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Home My WebLink About258662 05/13/16 (9) CITY OF CARMEL, INDIANA VENDOR: 00353023 ONE CIVIC.SQUARE MICHAEL G MILLER CHECKAMOUNT: $*******143,95* CARMEL, INDIANA 46032 CHECK DATE: 05/13/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4358200 050216 143.95 SPECIAL INVESTIGATION VOUCHER NO. WARRANT NO. ALLOWED 20 MICHAEL G MILLER $143.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 43-582.00 $143.95 1 hereby certify that the attached invoice(s), or 1110 05021(0 101 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 Monday, May 09, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 05/09/16 0 car rental reimbursement for jury trial in Los Angeles $143.95 1110 101 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 CITY OF CARMEL Expense Report (required for all travel expenses) \NDIANI*i EMPLOYEE NAME: Michael G. Miller DEPARTURE DATE: 5/2/2016 TIME: 600 AM/PM DEPARTMENT: Carmel Police RETURN DATE: 5/5/2016 TIME: 1800 AM/PM REASON FOR TRAVEL: Jury Trial DESTINATION CITY: Los Angeles, CA EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' X. TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 5/2/16 $143.95 $143.95 $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 $0.00 $0.00 $0.00 $0.00 0:00 Total .$.0.00 $143.951 $0.001 $0.00 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 5/8/2016 Page 1 Hertzr PG 2 OF6#01 RT RR 586857740 cc Il�IlI�II�IlIII�I�II��II1lIIIII��I!l�I�lIIIlIl�IIl�III�lIlI! Further information relating to Your rental charges,and other terms t which You agree,appear below. FUEL&SERVICE CHARGES:PURSUANT TO PARAGRAPH 6 OF THE RENTAL AGREEMENT,FUEL&SERVICE CHARGES APPLY AT$ 9.99 PER GALLON OR,IF YOU DO NOT BUY FUEL DURING THE RENTAL AT$.357 PER MILE. BOTH RATES PRODUCE APPROXIMATELY THE SAME RESULT. F YOU AGREE TO OPTIONAL SERVICES OF: LDW DECLINED LIS DECLINED-NO LIABILITY PROTECTION PROVIDED BY US PAIIPEC DECLINED PREM RD SVC DECLINED OTHER FEES AND ASSESSMENTS: CONCESSION FEE RECOVERY T 11.11% CA TOURISM ASSESSMENT 3.50% CUST FAC CHG $ 11.06 PER RENTAL VEHICLE LICENSE COST T$ 1.06PER DAY TAX RATE-9.000% APPLIES TO ALL CHARGES MARKED T A REFUEL SALES TAX RATE-3.750% APPLIES TO CHARGES You Will Be Charged An Administrative Fee Along Expenses If The Car Must Be Towed le A Result ngviolE fee 0l will apply for tylion I We prohibit smoking in all Vehicles asiseMayg fee wie app y Excessive Mileage On A Rep X Future Renting Privileges. �he Rental if You Are Required T The Due Date On The Rental RecorUs To Extend I dT If The he r Not Be Returned BY More Than 2 Days,And You Fail To Conta Vehicle Is Overdue By Be Charged To Offset Our An Overdue Administrative Fee May II�IIIIII�IIII Administrative Efforts And Related Costs. cc11 II IIII II RFc in- I REFUELING OPTIONS THE FOLLOWING REPLACES AND SUPERCEDES IN THE ENTIRETY SECTION 8."REFUELING OPTIONS"OF THE RENTAL AGREEMENT TERMS AND CONDITIONS: 8. REFUELING OPTIONS Most Hertz rentals come with a full tank of gas,but that is not always the case.The refueling options are: 1, IF YOU DO NOT PURCHASE FUEL FROM HERTZ AT THE BEGINNING OF YOURRENTAL AND YOU RETURN THE CAR WITH AT LEAST AS MUCH FUEL AS WAS IN IT WHEN YOU RECEIVED IT, You will not pay a charge for fuel. a. For rentals from select locations:IF YOU DRIVE 75 MILES OR LESS,as determined by subtracting the Car's odometer reading at The beginning of the rental from the reading when the Car is returned,excluding tenths of miles YOU MUST PRODUCE A RECEIPT AT THE TIME OF RETURN INDICATING THAT FUEL WAS PURCHASED SO THAT THE CAR IS RETURNED WITH AT LEAST AS MUCH FUEL AS WAS IN IT WHEN YOU RECEIVED IT. If You drive 75 miles or less and You do not produce such a receipt at the time of return,You will be charged the<=75 mile Fuel and Service Charge at the rate specified on the Rental Record,to the extent permitted by law. 2. IF YOU DO NOT PURCHASE FUEL FROM HERTZ AT THE BEGINNING OF YOUR RENTAL AND YOU RETURN THE CAR WITH LESS FUEL THAN WAS IN IT WHEN YOU RECEIVED IT, Hertz will charge You a Fuel and Service Charge at the applicable per-mile/kilometer or per-gallon rate specified on the Rental Record. However,for rentals from select locations,if You drive the car 75 miles or less You will be charged the<=75 mile Fuel and Service Charge at the rate specified on the Rental Record,to the extent permitted by law. a.