249792 09/23/15 o"ll-,
CITY OF CARMEL, INDIANA VENDOR: 358695
ONE CIVIC SQUARESUZANNE MAKI CHECK AMOUNT: S"""""""869.12"CARMEL, INDIANA 46032 317 2ND AVE NE CHECK NUMBER: 249792
CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4343003 609.12 TRAVEL & LODGING
1203 4343004 260.00 TRAVEL PER DIEMS
CITY OF CARMEL Expense Report (required for all travel expenses)
,."Al lyNA EXHIBIT A
EMPLOYEE NAME:_Suzanne Maki DEPARTURE DATE: 9/8/2015 TIME: 12:50 -AAA( PM
DEPARTMENT:,Community Relations & Economic Development_ RETURN DATE: 9/11/2015 TIME: 3:25 -AAA-/ PM
REASON FOR TRAVEL: 3CMA Conference DESTINATION CITY: Atanta, GA
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_X_ TRAVEL PER DIEM_X_
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
MARTA
public
9/8/15 $6.00 $201.04 transit $207.04
9/8/15 $65.00 $65.00
9/9/15 $201.04 $65.00 $266.04
9/10/15 $201.04 $65.00 $266.04
9/11/15 $65.00 $65.00
Airport
Parking $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 $6.00 $0.00 $603.12 $0.001 $0.00 $0.00 $0.001 $260.00 $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: A4X:�4�1// Date:
City of Carmel Form#ER06 J Revision Date 9/14/2015 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:
City of Carmel Form#ER06 Revision Date 9/14/2015 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) 08SEP15 I IND-ATL Maki/Suzanne, Mcvicker/Megan
Ashlee
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AIR Confirmation: 8VNRS3 Confirmation Date: 04/16/2015
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Earned
MAKI/SUZANNE 20067950685 5262100791740 Apr 15, 2016 446 "CHECK-IN
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MCVICKER/MEGAN 20440073010 5262100791741 Apr 15, 2016 446 u5 take
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Date Flight Departure/Arrival ,(;tj,,
Tue Sep 8 2951 Depart INDIANAPOLIS, IN(IND)on Southwest Airlines at 12:50 PM ,
Arrive in ATLANTA,GA(ATL)at 2:30 PM
Travel Time 1 hrs 40 mins ;;
Wanna Get Awav
Best Rate GuaranLee
Fri Sep 11 1578 Depart ATLANTA,GA(ATL)on Southwest Airlines at 1:55 PM Flexibift, to Ny Later
Arrive in INDIANAPOLIS,IN(IND)at 3:25 PM
Travel Time 1 hrs 30 mins Eainnupto
Wanna Get Away 750 Rapid Rewards Points
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IC 1C� ° I ENO
Air Cost: 216.00
Join arer 171111[ion
Carryon Items: 1 Bag+small personal item are free.See full details. Checked Items:First �'IlidICSUhSCii(atGS SOlr{[lhi
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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
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 1
unused funds.
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Cost and Payment Summary
® AIR-8VNRS3
Base Fare $ 148.48 Payment Information
Excise Taxes $ 11.12 Payment Type:Visa XXXXXXXXXXXX3299
Segment Fee $ 16.00 Date:Apr 16,2015
Passenger Facility Charge $ 18.00 Payment Amount: $216.00
September 11th Security Fee $ 22.40
Total Air Cost $ 216.00
2
Grand Hyatt Atlanta
3300 Peachtree Road NE
Atlanta, GA 30305
Telephone: 404-237-1234
�/ pA 9`�'j
Fax: 404-233-5686
T www.arandhyattatlanta.com
INFORMATION INVOICE
Payee Suzanne Maki Room No. 1109
317 2nd Ave Ne Arrival 09-08-15
Carmel IN 460321813
United States Departure 09-11-15
Page No. 1 of 1
Confirmation No. 6107995001 Folio Window 1
Group Name 3CMA Folio No.
Booking No. 32C68663
Date Description Charges: ,:::. Credits.
09-08-15 Group Room 169.00
09-08-15 Sales Tax 13.52
09-08-15 Occupancy Tax 13.52
09-08-15 State Hotel-Motel Fee 5.00
09-09-15 Group Room 169.00
09-09-15 Sales Tax 13.52
09-09-15 Occupancy Tax 13.52
09-09-15 State Hotel-Motel Fee 5.00
09-10-15 Group Room 169.00
09-10-15 Sales Tax 13.52
09-10-15 Occupancy Tax 13.52
09-10-15 State Hotel-Motel Fee 5.00
Total 603.12 0.00
Guest Signature Balance 603.12
1 agree that my liability for this bill is not waived and I agree
to be held personally liable in the event that the indicated
person,company or association fails to pay for any part or
the full amount of these charges.
_ Our goal is to provide excellent customer service and authentic southern hospitality.The
Waft Cs®Id Passport'Summary.'�.,� greatest compliment we can receive is for you to return and also to recommend us to
your friends and colleagues.Thank you for your loyalty and we look forward to your next
Membership: 527725314X visit.
Bonus Codes:
Qualifying Nights: 3 Please contact us via email at aualityatlghCaDhvatt.com.Please check www.hyatt.com for
Eligible Spend: 507.00 your next reservation.
Redemption Eligible: 0.00 For inquiries concerning your bill, please call 888-587-2877
Summary Invoice, please see front desk
for eligibility details.
• RECEIPT
• NOT VALID FOR TRAVEL
.7-
MARTA
Airport
TVM20708
Tue 08 Sep 15 02:49PM
Payment Type: Cash
Purchase: 2 Trip
Amount: s 6.00
Breeze Card
**** **** **** -,2558
Transaction #:0000589336
Citj-County Communications
INVOICE
Sue Maki
Manager of Environmental Initiatives & Education
City of Carmel
30 W. Main Street, Ste. 220
Carmel, IN 46032
_■ Invoice 3CMA Tax IDNumber Annual Conference
4/16/15 Atlanta,GA September 9-11, 2015 52-1598616
• ][Description j.7ab-I --:] Total
1 General Registration No No $585
1 Pre-Conference Registration $105
Payment may also be made through PayPal—please see 3CMA Web site—
3cma.org
Subtotal $690
Tax
Shipping
Miscellaneous
REMITTANCE
Customer ID: Balance Due $690
Date:
Amount Due;
Amount
Enclosed.
3CMA
P.O. Box 20278 Washington-Dulles Airport Washington, DC 20041
Phone: (703)707-0830 Fax: (703)707-0867 Email: info@3cma.org Web: http://www.3cma.org
Maki, Sue
From: Pam Lillquist I 3CMA <pam.lillquist@3cma.org>
Sent: Friday, August 21, 2015 10:22 AM
To: McVicker, Megan; Maki, Sue
Subject: Annual Conference
Attachments: confirmation of registration.doc
Importance: High
Friday
Hi
As often emails from 3CMA addressed to Carmel are not delivered. So I have attached a copy of the confirmation email
that was sent out to Annual conference registrants and would appreciate your letting me know the answers.To see it
you will have to say"no"to the SQL command.
Thanks.
Pam Lillquist
Finance Officer/Membership Director
3CMA
Phone: (703) 707-0830
Fax: (703) 707-0867
pam.lillguist@3cma.org
"Strategic Marketing. Compelling Communications."
i
- �. 3(CMA
9/23/2015 https:#online.ciU.com/USICBOUainladapr[nVflow.action?jfp.iayout=PrintRecord&JFP TOKEN=ZZOGHSS5
c ti
bank
2015-09-23 08:40:34
Account Details
Citi®Hilton HHonorsTm Visa Signature®Card-1715
Current Balance: Last Statement Balance
Total Revolving Credit Line: As Of 09-04-2015:
Available Revolving Credit Line: Minimum Payment Due
Next Statement Closing Date: On 10-02-2015:
Total Payment In Progress
As Of 09-23-2015:
Hill
Transaction Details - PERIOD Since Last Statement
Date Description Category Amount
I
GRAND HYATT
09-12-2015 ATLANTA FID HYATT HOTELS $603.12
ATLANTA GA
09-10-2015 � A
09-10-2015
09-10-2015
hUpsl/online.ciU.com/US/CBOUain/adaprint(flow.action?jfp.layout=PrintRecord&JFP TOKEN=ZZOGHSS5 1/2
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))
09/14/15 Expense Report $260.00
09/14/15 Expense Report $603.12
09/14/15 Expense Report $6.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sue Maki
IN SUM OF$
317 2nd Avenue, N.E.
Carmel, IN 46032
$869.12
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Expense Report 43-430.04 $260.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1203 Expense Report 43-430.03 $603.12
materials or services itemized thereon for
1203 Expense Report 43-430.03 $6.00 which charge is made were ordered and
received except
Friday, Septe ber 18,2015
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund