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Home My WebLink About255339 02/09/16 �ur_'r`�AM CITY OF CARMEL, INDIANA VENDOR: 354379 J` �� ONE CIVIC SQUARE JEFFREY WORRELL CHECK AMOUNT: $*****1,708.70* . ® =q; CARMEL, INDIANA 46032 12550 SCOTTISH BEND CHECK NUMBER: 255339 9M_..._., CARMEL IN 46033 CHECK DATE: 02/09/16 ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4343004 120515 1,159.70 TRAVEL PER DIEMS 1401 4357004 120515 549.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ $ 0 g. -70 ON ACCOUNT OF APPROPRIATION FOR ' s PO#or DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT 1401 12- 05- 16' 14357001 Y1150.UD 1' 01 g357ooq cgq.00 tr y I r� os Is' -{3L,unfo rem ` t 17, 20 �( 9,r1l �� 1�ae7o Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity Form No.201(Rev.1995) 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)) 06-is- Z150.N C . , co 2_15hl 12/0, ,5 NEv 7 c i 99 00 215'11 s 12 0 5- S 71IL" 0'" % 9,70 Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20- Clerk-Treasurer 20Clerk-Treasurer P NI CITY.OF CARMEL TRAVEL AND EXPENSE REPORT Employee Name I-worrelf Purpose of Trip F. Ind iana"Soctetyof+Chicago Department Name �1 From:��(,z jh�� To: ( /5 l,5� :...ate.:.:.:.:.:.:.:.:.: 12 /5 l5 I . 1 Total Travel from: 1 to: :L'Fle Mems:&:�ateifalnrnent: ............ I $ :.:1:? Breakfast. � - Enter people'present Enter people Enter people present Enter people Enter people present Enter people present Enter people here present here here ++ present here here here present here Lunch Enter people present Enter people Enter people present Enter people present Enter people present Enter people here present here here Chris Mortis&Barb here' here present here 1 Dinner I $ - 1 '$ Enter people Enter people present Enter people present Enter people Water Water Chris Morris&Barb present here here here present here < 4 Entertainment" - :;:5::;: GL Account M&E Total $ - :Trave[:&:: �... .................................................................. ................................................................ . ........................................................... 44d .o ::::::::::-:::•:•:•:•:•:•:•:•:•:•:•:•:•: .:.:.:.:.:.:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:. .... -:•:• :.:Cr::Airfare I { I I $ Auto Rental Personal Auto X01 - J { I ! @$.575per mile $ 217.93 $'- $ $• "$ _ $ _ $ : _, .I $ 217.93 Gas (Rental) ::1a:Parking .. Q-�D I I $ " :11:Tolls I I $ - :1 :Cabs/Other Transport ::ld:Lodging I I I I $ A.4.-: Laundry(travel>5 days) 15:'Telephone I I I $ - :1E: Miscellaneous Travel I I I I $ - :.1 Subtotal(6-16) $. 557.98 GL Account Travel Total —� $ 557.98 ...............................................................................:.........:...:.............................. ::::::::::::::::::::::`::?::::::::::::::::": ilterfdiitineitt:EzPe>7se t icPtamatloo: :Ttiis:saec W isExPlaitts E�iieFtair irier�t:FSePlofted:i� ovs`" Description&Business Purpose Persons Entertained. Date/Place Amount GL Account ........................ ...... ............................................... ...:............................... . ....... ....................................................................................................................................................... `tVli$ssllaitegiis:(Nan Trxvsl):Eicpeosas:'Des�ntie:abd:eiatQ�balovir:: XP>Gf�S�:ti�i'DRT 9litNMP tY::::::: Description&Business Purpose Date/Place Amount GL Account Total Expenses $ 557.98 Less Advances $ - ::. ,: I :$ _ I'' Net Due to Employee $ 557.98 Total Misc W —� $ - Net Due to Company $............................... ........................................... ............... ............................ ur. ane:..... ... pro s::.o ...... ... ............. 4- --I4IZ2 Em oy e i na ure: AKproved By Date [ { 1 �y�lla _ Ir i nr - - 1 Room 3611 . r � CHIC Folio# meiLclvHiu►a ptpx_ -Cashier# 17 Page# 1 of:1 200 North Columbus Drive Chicago, Illinois, USA 60601 Group Code Indiana.Society of Chicago T.312 565 8000 F 312.856 9020 MFL Associates Mr Jeff. Worrell ;Arrival 12-05'15 12550 Scottish Bend Departure 12-06-4 5 Carmel IN 46033 Fairmont President's Club United States. 3240801259 Date Description12-05-15 Valet Parking Room#3611 : 70.00 U 12-05-15 Room Charge 232.00 5- 12-05-15 Room State Tax 27.61 �-70 12-05-15 Room City Tax =10.44 12-06-15 Visa 340.05 Total 340.05 340.05 } Balance Due 0.00 {4 Thank you for,choostng'Fairmont Hotels&Resorts. To provide feedback about your stay please contact the General Manager, at GMCHICAGO@Fairmont.com. We also invite you to share memories of your experience on our community forum-visit www.everyonesanoriginal.com, ,• t ;��'-i, Y j For information or reservations,visit us atI agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated person,company,travel agent or association fails to pay for the full amount of the charges.Overdue www.fairmont.com or call Fairmont Hotels&Resorts from: balance subject to a surcharge at t he rats of 1.6%per month.(119.56%per annum).Ali accounts deemed United States or Canada 1 800 441 1414 delinquent maybe subject to legal fees and all other costs associated with the bill. Account is payable on presentation or departure: - - Thank you for choosing to stay with Fairmont Hotels .& Resorts x a e • 's =. Y c ��a' s" .ah wgS��F- ��tt3 u.,,.•,�..._� . 9 a _ • • �3a � • ��t a e'�g�('�iq '��n.I��iY . • °��'�S`+s�T,��Y+� ,� , t • • • e - s s �^ l s s� j$ .a iS EXPRESS CHECKOUT For your convenience,Fairmont Hotels&Resorts offers you express checkout privileges.For options such as telephone checkout,advance folio review and e-mail services,please consult your in-room Guest Services Directory.The express drop-off is located at the Front Desk.Please complete all information and return to the drop-off box or Front Desk. Name(please print) Room Departure time Checkout date J O 1 authorize my entire account to be processed through my,credit card. Signature Date O Visa O MasterCard O American Express O Diners Club O Discover Card O Other • OkTs Card no. Expiry date(mm/yy) Full name on card(please print) O Please send a copy of my account to the address below: O Please send a copy of my account to the E-mail address/Fax no.below: Name(please print) Company Address City State/Province Country Zip/Postal fairmont.com E-mail address Fax __ CITY OF CARMEL TRAVEL AND EXPENSE REPORT Employee Name lieff Worrell Purpose of Trip National League of cities Department Name City Council From: 11/5/2015 To: 1117/2015 1 oats:::::::::::::::: 11/5/2015 11/6/2015 11/7/2015 Total ............. . .. Travel from: to: q Line < :•:: : >:::>:::>:;:.... Meafs:r;i:Erifertai hirilant: =: #: Breakfast $ Enter people Enter people Enter people present Enter people Enter people present Enter people .Enter people present:here present here here present here here present here present here Lunch $ Enter people Enter people Enter people present Enter people Enter people present Enter people Enter people present here present here here present here here present here present here Dinner 33.5v $ 15.84` $ 5. Enter people Enter people Enter people present Enter people Enter people present Enter people Enter people present here present here here present here here present here present here Entertainment"" $' GL Account MBE Total 7--l" $ :..v....:. :::t:::Airfare $ - :: :.Auto Rental $ - Personal Auto ��S $. (Ser mile $ -.". $ $ $ _ $ - $ - $ $ - 9: Gas (Rental) $ - ::40: Parking $. - .:I.I: Tolls $ - :::1:�: Cabs/Other Transport $ 8.00 $ 8.00 :::9$' Lodging ::1:4: Laundry,(travel>5 days) $ - :15.Telephone $ - ::1:8::Miscellaneous Traver $ :1:�::Subtotal(6-16) $ GL Account Travel Total $, : .nen : ::::a:Enea} eXS.e..:I.:.z.p'.1a'.r"t.a.t.i.". *.*.T..h.i.S.:s..e...i.....: X.�? "e.n.t •p.o..rt.e.d..A.t.i.4"' :..*.::.::.::.::.:::::: :'::::::::$, m. .............. .. . Description&Business Purpose Persons Entertained Date/Place Amount GL Account '.'.':Y4....• •.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.•.'.'.'.' �;;,;,;,;,;,;,;,;,;,;,;;,;,;,;,;,;,'.'.'.'.'.'.'.'.'.'.':'.'.'.'.'.'.'.'.'.'.'.'.'.•.'.'.".•.'..•.".'..•. Nfisc'�ttaneou$;(fVori:Travet):)~ispe�s�s�:Ua;cube:aiid:eritsr':below:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:..:•:•:•:':•:SXP fJSEt R QRT:$..UMMARY-:.:.'%%: Description&Business Purpose Date/Place Amount GL Account Total Expenses $.1,051.72 #: NLC Course Enrollment Fee $ 450.00 Less Advances $ - Net Due to Employee $1,051.72 Total Misc —� $ 450.00 Net Due to Company $ - ..:•..•.....:..•:.:..:•..:.•.'. ••• ...... ..... ' ' ..................................... . . ............. ins.y............ ::. ara n :re:thishi a . ....•.'.:.:'.::.'.:.:.:'.: - ETklMeLlignature Date Approved By Date (> Ls GUEST FOLIO RENAISSA RF-WAISSANCE" HOTELS RENAISSANCE NASHVILLE HOTEL GUEST FOLIO 2307 WORRELL/JEFF 234.00 11/07/15 12:00 1800 2449 R(3M NWAME WE C15EIFART ""TIME ACCT# GROUP NATIONAL LEAGUE OF C 1� 05/15 11 .07 A A IVE Tim?IME 177 ROOM CLERK �PAK� Room po ENT RWD#: XXXXX0360 Clerk AWGRESS �• 11/05 CLB LNGE 43932307 19.99 > 33,s o AWJ- V 11/05 CLB LNGE 44002307 13.5 11/05 ROOM 2307, 1 4.00 11/05 STATE TX 2307, 1 21 .65 11/05 OCC TAX 2307, 1 14.04 11/05 CITY TAX 2307, 1 2.50 11/O6 ROOM 2307, 1 234.00 L 11/06 STATE TX 2307, 1 21 .65 11/06 OCC TAX 2307, 1 14.04 11/06 CITY TAX 2307, 1 2.50 11/07 VS CARD $577.88 PAYMENT RECEIVED BY: VISA BK CURRENT BALANCE .00 - WE -HOPE YOU ENJOYED -YOUR S T R'r-IN-_MUSIC CITY AND--LOOK FORWARD TO YOUR NEXT VISIT. FOR AN ADDITIONAL COPY OF YOUR FOLIO, PLEASE EMAIL ACCOUNTING AT NASHACCOUNTING@RENHOTELS.COM 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 Your Rewards points/miles earned on your eligible earnings will be credited to your account. Check your Rewards Account Statement for updated activity. Marriott & A Woman's Nation appreciate housekeepers R RENAISSANCE NASHVILLE HOTEL 611 COMMERCE ST NASHVILLE, TN 37203 RENAISSANCE' (615) 255-8400 HOTELS This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you are direct billed,in the event payment is not made within 25 days after check-out,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5% per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees. renhotels.com j ignature X 91 W awc f � Untitled note Notebook: REFERENCE Created: 9/4/2015 4:39 PM Taos: 05 Government.National Leaaue of Cities URL: httos://realstration.exoerlentevent.com/shownk152/Attendee/Loain.a5DX �Afelcome Jeff, header I Registration Summary Please review the information below.If everything is correct,click Next to continue.Or use the buttons be . you wish to change. To add an event,click on'Purchases'. Need help? Please click'Activate Live Chat'In the right side bar during business hours for additional as , L' Profile&Badge: Demographics Summary .Guests------__—` --__-- ----._ Purchases Completed — — -- ----- ------- . Purchases Qty. Description Status Unit Total i 1 First Time Attendee SAVED $450.00 $450.00. Total Payments ($450.00) j Pending Purchases I ' I Financial Summary Register Another Person Would you