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Home My WebLink About238642 10/28/14 9,J'! \� CITY OF CARMEL, INDIANA VENDOR: 355133 ® �; ONE CIVIC SQUARE AUDREY B KOSTRZEWA CHECK AMOUNT: $*******458.70* CARMEL?a CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK NUMBER: 238642 '�'��r6w�� CARMEL IN 46032 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 458.70 TRAVEL FEES & EXPENSE _ r NRPA.. ® . CONGRESS GREAT IDEAS START HERE October 14.16,2014 I�Chadotte,NC www.6rpa.org/Congress2bl4 AUDR EY AUDREY KOSTRZEWA CARMEL CLAY PARKS & RECREATION CARMEL, IN 41213015 IIII�1�Irviv�fi; Carmel a Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 8/16/2014 US Airways 101 4343000 Travel fees&expenses $ A 408.70 Travel to NRPA Congress 10/12/2014 I.JS Airways 101 4343000 Travel fees&expenses $ Q1 25.00 Bag check fee to Charlotte 10/16/2014 US Airways 101 4343000 Travel fees&expenses $ C 25.00 Bag check fee from Charlotte Nt�P� CC�1�e-mss All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $458.70 Employee Name(print) Audrey Kostrzewa OCT 21 2014 Address 2532 Turning Leaf Lane - Check BY: payable to: City, St, Zip Carmel, IN 46032 Signature: Approved by: IJ Date: 10/20/2014 Date: ,,) Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Mike Kostrzewa From: reservations@email-usairways.com Sent: Saturday,August 16, 2014 12:28 PM To: mike.kos@earthlink.net Subject: Your US Airways flight Categories: Travel U-S AIRWAYS Your reservation Book travel Travel tools Dividand Miles Speda?s;, US Aim'ays Vacations i i You're confirmed � Date issued: Saturday,August 16,2014 Scan at any US Airways kiosk to check ink Next stop:the airport. See terminal information and find your way. I� I f Confirmation code: I � � I I DGFE6R US Airways Nee car? Get your wh Is in Charlotte, NC Reserve your car now earn Dividend Miles with Alamo and National. Reserve nowi i Need a hotel? r— Get a room in Charlotte, NC ` jYou're sure to get the best rates here. • • 6 Passenger summary j Passenger name Frequent flyer#(Airline) Ticket number Special needs j 1 Michael A Kostrzewa 8K379R4(US) 03723697704801 Audrey B Kostrzewa 03723697704812 � I Day of departure phone: (317)750-6632 Email for receipt: mike.kos@earthlink.net { I i f Trip details Download to ! Outlook I - I - j I IN ® C LT Indianapolis, IN to Charlotte, NC Sunday,October 12,2014 FLIGHT# -__2088'- =— Operated by US Airways —_ --- -- - -- --—!--- _ -- - DEPART 03:30 PM AIRCRAFT A319 , IND : .,. ARRIVE 05:08 PM ' CABIN Coach CLT TRAVEL 1h 38m MEAL -- TIME SEATS 16A 16C I I Charlotte, NC to Indianapolis, IN CLT"', IN ® October 16,2014 i j FLIGHT# 5751 =rx Operated by Republic Airlines dba US Airways Express 05:40 PM DEPART CLT AIRCRAFT E175 j ARRIVE 07,17 ,7 PM CABIN Coach INDTRAVEL --T-IME 1h 37m MEAL -- -- — - — --- - - - -- - -- i SEATS 19A 19C ' '9t;' W_ � 0:9_:Wli�_ i Total travel cost (2 passengers) jYour fare(Non-refundable) Adult 2 IND to CLT(UD14ZNW1) $177.68 I CLT to IND(UD14ZNW1) $177.67 j I Taxes and fees $53.35 j Subtotal r+ /-/n -� �� $408.70 Number of passengers x 2 Total by passenger type $817.40 Total fare(All passengers) $817.40 i j `'Charged to Michael Kostrzewa You paid $817°40 Helpful links Travel tools and tips Trip information Airport information US Airways Club Manage your reservation Change your seats i Airport security Seated in an exit row? Join Dividend Miles Baggage policies About Gogo Wi-Fi TSA regulations Buy Gogo Wi-Fi j Bags Pay for your checked bags when you check in online or at the airport!Read more about bags. j I ' jCarry ons" Carry-on bag Personal item i I All flights j Checked bags(each way/per person)** 1st bag 2nd bag Domestic(U.S., Puerto Rico, USVI,Canada) j Mexico/Caribbean/Central America*** _ Brazil/South America/Transpacific j Transatlantic !