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248621 08/20/15 `+ut CHECK DATE:t. CITY OF CARMEL, INDIANA VENDOR: 00350224 ® ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $*****2,185.26* 9M =�; CARMEL, INDIANA 46032 TER CAgy* 08 20115 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 1,860.26 TRAVEL FEES & EXPENSE 1203 4343004 325.00 TRAVEL PER DIEMS % CITY OF CARMEL Expense Report (required for all travel expenses) -now'-' , EXHIBIT A EMPLOYEE NAME:_Nancy Heck DEPARTURE DATE: I TIME: QPM DEPARTMENT: Community Relations& Econ. Dev. RETURN DATE: CQ, TIME: a AM PM REASON FOR TRAVEL: Alliance for Community Media Conference DESTINATION CITY: Pasadena, CA_ EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM_X0, Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Uber/Other Parking Breakfast Lunch Dinner Snacks Per Diem 8/11/15 $92.73 $425.74 $65.00 $583.47 8/12/15 $425.74 $65.00 $490.74 8/13/15 $425.74 $65.00 $490.74 8/14/15 $30.22 $425.74 $65.00 $520.96 8/15/15 $34.35 $65.00 $525.09 $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 $0.00 $0.00 $157.301 $0.00 $0.00 $0.00 $0.001 $0.00 $325.00 $0.00 1 r � DIRECTOR'S STATEMENT: I hereby affirm, that all expenses listed conform to the City's travel policyandare within my department's appropriated budget. VV i Director Signature: Date: City of Carmel Form#ER06 Revision Date 8/17/2015 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$65 for out-of-state travel j EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , 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: 1AV4 - Date: City of Carmel Form#ER06 Revision Date 8/17/2015 Page 2 7/1012015 Southwest Airlines-Purchase Confirmation Espanol Southwest-vai FLIGHT I.MOTEL I CAR SPECIAL'OFFERS -RAPIDREWARD,9 Ck Southweste: Thank you for your purchase! Indianapolis,IN-IND to Burbank,CA-BUR New Purchases in Trip Air Confirmation#HNHH6A.. Indianapolis,IN-IND to Burbank, 'CA-BUR Tuesday,August 11,2015-Saturday, August 15,2015 Air Total:$430.00 Amount Paid $430.00 Trip Total $430.00 AUG 11 TUE 08111115 -Alliance for Community. Media CA New purchases added to your trip. AIR Indianapolis,IN-IND to Burbank,CA-BUR 08/11/2015 - 08/15/2015 Confirmation HNHH6A Adult Passenger(s) Rapid Rewards NANCY HECK Subscribe to Flight Status Messaging DEPART i 11-30 AM Depart Indianapolis,IN Fright AUG U (IND)on Southwest Airlines #17.3 Saudmesto- TUE 12:35 PM Arrive in Las Vegas,NV (LAS) WlFi available Tuesday,August 11,2015 Travel Time 6 h 20 m 01:45 PM Change 21(W to Southwest Flight southwest. (1 stop,Includes 1 plane change) Airlines In Las Vegas,NV *2819 Wanna Get Away (LAS) 02:50 PM Arrive In Burbank,CA (BUR) v WIF1 available RETURN 02:10 PM Depart Burbank,CA(BUR) Flight AUG is on Southwest Airlines .9.3 Southwest* SAT 03:15 PM Arrive In Las Vegas,NV (LAS) WIF1 available Saturday,August 15,2015 ........................._._...9................................ 04:20 PM Fliht .. Travel Time 5 h 45 m tfts:/Afvww-soLdhwestcom/reservaUoris/Corvfirm-reservaUons.html?disc--sdc%3A383F46005S7F4EB98E92DBCA4E4E5C24&jnt-- 1/2 7/10/2015 Southwest Airlines-Purchase Confirmation Change (X to Southwest #1314 (1 stop,includes 1 plane change) thw Airlines in Las Vegas,NV souast' Wanna Get Away (LAS) 10:55 PM Arrive in Indianapolis,IN (IND) Win available I. What you need to know to travel: , Check-in:Be sure to arrive at the departure gate with your boarding pass at least 10 minutes before your scheduled departure time.Otherwise,your reserved space may be cancelled andyou`Wont be eligible for denied booking