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Home My WebLink About238859 11/05/2014 CITY OF CARMEL, INDIANA VENDOR: 00352899 a4 ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $`*'*"*951.64- ;i CARMEL, INDIANA 46032 C/0 DOCS CHECK NUMBER: 238859 C/0 DOCS CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343003 691.64 TRAVEL & LODGING 1192 4343004 260.00 TRAVEL PER DIEMS CITY OF CARMEL Expense Report (required for all travel expenses) ....�HDIANPi' EMPLOYEE NAME: Adrienne Keeling DEPARTURE DATE: 10/21/2014 TIME: 10:45 AM AM/PM DEPARTMENT: DOCS RETURN DATE: 10/25/2014 -TIME: 1:45 PM AM/PM REASON FOR TRAVEL: '�Greenbuild Conference DESTINATION CITY: New Orleans LA' 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 10/21/14 $20.00 $218.88 $65.00 $303.88 10/22/14 $218.88 $65.00 $283.88 10/23/14 $218.88 1 $65.00 $283.88 10/24/14 $65.00 $65.00 10/25/14 $15.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total 1 $0.001 $0.001 $35.00 $0.001 $656.641 $0.001 $0.001 $0.001 $0.00 $260.00 $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: Date: City of Carmel Form#ER06 Revision Date 11/3/2014 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 followinq 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 $30 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 $30 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 $65 for out-of-state travel i EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$_, 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. i i Employee Signature: JVzqlw Date: J i City of Carmel Form#ER06 Revision Date 11/3/2014 Page 2 Keeling, Adrienne M From: Adrienne Keeling <amkeeling@hotmail.com> Sent: Tuesday, September 02, 2014 9:15 AM To: Keeling,Adrienne M Subject: FW:eTicket Itinerary and Receipt for Confirmation APGKJZ From: unitedairlines@united.com To:AMKEELING@HOTMAIL.COM Date: Mon, 1 Sep 2014 20:12:02-0500 Subject: eTicket Itinerary and Receipt for Confirmation APGKJZ [� Confirmation: APGKJZ Check-In> Issue Date: September 02,2014 Traveler eTicket Number Frequent Flyer Seats q KEELING/ADRIENNEMMS 0162420572316 UA-WU49XXXX l0A/28B/31E/15A FLIGHT INFORMATION Day,Date Flight C1assDeparture City and Time Arrival City and Time Aircraft Meal Tue,21 OCT 14 UA4477 V INDIANAPOLIS, IN HOUSTON,TX ERJ-145 Purchase (IND)10:43 AM (IAH-BUSH INTL) 12:08 PM Flight operated by EXPRESSIET AIRLINES INC.doing business ac UNITED EXPRESS. Tue,21 OCT 14 UA 1194 V HOUSTON,TX NEW ORLEANS,LA 737-900 (IAH-BUSH INTL) 12:56 PM (MSY)2:08 PM Sat, 250CT14 UA1556S NEW ORLEANS,LA HOUSTON,TX 737-800 (MSY)8:15 AM (IAH-BUSH INTL)9:29 AM Sat,'250&14 UA5242S HOUSTON,TX ._ INDIANAPOLIS, IN CRJ-700Purchase (IAH-BUSH INTL) 10:20 AM(IND) 1:37 PM Flight operated by SKYWEST AIRLINES doing business as UNITED EXPRESS. FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 323.45USD MASTERCARD U.S. Federal Transportation Tax: 24.26 Last Four Digits 8752 U.S. Flight Segment Tax: 16.00 September 11 th Security Fee: 11.20 U.S.Passenger Facility Charge: 15.00 Per Person Total: 389.91 USD eTicket Total: 389.91 USD The airfare you paid on this itinerary totals: 323.45 USD i GREENBUILD INTERNATIONAL CONFERENCE AND EXPO EXPO: OCT. 22-23 1 CONFERENCE: OCT. 22-24 MORIAL CONVENTION CENTER i NEW ORLEANS,LA Schedule Greenbuild 2014 Schedule 8:00 AM -4:00 PM Full-Day Green Building Tours 8:00 AM—12:00 PNI Half-Day Green Building Tours 8:30 AM—5:00 PM Full-Day LEED Workshop 2:00 PM—6:00 PM Half-Day Green Building Tours TUESDAY,OCTOBER 21 7:45 AM—4:30 PM Vision 2020 Sustainability Summit 8:30 AM—5:00 PM Full-Day LEED Workshops 9:00 AM—5:30 PM Affordable Homes&Sustainable Communities Summit 9:00 AM—5:30 PM Materials&Human Health Summit 11VE®(VESDAY'OCTOSE R 22 8:00 AM—9:00 AM Education Sessions 8:00 AM-6:00 PIM LEED Certification Work Zone 9:00 AM—5:30 PM Expo Hall Open 9:30 AM—10:30 AM Education Sessions 2:00 PM—4:00 PM Education Sessions 6:00 PM—11:00 PM Opening Keynote&Celebration THURSDAY;'`OCTOEER3 7:00 AM—9:00 AM Women in Green Power Breakfast 8:00 AM—9:00 AM Education Sessions 8:00 AM-6:00 PM LEED Certification Work Zone 9:00 AM—5:30 PMI Expo Hall Open 9:30 AM—10:30 AM Education Sessions 11:30 ANI—1:30 PM USGBC Leadership Awards Luncheon 2:00 PM—4:00 PM Education Sessions 3:00 PM-5:00 PM Happy Hour in the Hall FR!®AY, OCTOBER,-2 8:00 AM—9:00 AM Education Sessions 8:00 AM—11:00 APA LEED Certification Work Zone 9:30 AM—10:30 AM Education Sessions 11:00 AM—12:30 PM Closing Plenary 2:00 PM—6:00 PM Half-Day Green Building Tours SATURDAY, OCTOBER 25 8:00 AM—12:00 PM Half-Day Green Building Tours 8:00 AM—4:00 PM Full-Day Green Building Tours `Invitation Only Quick Links Register for Greenbuild Floor Plan(PDF) Floor Plan(Interactive) 10/15/2014 Airport Shuttle's Online Reservation System `' lr ?��iv srtJr� P�x GREEN BU 1 La INTERNATIONAL CONFERENCE AND EXPO yt iT r NEW ORLEANS OCT.22-24,2014 GREENBUILDEXPO.ORG 6.-1 Availability Select service Payment Confirmation Reservation Confirmation Please note that this is not your boarding ticket, y Add to Trlplt a copy of your ticket is being e-mailed to you. Print this pane Get tree Vavel tools Airport Shuttle requires that you present a printed WebTicket at the time you board the vehicle.Print your WebTicket now and keep it with your other travel documents so that you have it with you on the day that you travel. To Access and Print Your WebTicket Click Here We have created a reservation with the following details: Name:Adrienne Itinerary Return Itinerary Keeling Reservation Number ;WN4677746 ;WN4677753 -------------------------------------------------------------------------i---------------------------------------------- ---- Pickup Location ;New Orleans Int'I Airport___ _ _ _ _ ;Astor Crowne laza I I Pickup Address ;739 Canal St.(Main Entrance) ---------------------------i---------------------------------------------i---------------------------------------------• Dropoff Location ;Astor Crowne Plaza ;New Orleans Int'I Airport I I Dropoff Address ;739 Canal St.(Main Entrance) ---------------------------i---------------------------------------------i---------------------------------------------- Pickup Date ;Tuesday,October 21,2014 ;Saturday,October 25,2014 I I Pickup Time :2:10 PM ;5:55 AM Number of Passengers 2 2 -------------------------- - ------------------------------------------ -------------------------------------------- Service "rt `�._'N �tirrnrr Shulfh,,f _ K Shared Van; Shared Van ---------------------------i---------------------------------------------i----------•-----------------------------•----• Payment Type ;Credit Card ;Credit Card ---- --------------------------- Fare ;$40.00 �!J r�.00 ;$30.00 � i(j.a 0 --------------------------- ---------------�-c-------�r------------------------i---------------------------------------------- Total Fare $70.00J-5-00 -3 Instructions Changes to this Reservation: If you