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Home My WebLink About243092 03/11/15 CITY OF CARMEL, INDIANA VENDOR: 027850 ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: S""'"1,294.82' f� ?� CARMEL, INDIANA 46032 CHECK NUMBER: 243092 CHECK DATE: 03/11/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 768.20 TRAVEL FEES & EXPENSE 1160 4343003 364.12 TRAVEL & LODGING 1160 4343004 162.50 TRAVEL PER DIEMS I 4�tiv OF Cgq3jF CITY OF CARMEL Expense Report (required for all travel expenses) AWUTA0= EXHIBIT A EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 3/4/2015 TIME: 4 : 3 0 AM PM DEPARTMENT: Mayor RETURN DATE: 3/6/2015 TIME: 3 :59 AM PM REASON FOR TRAVEL: FOCUS 2015 DESTINATION CITY: Washington, D.C. 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 3/4/15 $666.20 $32.50 $698.70 3/5/15 1 $58.00 $227.86 $65.00 $350.86 3/6/16 $44.00 $136.26 $65.00 $245.26 $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 -Tow- Total Total $666.20 $0.001 $58.001 $44.001 $364.12 $0.00 $0.00 $0.001 $0.001 $162.601 $0.00 DIRECTOR'S STATEMENT: hereb affirm that all expenses listed conform to the City's travel and are within my department's appropriated budget. Director Signature: Date�olflcy City of Carmel Form#ER06 Revision Date 3/10/2015 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 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: i City of Carmel Form#ER06 Revision Date 3/10/2015 Page 2 3/10/2015 American Express US:Manage Your Card Account Online Statement Transaction Details Prepared for sESs James C Brainard sl Account Number 4 'r Date Description Card Member ;j Amount i MAR12015 EXPEDIA INC BELLEVUE WA JAMES C BRAINARD $666.20 Doing business as: Flight Details US AIRWAYS WASHINGTON 4000 E SKY HARBOR BLVD INDIANAPOLIS NATIONA PHOENIX WASHINGTON AZ NATIONA INDIANAPOLIS 850340664 UNITED STATES Additional Information:030509 AIRLINE/AIR CARRIER Passenger Name:BRAINARD/JAMES C US AIRWAYS INC. Date of Departure:03/04 Reference:320150610308180369 Ticket Number:03775773305640 Category:Travel-Airline LDocument Type:PASSENGER TICKET httpsl/online.americanexpress.com/myealshared/summary/estatement/print doe1.17.2.2.html 1/1 Kibbe, Sharon From: brainardjc@aol.com Sent: Sunday, March 01, 2015 9:52 AM To: Martin, Candy; Kibbe, Sharon Subject: Fw: Expedia travel confirmation/e-Ticket- Mar 4 - atin# 199316631452) Sent from Surface From: Expedia Travel Confirmation Sent: Sunday, March 1, 2015 9:07 AM To: Jim Brainard Thank you for booking with Expedia! All of your trip information is in your online itinerary • Get live status information • Easy access to your latest trip information • Upgrade,change or cancel your booking Go To My_-Itinerary �= Access your itinerary anywhere._ _ _ GET THE FREE APP Washingto.n 199316631452 E = This email can be used as an E-Ticket. Itinerary# 199316631452 To get the most up-to-date version of your trip,go to your online itinerary and print a copy to take with you. f Important Information i • Remember to bring your itinerary and government-issued photo ID for airport check-in and security. j i 1 Indianapolis (IND) ---> Wash • • ` CONFIRMED Mar 4, ` It 1 • 1 • • • ticket US r Your reservation is booked and confirmed. There is no need to call us to Price Summary t! reconfirm this reservation. � I Traveler 1:Adult $666.20, Traveler Information Flight $593.48,' j Taxes&Fees $72.72 �! James C. Brainard No frequent flyer details Ticket# I d Adult provided 0377577330564 j ' Expedia Booking Fee $0.00, Total: $666.20 I! Seat assignments,special meals,frequent flyer point awards and special 'i assistance requests should be confirmed directly with the airline. I All prices quoted in US dollars. i Mar 4,2015-Departure Nonstop Total travel time:1 h 35 m I II Indianapolis Washington 1 h 35 m Additional Flight Services 487 mi ' IND 4:30pm DCA 6:05pm ❑0 = US Airways 4508 Operated by US AIRWAYS EXPRESS-REPUBLIC • The airline may charge = AIRLINES � additional fees for checked a ;! Economy/Coach(W) Seat 17C Confirm or change seats with the ! baggage or other optional i airline* I services. i; Mar 6,2015-Return Nonstop Total travel time:2 h 0 m ji i i Washington Indianapolis 2 h O m 487 mi DCA 1:59pm IND 3:59pm i US Airways 4508 Operated by US AIRWAYS EXPRESS-REPUBLIC AIRLINES fEconomy/Coach(W) i Confirm seats with the airline* 4 ? ! Because you Airline Rules&Regulations j ! booked a flight, E it • We understand that sometimes plans change.We do not charge a cancel or l change fee.When the airline charges such fees in accordance with its own you qualify for up to policies,the cost will be passed on to you. 55% off Washington 4 • Tickets are nonrefundable, nontransferable and name changes are not j allowed. ; hotels. • Please read the complete penalty rules for changes and cancellations j applicable to this fare. I -Expires Wed, March 11 ' �i • Please read important information regarding airline liability limitations. 1 i -----__---------__-.------____------------- See hotels I: f � Need help with your reservation? Expedia+ rewards I Visit our Customer Support page. 133 points X Call us at 1-877-261-3523 For this trip For faster service, mention itinerary#199316631452 Check your balance 2 3/10/2015 American Express US:Manage Your Card Account:Online Statement Transaction Details Prepared for �wxEss James C Brainard Account Number X)=-XXX' Date Description Card Member Amount MAR52015 UBER OBER 866-576.1039 CA JAMES C BRAINARD $58.00 I Doing business as: UBER 182 HOWARD ST #8 SAN FRANCISCO CA 94105-1611 UNITED STATES i i Additional Information:NH5HKYM 8665761039 8665761039 Reference:320150640354708276 Category:Transportation=Taxis&Coach 1_ �I https.-//online.americanexpress.com/mycalshared/summary/estatementfprint docl.17.2.2.html 1/1 Kibbe, Sharon From: brainardjc@aol.com Sent: Thursday, March 05, 2015 7:51 AM To: Kibbe, Sharon Subject: Fwd:Your Wednesday evening trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts.washington.DC@uber.com> Date: March 4,2015 at 7:49:49 PM EST To: Brainardjc(c�r�,aol.com Subject: Your Wednesday evening trip with Uber ---- MARCH 4,2015 $58.00 Thanks for choosing L ='Br okirlont ` `�•— J II 'z9 "Mt Rai r�I��' FARE BREAKDOWN Base Fare m�;Arl,gton i;• 1� z95"l� h-Cor4rs Distance 120 �j� . 11•�_V,l� Baileys r ) w _, 'Gros'sroads :�I1Map clata`©2015_Google! Time 06:59pm Ronald Reagan Washington National Airport,2401 South Smith Boulevard,Arlington,VA Subtotal 07:49pri1 2101 Wisconsin Avenue Northwest,Washington,DC Rounding Down CAR MILES TRIP TIME BLACK CAR 9.24 00:49:30 1 3/10/2015 American Express US:Manage Your Card Account:Online Statement Z=EA1V1,,NTransaction Details Prepared for James C Brainard Account Number X)=-XXXX: Date Description Card Member Amount HOLIDAY INN MAR62015 JAMES C BRAINARD $227.86 GEORGETOWASHINGTON DC Doing business as: Itinerary Details HOLIDAY INN GEORGETOWN 2101 WISCONSIN AVE NW Arrival '- HOLIDAY INN GEORGETOWN 03/04/15 I WASHINGTON DC Departure 20007 UNITED STATES 03/05/15 jAdditional Information:2214625 2023384600 Reference:320150660395562959 LODGING Category:Travel-Lodging 2023384600 https://online.americanexpress.com/myca/shared/summary/estatementfprint docl.17.2.2.html 1/1 0 aUda ins' 108 03-10-15 James Brainard Folio No. 381072 Room No. 426 12662 Royce Court A/R Number Arrival 03-04-15 Carmel In Group Code Departure 03-05-15 USA 0001 46033 Company Conf. No. 60561936 Membership No. : Rate Code : IGCOR Invoice No. Page No. 1 of 1 Date I Description I Charges I Credits 03-04-15 Room Accommodations 199.00 03-04-15 Room Tax 28.86 03-05-15 227.86 Total 227.86 227.86 Balance 0.00 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. Holiday Inn Georgetown 2101 Wisconsin Ave Washington DC,20007 Telephone: (202)338-4600 Fax: (202)333-6113 3/10/2015 American Express US:Manage Your Card Account:Online Statement `r,r,E �ertfU Transaction Details Prepared for �xEjs James C Brainard Account Number X)=-XX) Date Description Card Member Amount HOLIDAY INN MAR72015 GEORGETOWASHINGTON DC JAMES C BRAINARD $136.26 Doing business as: Itinerary Details HOLIDAY INN GEORGETOWN 2101 WISCONSIN AVE NW Arrival HOLIDAY INN GEORGETOWN F 03/05/15 WASHINGTON _ DC Departure 20007 (� UNITED STATES I . 03/06/15 i Additional Information:2214626 2023384600 Reference:320150670407915879 LODGING Category:Travel-Lodging 2023384600 https://online.americanexpress.com/myealsharedisummary/estatementtprird docl.17.2.2.htmi 1/1 0 108 03-10-15 0 5 James Brainard Folio No. 381179 Room No. 426 12662 Royce Court A/R Number Arrival 03-05-15 Carmel In Group Code JOY Departure 03-06-15 USA_0001 46033 Company Embassy of France Conf. No. 60565438 Membership No. : Rate Code Invoice No. : Page No. 1 of 1 Date I Description I Charges I Credits 03-05-15 *Accommodation 119.00 03-05-15 Room Tax 17.26 03-06-15 136.26 Total 136.26 136.26 Balance 0.00 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. Holiday Inn Georgetown 2101 Wisconsin Ave Washington DC, 20007 Telephone: (202)338-4600 Fax: (202)333-6113 3/10/2015 American Express US:Manage Your Card Account:Online Statement ri+ara,cvv Transaction Details Prepared for L'� E55 James C Brainard s Account Number A0A-)/000/yy Date Description Card Member Amount INDIANAOPOLIS AIRP 51NDIANAPOLIS MAR62015 IN JAMES C BRAINARD $44.00 Doing business as: Transaction Details INDIANAPOLIS AIRPORT AUTHORITY Description Price 7800 COL H WEIR COOK MEM AUTO $44.00 STE 38 PARKING LOTS A INDIANAPOLIS IN 46241-8004 UNITED STATES Additional Information:306581656 3174879594 3174879594 f Reference:320150660389161911 Category:Other-Government Services https://online.americanexpress.com/myealshared/summary/estatemenVprint doo1.17.2.2.htmi 1/1 d� e%94211.