compensation. No Show Policy:If you are not planning to travel on any portion of this itinerary;please cancel.your reservation at least 10 minutes prior to scheduled departure of the flight. For tickets;purchased on or after May 30,2013 and travel beginning September 13,2013,Customers who fail to cariCel:reservations for a Wanna Get Away or DING!fare segment at least ten(10)minutes prior to travel andzwho do not board the flight will be considered a no show,and all remaining,unused funds on this reservation':will be forfeited, including Business Select and Anytime funds. PRICE ADULT Trip Routing Fare Type I View Fare Rules Fare Details Quantity Total • No Change Fees -- Depart IND-LAS-BUR Wanna GetAway (applicable fare difference apppesjA Boa°I(ertValue Reusable Funds 1 $275.00 (nontransferable-no name'changes allowed) • Nanrefundabie unless purchased Kith Paints • No Change Fees Return BUR-LAS-IND Wanna GetAway (applicable fare difference applies); Y a , 7 5mallentValue Reusable Funds 3 $155.60 (nontransferable-no name changes aU&m-) • Nonrefundable unless purchasedyAth Pairrts 'Subttotal' $430.00 Fare Breakdown Carry-an Items:1 bag+1 small personal item are free,see full details. ,.,'. Checked Items:Flrst and second bags are free,size and weight limits apply. rBag6'GWi a $0.00 Air Total: $430.00 Gov't taxes.&,fees now included Purchaser Name Nancy Heck Bitting Address Form of Payment Amount Applied $430.00 w Amount Paid $430.00 ...-._....... '.Trip Total .> $430.00 16- =moi ` a Ne clL 43 y3a�2. ©2015 Southwest Airlines Co.All Rights Reserved.Use of the Southwest websites and our Company Information constitutes acceptance of our Terms and Conditions.Privacy Policy 1c'hemaA Tv r1'�+' 1'r4Af-� ttttps:/www.souttTvvestcom/reservations/confirm-reservations.htrnl?disc=sdC%3A F4 �4E698E92DBCg4E4E5C248iirrt= 2!2 ,, SEARCH HOME ABOUT PUBLIC-POLICY MEMBERSHIP DONATE CONTACT f' ANNUAL CONFERENCE Nil 4 Liixe Page Share Be the first of your friends to like this Alliance for '° -.6-0ft. . comunitV n @ $ m Media July at 12:04pm �.,?O'l�tMUN EDTA Congratulations tothe Alllacor:4C .rnriwp;ty J�JI.e14� Hometown Meda Awards winners!Hope t3 see you in AUG 12-14 .... @Pasadena*AllianceCM2015! http.,//.www..allcommunitVmedia. — org/annual=conference Schedule Hotel&Transportation firtformation: About Pasadena Event News Sponsorship&Exfribit Sboth:Opportuhities Manse for CoffiffiUnity Meffia Registration Overall Excellence in Education Access<$300,000 Join us in Pasadena August 12-14,2015 for the Alliance for Community Media's 2015 Annual Conference Exhibition. Dubuque Community The theme of this conference is"ReDiscover Community Media"and will have focused tracks on: Schools Television Dubuque Communitv School District n Technology/New Media o Public Policy/Advocacy o Community Media Center Management o Social Media/Digital Inclusion/Volunteer Engagement o Fundraising/Revenue Development Day 1 of the conference will feature an Opening Keynote,In-Depth Training Sessions,networking time in the Exhibit Hall &Exhibitor Demonstrations,Region Meetings,and a Welcome Reception.Day 2 will start with a brealxfast in the exhibit hail area,followed by concurrent education sessions throughout the day,additional time in the Exhibit Hall,and an ACM Membership Meeting.The Hometown Media Awards Celebration will be held on Thursday,August 13th.The final day of the conference will include additional panels covering vital industry issues and will close with the Awards Luncheon and Plenary Speaker. If you would like to register using