249292 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 129401
® it ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $****...242.73*
,? CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 249292
CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 242.73 TRAVEL PER DIEMS
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CITY OF CARMEL Travel Expense Report
EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 8/26/2015 TIME: 4:00 PM AM / PM
DEPARTMENT: Community Services RETURN DATE: 8/27/2014 TIME: 5:30 PM AM / PM
REASON FOR TRAVEL: Continuing Education, Speaker at ULI DESTINATION CITY: Columbus, OH
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8/26/15 $17.15 $128.08 $32.50 $177.73
$0.00
8/27/15 1 1 $65.00 $65.00
$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 $0.00 $0.00 $0.00 $17.151 $128.081 $0.001 $0.00 $0.00 $0.00 $97.501 $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.
Director Signature: Date: 3/ Ati✓Sln/
City of Carmel Form#ER06 Revision Date 8/31/2015 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 $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 $60 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
I hereby acknowledge receipt of$ , 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:
City of Carmel Form#ER06 Revision Date 8/31/2015 Page 2
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Trip Details
Travelocity Itinerary #: 120305461762
Holiday Inn Columbus Downtown Capital Square
175 E Town St, Columbus, OH, 43215
Property Information: +1 614 221-3281
1 Room: Two Double Beds, Non-Smoking
1 Guest: 1 Adult
1 Night: Wed Aug/26/2015 to Thu Aug/27/2015
Total: $128.08 paid in full
This total includes selected items, taxes, and service fees (where applicable). Rates are
quoted in US dollars.
Important Hotel Information:
G This reservation is non-refundable and cannot be changed or canceled.
J
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Americas i ®Asia Pacific 1 I@ Europe } ®Foundation 1 t@ Urban Land Magazine
I
MEMO Join ULI
Back to Events
2015 ULI Columbus and MORPC Real Estate School: Best Practices in Redeveloping
Aging Commercial Strip Centers
Date: August 27,2015 Venue: MORPC
Time: 8:00 am-11:30 am Address: 111 Liberty St,Suite 100,Columbus,43215 United States
Phone: 614-228-2663
ULI Columbus and the Mid-Ohio Regional Planning Commission invite you to join us for our annual real
estate school:
Best Practices in Redeveloping Aging Commercial Strip Centers
Agenda
8:00-8:30 am I Breakfast and Networking
8:30-10:00 am I First Session
10:00-11:30 am I Second Session
First Session Presenter:
Charlie Fraas I Vice President, Development, Casto
Mark Ford I President, Ford &Associates Architects
Moderator:
James Schimmer I Executive Director, Franklin County Economic Development and Planning
Second Session Presenter:
Michael Hollibaugh I Director of Community Services, Carmel, Indiana
MORK and ULI Columbus Member Registration Fees
Associate Members 1 $45
Public Members 1 $35
Young Leader Members 1 $35
Non Member Registration Fees
Non Members 1 $60
Public Non Members 1 $50
Young Leader Non Members 1 $50
AIA and AICP Credits are pending
Click here to view a list of attendees.
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Hollibaugh, Mike P
From: customerservice@uli.org
Sent: Tuesday, August 25, 2015 10:06 AM
To: Hollibaugh, Mike P
Subject: ULI Event Registration Confirmation
Mr. Michael P. Hollibaugh:
Thank you for registering for the following event: ULI Columbus and MORPC Real Estate School: Best
Practices in Redeveloping Aging Commercial Strip Centers
Event date: 08/27/2015 beginning at 8:OOAM
Contact Information:
Mr. Michael P. Hollibaugh
Director, DOCS
City of Carmel, DOCS
City Hall 1 Civic Square
Carmel, IN 46032
Badge Name: Mike
Customer Qty Item Sub-Total Discount Paid Balance
ULI Columbus 1.00 81091615 Speaker Comp Registration USD 0.00 0.00 0.00 0.00
Event Location
MORPC
111 Liberty St Ste 100
Columbus, OH 43215-5850
If you have a balance due for this event, please contact our Customer Service Department at
ulimeetingLauli.org or call 800-321-5011 or+1-410-626-7500 to provide payment, or plan to pay at the event.
Don't forget to visit www.uli.org to check out our new products, upcoming events, and the latest trends in land
use and urban planning.
i
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))
08/31/15 ULE conference $242.73
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael Hollibaugh
IN SUM OF$
c/o One Civic Square
Carmel, IN 46032
$242.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1192 43-430.04 $242.73
1 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
Thursday, September 03, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund