HomeMy WebLinkAbout237635 09/30/14 ��u'�,q�f CITY OF CARMEL, INDIANA VENDOR: 00350224
ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $*****1,516.70*
i' CARMEL, INDIANA 46032 CHECK NUMBER: 237635
°M.,,o;- CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4343001 1,126.70 TRAVEL FEES & EXPENSE
1203 4343004 390.00 TRAVEL PER DIEMS
•_ I
CITY OF CARMEL Expense Report (required for all travel expenses)
<No,pap EXHIBIT A
EMPLOYEE NAME: Nancy S . Heck DEPARTURE DATE: 9/8/14 TIME: 2 :90 AM M
DEPARTMENT: Community Relations & Economic Dev. RETURN DATE: 9/14/14 TIME: 9 : A PM
REASON FOR TRAVEL: IMLA Annual Conference DESTINATION CITY: Baltimore, MD
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
9/9/14 .00 $65.00
9/10/14 1 $40.98 $65.00 $105.98
9/11/14 $65.00 $65.00
9/12/14 $65.00 $65.00
9/13/14 $65.00 $65.00
9/14/14 $1,085.72 $65.00 $1,150.72
$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
Total $0.001 $0.001 $40.981 $0.001 $1,085.72 $0.00 $0.00 $0.00 $0401 $M.001 $0.00=5nnWAI 0�
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 9/24/2014 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 m return as stated on opposite side I am responsible to:
( ) Y , Y ( pp ), p
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 9/24/2014 Page 2
HILTON BALTIMORE
401 West Pratt Street I Baltimore,MD 21201
Hilton T:443 573 8700 1 F: 443 683 8841
BALTIMORE W:baltimore.hilton.com
HIECK P�NRORESS: Room:
1414lD2
1326 COOL CREEK DRIVE Arrival Date: 9/8/2014 4:43:00 PM
Departure Date: 9/14/2014
CARMEL IN 46033
UNITED STATES OF AMERICA Adult/Child: 2/0
Room Rate: 235.00
Rate Plan: IML
HH# 322470438 BLUE
AL:
Car:
Confirmation Number:3130967036
9/14/2014 Page: 1
DATE DESCRIPTION ID REF.NO CHARGES CRGDITS BALANCE
HILTON
6/24/2014 2758640 Advance Deposit VS*8305 ($271,43) HHONCURS
9/8/2014 2854779 GUEST ROOM co ' $235.0 ��
9/8!2014 2854779 CITY TAX(R) G !' rem• ��� $22.33 . ,
9/8/2014 2854779 STATE TAX(R) $14.10
9/9/2014 2855777 GUEST ROOM $235.00
9/9/2014 2855777 CITY TAX(R) $22.33 (��Gtvy2 bw;
9/9/2014 2855777 SFATE TAX(R) $14.10 iUieS. + ulnc,zllcclai;f
9/10/2014 2856739 \l)y a4vslnce �Iti�vy1� GIl•UV'L)
9/10/2014 2857037 GUEST ROOM $235.00 E;CNRID
9/10/2014 2857037 CITY TAX(R) $22.33 �eC�
9/10/2014 2857037 STATE TAX(R) $14.10
9/11/2014 2858168
9/11/2014 2858414 GUEST ROUM $235.00 rt ii 011
9/11/2014 2858414 CITY TAX (r.) $22.33
9/11/2014 2858414 ST-/'',TE TAX(R) $14.10
9/12/2014 2859821 GI IFST F101W $235.00
9/12/2014 2859821 CI;'I' rAX ,I $22.33
9/12/2014 2859821 STA-i t_7i.Y. ;R) $14.10
9/13/2014 2860879
9/13/2014 2861214 G11;ESTROOP1 $235.00
9/1312014 2861214 CITY 1 AX W. $22.33 Sa�
9/13/2014 2861214 Sl;,i;_ 1, ,fZ) ` $14.10
9/14/2014 2862369 I > A A ($1,518.85)
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— $0.00
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ACCOUNT NO. f E OF CHARGE FOLIO N0./CHECK NO. ,
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CARD MEMBER NAME AUTHORIZATION INITIAL '
ESTABLISHMENT NO.&LOCATION """'STOTMNSM,TiOW10N0E0Ei1F011PRYMfNi PURCHASES&SERVICES
I,XLS i� W14
f If'S&MISC.
CARD MEMBER'S SIGNATURE TOTAL AMOUNT HUsu,t
-1,518.85 6r.,ro1"h ulinnt
MERCHANDISE AND/OR SERVICES PURCHASED ON 1,"', HE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT
i
QPNCBANK VISA SIGNATURE
Account# XXXX XXXX X)
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`Y)C l Statement closing date 09/18/14
Questions?
pnacom
EverydayRewarcs 1-800-558-8472 24 hours a day ,7 days a week
`+lour account summa w° f .h Yourpayment informafilon
Previous balance New balance
Total payments r eceived-thank you ® Minimum revolving payment
Purchases ® Due date 10/14114
Credits Late Payment Warning: if we do not receive
Cash advances $0.00 your minimum payment by the above date,you
Fees charged $0.00 may have to pay up to a$35 late fee and your
Interest charged $0.00 APRs may be increased up to the Penalty APR of
28.99%.