a printable PDF form,please use one of the following: ACM Member Registration' Non-Member-Registration Student Registration 'If you are registering for the conference at the member rate,your ACM Membership must be current at the time of the conference. Conference PvIcing: to:l www.a!icommLtdtymecia.orglarmual-corlference 112 I ACNI Member Early Bird Registration(registrations on or before July 20):$350— Non 0):$350 'Non Member Early Bird Registration(iegistrations on or before July 20):$450 ACNI Member Regular Registration(registrations after July 20):$400 �.. Non Member Regular Registration(registrations after July 20):$500 Student Registration(with access to all panels and meals):$125 Student Registration(access to panels only):$50 . Hometown Awards Celebration Ticket:$50 `4 Ifyou have any questions aboutexhibiting or becoming a sponsor ofthe 2015 Annual Conference please contact mherrlaitallcommunitymedia.org. Thank you to our current Sponsors and Exhibitors For your supportt Be sure to visit ti'ie following at their exhibit booth on both Wednesday and Thursday ofthe conference. Iechnoloov Sponsor I TE LVu POWCRING IP BROADCAST"' Will Hotspot Sponsor media Systems* Break Sponsor ST as Exhibitors AJA Video.Svstems Brainstorm Multimedia CASTUS Creative Mileage Datavideo US For-A Corp of America HITACHIKOKUSAI Media.Control Systems Radiant Communications RL Drake Rue Share Te1Vue Tiahtrone Media Systems TV Pro Gear UNISEr WebCheckout,Inc. WBDidit Copyright 2015,Alliance for Community Media Home Site Map Contact Privacy Policy MpJ/w m.alicommLidtymedtaorg!annual-conferent•,e ?l2 HILTON PASADENA 168 S.Robles Avenue Pasadena;CA 91101 ".Hilton T: 626 577 1000-1 F: 626 584 3148 PASADENA W:pasadena.hilton.com NAME AND ADDRESS: �,Q cum HECK, NANCY Room: 725/D2 ` Arrival Date: g%j 1/2015 4:01:00 PM 1326 COOL CREEK DRIVE Departure Date: 8/15/2015 CARMEL IN 46033 Adult/Child: 2/0 UNITED STATES OF AMERICA Room Rate: 185.00 Rate Plan: ACM15 HH# 322470438 BLUE AL: Car: TAX#: Confirmation Number:3190600280 8/15/2015 U HILTON HHONORS DATE REFERENCE DESCRIPTION :,AMOUNT 8/11/2015 4558845 GUEST ROOM $185.00 8/11/2015 4558845 CITY TAX $27.75 ' 8/11/2015 4558845 STATE ASSESSMENT $0.12 WALDORF 8/12/2015 4559786 GUEST ROOM $185.00sroRoA, 8/12/2015 4559786 CITY TAX $27.75 8/12/2015 4559786 STATE ASSESSMENT $0.12 8/13/2015 4560628 GUEST ROOM $185:00 C O N R A D 8/13/2015 4560628 CITY TAX $27:75 8/13/2015 4560628 STATE ASSESSMENT $0.12 8/14/2015 4561685 GUEST ROOM $185.00 8/14/2015 4561685 CITY TAX $2775 8/14/2015 4561685 STATE ASSESSMENT $0.12 °s. 8/15/2015 4562056 ($851.48) Hilton **BALANCt** $0.00 EXPENSE REPORT SUMMARY i►1 8/11/2015 8/12/2015 8/13/2015 8/14/2015 DOUBL+L'ETRiu-'. ROOM AND TAX $212.87 $212.87 $212.87 $212.87 DAILY TOTAL $212.87 $212.87 $212.87 $212.87 EXPENSE REPORT SUMMARY STAY TOTAL ROOMAND TAX $851.48 �; Al°A F AR.Y .. RUE•E N DAILY TOTAL $851.48 ®o FliUnn Gardenlrin' ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. 8/15/2015 721783 A' i, :r'iCARDMEMBER NAME AUTHORIZATION INITIAL HECK,NANCY 03744A HOMEWOOD 'MaaSUITES ESTABLISHMENT NO.