like to re isteranother person at this time?If yes,please click below;otherwise,click AM N you have any questionsahroughout the registration process,please contact(866)221-7895(toll tree) nlccoc@experient-inc.com. T.RAN.S.LAU] !p Bing CITY OF CARMEL TRAVEL AND EXPENSE REPORT _ Employee Name (Worrell I Purpose of Trip i New Council Training Department Name From:L 6 16To:; /27�5�5 1 ::.:Date::.:.:.:.:.:.:.:.:. Total Travel from: to: : i..e:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: M1..i .:......::::::;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;: Fl ....................... IVlels:&.B.te.alnment.............................................................. ................. :;:1;:; Breakfast' $ Enter people present Enter people Enter people present Enter people Enter people present Enter people present Enter people here present here here present here here here present here Lunch $ - $ - $Enter people present Enter people Enter people present Enter people present Enter people present Enter people here present here here Chris Moms&Barb here here present here Dinner $ - $. _ $ Enter people Enter people present Enter people present Enter people Water Water Chris Moms&Barb present here here here present here Entertainment** $ - $ - :;:5;:;: GL Account —► M&E Total ► $ - ............................................................................................................ .••••••••••••••••••••••••••••••••• :-:-:Tay .......9•n....9• . ... ....':...............•....•..•..•..•..•..•:...•...•...•...•...•...•...•...•..•....•...•...•...•...•..•...•....•...•...•...•...•...•...•...•...•...•...•.......•...•...•..............;...:... .: Airfare $ Auto Rental $ - Personal Auto @$.575per mile ::4::Gas (Rental) $ - ::16: Parking $ - :11.:Tolls $ - :12::Cabs/Other Transport $ - 13; Lodging $ - ::1'.4::Laundry(travel>5 days) $ - ;1 ;Telephone $ - :1(r:Miscellaneous Travel $ - :A-7 Subtotal(6-16) $. - GL Account —► Travel Total P $ - .................................................................................. .............................. >: >: :::: 'Enteita meflt:EzPe�ise xPl atiori:� '.This Section:E�iPlains ntertairiitier�fa7ePorted Above : . ......: ;:::::: Description&Business Purpose Persons Entertained. Date/Place Amount GL Account $ _ . ........... .... ........................................ .................................................................................................................................................... ••;Nlis�slleneous:(Non Tia�!el)�xpeoses:�Pescrabe:abii:eiite�lielbvv :-: bXPF.RSE:R1EK)RT:9lfNIMARY........ Description&Business Purpose Date/Place Amount GL Account Total Expenses $ 99.00 NEO'Regional Training TACT) &Dec $ 99.00 i $ - Less Advances $ - ?A;: $ - Net Due to Employee $ 99.00 1. Et Total Misc $ 99.00 Net Due to Company $ - F:.;•.:•.•...�... ................. ..... .. Yb tic: �lireetsuFieniisor iiiust:reviewarid si fQn:thi is: E.'p.4Yee'§(grate Date ApIrroved By Date A 1 Confirmation Pagel of 1 Indiana Association of Cities and Towns 125 W Market Street, Suite 240 M '.91 Indiana olis IN 620 P 4 4 . 317=237-6200 www.citiesandtowns.or RECEIPT Jeff Worrell Number: 25045 City Council DATE CONTACT 12550 Scottish Bend Carmel, IN 46033 11/25/2015 .17785 Items ` Quantity Price Total NEO Regional Training: Carmel (Municipal 1 $99.00 $99.00 Member).: Order Subtotal: . $99.00 -Payment Received: $99.00 Total Due: $0.00. . Payment Information Paid-By:Visa Check/Card(last 4 digits) No: Thank you for your support of TACT! Please remit payment within 3o days to TACT. https://www.citiesandtowns.org/DesktopModtiles/NOAH Common/Dialogs/PrintConfir... 11/25/2015