New balance
Minimum Payment Warning: If you make only
the minimum payment each period,you will
® Minimum revolving payment pay more in interest and it will take you longer
to pay off your balance.For example:
® Due date 10/14/14 Ifyou'rriake My. And you will end
°noaddrttonal up payi g an
charges usingestimated total
Total revolving credit line ;.tht`s'card.and of....
Total revolving line available each month
Total available cash line you pa
Das in billing cycle 30Y
Y 9 Y -
Only the' 11
minimum Years
payment
3 Years
(Savings=
If you would like information about credit
counseling services,call 1-866-214-0934.
5170 HXH 001 7 12 140918 0 PAGE 1 of 5 1 0 5624 9600 4058 OA5170CD
F-------------------- ----------—-------------------�
O PNICBANK Account# XXXX XXXX X
PO BOX 3429 New balance
PITTSBURGH PA 15230-3429 ® Minimum revolving payment
®
❑Check here It address,phone or e-mail Due date PAYMENT ENCLOSED 10/14/14
changes are indicated on reverse side
NANCY S HECK
1326 COOL CREEK DR
Make check payable to: CARMEL IN 46033-2315
PNC BANK
PO BOX 856177 III'llll'I'll'111'llllllll"I"l"IIhlllulhllll6"Ill'lllllll
LOUISVILLE KY 40285-6177
lllll'lllllllllllllllll'Illlllllll'llllullllll'1u16111'll"I'l
431 5000 0080 1967079158305 001
Your transactions (continued)
TRANS DATE POST DATE REFERENCE NUMBER DESCRIPTION AMOUNT
09/04 09/04 2475542L7JNE --�--
09/05 09105 24055231-913
09/05 09/05 2407105LA1
09/05 09/05 24445001-8f
09/05 09/05 24445001-9'
09/05 09105 24692161-8
09/06 09/06 2443106U
09/06 09/06 24445001-5
09/06 09/06 24445711-;
09106 09/06 2475542LF
09/06 09/06 7443600LF
09/07 09/07 24445001-17
09/07 09/07 244450OLL
09/07 09107 2444571U
09/07 09/07 2461043LE
09/08 09/08 2425802L(
09108 09/08 2401339L'
09/08 09108 2443105L,
09/08 09/08 244450OLI
09/09 09/09 2412259L
09/09 09109 2430137L
09/09 09/09 2432684L
09/09 09/09 2443565L
09/10 09/10 2425802L
09/10 09/10 24071051
09/10 09/10 24210731
09/10 09/10 24210731
09/10 09/10 24610431
09/10 09/10 24755421
09/10 09/10 2490641LD09EGWP76 Uber Technologies Inc 866-5761039 CA 15.98
09/10 09/10 2490641LD09F4LM2G Uber Technologies Inc 866-5761039 CA 25.00
09/11 09/11 2444500"
09/12 09/12 2425802
09/12 09/12 2407105 (.� p
®
09/12 09/12 7421073
09/13 09/13 2469216
09113 09113 2478930
09/14 09/14 2425802
09/14 09/14 2401339
09/14 09/14 2405523
09114 09/14 2407105
09/14 09/14 2407105
09/14 09/14 2424651
09/14 09/14 2469216
09/16 09/16 2401339
TOTAL FEES FOR THIS PERIOD $0.00
Interest Charged
09/18 09/18 Interest Charge on Purchases 0.00
09/18 09/18 Interest Charge on Cash Advances 0.00
TOTAL INTEREST FOR THIS PERIOD $0.00
How yourinfierest eha�ges werLecalculated
ANNUAL DAILY DAYS
TYPE OF PERCENTAGE PERIODIC RATE IN BILLING BALANCE SUBJECT INTEREST
BALANCE RATE(APR) (MAY VARY) CYCLE TO INTEREST RATE CHARGE
Purchases 8.990%(V) 0.02463% 30
$0.00 $0.00
Cash advances 21.990%(V) 0.06024% 30 $0.00 $0.00
Your Annual Percentage Rate(APR)is the annual interest rate on your account.
(V):Variable Rate
5170 HXH 001 7 12 140918 0 PAGE 3 of 5 1 0 5624 9600 4058
SOVTHINEWWW
-4*1-
Thank o for 0� 0\"f�ur�
you your purchase.
Indianapolis,IN-IND to Baltimore/Washington,MD-BWI
New Purchases in Trip
-------- =— - -— --- -. Q { .
Air
Confirmation#MTGWW 1 yip/�
Indianapolis,IN IND to __- �ahClp ��� L/�� I � .6L� .
Baltimore/Washington,MD-SWI _
Monday,September 8,2014-Sunday,
-September 14,2014
Air Total:$570.40
Amount Paid
$570.40
Trip Total
$570A0
SEP 8„
MON ; 09/08/14 - Baltimore
New purchases added to your trip.
AIR
Indianapolis,IN-IND to Baltimore/Washington,MD-BWI
09/08/2014 - 09/14/2014
Confirmation#
M.TGLAW
Adult Passenger(s) Rapid Rewards#
NANCY HECK 00000460207333
RICHARD HECK Add Rapid Rewards Number
Subscribe to Flight Status Messaging
DEPART 02:30 PM Depart Indianapolis,IN Flight
seas (IND)on Southwest Airlines. *1M sourmwEsr Monday,.September S,2014
MON 1
- -- 04:10 PM Arrive in Travel Time 1 h 40 m
Baltimore/Washington, (Nonstop)
MD(BWI) Wanna Get Away
RETURN 07:20 PM Depart Flight
sEP ia.
Baltimore/Washington, *2501 souncwmT Sunday,September 14,2014
SUN MD(BWI)on Southwest
Airlines Travel Time 1 h 45 m
09:05 PM Arrive in Indianapolis,IN (Nonstop)
(IND) Wanna Get Away
What you need to know to travel:
Don't forget to check in for your flight(s)24 hours before your trip on southwest.com or your mobile device.
Southwest Airlines does not have assigned seats,so you can choose your seat when you board the plane.You
will be assigned a boarding position based on your checkin time.The earlier you check in,within 24 hours of
your flight,the earlier you get to board.
PRICE:ADULT
Trip Routing Fare Type I View Fare Rules Fare Details Quantity Total
hdps://Wxw.southv&st.caMreservations/confirm-reservaUons.html?disc=sdc%3A7B417CF7317C4969BEE3022B408222EE&ss=1&int=&cornpanyName=&Cid= 1/2
Depart IND-BWI WamraGetAway .
ExmUentValue 2 $272.20
Return BWI-IND WannaGetAway
FxcellentValue " ' 2 $298.20
Earn at least 1434 Rapid Rewards Points when you take this trip. Subtotal $570.40
Fare Breakdown
Carry-on Items:1 bag+1 small personal Item are free,see full details.
Checked Items:First and second bags are free,size and weight limits apply. Bag Charge $0.00
Air Total:
$570.40
Gov't taxes&fees now included
Purchaser Name Nancy Heck Billing Address 1326 Cool Creek Dr
Carmel,IN US 46033
Form of Payment Amount Applied
Visa-XXXXXXXXXXXX-8305 $570.40
Amount Paid
$570.40
Trip Total
$570.40
https://www.southvmstcomlreseryations/confirm-reservabons.htrnl?disc=sdc%3A7B417CF7317C4969BEE3022B408222EE&ss=1&int=&CompanyNanie=&cid= 212
Heck, Nancy S
From: trina@imla.org
Sent: Monday,June 30,2014 11:20 AM
To: Heck, Nancy S
Cc: Bennett,Amanda
Subject: Confirmation of Registration
v f, o Z
p,2.a���� Iz��ds
CO iJ r�
NancyHeck, L i
This is your invoice/receipt and a confirmation of your registration for the 2014 Annual Conference. All
outstanding balances are due upon receipt,the Discounted Registration Fees EXPIRE 15 DAYS after rate
ends date, if payment is NOT received, the next rate will apply. There is a$50 cancellation/administrative
processing fee($25 for Guest), after August 1, 2014 event materials will be provided in full consideration of
fees paid. All refunds will be remitted 90 days after event.Please call 202466-5424 with questions.
The financial purchase confirmation number for this registration is: 18224170. It was sent to you under separate
cover. The Event Registration Confirmation below confirms the details of your registration.
Event Information:
Event: 2014 Annual Conference
Start Date/Time: Sep 10,2014- 8:00am
End Date/Time: Sep 14,2014- 11:45am Ca��
Main Registrant Information:
Registration Date: Jun 30,2014
Registrant: Nancy Heck \�
Badge First Name: Nancy
Badge Last Name: Heck
Badge Name: Nancy
Badge City: Carmel
t3'
First Time Attendee: No
BAR Number: 19106-49
Registrant Type:
Mobility Impairment:
1
Badge Country: United States
Special Instructions:
Badge Organization: Carmel,Indiana
NOT Attending Luncheon?: No
Badge Title: Director Community Relations
Vegetarian Meal: No
Badge State: IN
Additional Attendee(s)::
Guest Name(If Applicable)::
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Nancy Heck
IN SUM OF$
1326 Cool Creek Drive
Carmel, IN 46033
ON ACCOUNT yr APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Expense Report 43-430.01 $1,085.72 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1203 Expense Report 43-430.01 $40.98
h materials or services itemized thereon for
1203 Expense Report 43-430.04 which charge is made were ordered and
received except
Wednesday,September 24,2014
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))
09/24/14 Expense Report $1,085.72
09/24/14 Expense Report $40.98
09/24/14 Expense Report $390.00
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
, 20
Clerk-Treasurer