HomeMy WebLinkAbout238869 11/05/14 1y N�F
CITY OF CARMEL, INDIANA VENDOR: 356653
j• ONE CIVIC SQUARE ALEXIA LOPEZ CHECK AMOUNT: $*******938.24*
?� CARMEL, INDIANA 46032 230 w 49TH ST CHECK NUMBER: 238869
9.i;�TON, INDIANAPOLIS IN 46208 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 REIMB 713.24 TRAVEL FEES & EXPENSE
1192 4343004 REIMB 225.00 TRAVEL PER DIEMS
I
Home>Thank You for Choosing United Airlines
ThankYou...for„Choosing...United•.Airlines..................................................................................................................._...._................................................................._
United Confirmation Number LLXCQ5
Purchase Surnmaryi 1 i
iLL !'! 'tf� .K j`, I+�! j,i+ _ _7' i:' !-: i'4}• `'•' _.1• 1 1 � ._
1Aduit(.--6 )} �� v' ;: �-_ ! ,�� 7: i=;} i .j. $412.31
Additio' Jaxe Fi s: i �' -�-�:is j { ;� —l I -4.170
Total $4Sgipi
is I . ! t_ .., j.,.. S•�: _ ; .,!..: j.•^ _ ,L
Paymentinformation
Name of Cardholder:! !Ataxia K.Donahue=Wold } {` i j i 1 ► !
Card Type: ! 1 ! !
M)IeagePlus;Meinbers:j Upon compieiidn of this itinerary,you will�earrn up to!2,1; 5 Mi1Cag@Plus award mlie5!x
Flight Details; United,Confirmation IVgritber LLXCQ5
.} Tue.,Oct:21,2014 1 Indianapolis,IN(IND)to New Orleans,LA,(MSY)' z ! { r S
Depart: Arrive: i +, } i i , Flight TIme:1 hr Distance F;Ight;UAG125
1:22 p.fn.• } 1 : i 11:25p.m. . 1 ) F 3 mn t 178;mi1e5 } ! Operated by EXPRESS]�r AIRLINES DBA
Tues,Oct.21,2014 i } ; , Yue.,6ct.41,2014 ! j , `. i , UNITED EXPRESS.
Indlanapolis,.IN(IND} 1 Chicago,IL(ORD 1 O'Hare) Aircraft: Einbraer 87145
Fare Class: United Ecanon;y(w)
Meal:(Norie 1 -
!
No Special Meal Offered. :
1 ' } _ ;' l i C�• } ! 1 ! A. _ , I , 7t Promotional QNer Appll'ed 1
Chapge Planes.Connect timeiln Chleago,IL(O�D-O'Hare),Is>{hour 3Q mlriutes. I ; � t ; , ,• ! ,.,, ! ,
Depart^i^-^_.:...-_•. ._ -.1_...'. .... ..
�- rrivep ”+"--t—'•'••-'-•: FII htTlme:2•hr- Dlstance:i "'"t-• -"'i F(Ighti'UAfi09;
r A g
2:55 p*in.} t I I i 5:12+pA. t i ! . ! 17;mn I ! 837 miles ! ! } Aircraft:A.Irbus A319 i j
Tues,Oct.21!2014 } 1 ! TLa.,Oct.!21,x014 1 1 i. Travel TIme:4! jotal Distance: j Fare Class: Untied Economy(w) l
Chlr:ago,IL ORD-O'Hare) I New Orleans,LA(MSY)} I - hr 50 mn( 1,015 mlleb i t Mea1:;Snacirs for Purchase y
I No Special Meal Offered. ;
Promoi:lonal Offer Ap'Plled:
* s at.,Oct..29;;2014 `New Orleans,l A'(h1SY),to' Iidiariapolis,IN(IND)(
Depart.`• " �" ^' i=!Arrive•,J:!; :I FgglitTlmeil:hrr-i•Distance: ° + •Flijhti UA1156 %t; j
4:55 p.in.I r E j`.�1 7''6e091p:m. .�_f :-z.-iiia mn "` J .305Sriiiles;' } I''.1: Aircraft;8being737-950 }.
Sat.,Oct«25,.2014`l' _,�.' ;Sat:,.0'tt..?5,20Lt C..''.�' _ i •i•` _ _ _} Falq CI+ s!::ilnrted_ECogdmy(Q ,
NewlOrleansl LA(MS`().. �.i•i Houston,TX(IAH: ' ;•LL'-• _i1,__.,_..__.. T �- •!w ;• Meal:}None
r ,Ihtereontipental) No Special Mea[Offered. •' f
Promotional Offer Applied 1
Change Planes.Connect time In.Hpust�n,TI%(IAH 'Intercontinental)Is 46 minutes.