&LOCATION ESTADUSNMENT AGREES TO TRANSMIT TO CARD HOWER MR PAYMENT PURCHASES&SERVICES TAXES TIPS&Mlsc. HOME® CARD MEMBER'S SIGNATURE TOTAL AMOUNT -851.48 iEl, MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPTHilton Grand Vacations HILTON PASADENA 168 S.Robles AV6hue I Pasadena,CA 1 91101 Hilton T: 626 577 1000 1 F: 626 584 3148 PASADENA W:pasadena.hiiton.com NAME AND ADDRESS: HECK,NANCY Room: 72_6/D20 O1'h L9Arrival Date: 8`111/2015 4:02:00 PM 1326 COOL CREEK DRIVE Departure Date; 8/15/2015 CARMEL IN 46033 Adult/Child: 2/0 UNITED STATES OF AMERICA Room Rate: 185.00 Rate Pian: ACM15 HH# 322470438 BLUE AL: Car: TAX#: Confirmation Number:,3192398276 8/15/2015 U HILTON HHONORS ,DATE REFERENCE DESCRIPTION i;,AMOl1NT 8/11/2015 4558846 GUEST ROOM $185.00 8/11/2015 4558846 CITY TAX $27.75 8/11/2015 4558846 STATE ASSESSMENT $0.12 WALDORF 8/12/2015 4559787 GUEST ROOM $185.00oRA 8/12/2015 4559787 CITY TAX $27.75 8/12/2015 4559787 STATE ASSESSMENT $0.12 8/13/2015 4560629 GUEST ROOM $185.00 C O N R A D 8/13/2015 4560629 CITY TAX $27:75 8/13/2015 4560629 STATE ASSESSMENT $0:.12 8/14/2015 4561686 GUEST ROOM ".•$185:00 , 8/14/2015 4561686 CITY TAX $27:75 8/14/2015 4561686 STATE_ASSESSMENT $0.12 �. 8/15/2015 4562057 ($851;.48) Hilton *'$ALANL;E" $0:00 *,I„••L,o•„ EXPENSE REPORT SUMMARY 8/11/2015 8/12/2015 8/13/2015 8/14/2015 DOUBLETREE ROOM AND TAX $212.87 $212.87 $212.87 $212.87 DAILY TOTAL $212.87 $212.87 $212.87 $212.87 EXPENSE REPORT SUMMARY STAY TOTAL '1 i ROOM AND TAX $851.48 DAILY TOTAL $851.48 ' o0 1lillnn ��GurdenInn .3+ 'ACCOUNTNO. DATE OF CHARGE FOUO.NO,/CHECK NO. - X10 8/15/2015 721781 A' CARD MEMBER NAME AUTHORIZATION INITIAL HECK, NANCY 07303A HOMEWOOD _ &SUITES `��i1 Rv NILYON' 'ESTABLISHMENT ISIM&LOCATION i ESTABISNMENTAGREES TDTRANSMTTD CARD HOLDER FOR PAYMENT PURCHASES&SERVICES TAXES TIPS&misc. CARD MEMBER'S SIGNATURE TOTAL AMOUNT -851.•.48 E, Hilton MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Grand Vacations Uber Riders - My Trips Page 1 of 2 U B E R ® Nancy FREE RIDES Filter Trips MY TRIPS Nancy x August 7X Los Angeles I X My Trips Payment Pickup Driver Fare Car City Profile Method Payment > 08/15/15 AHMAD $34.35 uberX Los •••• Angeles 3066 Free Rides NEW! > 08/14/15 ASWAAD $10.89 uberX Los •••• Log Out RASHAD Angeles 3066 Lost something? > 08/14/15 Harout 0 $0 uberX Los •••• Check out Canceled Angeles 3066 uber.com/lost > 08/14/15 David $19.33 uberX Los •••• Angeles 3066 > 08/12/.15 FRANK $0 uberX Los •••• Canceled Angeles 3066 > 08/11/15 HOLLY uberX Los •••• $51.37 Angeles 3066 > 08/11/15 Casey 0 $0 uberX Los •••• Canceled Angeles 3066 > 08/11/15 DANNY $0 uberX Canceled https://riders.uber.com/trips?month=2015-08&city%5B%5D=12 8/17/2015 Uber Riders -My Trips Page 2 of 2 Pickup Driver Fare Car City PaymentMethod Los •••• Angeles 3066 > r 08/11/15 IYAD f� $0 uberX Los •••. Canceled Angeles 3066 > 08/11/15 HOLLY $41.36 uberX Los •... Angeles 3066 � I � UBER HOME CITIES • DRIVERS ® ABOUT US HELP CENTER CAREERS BLOG v https://riders.uber.com/trips?month=2015-08&city%5B%5D=12 8/17/2015 f Alliance for Community Media 4248 Park Glen Road Minneapolis, MN 55416 i (952) 928-4643Fax(952)929-1318 www.allcommunitymedia.org INvO To: Nancy Heck City of Carmel, Indiana One Civic Square Date: July 13, 2015 Carmel, IN 46032 ACCOUNT NO. ORDER DATE 16543 July 13, 2015 QUANTITY DESCRIPTION AMOUNT 1 2015 ACM Conference—Member Registration $350.00 TOTAL DUE $350.00 Remit to: ACM Alliance for Community Media 4248 Park Glen Rd ® Promoting Civic Engagement Through Community Media Minneapolis,MN 55416 Please call(952)928-4643 with any questions. Thank You! �o Gw VAC' L) L- oji Fees -700 �-� SEARCH HOME ABOUT PUBLIC POLICY MEMBERSHIP DONATE CONTACT '11ilance `"an% ANNUAL CONFERENCE t_il:e Page Share Be the first of your friends to like this Alliance for Community RED'IS4970. VER Media GG-MMU-NITY MEDIA 3uly 6 at 12,.04pm ' g Congratulations to the Allian'IjIM! .'e, I Hometown Media Awards @Pasadena*AflianceCM20151 winners!Hope W see you in Zai fitZQ AU Ca 12 . http,//.www..allcommunitvmedia. org/annuakonference Schedule Hol n: About Pasadena Event Nem Sponsorship&Exhibit Bdoft0pportunities AMance for Community Meaa Registration Overall Excellence in Education Access<$300,000 Join us in Pasadena August 12-14,2015 for the Alliance for Community Media's 2015 Annual Conference&Exhibition. Dubuque Community The theme of this conference is'ReDiscover Community Media"and will have focused tracks on: Schools Television Dubuque Community School District - Technology/NewMedia . Public Policy/Advocacy . Community Media Center Management D Social Media/Digital Inclusion/VolunteerEngagement . Fundraising/Revenue Development Day 1 of the conference will feature an Opening Keynote,In-Depth Training Sessions,networldng time in the Exhibit Hall &Exhibitor Demonstrations,Region Meetings,and a Welcome Reception.Day 2 will start with a breakfast in the exhibit hall area,followed by concurrent education sessions throughout the day,additional time in the Exhibit Hall,and an ACM Membership Meeting.The Hometown Media Awards Celebration will be held on Thursday,August 13th.The final day of the conference will include additional panels covering vital industry issues and will close with the Ajards Luncheon and Plenary Speaker. If you would like to register using a printable PDF form,please use one of the following: ACM Member Registration' Non-Member.Registration Student Registration 'If you are registering for the conference at the member rate.your ACM Membership must be c"Treni al the time Of the conference. Conference Pricincj: tWJAmw.alicommLTdtymecHOLOrgfWMUSI-Corftrence 112 ACM Member Early Bird Registration(registrations on or before July 20):$350 ' Non Member Early Bird Registration(iegisirations on or before July 20):$450 ACM Member Regular Registration(registrations after July 20):$400 Non Member Regular Registration(registrations after July 20):$500 Student Registration(with access to all panels and meals):$125 Student Registration(access to panels only):$50 Hometown Awards Celebration Ticket:$50 Ifyou have any questions about exhibiting or becoming a sponsor ofthe 2015 Annual Conference please contact mherKglallcommunitymed ia.o ro. Thank you to our current Sponsors and Exhibitors for your support!Be sure to visit the following at their exhibit booth on both Wednesday and Thursday ofthe conference. Technology Sponsor E A R E POWERING IP BROADCAST10 Wifi Hotsoot Sponsor media, systems* Break Sponsor V ,,% ' 'S ` TU, Exhibitors AJA Video.Systems Brainstorm Multimedia CASTUS Creative Mileage Datavideo US Foe-A Corp of America HITACHI KOKUSAI Media.Control Systems Radiant Communications RL Drake Rue Share Te1Vue Tightrope Media Systems TV Pro Gear UNISET WebCheckour-Inc. WeDidit Copyright 2015,Alliance for Community Media Home Site Map Comet Privacy Policy h9tWjlvmm.allcatnml6tymedia.arglannual-conference 2/2 VOUCHER NO. WARRANT NO. Nancy Heck ALLOWED 20 IN SUM OF$ 1326 Cool Creek Drive Carmel, IN 46033 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT , Board Members I hereby certify that the attached invoice(s), or 1203 Expense Report 43-430.01 $212Z"A bill(s) is (are)true and correct and that the 1203 Expense Report 43-430.04 1 $325.00 materials or services itemized thereon for which charge is made were ordered and received except Tuesday,August 18,2015 d Director,Commu ity 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)) 08/17/15 Expense Report $2,286.00 08/18/15 Expense Report $325.00 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