-The per-mile/kilometer rate is used if You do not buy fuel during the rental.To calculate this amount,Hertz multiplies the number of miles driven as shown on the car's odometer,times the per-mile/kilometer rate shown on the Rental Record. b.The per-gallon rate is used if You buy fuel during the rental but the tank is not as full when You return the Car as when You received it.To calculate this amount Hertz multiplies the number of gallons needed to refill the fuel tank to the level it was at when You received the Car,times the per-gallon rate. ALTHOUGH TWO METHODS ARE USED FOR EASE OF CALCULATION,THE PER-MILE/KILOMETER AND PER-GALLON RATES PRODUCE APPROXIMATELY THE SAME RESULT. 3. IF YOU CHOOSE TO PURCHASE FUEL FROM HERTZ AT THE rihir,ilNG OF YOUR RENTAL BY SELECTING THE FUEL ii tiA charged as shown on the Rental .,Tr)P AMn PPR IFI THt- iienz. PG,S'OF6901 RT RR 586857740 cc ARBITRATION PROVISION: THIS AGREEMENT REQUIRES ARBITRATION OR A SMALL CLAIMS COURT CASE ON AN INDIVIDUAL BASIS,RATHER THAN JURY TRIALS OR CLASS ACTIONS. BY ENTERING INTO THIS RENTAL AGREEMENT, YOU AGREE TO THIS ARBITRATION PROVISION. Except for claims for property damage,personal injury or death,ANY DISPUTES BETWEEN US MUST BE RESOLVED ONLY BY ARBITRATION OR IN A SMALL CLAIMS COURT ON AN INDIVIDUAL BASIS;CLASS ARBITRATIONS AND CLASS ACTIONS ARE NOT ALLOWED.YOU AND THE RESPECTIVE HERTZ COMPANY IDENTIFIED ON PAGE ONE OF THIS DOCUMENT (HEREINAFTER'HERTZ-)EACH WAIVE THE RIGHT TO A TRIAL BY JURY OR TO PARTICIPATE IN A CLASS ACTION,EITHER AS A CLASS REPRESENTATIVE OR CLASS MEMBER. You and Hertz remain free to bring any issues to the attention of government agencies. This Arbitration Provision's scope is broad and includes,without limitation,any claims relating to any aspect of the relationship or communications between us,whether based in contract,tort,statute, fraud,misrepresentation or any other legal theory.It is governed by r-ripral Arbitration Act,9 U3.C.§§I et seq. all issues are for the not form of rcN,..,._ preside over any GREE TO THI: IF YOU DO NOT w►BMUST NOTIFY US IN pROVISI0N,Y0U YOUR RECEIPT OF THIS NGRE DAYS OF hertz.com OR B US AT no.atb225 B�@Blvd.,park Ridge,►� Corporation, a address,the number '�-� Include Your nam notffi k 4v HVII Record,and a clear stat emeous that You < Proon. it you You ve do not need to do IIII IIII out of aibitraUon, ��' IIIIIIII(nulllllllill((�III�� III[ II III IIIIIIIIII III�I��II ffII�111�Ilflll I�IIIII IMPORTANT INFORMATION REGARDING TOLL, You are responsible to pay all tolls.For your convenience,we of PlatePass,an electronic toll payment system operated by PlateF LLC,for use on toll roads in the areas specified below. In the following areas all our vehicles(even without a windshield transponder)may use any cashless electronic toll lane: The enti. States of FLORIDA,GEORGIA,COLORADO,NORTH CAROLIIN TEXAS,the SAN FRANCISCO BAY AREA BRIDGES,and in Se the TACOMA NARROWS BRIDGE and the SR 520 BRIDGE. TO USE PLATEPASS IN THESE AREAS,pass through a cashle toll lane. You will be billed automatically as outlined below. IF YOU DO NOT WISH TO USE PLATEPASS IN THESE AREA use only traditional cash toll lanes(if available)and make paymer directly to the toll IN DELAWARE,ILLINOIS,INDIANA,MAINE,MARYLAND, MASSACHUSETTS;NEW HAMPSHIRE,NEW JERSEY,NEW Y OHIO,PENNSYLVANIA,VIRGINIA AND WEST VIRGINIA, only vehicles equipped with a windshield toll transponder may access the cashless toll lanes(The toll authority may allow to alternative pay method,such as payment by mail). TO USE PLATEPASS IN THESE STATES,slide the transponder of the shield box and pass through a cashless toll lane. You will b billed automatically as outlined below. IF YOU DO NOT WISH TO USE PLATEPASS IN THESE STATE; keep the transponder fully within the shield box and use only traditional cash lanes(if available)to make payment directly to the toll authority. NOTE: Certain toll roads do not accept cash.If you travel on a toll road without a personal transponder that can be used o toll road,you will be required to use PlatePass and be billed automatically as outlined below,or incur toll charges or violas for which you will be responsible.In Southern California,for t roads that accept PlatePass,the toll authority allows for payn phonelonline within five(5)days of accessing the toll road.If travel in the excluded HOV lanes in Southern California or if y travel on toll roads in Southern California that do not accept PlatePass,you will also be charged an administrative fee of$ Where permitted by Toll Authorities,you may opt to use your personal transponder. Follow the instructions above for NOT utilizing PlatePass and install a compatible transponder properly. If PlatePass is used,PlatePass LLC will charge you a service of$4.95 for each day of your rental including prior or subsegr days on which the PlatePass service is not used(capped at$ per rental)plus incurred tolls at the Toll Authority's cash toll rate or highest undiscounted toll rate. PlatePass LLC will separately charge your credit or debit card the applicable charges after the close of your rental. Charges typically take 1-3 weeks at the rental closes to appear on your statement,but a longer delay may occur. Cash customers will be invoiced. FAILURE TO PAY ALL TOLLS MAY RESULT IN A TOLL CHARC AND/OR VIOLATION. You will be charged for any toll/parking/tral charges,violation fineslpenalties incurred,plus applicable admini: fees. You authorize us to release your billing/rental information to PlatePass LLC and American Traffic Solutions to process and bill such toll,violation,and administrative charges and service fees. H PG 10F6#01 RT RR 586857740 cc IIIIIIIIIII�IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIYIII TO BE CHARGED TO: VISA XXXXXXXXXXXX5128 < AUTH$ 344.00I07221C You may not drive into Mexico without written permission and special insurance purchased from Hertz. The Vehicle maybe equipped with telematics technology that allows us to track or otherwise locate,disable and repossess the Vehicle and to obtain data about the Vehicle's use during your rental,including fuel usage and miles driven. By entgering into this Agreement,You consent to our use of such telematics during your rental as permitted by applicable law. By Your declinin the optional Liabilitty�Insurance Supplement(LIS), Par. 10(a)of the Pental Terms will apply to this rental. By signing below,You acknowledge that we provide no liabilityprotection to You for this rental. Your own autinsurance(or that of any Authorized 0perator)may or may not provide such U bleiMa loe nianCivil Code Section 1798.83, any California resident who is an individual customer of ours may call(888)777-5870 to request a copy of our Privacy Policy and a form directing us not to disclose his personal information to third parties for their direct marketing purposes. NOTICE: Except as stated in Par.4 of the Rental Agreement Terms And Conditions(the Rental Terms) which appear on the folder(CF1900003)delivered to You with this Rental Record,You are responsible for all loss stn+nP rented vehicle even if someone else Vnnr liokilifi,mill nnf CUST FAG CHU A ONE CIVIC Vehicle License Fee Ar�-e.,'c!d @ S 1.06 per aay CARMEL,CITY OF :L, IANA Tax 1 9.000% On Taxabi�.'f' 119.53 $ 10.77 CR&IL IND CARMEL, INDIANA-ARE VENDOR: 370612 Tax 3.750% OnCalifon-,iaRelueling $ N IANA 46032 BRAD MEYERS ADJUSTMENTS 4572 DEPARTMENT p,TTSORO,N 4616'; TOTAL ESTIMATED CHARGE 143-95 1092 ACCOUNT PO NUMBER 358400 INVOICE NUMBER 2000258004 Credit Card Authorization Amount$ 344.00 Rented by The Hertz Corporation 10110115 Wnnj Class: C