(,P� \Washington DC, December 26, 2014 ,Mayor fames Brainard Carmel City Hall One Civic Square, Carmel, IN 46032, Dear Mayor Brainard, :After Peru, it will be France that hosts the next major conference on climate change, in December 2015, at which an international agreement should be reached. Drawing lessons from the past, prance wants this global event to offer an interface between government negotiators,civil society and businesses. The success of this conference, and the path to reducing our greenhouse gas emissions, depends greatly on local government involvement. As a consequence, the I::mbassv of France in the United States, in association with the National League of Cities,is hosting 1'OCUS 2015, a forum on sustainable cities on,March 5 and 6, 2015, in Washington DC. 'Phis forum will focus on exchanges between French and American city, officials regarding solutions for more sustainable cities. It will present concrete ideas for expanding sustainable economic growth and creating jobs while dealing with environmental issues. The forum will also represent an opportunity for American cities to prepare for the Paris Climate Change Conference. It is with great pleasure that I invite you to attend this event, which will bring together public and private leaders: mayors, governors, U.S. cabinet secretaries, chief executive officers, etc. You will have the opportunity to present the innovative programs and policies that make Carmel a leader in sustainability and smart growth. To confirm your attendance or request additional information, please contact Zacharie Bruyas, 1'OCUS 2015 ! ocal Point(zacharie.bru\las@ambafrance-us.org). Sincerely)' �u s, V C Berard lraud f � I � A Forum of Communities for Urban Sustainability March 5 & 6, 2015 French Embassy 1 Washington, ®C WHY? Cities are major players on sustainability issues and resiliency. This is why the French Embassy, in conjunction with the US government and American NGOs, organizes FOCUS 2015 in March 2015. WHAT? A forum of US and French community decision makers cooperating towards concrete and sustainable outcomes through mutually beneficial exchanges of political, technical and technological solutions. This conference will kick-start long-term and formal cooperation among officials and practitioners concerned with sustainable urban development in France and the United States. It aims at paving the way to the participation of US cities in December 2015 Paris Climate Conference. ED WHO? The conference will be open to those with knowledge, desire and experience at the metropolitan level on the issue of climate change and sustainability toward economic growth. This includes: elected officials, public administrations, academics, private companies, financing sector, NGOs and others willing to engage in a problem-focused, goal-oriented discussion. HOW? To ease information-sharing and provide the best opportunities for exchange, six workshops will be organized on Thursday March 5th: * New Mobility Energy& Resources Community Involvement and Economic &Social Revival Resiliency Tools and Policies MlnlstPre Financing and Green Economy deMmlogle, du D2veloppement Their conclusions will be presented and discussed on a plenary session on Friday March 6th. durable et de I'Energle For more information and registration, please visit http://focus2015.franceintheus.org „6. ,,,,-F ae or contact: zacharie.bruyas@ambafrance-us.org. MPUB IQPE PRANWE VOUCHER NO. WARRANT NO. ALLOWED 20 Mayor Jim Brainard T IN SUM OF$ One Civic Square Carmel, IN 46032 $1,294.82 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 Expense Report 43-430.04 $162.50 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1160 Expense Report 43-430.03 $364.12 materials or services itemized thereon for 1160 Expense Report 43-430.01 $44.00 which charge is made were ordered and 1160 Expense Report 43-430.01 $58.00 received except 1160 Expense Report 43-430.01 $666.20 Tuesday, March 10, 2015 A Mayo 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 j whom,rates per day, number of hours, rate per hour, number of units,price per unit,etc. i Payee j Purchase Order No. I Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 03/10/15 Expense Report $162.50 03/10/15 Expense Report $364.12 03/10/15 Expense Report $44.00 03/10/15 Expense Report $58.00 03/10/15 Expense Report $666.20 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