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245909 06/03/15
`% "p''� CITY OF CARMEL, INDIANA VENDOR: 358695 e .. ONE CIVIC SQUARE SUZANNE MAKI CHECK AMOUNT: $*******216.00* x. =a CARMEL, INDIANA 46032 317 2ND AVE NE CHECK NUMBER: 245909 9M�TON�� CARMEL IN 46032 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 216.00 TRAVEL FEES & EXPENSE 7, R11 NKI Q 7 CITY OF CARMEL Expense Report (required for all travel expenses) ( EMPLOYEE NAME:_Suzanne Maki DEPARTURE DATE: 9 TIME: -V� AM/PM DEPARTMENT:_Department of Community Relations RETURN DATE: TIME: rd,5� AM/PM REASON FOR TRAVEL: 3CMA Confereni ce DESTINATION CITY: EXPENSES ARE FOR(check all that apply),: TRAVEL ADVANCE TRAVEL REIMBURSEMENT_V TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 4/16/15 $216.00 $216.00 $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 $0.00 $0.00 $0.00 0.00 Total $216.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 so-001 $0.00 $0.00 . of DIRECTOR'S STATEMENT: I hereby f l that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: 4" Date: i City of Carmel Form#ER06 ; Revision Date 5/14/2015 Page 1 i r I 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 $60 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$60 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT O//F.��MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ 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 docume ed expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. I Employee Signature: i Date: City of Carmel Form#ERO6 Revision Date 5/14/2015 Page 2 Maki, Sue From: Southwest Airlines <SouthwestAirlines@luv.southwest.com> Sent: Thursday,April 16, 2015 11:19 AM To: Maki, Sue Subject: Flight reservation (8VNRS3) 1 08SEP15 I IND-ATL I Maki/Suzanne, Mcvicker/Megan Ashlee You're all set for your trip! Southwe ll My Account I View My Itinerary Online SpecialCheck In Check Flight Change • • . v • Offers Ready for takeoff! Thanks for choosing Southwest®for your trip! You'll find everything you need to know t r 4 about your reservation below. Happy travels! �Ri, wff r tFP AIR Itinerary QTY- b AIR Confirmation: 8VNRS3 Confirmation Date: 04/16/2015 Passenger(s) Rapid Rewards# Ticket# Expiration Est.Points Earned 'EAR. �" BIRD MAKI/SUZANNE 20067950685 5262100791740 Apr 15,2016 446 ....... . . ......". ... . .. ._.. .. ............._ CHECK-IN MCVICKER/MEGAN 20440073010... ......52621.. 00791741.. .."Apr...15.,.2016..44.6 Let,us.teke ASHLEE . `:O�Seck=in ��50 Rapid Rewards points earned are only estimates.Visit your(MySouthwest,Southwest.com or Rapid Rewards) for you account for the most accurate totals-including A-List&A-List Preferred bonus points. 'Ot,1E-WAY. Date - Flight Departure/Arrival Tue Sep 8 2951 Depart INDIANAPOLIS,IN(IND)on Southwest Airlines at 12:50 PM Arrive in ATLANTA,GA(ATL)at 2:30 PM NEED , Travel Time 1 hrs 40 mins Wanna Get Away ................. .........................."."........."" Best Rate Guarantee Fri Sep 11 1578 Depart ATLANTA,GA(ATL)on Southwest Airlines at 1:55 PM Fiexibilityto Pay Later Arrive in INDIANAPOLIS,IN(IND)at 3:25 PM Travel Time 1 hrs 30 mins Earp tip to Wanna Get Awa v 7SO Rapid Rewards Points What you need to know to travel: Book a Hotel • Don't forget to check in for your flight(s)24 hours before your trip on southwest.com or your mobile device.This will secure your boarding position on your flights. • Southwest Airlines does not have assigned seats,so you can choose your seat when you board the plane.You will be assigned a boarding position based on your checkin time.The earlier you check in,within 24 hours of your flight,the earlier you get to board. • WiFi,TV,and related services and amenities may vary and are subject to change based on 1 assigned aircraft.Learn more. Remember to be in