Loading...
251771 11/18/15 u�..rtA.A �% \f� CITY OF CARMEL INDIANA VENDOR: 357248 J. ****'** .�- 4��• ONE CIVIC SQUARE MARK WESTERMEIER CHECK AMOUNT: $ 693.22 r. CARMEL INDIANA 46032 12981 REGENT CIRCLE CHECK NUMBER: 251771 +� /r. CARMEL IN 46032 M„roN�� CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 693.22 TRAVEL FEES & EXPENSE .JCEI`OT)ED Carmel • Clay NOV - 2 2015 Parks&Recreation r ��� 0 201 Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description ,1 Amount Purpose of Expense `— `, 9/14/2015 Southwest l0`r r 3 000 $ A 531.99 Flight to NRPA Conference 9/14/2015 Vegas Western Cab $ 13 18.86 Travel from airport to hotel 9/16/2015 Shake Shake $ G 10.48 Lunch 9/17/2015 Nine Irishmaen Pub $ 19.00 Dinner 9/18/2015 Tequileria $ 17.98 Lunch 9/18/2015 Cab fare $ 24.91 Cab from hotel to airport 9/21/2015 Airport parking $ 70.00 5 days parking @ airport All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $693.22 Employee Name(print) Mark Westermeier Address 12981 Regent Circle Check payable to: City, St, Zip Qarmel, IN 46032 Signature: Approved by: Date: 11/2/2015 Date: 122, Z 0/ -5-- Business Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 1 / V Espanol S®uthwestw FLIGHT 1 HOTEL CAR SPECIAL OFFERS RAPID REWARDS® q Southwest Thank you for your purchase! Indianapolis,IN-IND to Las Vegas,NV-LAS New Purchases in Trip Air Confirmation#H8241Q i Indianapolis,IN-IND to Las Vegas, NV-LAS Monday,September 14,2015-Sunday, September 20,2015 Early8ird Check-In Purchased f Air Total:$1063.98 Amount Paid i/ ✓ qq $1063.98 12 Trip Total $1063.98 SEP 14 MON ' 09/14/15 - Las Vegas New purchases added to your trip. AIR Indianapolis,IN-IND to Las Vegas,NV-LAS 09/14/2015 - 09/20/2015 Confirmation# H824IQ Adult Passenger(s) Rapid Rewards# MARK WESTERMEIER 00020266874530 .. .............._._..._.._.................._................................._..-......._................_.....__. SUSAN WESTERMEIER 00020081923304 Subscribe to Flight Status Messaging DEPARTi 04:15 PM Depart Indianapolis,IN Flight SEP 14 (IND)on Southwest Airlines #1881 south°est® I Monday,September 14,2015 I MON Travel Time 4 h 00 m 05:15 PM Arrive in Las Vegas,NV (Nonstop) (LAS) WiFi available Ayanna Get Away RETURN 12:25 PM Depart Las Vegas,NV(LAS)1 Flight til SEP 20on Southwest Airlines #1151 southwesco Sunday,September 20,2015 SUN 1 07:00 PM Arrive in Indianapolis,IN s Travel Time 3 h 35 m (Nonstop) 1 (IND) ' WiFI available 3 Wanna Get Away 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 and you won't 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 10,2013 and travel beginning September 13,2013,Customers who fail to cancel reservations for a Wanna Get Away or DING! fare segment at least ten(10)minutes prior to travel and who 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 Ch.arme Fres Wanna Get Away Depart IND-LAS • i3est:u,t°u:ds 2 $341.98 Excellent Vallee in.artrans,cr,{ie-„,)n:aino:;na!-g-sa:;;>:ad on.rp.e ka ­e!;_pt,r C,!of. it:n::.th Posnl:: • *Ju.:hancy�Ft'cs Return LAS-IND Warna Get Away • ” 2 $672.00 Excellent Value Subtotal $1013.98 Fare Breakdown Carry-on Items:1 bag+1 small personal Item are free,see full details. Bag Charge $0.00 Checked Items:First and second bags are free,size and weight limits apply. EARLYBIRD CHECK-IN PRICING Option Passenger Price Quantity Details Receipt# Total EarlyBird Check-In MARK WESTERMEIER $12.50 1 IND-LAS 5260669355737 $12.50 EarlyBird Check-In SUSAN WESTERMEIER $12.50 1 IND-LAS 5260669355738 $12.50 EarlyBird Check-In MARK WESTERMEIER $12.50 1 LAS-IND 5260669355739 $12.50 EarlyBird Check-In SUSAN WESTERMEIER $12.50 1 LAS-IND 5260669355740 $12.50 Subtotal $50.00 k $50.00 Air Total: $1063.98 Gov't taxes&fees now included Purchaser Name M R Westermeier Billing Address 12981 Regent Cir Carmel,IN US 46032 Form of Payment Amount Applied $1063.98 Your American-Express creditcard ending in-1005 has been added to your MySouthwest account Amount Paid $1063.98 Trip Total $1063.98 ©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 C American Express° Traditional Gold Card p.3/10 M R WESTERMEIER Closing Date 07/02/15 Account Enclin, 1005 New Charges Summary Pay In Full Pay Over Time ♦ Total Total New Charges $50.00 $1,013.98 $1,063.98 Detail ♦-denotes Pay Over Time activity For more information,visit americanexpress.com/payovertimeinfo ® M R WESTERMEIER Card Ending 0-71005 Amount 06/25/15 SW AIR DALLAS_ TX $506.99 SOUTHWEST AIRLINES(MASTE From: To: Carrier: Class: INDIANAPOLIS LAS VEGAS MCCARRAN WN M INDIANAPOLIS WN B N/A YY 00 N/A YY 00 Ticket Number:5262121202188 Date of Departure:09/14 Passenger Name:WESTERMEIER/SUSAN M Document Type:PASSENGER TICKET EXTENDED PAYMENT OPTION 06/25/15 SW AIR DALLAS TX $12.50 SOUTHWEST AIRLINES(MASTE From: To: Carrier: Class: N/A N/A YY 00 N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number:5260669355738 Document Type:MISC.CHARGE ORDER(MCO)/PREPAID TICKETAUTH. 06/25/15 SW AIR DALLAS TX $12.50 SOUTHWEST AIRLINES(MASTE From: To: Carrier: Class: N/A N/A YY 00 N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number:5260669355740 Document Type:MISC.CHARGE ORDER(MCO)/PREPAID TICKETAUTH. 06/25/15 SW AIR DALLAS TX $506.99 SOUTHWEST AIRLINES(MASTE From: To: Carrier: Class: INDIANAPOLIS LAS VEGAS MCCARRAN WN M INDIANAPOLIS WN B N/A YY 00 N/A YY 00 Ticket Number:5262121202187 Date of Departure:09/14 PassengerName:WESTERMEIER/MARK ROBERT Document Type:PASSENGER TICKET EXTENDED PAYMENT OPTION Continued on reverse M R WESTERMEIER Account Ending 0-71005 p.4/10 Detail Continued ♦-denotes Pay over Time activity Amount 06/25/15 SW AIR DALLAS TX $12.50 SOUTHWEST AIRLINES WASTE From: To: Carrier: Class: N/A N/A YY 00 N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number:5260669355737 Document Type:MISC.CHARGE ORDER(MCO)/PREPAID TICKET AUTH. 06/25/15 SW AIR DALLAS TX $12.50 SOUTHWEST AIRLINES(MASTE From: To: Carrier: Class: N/A N/A W 00 N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number:5260669355739 Document Type:MISC.CHARGE ORDER(MCO)/PREPAID TICKET AUTH. Fees Amount Total Fees for this Period $0.00 Interest Charged Amount Total Interest Charged for this Period $0.00 About Trailing Interest You may see interest on your next statement even ifyou pay the new balance in full and on time and make no new charges.This is called"trailing interest."Trailing interest is the interest charged when,for example,you didn't pay your previous balance in full.When that happens we charge interest from the first day of the billing period until we receive your payment in full.You can avoid paying interest on purchases by paying your balance in full and on time each month.Please see the"When we charge interest"sub-section in your Cardmember Agreement for details. 2015 Fees and Interest Totals Year-to-Date Amount Total Fees in 2015 $0.00 Total Interest in 2015 $0.00 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. 357248 Westermeier, Mark Terms Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 11/2/15 Reimb NRPA Conference expenses $ 693.22 Total $ 693.22 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 , 2o Clerk-Treasurer Voucher No. Warrant No. 357248 Westermeier, Mark Allowed 20 I In Sum of$ I. $ 693.22 I ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1091 Reimb 4343000 $ 693.22 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 November 3, 2015 I, Signature $ 693.22 Accounts Payable Coordinator Cost distribution ledger classification if j Title claim paid motor vehicle highway fund I