Depart:• i t' } ; Arrive: i ( } Flight 7lme:2 hr Distance:: i ! !f Flight-UA3449 j
6:55 p'm.; 7 j j 1`10:12 p.m.: ! 7 ( 17,mn 845 miles 1 ; s OPerate�by SHUTTLE�MERICA DBA UN
Sat.j Oct.25,2014 •_• , ;I Sat.,Oct 25,2014 ! i ; ? Travel Time:4 i total;Dls(ance:
EXPRESS.,
•, i t•? ;
Houston;TX,(IAH- , . '1 Ihdianapolis,IN(IND)` , +,=,1 hr',17 mn' 11,150 ritile§ i 1 Aircraft;-Embraer ERI-170,
Fare Class: Un(tedEedromy(Q)
Inte'conUnental) } j { j i , Meah Snacksfor•Purchase' - f
1 1, j ' r, it
No Speclal Meal_Offer?d;'
1 I_ }• � ..l . i � s .;. .. ;. ;.., ;;_ i•�i�;•7 �� •i �•`-- , � ji,;si�=: :
i 1 '! , i I i ` ! •} 1 ?• ;iA _ ( iPromo�lonal Offer..Applled;
7 i:Fi t i;
raveler(s):'i.:, ' _i j" ?4i ire • i ,j' ;a', Y,. ;,,, i" �) s ,_ s.,:l', I_ ;
Mrs.=Alexa.K:L op en• Ic''`..t'
•i - 1 I !. 1'' .:1 '"_i(-'t'eS.l-- 7_ iL':•.�.,. }' j j JMic!'1' -i, •:r` i f'�
Date of B)rthe :6%30/1984• !Gender`.::(_Fdmale:
�neeia!I;ilealc.Rey _I Not applicable Y6r,.thls:lfIneraty,., _- _ ;_�;- ,;. : _:: ")j
E-mailAddress �adonahueyiold@gmafhcorgi�
Home Phone: + ! ;(317)670-5459-United States
Business/Other Phone::"}(317).57.1-2417::(Jnited:States:.I n:1 i ! ;; _ i •,r;�.r11 i• t •,!I'! 1
SeatA!s,gn nents: 2NOR
D(- D:BA
'e
_ORDS MS_Y_:132F; I,..i ! _ 1. _
MSY-IAH:30A
IAH'-IND:18A ;
CITY OF CARMEL Expense Report (required for all travel expenses)
�LEx l �a�CZ DEPARTURE DATE: 10/21/2014 TIME: 1:22 PM
RETURN DATE: 10/25/2014 TIME: 10:12 PM
REASON FOR TRAVEL: Training DESTINATION CITY: New Orleans, LA
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
10/21/14 $17.00 $218.88 $30.00 $265.88
10/22/14 $218.88 $65.00 $283.88
10/23/14 $218.88 $65.00 $283.88
10/24/14 $65.00 $65.00
10/25/14 $39.60 $39.60
$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 $0.001 $0.001 $56.60 $0.00 $656.64 $0.001 $0.00 $0.001 $0.001 $225.00 $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.
City of Carmel Form#ER06 Revision Date 10/31/2014 Page 1
Director Signature: Date:
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 $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 $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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.
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 10/31/2014 Page 2
ir
CROWNE PLAZA
NEW ORLEANS FRENCH QUARTER
10-25-14
Alexia Lopez Folio No. Room No. 1117
1 Civic Square A/R Number Arrival 10-21-14
Carmel In Group Code GBZ Departure 10-25-14
Us 46032 Company Conf. No. 62753928
Membership No. Rate Code
Invoice No. Page No. 1 of 2
Date I . _ Description I Charges I Credits
10-21-14 Room Revenue 1117 Alexia Lopez 189.00
10-21-14 Room Sales Tax 1117 Alexia Lopez 24.57
10-21-14 Occupancy Tax($2.00) 1117 Alexia Lopez 2.00
10-21-14 Tourism Support Assessment 1117 Alexia Lopez 3.31
10-22-14 Room Revenue 1117 Alexia Lopez 189.00
10-22-14 Room Sales Tax 1117 Alexia Lopez 24.57
10-22-14 Occupancy Tax($2.00) 1117 Alexia Lopez 2.00
10-22-14 Tourism Support Assessment 1117 Alexia Lopez 3.31
10-23-14 Room Revenue 1117 Alexia Lopez 189.00
10-23-14 Room Sales Tax 1117 Alexia Lopez 24.57
10-23-14 Occupancy Tax($2.00) 1117 Alexia Lopez 2.00
10-23-14 Tourism Support Assessment 1117 Alexia Lopez 3.31 {�
1-0-24-14--
10 - a es ax a 24.57
1 -
1 ounsm uppo ssessmen exia 3.31- -
10-24-14 Visa Card 875.52
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
C ROW N E PLAZA
NEW ORLEANS FRENCH QUARTER
10-25-14
Alexia Lopez Folio No. Room No. 1117
1 Civic Square A/R Number Arrival 10-21-14
Carmel In Group Code GBZ Departure 10-25-14
Us 46032 Company Conf. No. 62753928
Membership No. : Rate Code
Invoice No. : Page No. 2 of 2
Date I Description I Charges I Credits
Total 875.52 875.52
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.
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
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Schedule
Greenbuild 2014 Schedule
MONDAY,OCTOBER 20 i
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8:00 AM–12:00 PM Half-Day Green Building Tours
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TUESDAY,OCTOBER 21 I
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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
WEDNESDAY, OCTOBER 22
8:00 AM–9:00 AM Education Sessions
8:00 AM-6:00 PM LEED Certification Work Zone
9:00 AM–5:30 PM Expo Hall Open
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2:00 PM–4:00 PM Education Sessions
6:00 PM–11:00 PM Opening Keynote&Celebration
THURSDAY,,OCTOBER 23
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
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9:30 AM–10:30 AM Education Sessions
11:30 AM–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
:FR1DAY,"0CT0BER 24
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Quick Links
Register for Greenbuild
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Floor Plan(PDF)
Floor Plan(Interactive)
f
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alexia Lopez
IN SUM OF $
One Civic Square
Carmel, IN 46032
$938.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
I
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 43-430.01 $56.60'
bill(s) is (are)true and correct and that the
1192 43-430.01 $656.64'
materials or services itemized thereon for
1192 43-430.04 $225.00 which charge is made were ordered and
received except
1
Monday, November 03, 2014
ect
Title
a
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))
10/31/14 $56.60
10/31/14 $656.64
10/31/14 I I I $225.00
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