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HomeMy WebLinkAbout250318 10/07/1 5 > CITY OF CARMEL, INDIANA VENDOR: 355133 ® ONE CIVIC SQUARE AUDREY B KOSTRZEWA CHECK AMOUNT: $**.....616.02" f. ?a CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK NUMBER: 250318 •�,,�TON�°, CARMEL IN 46032 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 616.02 TRAVEL FEES & EXPENSE f (fHMZACI Confirmation: Confirmation Date: 06/14/2015 Passenger(s) Rapid Ticket# ExpirationEst. Points Rewards# Earned KOSTRZEWA/AUDREJoin or 5262118010118Jun 2024 Y Add# 13, 2016 Rapid Rewards points earned are only estimates.Not a member-visit htt�://www.southwest.com/rapidrewards and sign up today! Date Flight Departure/Arrival Mon Sep 1783 Depart INDIANAPOLIS, IN(IND) 14 on Southwest Airlines at 11:30 AM Arrive in LAS VEGAS,NV(LAS)at 12:35 PM J Travel Time 4 hrs 5 mins Wanna Get Away Thu Sep 1880 Depart LAS VEGAS,NV(LAS)on Southwest 17 Airlines at 08:55 AM Arrive in INDIANAPOLIS,IN(IND)at 3:25 PM Travel Time 3 hrs 30 mins Wanna Get Away What you need to know to travel: • 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. • VAR,TV,and related services and amenities may vary and are subject to change based on 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 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 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 denied boarding compensation. • If you do not plan to travel on your flight:In accordance with Southwest's No Show Policy,you must notify Southwest at 3 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. Air Cost:415.99 Carryon Items: 1 Bag+small personal item are free. See full details. Checked Items: First and second bags fly free. Weight and size limits apply. Fare Rule(s): 5262118010118: NON RE F/NONTRANS FERABLE/STAN DBY REQ UPGRADE TO Y. 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 unused funds. IND WN LAS188.74RLNVPNR WN IND148.74MPNVNNR 337.48 END ZPINDLAS XT11.20AY9.00XFIND4.5LAS4.5 �A 1 Learn About Our !'EARtY81RQ_ Get EarlyBird Boarding Process crw�cKw-` Check-In(8)Details» Cost and Payment Summary ® AIR-HY5A5B Base Fare $337.48 Payment Info r ation Excise Taxes $ 25.31 Passenger Facility Date:J 14, 2015 Charge $ OO Pay nt Amount: $390.99 September 11th $ 11.20 A Fee a ent Type: v, st $; Date: Jun 2015 Payment Am nt: $12.50 Payment Type: XXXXXXXXXXXX9936 Date: Jun 14, 2015 Payment Amount: $12.50 6® AIR-HMZACI A tJ IQ Base Fare $337.48 Payment Information Excise Taxes $ 25.31 Payment Type: Segment Fee $ 8.00 XXXXXXXXXXXX9936 Passenger Facility $ 9.00 Date: Jun 14, 2015 Charge Payment Amount: $390.99 4 I September 11th $ 11.20 Payment Type: Security Fee XXXXXXXXXXXX9936 EarlyBird $ 25.00 Date:Jun 14, 2015 Total Air Cost $415.99 Payment Amount: $12.50 Payment Type: XXXXXXXXXXXX9936 Date: Jun 14, 2015 Payment Amount: $12.50 — Fly Southwest To ' Flight Status Alerts International Destinations15001 , You can now Look travel Stay on your way YOM flight departure or arrival status via text message are-mfrom select cities to Mexicoail. &The Caribbean at §tftt3Crit3Q'Now o southwest.com. 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All travel involving Funds from this Confirmation Number must be completed by the expiration date. 2 Security Fee is the government-imposed September 11th Security Fee. See Southwest Airlines Co.Notice of Incorporation See Southwest Airlines Limit of Liability Southwest Airlines P.O.Box 36647-1 CR Dallas,TX 75235 Contact Us Copyright 2015 Southwest Airlines Co.All Rights Reserved. 6 Carmel 0 clay Parrs&Recreation1019- Employee Expense Reimbursement Request S�_ /y-/7; ;201-5— Date of Fund Account Account Receipt Vendor listed on receipt #\ Line# Budget Description Amount Purpose of Expense 9/14/2015 Southwest Airlines 1125 1125-4343000 Travel Fees& Expenses $ 415.99 Airfare to NRPA Conference o� 9/14/2015 Union Cab 11 I5 1125-4343000 Travel Fees& Expenses $ 19.00 Cab fare, airport to hotel ,3 9/14/2015 II Fornaio Cucina Italiana 1125 1125-4343000 Travel Fees& Expenses $ 12.31 Meal on 9/14 y 9/14/2015 Gonzalez Y Gonzlez 1125 1125-4343000 Travel Fees& Expenses $ 19.11 Meal on 9/14 9/15/2015 Espresso 1125 1125-4343000 Travel Fees& Expenses $ 6.11 Meal on 9/15 9/15/2015 America 1125 1125-4343000 Travel Fees& Expenses $ 16.51 Meal on 9/15 7 9/16/2015 Espresso 1125 1125-4343000 Travel Fees& Expenses $ 2.86 Meal on 9/16 9/16/2015 Ri Ra Irish pub 1125 1125-4343000 Travel Fees& Expenses $ 22.92 Meal on 9/16 9 9/17/2015 Coffee Bean & Tea Leaf 1125 1125-4343000 Travel Fees& Expenses $ 7.21 Meal on 9/17 9/17/2015 Union Cab 11 25 1125-4343000 Travel Fees& Expenses $ 22.00 Cab fare, hotel to airport 9/17/2015 Airport Parking 1125 1 1125-4343000 Travel Fees& Expenses $ 72.00 Airport parking All receipts should be attached in the same order as listed above. JRV>A 201PcN N 0 PVL—No sales tax will be reimbursed. TOTAL: $616.0 C© I-)CG Employee Name(print) Audrey Kostrzewa SEP 2 3 2015 Address 2592 Turning Leaf Lane OCT Check BY- payable to: City, St,Zip Carmel, IN 46032 13 201 Signature: Approved by: Date. g/o7/// S Date: Q`��-}l/' Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 355133 Kostrzewa, Audrey Terms 2592 Turning Leaf Lane Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 09/21/15 Reimb Travel expenses for NRPA Conference 2015 $616.02 Total $ 616.02 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 i Voucher No. Warrant No. 355133 Kostrzewa, Audrey Allowed 20 2592 Turning Leaf Lane Carmel, IN 46032 In Sum of$ $ 616.02 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept# 1091 Reimb 4343000 $ 616.02 1 hereby certify that the attached invoice(s), or 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 October 1, 2015 Signature $ 616.02 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund