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251585 11/18/15 v u�.G�q* ^' CITY OF CARMEL, INDIANA VENDOR: 129401 ® ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $*****1,382.66* =a CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 251585 '+%;,o�;�' CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343004 1,382.66 TRAVEL PER DIEMS F CAR,y CITY OF CARMEL Travel Expense Report ,..iRoiaNp j EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 11/5/2015 TIME: 4:30 PM AM/ PM DEPARTMENT: Community Services RETURN DATE: 11/9/2015 TIME: 7:30 PM AM / PM REASON FOR TRAVEL: LA cont ed req; ASLA annual mtg DESTINATION CITY: Chicago, IL 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 11/5/15 $33.00L, $6.5 $216.50 $32.50 $288.50 $0.00 11/6/15 j $216.50 $65.00 $281.50 11/7/15 $14.66 V $216.50 $65.00 $296.16 11/8/15 $216.50 $65.00 $281.50 11/9/15 $100.001 $65.00 $165.00 $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 $0.001 $0.001 $47.661 $106.501 $866.00 $0.001 $0.001 $0.00 $0.00 $292.50 $0.00 DIRECTOR'S STATEMENT: I.here rm t II enses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: N0Y1AAn City of Carmel Form#ER06 Revision Date 11/14/2015 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 $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 11/14/2015 Page 2 Residence [nnc karnotl. Residence Inn by Marriott 11 South LaSalle Street T 312.223.8500 Chicago Downtown/Loop Chicago, IL 60603 M'..fHollitiaugh> h_ Room: .,Room TYe:-STDG. ,P Number of Guests: 1 Rate::$186.00 - Clerk: Arrive: 05Nov15' Time: 07:10PM De part: 09Nov15 Time: Folio 14' bee: 60235: Date Description Charges Credits 05Novl5 Room Charge 186.00"`^ 05Novl5 State Sales Tax 22.13 05Novl5 City Tax 8,37 06Nov15 Room Charge 186.00 06Novl 5 State Sales Tax 22,13 06Novl5 City Tax 8,37 07Nov15 Room Charge 186.00 07Nov15 State Sales Tax 22,13 07Nov15 City Tax 8,37 08Nov15 Room Charge 186.00/ 08Nov15 State Sales Tax 22,13 08Nov15 City Tax 8,37 09Nov15 866.00 Card#: AXXXXXXXXXXXXX1013/XXXX Amount: 866.00 Auth: 594796 Signature on File �— This card was electronically swiped on 05Nov15 Balance: 0.00 Rewards Account#XXXXX9742. Your Rewards points/miles earned on your eligible earnings will be credited to your account. Check your Rewards Account Statement or your online Statement for updated activity. Get all your hotel bills by email by updating your Rewards Preferences. Or, ask the Front Desk to email your bill for this stay. See"Internet Privacy Statement"on Marriott.com. To plan your next stay, visit residenceinn.com 1 I i i Transaction Details FORUM_ I C R E D I T U N 1 0 N j 1 'I 11[7/2015 WITHDRAWAL @ 6051_PAYPAL*UBERTE 2211 North First S San Jose CADS i Trace#25158126 -$14.66 I i r Hide Memo/Categorizations i MEMO Uber trip from McCormick's Place to Willis Tower CATEGORIES Work Related $14.66 i 1 I I Generated on 11/14/2015 12:13:58 PM I , ©2015 FORUM Credit Union.All rights reserved. i I 1 j 1 I ' 1 I i I j i 1TRCC Indiana loll Road Y VAY � Receipt 01279222 t-ane Lane15 Gl(J GtrC�� Station Wes t:poir, Categor 2-AXLE � :s - .'`:• .: Total 5 2. 00 - ti=� Payment Cash ,tF . q Yip fir— LM Date ' 11/5/2015 6: 7: 7 PM All Time Central '� _ \`' ir. ,en Lir 12823700945971532 ' - ---- ------- -- ------ - Thank youiBi J• 3 Drive safely �' ✓N Iu�QJ e o �� QJ El�i`ilo $4.50 $4.50 i 1 TRCr_ 15.20 52551 Ash Road _ $20.20 $14.40 Granger, IN 46530 $25.20 $18.00 Cars Pay your 01,.d rages with E-zPas $30.30 $21.60 visit. www. ezpassin, com toddy $35.30 $25.20 Questions or comments call 1-888-496-6690 0 � � _e • cL�ooe�L34�o • t4 ((yy�� - ,- ..}�.�,- .p,.,��• ��- �'it1C^�d�QCm�n` -. ' ,.^�t o�f�c�'�'.�,��-�Q,�,O���3, o '• liJ ° I.UlC7r-AS lR�llr LW 171:.CisJ o • o e•( j l.0 L9�1YGC�C7 U/.�l'A'A:A:AIW CROW @9290MM @AUBW OB @MUEA S(U@�ft @MQ@§kM ft b7DMWJo o @A ad • a r k 'o 0B IoM J� QI �r "I o Hollibaugh, Mike P From: Parking Panda <Support@Parking Panda.com> Sent: Monday, November 02, 2015 5:47 PM To: Hollibaugh, Mike P Subject: Welcome to Parking Panda! —WELCOME TO PARKING PANDA— Park. Happy. Hi Mike, Thanks for signing up. We are really excited to welcome you to the wonderful world of stress-free parking! To keep track of your purchases on Parking Panda, we have automatically created a Parking Panda account on your behalf. In order to log-in to your account in the future, please click here to create a password for your account. Reservations Current Reservation TOTAL:$100.00 Reservation has expired Ii�Reservation 11/5/2015 7:30 PM-11/9/2015 7:30 PM CONFIRMATION:8g2ghy6 VEHICLE DESC:white Toyota Prius " Parking P Panda Receipt I II Confirmation Number: 8g2ghy6 1' Note:sales receipt only,not valid for entrance to parking facility 11 1; 326 S Wells St,Chicago,IL Sub Total $100.00 11/05/2015 7:30 PM-11/09/2015 7:30 PM Discounts $0.00 i Prepaid Multi-Day Reservation Credits Q,QQ American Express XXXX-1013 " Total $100.00 r I` Purchased 11/02/2015 I� _ CIIC LG '• ,,:ate.._ ,,,c- call 977-669RWI = _Von raChicago-Com _ =4 g www t -• Transaction Details **CASH 13** DATE: TIME: 0`i * Original ., 11/6/2015 Receipt No, 138/543/: Eff. 11/4/2015 Ticket - 416270 WITHDRAWAL @ 7523-CAPITAL COMMONS INDIANAP OLIS INUS Trace ; LPR = 74791 #2005965TAX included 3• -$30.00 Credit: 311 Trans ID 106855 Card No, Card Type: MASTER CAI,-I I � I Entry - 11/04/15 MEMO Valid - 11/04/15 Parking-Indiana Chamber of Commerce, 'City of the Year'Awards Dinner(Indiana Convention Center) I CATEGORIES Work Related $30.00 Generated on 11/14/2015 12:16:38 PM i ©2015 FORUM Credit Union.All rights reserved. I i I I i i � I I i i h+X Invoice OneZane Invoice No.30887 COMMERCE.CONNECTED. Invoice Date: 11/16/2015 OneZone 10305 Allisonville Rd.,Ste.B Fishers,IN 46038 (317)436-4653 Mike Hollibaugh Member ID: 791 City of Carmel DOCS Invoice Due: 11/18/2015 1 Civic Square Carmel,IN 46032 Description Qty Rate Amount November Luncheon-Ed McMahon of the Urban Land Institute (ULI)in Washington,D.C. Chamber Member-Prepay 1.00 20.00 20.00 Hollibaugh,Mike Payment-Thank You S-20.00 Total: 20.00 Amt Paid: -20.00 Balance Due: 0.00 - ------------------------------—-----------------—---------------------.--- ------------ City of Carmel Member ID: 791 Payment Enclosed: $ 1 Civic Square Invoice: 30887 Carmel,IN 46032 Due Date: 11/18/2015 Make checks payable to: OneZone Total Due: 0.00 10305 Allisonville Rd.,Ste.B Fishers,IN 46038 Please verify address and provide corrections below: Convenient online payment option at: http://w%%,Nv.onezonecommerce.com Organization Name: Charge: Primary Billing Person: VISA American Express Mailing Address: Mastercard Discover Card No. Exp.Date City,State,Zipcode: Signature Sec.Code OF 7. RE-,M". .1m W- -' r % <1 ASLA ANNUAL MEETING & EXPO I CHICAGO 2015 Page I of 2 FtEdIffTE NO LANDSCAPE ARCHITEMRE wri'POIANEG12 I EN 8LA 911M -T2 N5 /MfirbyJ ANNUAL MEETING&EXPO NOV. 6-9 - CHICAGO PERSPECTIVES #ASLA2015 77F. X111 A? OR ,4 SPI- A& Join the largest gathering of landscape architecture professionals and students in the world to gain perspective and establish new connections within the profession. EDUCATION More than 130 education sessions, field sessions, workshops, and general sessions will be offered throughout the meeting. Browse the sessions > (http://www.eventscribe.com/2015/ASLA/) PRESIDENT'S LETTER ASLA 2015 President K. Richard Zweifel, FASLA, explains why perspectives matter. Read More > (http://www.aslameetinq20l5.com/presidents-letter/) http://www.aslameeting20l5.con-i/ 11/17/2015