the gate area on time and ready to board: • 30 minutes prior to scheduled departure time:We may begin boarding as early as 30 minutes prior Guaranteed Low Rates to your flight's scheduled departure time.We encourage all passengers to plan to arrive in the gate area no later than this time. • 10 minutes prior to scheduled departure time:All passengers must obtain their boarding passes 14 Car Companies and be in the gate area available for boarding at least 10 minutes prior to your flight's scheduled departure time.If not,Southwest may cancel your reserved space and you will not be eligible for Eam Rapid Rewards Points denied boarding compensation. • If you do not plan to travel on your flight:In accordance with Southwest's No Show Policy,you Book a Car must notify Southwest at least 10 minutes prior to your flight's scheduled departure if you do not plan to travel on the flight.If not,Southwest will cancel your reservation and all funds will be forfeited. Clef( 10 SAVE Air Cost:216.00 Join over 17 million Carryon Items: 1 Bag+small personal item are free. See full details. Checked Items: First email subscribers saving big and second bags fly free.Weight and size limits apply. on tratreleadiwce1G Fare Rule(s):5262100791740: NONREF/NONTRANSFERABLE/STANDBY REQ UPGRADE TO Y. , t9z• �t 5262100791741: NON REF/NONTRANS FERABLE/STAN DBY REQ UPGRADE TO Y. $i�gp Up Valid only on Southwest Airlines.All travel involving funds from this Confirmation Number - must be completed by the expiration date. Unused travel funds may only be applied toward -the purchase of future travel for the individual named on the ticket.Any changes to this 77_77'7'' itinerary may result in a fare increase. Failure to cancel reservations for a Wanna Get Away fare segment at least 10 minutes prior to travel will result in the forfeiture of all remaining I unused funds. a IND WN ATL37.12TLNUWNR WN IND37.12TLNUWNR 74.24 END ZPINDATL XFIND4.5ATL4.5 AY11.20$IND5.60 ATL5.60 r ��i7lU��"II"VyiL'S't�4�► r >�� �;;Raptd Fte>ivard5 -EAtRLYBlRllS Get Earl Bird Learn About Our y CFdECK-A�i' 1 Boarding Process Check-In®Details a. Cost and Payment Summary ® AIR-8VNRS3 Base Fare $ 148.48 Payment Informatinn Excise Taxes $ 11.12 Payment Type: Segment Fee_ $ 16.00 Date:-Apr.16,2015 Pass eng- Facility Charge $ 18.00 Payment Amount:$216.00 September 11th Security Fee $ 22.40 Total Air Cost $ 216.00 .............................................................._.................._........_.. 2 91312015 httpsJ/oNirie.citibark.com/USICBOUaiNadaprinVflaw.action;j .layout=PrirdRecord&JFP TOKEN=XYCZ2ECM Citibank 2015-05-13 16:14:08 Account Details Citi®Hilton HHonorsTM Visa Signature®Card` , T Minimum Payment Due Next Statement Closing Date: 06-04-2015 On 06-02-2015: $33.00 Total Payment In Progress As Of 05-13-2015: $0.00 Hilton HHonors(TM)Rewards Total Available Hilton HHonorsTM Point Transaction Details - PERIOD 04-16-2015 Activity on 04-16-2015 Date Description Category Amount SOUTHWES 5262100791741800- 04-16-2015 435-9792 TX Air TravelSOUTHWEST -- $216.00 S Help protect this trip Copyright©2013 Citigroup Inc httpsl/ordine.citibank.com/US/CBOUairVadaprintfflow.action?jfp.layout=PriritRecord&JFP TOKEN=XYCZ2ECM 1/1 VOUCHER NO. WARRANT NO. ALLOWED 20 Sue Maki IN SUM OF$ i 317 2nd Avenue, N.E. Carmel, IN 46032 i $216.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations =Dept.Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 Receipt 43-430.01 $216.00 I hereby certify that the attached invoice(s), or I I I 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 i Monday,June 01,2015 I I Director,Com 4junity Relations/Economic Development 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)) 04/16/15 Receipt $216.00 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