*You're allowed 1 carry-on bag up to 45 in/115 cm or a soft-sided garment bag up to 51 in/130 cm,and 1 personal item that's smaller than your carry-on item(for example a purse,small briefcase or laptop bag). **1 st&2nd checked bags can be up to 50 lbs and 62 inches except Brazil where you're allowed up to 70 lbs.Europe fees j apply for travel to/from Asia through Europe.Baggage fees are non-refundable. ***First bag fee waived for Leon/Guanajuato,Guadalajara,Mexico City and Monterrey,Mexico;Port Au Prince, Haiti;Port of (Spain,Trinidad and Tobago;Santo Domingo and Santiago,Dominican Republic;Kingston,Jamaica;Guatemala City, IGuatemala;Managua,Nicaragua;San Pedro Sula and Tegucigalpa,Honduras.First and second bag fees waived for iPanama City,Panama;San Salvador, EI Salvador. i i 3 Mike Kostrzewa From: US Airways Web Check In <reservations@email-usairways.com> Sent: Sunday, October 12, 2014 10:52 AM To: mike.kos@earthlink.com Subject: Your Receipt j ! Book!ravel Travel toots DividendMiles Specials US Airways Vacations i Here's your receipt Thanks for saving time and checking in online. Please print this receipt or save the email for your records. I ; Scan at any US Airways kiosk to check in jNext stop:the airport. See terminal information and find your way. f Confirmation code: DGFE6R I - - --- - - Bags 1st bag 2nd,bag Indianapolis, IN to Charlotte, NC 2 x$25.00 $50.00 i ! I Bags total IZ �a $60.00 USD' `` Charged to Michael Kostrzewa You paid $50.00 USD ***********1009(American Express) P—,:_ 91MI II Your flight M Depart: Indianapolis, IN (IND) ®Charlotte, NC (CLT) Date:Sunday,October 12,2014 i Flight#/Carrier Depart Arrive time Travel Meal Aircraft Cabin Seats ; 3 2088 3:30 PM IND 5:08 PM CLT 1h 38m None A319 Coach(U) 16C Operated by US Airways i 1 Flight#2088:There is a travel advisory in effect for Indianapolis, IN(IND). 1 I I Return: Charlotte, NC (CLT) Indianapolis, IN (IND) Date:Thursday,October.16,2014 Flight#/Carrier Depart Arrive Travel Meal Aircraft Cabin Seats time i 5751 5:40 PM CLT7:17 PM IND 1h 37m None E175 - Coach,(U) 19C Operated by Republic Airlines dba US Airways Express j j Flight#5751:There is a travel advisory in effect for Indianapolis, IN(IND). , E y - %L,e �! - -- T ! Terms & conditions i • Baggage charges are non-refundable. I a Baggage fees apply to travel on US Airways and US Airways Express flights. • Once you complete your purchase,you will have to pay for any additional checked bags at the airport. j • There is an additional$2 fee for curbside check-in at the airport. • For more information, please read our baggage policies. If one or more of your flights is on a partner airline, the bag fees of the partner airline may apply and you may be eligible for a partial refund. Please visit usairways.com/partnerbagfees. • If US Airways cancels your flight or you are denied boarding on an oversold flight,and if therefore you are ! unable to use the baggage fee for which you have already paid, US Airways will refund the unused baggage I j fee. If you have any questions about the refund of your unused baggage fee, please contact a US Airways customer service agent at the airport or call our Reservations Center at 800-428-4322. I I i t ! We are committed to protecting your privacy.Your information is kept private and confidential.For information about our privacy policy visit usairways.com.Please do not reply to this email,it is not monitored. If you'd like to contact us,please visit our website. 2 r Mike Kostrzewa From: US Airways Web Check In <reservations@email-usairways.com> Sent: Thursday, October 16, 2014 8:51 AM To: mike.kos@earthlink.net Subject: Your Receipt Categories: Travel US AIPWAYS Book travel . Travel toots Dividend Miles Specials US Airways Vacations Here's your receipt Thanks for saving time and checking in online. Please print this receipt or save the email for your records. �! Scan at any US Airways kiosk to check in l M14 ®1 Next stop:the airport. See terminal information and find your way. I ;Confirmation code: DGFE6R i Bags 1st bag 2nd bag 1 Charlotte,NC to Indianapolis, IN 2 x$25.00 C $50.00 fBags-total II �p y °a $50.00 USD 4 `4 Charged to Michael Kostrzewa YOU pall $50.00 USD i 1009(American Express) I - t ,R�'' �* ally' ` "ttsr- �^.'�,`: r • • --�. _ i Your flight j f Depart: Charlotte, NC (CLT) ®Indianapolis, IN (IND) Date:Thursday, October 16,2014 _ I Flight#/Carrier Depart Arrive timet MealAircraft Cabin Seats 1 i 5751 5:40 PM CLT7:17 PM IND 1h 37m None E175 Coach(U) 19C I Operated by Republic Airlines dba US Airways Express 1 y i Terms & conditions • Baggage charges are non-refundable. • Baggage fees apply to travel on US Airways and US Airways Express flights. • Once you complete your purchase,you will have to pay for any additional checked bags at the airport. • There is an additional$2 fee for curbside check-in at the airport. • For more information, please read our baggage policies. If one or more of your flights is on a partner airline, i the bag fees of the partner airline may apply and you may be eligible for a partial refund. Please visit usairways.com/partnerbagfees. i • If US Airways cancels your flight or you are denied boarding on an oversold flight, and if therefore you are i unable to use the baggage fee for which you have already paid, US Airways will refund the unused baggage fee. If you have any questions about the refund of your unused baggage fee, please contact a US Airways customer service agent at the airport or call our Reservations Center at 800-428-4322. USAinnjays, 11-1 Vif. Ric. Salado Pk ek�k� Te m p c,AZ 0528-1 We are committed to protecting your privacy.Your information is kept private and confidential.For information about our privacy policy visit usairways.com.Please do not reply to this email,it is not monitored.If you'd like to contact us,please visit our website. 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. 355133 Kostrzewa, Audrey Terms 2592 Turning Leaf Lane Date Due Carmel; IN 46032 Invoice Invoice Description Date Number . (or note attached invoice(s) or bill(s)) PO# Amount 10/20/14 Reimb Travel expenses for NRPA Congress $458.70 Total $ 458.70 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 i Voucher No. Warrant No. ,l 355133 Kostrzewa,Audrey ;i Allowed 20 2592 Turning Leaf Lane J Carmel, IN 46032 In Sum of$ I $ 458.70 ON ACCOUNT OF APPROPRIATION FOR " I y 101 -General Fund 1 I PO#or Board Members INVOICE NO. ACCT#/TITL •AMOUNT Dept# 1125 Reimb 4343000 $ 458:70 I hereby certify that the attached invoice(s), or . bill(s) is(are)true and correct and that the J materials or services itemized thereon for which charge is made were ordered and received except 'I 23-Oct 2014 L I Signature $ 458.70 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund