The URL can be used to link to this page

Home My WebLink About237635 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) � — $0.00 1', tipy�:xfPvtner .Ll C(nog��e-S i ACCOUNT NO. f E OF CHARGE FOLIO N0./CHECK NO. , bOJJoo n FF1'.i;t.'YY) 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) j�� `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