map brn, DROPOFF LOCATION DRIVER 200 North Main Street, Los David Angeles, CA Receipt issued PAYMENT AMOUNT CHARGED $15.00 212812014 American E)press US:Manage Your Card Account Online Statement ransaction.Date:.. ...............................................02/12/2014 Wed.......................................................................................................................................................................................................... ransaction Description: TWkAVIATION L957360LOS ANGELES CA .................................. 213-922-4143 ......................................................................................................._................................................................................................................................................................................................................................................ Cardmember Name: JAMES C BRAINARD ......................................................................................................_................................................................................................................................................................................................................................................ Amount$: 6.00 .......................................... ..................... ............ ............... .........._...................... ........................ ...................................................................... .................. ............................ ....................................... ............... ..................... ... Doing Business As: LACMTA/GREEN LINE ......................................................................................................._................................................................................................................................................................................................................................................. Merchant Address: 11500 AVIATION BLVD LOS ANGELES CA 90045 UNITED STATES ......................................................................................................_................................................................................................................................................................................................................................................ Reference Number: 320140440470196885 .................................................................................._................................................................................................................................................................................................................................................ Category: Transportation-Rail Services httpsJ/online.americane)press.comlmpWesbmVus4istdo?request type=authreg Statement&Face=en USBBPlndex=1&sorted inde)F0&intlinlFSOAFins-State... 1/1 IMI MILLENNIUM BILTMORE HOTEL James Brainard LOS ANGELES Room No. 0463 United States You are the Ce ter ofourworm Arrival 02-12-14 Departure 02-14-14 Page No. 1 of 1 Folio No. 568049 INFORMATION INVOICE Conf. No. 7144377 Membership No. T.A. Record A/R Number Group Code 1402LAMAYR Company Name Office of Los Angeles Mayor E You are the Center of our World! 04-04-14 Date Text Charges Credits USD USD 02-12-14 Room Charge 133.00 02-12-14 Occupancy Tax 18.62 02-12-14 City Tourism Assessment 2.00 02-12-14 California Tourism Tax 0.07 02-13-14 Room Charge 133.00 02-13-14 Occupancy Tax 18.62 02-13-14 City Tourism Assessment 2.00 02-13-14 California Tourism Tax 0.07 02-14-14 .._,. 307.38 354.67 Split into 307.38 and 47.29. Total 307.38 307.38 Balance 0.00 USD I Log on to www.millenniumhotels.com to get your Best Rate Guarantee Millennium Biltmore Hotel Los Angeles 506 South Grand Avenue,Los Angeles,CA 90071 Tel:213-624-1011*Fax:213-612-1545*www.millenniumhotels.com UNITED STATES CONFERENCE OF MAYORS For USCM Use Only 1620 EYE STREET, N.W., WASHINGTON, D.C. 20006 IDNo: 33 REGISTRATION RECEIPT (PI-151jPSENT AT REGISTRATION) Feer $0.00 Paid: ;Complimentary Payment: CreditCard Date: RegType: Member City Mayor` Winter Leadership Meeting,Paradise Valley,AZ,February 20-22,2014 Meeting: 33 James Brainard Mayor City of Carmel,IN 1 Civic Square Carmel,IN 46032 Original 2128/2014 American Bpress US:Manage Your Card Accourt Online Statement Transaction Date: 02/06/2014 Thu I............................................................................... ..............11 1............................................................................................................................................................................................................................ Transaction Description: B(PEDIA INC BELLEVUE WA .................................................................................................................................................................................... US AIRWAYS INC. ................................................................................................................................................................................ From To: Carrier: Class: ...........................................................................I..................................................................................................... SANTA ANA JOHN WAY PHOEND(SKY HARBOR US U ................................................................................................................................................................................. N/A YY 00 ............................................................................................................................................................................... NIA YY 00 .................................................................................................................................................................................. NIA YY 00 ......................................................... ­­............................................................................................................. Ticket Number:03773563861244 Date of Departure:02/20 ................................................................................................................................................................................... Passenger Name:BRAINARDIJAMES ................................................................................................................................................................................... Document Type:PASSENGER TICKET ............................................................................................................ ..................................................................................................................................................................................................................................... Cardmember Name: JAMES C BRAINARD ...... .. .................................................. 11,11-oll-ul nt$: 69.00 ', '*'..............,.....................­­............*.............. " '' *...............**.....­ ­*...........,.......... .......... ........................... m ............................................................................................................................................................................................................................................................. ..................................................................... Doing Business As: US AIRWAYS ARC SALES ...................................................................................................................................................................................................................................................................................................................................................... Merchant Address: 4000 E SKY HARBOR BLVD PHOEND( AZ 85034-0664 UNITED STATES ............I.......................................................................................................................................................................................................................................................................................................................................... Reference Number: 320140380378871914 ............... ................ .......... ........... ............................ .................................................................................................. Category: Travel-Airline httpsl/online.an-ericane)press.corrVnTjWestmVusAistdo?requesLbA)e=authreg-Statement&Face=en-US&BPlndex-l&sorted-index-O&jnlink--SOAFirs-State Itinerary: Phoenix Page 1 of 2 0�I/.Expedia I� Phoenix Thu Feb/20/2014-Thu Feb/20/2014 I Itinerary#169553190370 Important Information • Remember to bring your itinerary and government-issued photo ID for airport check-in and security. Orange County (SNA) --+ Phoenix (PHX) COMPLETED Thu Feb/20/2014-Thu Feb/20/2014, 1 one way ticket US Airways GJC42V Expedia Booking ID ZLAD80 ( We hope you had a great trip. Thank you for choosing Expedia for F— i your travel reservations. ' Price Summary Traveler Information Traveler 1:Adult $69.00 Flight $53.95 { James Brainard No frequent flyer Ticket# 1 Taxes&Fees $15.05 ff 1 A 2 Adult � details provided � 03773563861 4 ............................................................................................................................. .. .................................................................... Expedia Booking Fee $0.00 *Seat assignments,special meals,frequent flyer point awards and special Total: $69.00 assistance requests should be confirmed directly with the airline. All prices quoted in US dollars. I 02/20/2014-Departure Nonstop Total travel time: 1 h 24 m Orange County Phoenix 1 h 24 m Additional Flight Services i SNA 9:55am PHX 12:19pm USAirways 620 Economy/Coach(U) I Seat 23D I Confirm or change seats with The airline may charge additional the airline* fees for checked baggage or other optional services. Airline Rules&Regulations r14r�ointsWe understand that sometimes lans than e.We do not char e a 1'' p 9 9 I rFR Expedia' . I A l �f"C7S cancel or change fee.When the airline charges such fees in accordance I For this trip P I with its own policies,the cost will be passed on to you. i -- • Tickets are nonrefundable, nontransferable and name changes are + i not allowed. • Please read the complete penalty rules for changes and cancellations I applicable to this fare. • Please read important information regarding airline liability limitations. 4 Ihttps://www.expedia.com/itinerary-print?itineraryNumber=169553190370&tripid=flfbfa3... 2/26/2014 2/28(2014 MyAmerican E)press Account Summary DATE IDESCRIPTION CARD MEMBER AMOUNTS THU,FEB 20 US AIRWAYS SANTA ANA CA JAMES C BRAINARD 60.00 US AIRWAYS DIRECT DOING BUSINESS AS.................................... SALES MERCHANTADDRESS..................................4000 E SKY HARBOR BLVD, PHOENIX,AZ 85034-0664 UNITED STATES ADDITIONAL INFORMATION......................03723471449 800-428-4322 REFERENCE NUMBER..................................320140520580298800 CATEGORY............................................................TRAVEL-AIRLINE FROM TO CARRIER CLASS N/A...........................................N/A...................................................yy............................. N/A...................................................yy............................. N/A...................................................yy............................. N/A...................................................yy............................. TICKET NUM BER................................................0372347144942 DATE OF DEPARTURE................................... PASSENGER NAME........................................BRAINARDMAMES DOCUMENTTYPE.............................................EXCESS BAGGAGE US AIRWAYS DISPUTE/INQUIRE ABOUT THIS CHARGE BM1........./ 46rtui4 BEF8b5Z1 E— PICKET RECEIPT , BRAINARD/JAMES ARRIVAL I, R;OM TO 1000A EXCESS BAG EBC US 9957 Y 20FEB 1130A FEE FEE I EBC FEE i I I FP AXXXXXXXXXXXX6001%XXXX/124147 /FC BAGGAGE FEE (1B) 01 25.00 (2B) 01 IF ONE(OF YOUR FLIGHTS IS ON A 35.00 (3B) 00 0000 (4B) 00 0000 (OW) 00 0000 (OZ) 00 0000 (SE) 00 0000 ( PARTNEI AIRLINE, PARTNER FEES CU) 00 0000 USDTTL 60.00END 0377356386124201402061201402200620SNA.PHX.PHX MAY AP'LY. PLEASE GO TO (G]C42V) USAIRN,YS.COM/PARTNERBAGFEES FOR MCS E INFO I FARE USD 60.00 DOCUMENT NUMBER 0372347144942 TAX US 0.00 TAX TI°nNK YOO I OR I I Y I N(, I() I Al H1,() (,I) . 00 RAVEL W� A I RWAYi 1 httpsJ/onfine.americane)press.corrVmpa/acchmmt/us/myaccountsummarydo?request type=autlueg acctAccwntSummary 1/1 2128/2014 American E)press US:Manage Your Card Account Online Staternent TransactionDate:.. ...............................................01/29/2014.Wed......................................................................................................................................................................................................... ransaction Description: EXPEDIA INC BELLEVUE WA ........................................................................................................................................................._ US AIRWAYS INC. ......................................................................................................................................................._ From To: Carrier: Class: .................................................................................................................................................. PHOENDC SKY HARBOR INDIANAPOLIS US W .................................................I........�llA........................_YY.......................00..................._ ............................................................................................_.........................................................._ NIA YY 00 ............................................................................................_.........................................................._ NIA YY 00 .......................................................................................................................................................... Ticket Number:03773558199655 Date of Departure:02/23 .......................................................................................................................................................... Passenger Name:BRAINARDMAMES C ....................................................................................................................................................... Document Type:PASSENGERTICKEf ......................................................................................................._................................................................................................................................................................................................................................................. Cardmember Name: JAMES CBRAINARD ......................................................................................................_...............................................................................................................--........................................................................................................................ ..... Amount$: 277.00 ......................................................................................................._................................................................................................................................................................................................................................................ Doing Business As: US AIRWAYS ARC SALES ....................................................................._................................................................................................................................................................................................................................................ Merchant Address: 4000 ESKY HARBOR BLVD PHOEND( AZ 85034-0664 UNITED STATES ......................................................................................................_.................................................................................................................................................................................................-.............................................. Reference Number: 320140300266943614 ......................................................................................................_........................................................................................................................................................................................................................................... ..... Category: Travel-Airline httpsJ/online.americane)press.cominTF.VestmUusAistdo?request type=autiveg-Statenwnt&Face=en US&BPlndex7-1&sorted inde�r-0&intlinlrSOAFins-State... 1/1 Itinerary: Indianapolis Page 1 of 2 Q—')Expedicr Indianapolis Sun Feb/23/2014-Sun Feb/23/2014 I Itinerary#169136931244 i Important Information • Remember to bring your itinerary and government-issued photo ID for airport check-in and security. Phoenix (PHX) --+ Indianapolis (IND) COMPLETED Sun Feb/23/2014-Sun Feb/23/2014, 1 one way ticket US Airways CG79ZT —"-- � — —`_— �-- Expedia Booking ID 446156 -� We hope you had a great trip. Thank you for choosing Expedia for your travel reservations. Price Summary ` Traveler Information Traveler 1:Adult $277.00 Flight $247.44 James C. Brainard No frequent flyer Ticket# Taxes&Fees $29.56 Adult details provided 0377355819965 Expedia Booking Fee $0.00 *Seat assignments, special meals,frequent flyer point awards and special — Total: $277.00 assistance requests should be confirmed directly with the airline. All prices quoted in US dollars. 02/23/2014-Departure Nonstop Total travel time:3 h 25 m Phoenix Indianapolis 3 h 25 m Additional Flight Services PHX 9:56am IND 3:21pm I Terminal 4 US Airways 460 The airline may charge additional Economy/Coach (W) I Seat 22F I Confirm or change seats with fees for checked baggage or other the airline* optional services. _ -- � Airline Rules&Regulations. 55 points /,Expedia• .b • We understand that sometimes plans change.We do not charge a For this trip j cancel or change fee.When the airline charges such fees in accordance L - with its own policies,the cost will be passed on to you. • Tickets are nonrefundable, nontransferable and name changes are not allowed. • Please read the complete penalty rules for changes and cancellations applicable to this fare. • Please read important information regarding airline liability limitations. hqs://www.expedia.com/itinerary-print?tripid=cd5ff44e-efOe-46fO-8283-d6Oc6843febf&i... 2/28/2014 2/2812014 MyAmerican E)press Account Summary DATE DESCRIPTION CARD NIFNIBER AMOUNT S SUN,FEB 23 OMNI MONTELUCIA ROOM SCOTTSDALE AZ JAMES C BRAINARD 965.99 OMNI MONTELUCIAROOMS DOING BUSINESS AS...................................•010 MERCHANTADDRESS..................................4949 E LINCOLN DR, PARADISE VALLEY,AZ 85253-4108 UNITED STATES ADDITIONAL INFORMATION......................0000005698 (480)627-3200 REFERENCE NUMBER..................................320140550618472398 CATEGORY............................................................TRAVEL-LODGING ARRIVAL:DATE....................................................02120114 DEPARTURE DATE...........................................02123114 NUMBER OF NIGHTS...................................... (480)627-3200 DISPUTE/INQUIRE ABOUT THIS CHARGE MgssJ/onfine.americane)press.com/myca/accbmmVus/rryaccountsummarydo?requesi type=authreg_acctAccountSummary 1/1 0mNr* HoTELs & REsoRTs montelucia scottsdale James Brainard Room No. 1804 declined Arrival 02/20/14 United States Departure 02/23/14 Page No. 1 of 1 Folio No. 5009 Conf. No. 19909 INFORMATION INVOICE Cashier No. 17009 Membership No. A/R Number Group Code 021314UNITEDSTA Company Name 04/17/14 Date Description Charges Payments 02/20/14 Room Charge 265.00 02/20/14 Room Occupancy Tax 34.91 02/20/14 Housekeeping Gratuities 4.00 02/21/14 Room Charge 265.00 02/21/14 Room Occupancy Tax 34.91 02/21/14 Housekeeping Gratuities 4.00 02/22/14, Room Charge 265.00 02/22/14 Room Occupancy Tax 34.91 02/22/14 Housekeeping Gratuities 4.00 02/23/14 — 965.99 Total 965.99 965.99 Balance 0.00 4949 East Lincoln Drive Scottsdale,AZ 85283 Telephone:(480)627-3200 2/28/2014 MyAmerican E)press Account Summary DATE DESCRIPTION CARD MEMBER AMOUNT S SUN,FEB 23 US AIRWAYS PHOENIX AZ JAMES C BRAINARD 60.00 US AIRWAYS DIRECT DOING BUSINESS AS.................................... SALES MERCHANTADDRESS..................................4000 E SKY HARBOR BLVD, PHOENIX,AZ 85034-0664 UNITED STATES ADDITIONAL INFORMATION......................03723475009 800-428-4322 REFERENCE NUMBER..................................320140550623412678 CATEGORY............................................................TRAVEL-AIRLINE FROM TO CARRIER CLASS N/A...........................................N/A...................................................yy............................. N/A...................................................yy............................. NIA...................................................yy............................. N/A...................................................yy............................. TICKET NUM BER................................................0372347500995 DATE OF DEPARTURE................................... PASSENGER NAME........................................BRAINARD/JAMESC DOCUMENTTYPE.............................................EXCESS BAGGAGE US AIRWAYS DISPUTE/INQUIRE ABOUT THIS CHARGE I I U-S AIRWAYS® D8P292/US 2.3FEB141,' BEF719EI E-TICKET_ RECEIPT BRAINARD/JAMESC. ARRIVAL FiROM TO 1000A EXCESS BAG EBC•' US 9957 _ Y 23FEB 1130A FEE FEE EBC FEE FP AXXXXXXXXXXXX6001/XXXX/195792 /FC BAGGAGE FEE (1B)­01 25.00_(2B')"Ol --` 35.00 (3B) 00 0000 (4B) 00 0000 (OW) 00 0000 (OZ) 00 0000..(SE) 00 0000 CU) 000000 USDTfL 60.OOENDI037735581996520140129120140223046OPHX.IND.-IND .(CG79ZT) FARE -USD. 60.-00 - , ,,-.DOCUMENT =NUMBER 0372347500995 TAX US. _--,.0 00 Y- TAX THANK Ynt i-FnR FI YTNG TOTAI I I`-I, I,r?. tN) III, A l kWAY'- U-S Al RWAYS® httpsJ/odine.americane)press.comlmyoa/acdr gmt/us/myaccountsumnarydo?requesi type=authreg acctkccountSummary 1/1 2/28(2014 MyAmerican E)press Account Summary DATE DESCRIPTION CARD MEMBER AMOUNT S SUN,FEB 23 INDY PARK RIDE&FLYINDIANAPOLIS IN JAMES C BRAINARD 284.85 ....................._..................................................._..........................................................................................................................................._...................................................................._............................................... DOING BUSINESS AS....................................INDY PARK RIDE&FLY LLC MERCHANTADDRESS..................................3875 PLAN FIELD RD, INDIANAPOLIS, IN 46231 UNITED STATES ADDITIONAL INFORMATION......................8608285900 REFERENCE NUMBER..................................320140550623146924 TRANSPORTATION - CATEGORY............................................................ PARKING CHARGES 8608285900 DISPUTE/INQUIRE ABOUT THIS CHARGE � doa1 s httpsl/ordine.americane)press.coni/n)WacchmmVus/myacco a tsumrrarydo?request type=authreg acetAccountSummary 1/1 VOUCHER NO. WARRANT NO. ALLOWED 20 Mayor Jim Brainard IN SUM OF$ One Civic Square Carmel, IN 46032 $2,470.11 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#rrITLE AMOUNT Board Members 1160 Expense Report 43-430.04 $455.00 I hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the 1160 Expense Report 43-430.03 $1,219.11 materials or services itemized thereon for 1160 Expense Report 43-430.01 $126.00 which charge is made were ordered and 1160 Expense Report 43-430.01 $141.00 received except 1160 Expense Report 43-430.01 $529.00 Wednesday, May 21, 2014 Mayor 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. i Terms i Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 05/21/14 Expense Report $455.00 05/21/14 Expense Report $1,219.11 05/21/14 Expense Report $126.00 i 05/21/14 Expense Report $141.00 05/21/14 Expense Report $529.00 I 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 5-11-10-1.6 120 Clerk-Treasurer