have any questions or wish to change this reservation,please contact our reservations center at 866-596-2699.Please reference the reservation number when calling. https://airportshuttleneworleans.hudsonitd.nettres 1/2 �1 CROWNE PLAZA d NEW ORLEANS FRENCH QUARTER 10-25-14 Justin Keeling Folio No. Room No. 0548 1 Civic Square A/R Number Arrival 10-21-14 Carmel In Group Code GBZ Departure 10-25-14 Us IN 46032 Company Conf. No. 62747173 United States Membership No. PC 974370061 Rate Code Invoice No. : Page No. 1 of'2 Date I Description I Charges I Credits 10-21-14 Room Revenue 0548 Justin'Keeling 189.00 10-21-14 Room Sales Tax 0548 Justin Keeling 24.57 10-21-14 Occupancy Tax($2.00) 0548 Justin Keeling 2.00 10-21-14 Tourism Support Assessment 0548 Justin Keeling 3.31 10-22-14 Room Revenue 0548 Justin Keeling 189.00 10-22-14 Room Sales Tax 0548 Justin Keeling 24.57 10-22-14 Occupancy Tax($2.00) 0548 Justin Keeling 2.00 10-22-14 Tourism Support Assessment 0548 Justin Keeling 3.31 10-23-14 Room Revenue._ 0548 Justin Keeling 189.00 10-23-14 Room Sales Tax 0548 Justin Keeling 24.57 10-23-14 Occupancy Tax($2.00) 0548 Justin Keeling 2.00 10-23-14 Tourism Support Assessment 0548 Justin Keeling 3.31 10-24-14 Room Revenue 0548 Justin Keeling 489.99 10-24-14 Room Sales Tax 0548 Justin Keeling —24-157- 10-24-14 24 7 -10-24-14 Occupancy Tax($2.00) 0548 Justin Keeling 2.99 10-24-14 Tourism Support Assessment 0548 Justin Keeling 3.34 10-24-14 _ 875.52 (t . IX ACP Hotel Owner LP, DBA Astor Crowne Plaza Hotel 739 Canal Street New Orleans, LA 70130 Phone:(504)962-0500 Fax: (504)962-0501 CROWNE PLAZA® NEW ORLEANS FRENCH QUARTER 10-25-14 Justin Keeling Folio No. Room No. 0548 1.Civic Square A/R Number Arrival 10-21-14 Carmel In Group Code GBZ Departure 10-25-14 Us IN 46032 Company Conf. No. 62747173 United States Membership No. : PC 974370061 Rate Code Invoice No. : Page No. 2 of 2 Date I Description I Charges I Credits Thank you for staying with usl Qualifying points for this stay will automatically be credited to Total 875.52 875.52 -your account. Please tell us about your stay by writing a review here- www.ingrewardsclub.com/review. We look forward to welcoming you back soon. Balance 0.00 *If applicable, by signing the line below,you agree to a$200.00 cleaning fee for smoking in a Non-Smoking room. Guest Signature: I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Dear Valued Guest: In the near future you may receive a Heartbeat Email Survey from Intercontinental Hotels Group(IHG). We ask that you please complete the survey and remember that a"10"rating means that your stay was enjoyable. If you enjoyed your stay, please give us a "10"rating. If your stay was less than enjoyable, please contact a member of our' Management Team prior to completing the Heartbeat Survey. i IX ACP Hotel Owner LP, DBA Astor Crowne Plaza Hotel 739 Canal Street New Orleans, LA 70130 Phone:(504)962-0500 Fax: (504)962-0501 VOUCHER NO. WARRANT NO. ALLOWED 20 Adrienne Keeling IN SUM OF$ c/o One Civic Square Carmel, IN 46032 $951.64 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 1192 43-430.03 $691.64 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1192 43-430.04 $260.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, November 03, 2014 Direc i 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)) 11/03/14 $691.64 11/03/14 Travel per diems-Greenbuild $260.00 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