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HomeMy WebLinkAbout255567 02/26/16 �u�..4Qq,M 4! �� CITY OF CARMEL, INDIANA VENDOR: 027850 ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $t'""`2,221.24' =q; CARMEL, INDIANA 46032 CHECK NUMBER: 255567 M„oN-� • CHECK DATE: 02/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 022416 801.86 TRAVEL FEES & EXPENSE 1160 4343003 022416 1,159.38 TRAVEL & LODGING 1160 4343004 022416 260.00 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. ALLOWED 20 JAMES BRAINARD IN SUM OF$ $2,221.24 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member I EXPENSE I 43-430.04 I $260.00 1 hereby certify that the attached invoice(s), or REPORT 1160 101 bill(s) is (are)true and correct and that the EXPENSE 43-430.03 $1,159.38 1160 REPORT 101 materials or services itemized thereon for EXPENSE 43-430.01 $801.86 which charge is made were ordered and REPORT 1160 101 received except Wednesday, February 24, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund A-J?4p r CITY OF CARMEL Expense Report (required for all travel expenses) V NDI EXHIBIT A EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 2/18/2016 TIME: 9 : 44 AM PM DEPARTMENT: Mayor RETURN DATE: 2/21/2016 TIME: 3.,.'17 AM CPW REASON FOR TRAVEL: USCM Winter Leadership DESTINATION CITY: Miami FL Meeting EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem ' `.$0.00 2/18/16 $511.20 $91.00 $65.00 $667.20 2/19/16 $65.00 $65.00 2/20/16 $52.13 $65.00 $117.13 2/21/16 $75.53 $72.00 $1,159.38 $65.00 $1,371.91, $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 $0.00 Totall $511.20 $0.001 $218.66 $72.00 $1,159.38 $0.00 $0.001 $0.00 $0700 $260.00 $0A0 DIRECTOR'S STATEME T: I hereby affirm that all expenses listed conform to the City's travel policy are within my department's appropriated budget. Director Signature: f Date: City of Carmel Form#ER06 Revision Date 2/24/2016 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 2/24/2016 Page 2 Page 1 of 1 Transaction Details Prepared for A.bF.RItPN James C Brainard owRcss Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT FEB42016 DELTA AIR LINES ATLANTA JAMES C BRAINARD $511.20 Doing business as: Flight Details DELTA AIR LINES DELTA.COM ATLANTA AIRPORT INDIANAPOLIS,INDI LATLANTA HARTSFIELD ATLANTA ��JJII GA ATLANTA HARTSFlE � MIAMI INTERNATIONA 30344 UNITED STATES OF AMERICA(THE) Additional Information:DELTA AIRLINES MIAMI INTERNATIONA ATLANTA HARTSFIELD Reference:320160350891167286 Category:Travel-Airline ATLANTA HARTSFlELD INDIANAPOLIS,INDI Ticket Number.00623330091882 Date of Departure:02/18 Passenger Name:BRAINARDNAMESCLAUDE Document Type:PASSENGER TICKET https://online.americanexpress.com/myca/shared/summary/estatement/print_doc20l 6-R1.h... 2/23/2016 Kibbe, Sharon Subject: FLIGHT INFO Miami (2/18 -2/21) Start: Thu 2/18/201612:00 AM End: Fri 2/19/201612:00 AM Show Time As: Free Recurrence: (none) Organizer: Brainard,James C Categories: Important Thu, 18FEB DEPART ARRIVE DELTA 796 INDIANAPOLIS,IN ATLANTA MAIN CABIN (U) 9:44am 11:20am DELTA 2373 ATLANTA MIAMI, FL MAIN CABIN (U) 12:25pm 2:25pm Sun, 21FEB DEPART ARRIVE DELTA 1746 MIAMI, FL ATLANTA MAIN CABIN (Q) 10:10am 12:11pm DELTA 570 ATLANTA INDIANAPOLIS,IN MAIN CABIN (T) 1:40pm 3:17pm Your Trip Confirmation#: HGZH5F 1 Page 1 of 1 C1. Transaction Details Prepared for JamesC Brainard Account Number XXXX-XXXXXX-37009 iD TATE DESCRIPTION CARD MEMBER AMOUNT FEB182016 UBER UBER 866376-1039 CA JAMES C BRAINARD $91.00 Doing business as: UBER View Details on Merchant Website 182 HOWARD ST SAN FRANCISCO CA 94105-1611 UNITED STATES OF AMERICA(THE) Reference:320160500123481749 Category:Transportation-Taxis&Coach https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doc2016-R1.h... 2/22/2016 Kibbe, Sharon From: Brainard,James C Sent: Thursday, February 18, 2016 3:30 PM To: Kibbe, Sharon Subject: Fwd:Your Thursday afternoon trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts.miaminuber.com> Date: February 18,2016 at 3:12:10 PM EST To: Brainardjcna,aol.com Subject: Your Thursday afternoon trip with Uber FEBRUARY 18,2016 $91.00 Thanks Por choosing Uber, Jam( I9EI-Portal Hialeah�'- Li 27 953 FARE BREAKDOWN TJ T ,illi ,Miam• eacl Base Fare 5.0( 41 953 Mianu Elsner Island`- l-- 972 - Distance 60.7 : I Virginia,Rey` sY' 00 o t Map data©2016 Google 02:42pm Time 22.81 21 Miad Cir,Miami,FL 03:1 1pm Subtotal $88.6( 16th St,Miami Beach,FL Airport Expressway NW 14nd Ave West Toll(?) 0.3! CAR MILES TRIP TIME Airport Expressway NW 32nd Ave West Toll(?) 0.3: LUX SUV 12.92 00:28:36 1 Safe Rides Fee(?) 1M CHARGED Personal.••••6001 $91.0( YOU'VE EARNED 2X POINTS MEMBERSHM REWARDS® RATEPOUR DRIVER You rode with Rafael 7 Uber Support Contact us with Lluestions about your trip. Give $15, Get$15 �' Leave something behind?Track it down. Share code:3g4jh 2 Page 1 of 1 aTransaction Details Prepared for nMewww James C Brainard o�acss Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT �FEB202016 UBER UBER 866-576-1039 CA JAMES C BRAINARD $52.13 Doing business as: UBER View Details an Merchant Website 182 HOWARD ST SAN FRANCISCO CA 94105-1611 UNITED STATES OF AMERICA(THE) Reference:320160520156175960 Category:Transportation-Taxis&Coach https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doc2016-Rl.h... 2/22/2016 Kibbe, Sharon From: Brainard,James C Sent: Friday, February 19, 2016 9:17 PM To: Kibbe, Sharon Subject: Fwd:Your Friday evening trip with Uber Sent from my Whone Begin forwarded message: From: Uber Receipts<receipts @uber.com> Date: February 19, 2016 at 9:11:30 PM EST To: Brainardjc@aol.com Subject: Your Friday evening trip with Uber FEBRUARY 19,2016 $52.13 Thanks for choosin;Uber, .Iamf m N i i7 10� MM ml Beac 6 �m 9441 . FARE BREAKDOWN ^'"' Base Fare 5.0( Mlaml•each �� rt ^� A'"> f1 Distance 30.4' ge Do�fsl ,a��. . ; " • - qg Map data 02016 Google 08:52pm Time 14.9E 81 NW 29th St,Miami,FL 09:10pm Subtotal $50.4: 1601 Collins Ave,Miami Beach,FL Safe Rides Fee(?) 1.7( CAR MILES TRIP TIME LUX SUV 6.48 00:18:42 1 CHARGED 'Personal••••6001 $52.1. YOU'VE EARNED 2X POINTS MEMBERSHIP REWARDS® fWT YOUR DRIVEL You rode with Jesse ? Uber Support Contact us with questions about your trip. Free Rides Leave something behind?Track it down. Share code:Sg J11 f 2 Kibbe, Sharon From: Brainard,James C Sent: Sunday, February 21, 2016 8:45 AM To: Kibbe, Sharon Subject: Fwd:Your Sunday morning trip with Uber Sent from my iPhone Begin forwarded message: From: Uber Receipts<receipts@uber.com> Date: February 21, 2016 at 8:29:54 AM EST To: Brainardjckaol.com Subject: Your Sunday morning trip with Uber FEBRUARY 21,2016 $75.53 Thanks for choosing Uber, Jain( (V, 953 FARE BREAKDOWN 112 948 II -J, - , �!'11 -7:-4 Mia' L; 1L M-P. Base Fare 5.0( i ' S 953 ianirila Distance 54.6. K�Virginia Key Map data 02016 Google 08:12am Time 13.4E 16th St Miami Beach,FL 08:29am Subtotal $73.1; 21 Mad Cir,Miami,FL Dolphin Expressway SR836- 17th Ave.Toll(?) 0.7( CAR MILES TRIP TIME Safe Rides Fee(?) IM LUX SUV 11.63 00:16:51 CHARGED Pers nal••••6001 $75'5' YOU'VE EARNED 2X POINTS MEMBERSHIP REWARDS® RATE YOUR DlklVEf You rode with MIGUEL ❑ ELITE r Uber Support Contact us with questions about 3'0111-trip• cv�) Free Rides Leave something behind'?Track it down. Share code:8a4jh f vml 2 Page 1 of 1 Ms Transaction Details Prepared for James C Brainard Account Number XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT IJAN92016 LOEWS HOTELS MIAMI BMIAMI BEACH FL JAMES C BRAINARD $386.46 Doing business as: Itinerary Details LOEWS MIAMI BEACH HOTEL 1601 COLLINS AVE Arrival MIAMI BEACH FL 01/08/16 33139-3112 UNITED STATES OF AMERICA(THE) Departure Reference:320160090473006747 01,/08/16 Category:Travel-Lodging 00000000 LODGING https://online.americanexpress.com/myca/shared/summary/estatement/print_doc2016-Rl.h... 2/23/2016 Page 1 of 1 e owaEss 0 Transaction Details Prepared for ,uHewuw James C Brainard Account Number XXXX-XXXXXX-37009 ATE DESCRIPTION CARD MEMBER AMOUNT 'FEB222016 LOEWS HOTELS MIAMI BMIAMI BEACH FL JAMES C BRAINARD $772,92 Doing business as: Itinerary Details LOEWS MIAMI BEACH HOTEL 1601 COLLINS AVE Arrival MIAMI BEACH FL 02/18/16 33139-3112 UNITED STATES OF AMERICA(THE) Departure Additional Information:11414890 888-320-6065 02/21/16 Reference:320160530176804262 Category:Travel-Lodging ILODGING 888-320-6065 https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doc2016-R1.h... 2/23/2016 W LOEWS MIAMI BEACH HOTEL Mr.James Brainard Room Number: 1541 1 Civic Square Arrival Date: 02-18-16 Carmel IN 46032 Departure Date: 02-21-16 United States Confirmation Number: 14779758 Merchant Ref#: Page No: 1 of 1 Guest Name: INFORMATION INVOICE Folio No: 02-21-16 Date Description Charges Credits 02-18-16 Deposit Transfer at Check In 386.46 02-18-16 Group Room Accommodation 339.00 02-18-16 State Tx-7PCT 23.73 02-18-16 Cnty Tx-3PCT 10.17 02-18-16 Occ Tx-4PCT 13.56 02_-19-16 Group Room Accommodation 339.00 02-19-16 State Tx-7PCT- - - '- ---- - - - - --- 23.73- 02-19-16 Cnty Tx-3PCT 10.17 02-19-16 Occ Tx-4PCT 13.56 02-20-16 Group Room Accommodation 339.00 02-20-16 State Tx-7PCT 23.73 02-20-16 Cnty Tx-3PCT 10.17 02-20-16 Occ Tx-4PCT 13.56 Total 1,159.38 386.46 Balance 772.92 1601 Collins Avenue,Miami Beach,FL 33139 T: (305)604-1601 F:(305)604-3999 Toll: (877)563-9762 www.loewshotels.com Page 1 of 1 Transaction Details Prepared for pMERlwv James C Brainard nwREss Account Number ® XXXX-XXXXXX-37009 DATE DESCRIPTION CARD MEMBER AMOUNT FEB212016 - INDIANAOPOLIS AIRP SINDIANAPOLIS IN JAMES C BRAINARD $72.00 Doing business as: Transaction Details INDIANAPOLIS INTERNATIONAL AIRPORT Description Price 7800 COL H WEIR COOK MEM AUTO PARKING LOTS A $72.00 STE 38 INDIANAPOLIS IN 46241-8004 UNITED STATES OF AMERICA(THE) Additional Information:221933128 3174879594 3174879594 Reference:320160530178240379 Category:Other-Government Services https:Honline.americanexpress.com/myca/shared/summary/estatement/print_doe2016-R1.h... 2/23/2016 �! Add=b► Indianapolis International Airport indianapolisairport.com RECEIPT TRAN . IN TIME OUT TIME FEE CC# H2 02119 08.40 .02x`21 15:34 $72.00 2.00 2009 Kibbe, Sharon Subject: USCM Leasdership Meeting Confirmation Location: Miami Beach, FL Start: Thu 2/18/2016 12:00 AM End: Sun 2/21/201612:00 AM Show Time As: Free Recurrence: (none) Organizer: Brainard,James C Categories: Important From: USCM Meetings Department [mailto:meetings()usmayors.org] Sent: Friday,January 08, 2016 10:37 AM To: Brainard,James C; Martin, Candy Subject: Winter Leadership Meeting (February 18-20, 2016) Winter Leadership Meeting February 18-20,2016 Miami Beach, FL Thank you for submitting your registration online. Confirmation Number: 16wintermeeting30684 Submission Date: 1/8/201610:35:20 AM REGISTRATION INFORMATION JAMES BRAINARD Mayor City of Carmel 1 Civic Square Carmel, IN 46032 317-571-2401 (Phone) ibrainard@carinel.in.gov Hotel Reservation Information Room reservations must be made by calling toll free 1-888-879- 0462 or 615-340-5778. Please identify yourself as an attendee of 1 The U.S. Conference of Mayors meeting to ensure receiving the group rate. A block of rooms has been set aside at the following hotel: Loews Miami Beach Hotel 1601 Collins Avenue Miami Beach, FL 33139 (305) 604-1601 Single/Double: $339 (Plus 13%taxes) • Reservations must be confirmed with the hotel by January 27, 2016. • Check-in time is 4:00 p.m. and checkout time is 11:00 a.m. • RESERVATION INFORMATION: The hotel will need a credit card to guarantee the reservation. The reservation must be cancelled 72 hours prior to arrival. 2