HomeMy WebLinkAbout239503 11/25/2014 �' s*q,,f CITY OF CARMEL, INDIANA VENDOR: 065950
`?' '� CHECK AMOUNT: $*******959.34*
.; ® �,• ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK NUMBER: 239503
.y��TeN.E°� CARMEL IN 46033-9501 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 R4343004 26769 959.34 TRAVEL EXPENSES—NLC
IG�S�of CAp'�F\
& CITY OF CARMEL Expense Report (required for all travel' expenses)
t n nu x„x /
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EXHIBIT A
EMPLOYEE NAME: 0 DEPARTURE DATE: 119 /I TIME: M PM
DEPARTMENT: lJ, 7 n RETURN DATE: TIME: Q- p-OAM/ M
REASON FOR TRAVEL: (.�l�l�� " DESTINATION CITY: �1
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT__.IL TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Taxi Tips Luggage Parking Breakfast Lunch Dinner Snacks Per Diem
303, (26
l /
a-e
Al , 0 6
Total 77r ® j 06
DIRECTOR'S STATEMENT/I hereby affir at all expenses listed conform to the City's travel policy and are with'n my department's appropriated budget.
Director Signature: Date: l ?L
U
City of Carmel Form#ER06 Revision Date 3/18/2009 Pagel
Affidavit for reimbursement
I, Diana L. Cordray, incurred $7.00 in baggage storage fees while at a conference in Austin,TX on
11/20/2014.
Diana L. Cordray
I
HILTON AUSTIN
.500 East 4th Street Austin,Texas 1 78701
FHilton T: 512 482 8000 1 F: 512 469 0078
�1 p�AUSTTIgNppRES W:hilton.com
CsMg� DIANAS Room: 2514/K1 E
1 CIVIC SQ Arrival Date: 11/19/2014 1:58:00 PM
Departure Date: 11/22/2014
CARMEL IN 46032-2584
UNITED STATES OF AMERICA Adult/Child: 1/0
Room Rate: 264.00
Rate Plan: NCC
HH# 348692524 SILVER
AL:
Car:
Confirmation Number:3156835236
11/21/2014 Page: 1
DATE DESCRIPTION ID REF.NO CHARGES CREDITS BALANCE u
HILTON
11/19/2014 GUEST ROOM WSHAY 8712230 $264.00 HHONORS
11/19/2014 CITY OCCUPANCY TAX WSHAY 8712230 $23.76
11/19/2014 STATE OCCUPANCY TAX WSHAY 8712230 $15.84
11/20/2014 EXEC LOUNGE BEVERAGE LLEE 8712975 11-eE
11/20/2014 GUEST ROOM ANAZ 8713965 $264.00
11/20/2014 CITY OCCUPANCY TAX ANAZ 8713965 $23.76
11/20/2014 STATE OCCUPANCY TAX ANAZ 8713965 $15.84
"BALANCE— $620.20
,OMK:1D
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ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO.
1456768 A
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CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO.&LOCATION ESTABOSNMENT-EES TOTI-IS TTOGRD ROWER MR PAYMENT PURCHASES&SERVICES
CITY OF AUSTIN REQUIRES THAT AN ADDITL TX OF 2%BE
IMPOSED ON EACH HOTEL CHARGE FOR THE PURPOSE OF TAXES
FINANCING A VENUE PROJECT.
THANK YOU FOR CHOOSING THE HILTON AUSTIN TIPS&misc.
R:
CARD MEMBER'S SIGNATURE TOTAL AMOUNT G2n��•etirus
MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT
r
Page 1 of 1
NATIONAL CONGRESSI
LEAGUE OF CITIES
AND
EXPOSITION
=18EHIi1:UNT411iIRVlllt'-
of CITIES AUSTIN,TX 1 2014
NOV EM.BER 1 .8 -.2.2 , 2014 AUSTfN bONVEN-TION CENTEA.-
Progress:1 Welcome Diana Cordrayll-onout
i
Booking Summary Need Help?
To make changes or additions to your registration for the conference,please click'My Registrations'. If you need to Questions?
make a reservation,please dick on'Make A New Reservation'.
Click here to chat with a
Customer Service Agent
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My Registrations
Diana Cordray's
Pending Purchases
To view or edit a person's registration,click VlewlModify.
To add registration to a person listed below who does not have it,click Register. Booking Financials
To remove a pending registrant,dick Remove.Note:Paid registrants may not be deleted.
If you need to cancel a completed registration,please contact customer service toll free of Registration Total: $520.00
(866)229-2386 or(301)694-5243 rinternedonal registrants),or by email. Form of Guarantee: $0.00
Booking Total: $520.00
Payments: $0.00
REGISTRANTS Balance Due: $520.00
Show Information
RegistrentlD Name Registration Type Registrant State Balance Due Modify/Add Remove
2671 Diana Cordray NLC Member Complete 3520.00 View/Modify November 18-22,2014
Registration Financial Summary Austin,TX
Please visit NLC's website for more
Total Charges Total Paid Total Due Informationl
$520.00 $0.00 $520.00
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If you have any questions throughout the registration process,please contact 866-221-7896
(toll free),240-439-2970(International residents)or by email.
hq://registration.experientevent.com/ShowNLC 142/default.aspx?passthrough=0x010000... 7/15/2014
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
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.
dAA P ee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
MAZY
3
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
l
if Zwe l
G
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
0� "! or bill(s) is (are) true and correct and that
the materials or services itemized thereon
for which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund