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300066 07/12/16
Y'��`'�'�. CITY OF CARMEL, INDIANA VENDOR: 366912 ® ONE CIVIC SQUARE ROB�DEROCKER CHECK AMOUNT: $****11,560.38* 9` ,=a CARMEL, INDIANA 46032 3 WARNER LANE CHECK NUMBER: 300066 MR'roN TARRY TOWN NY 10591 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4340401 33445 070116 11,560.38 PUBLIC RELATIONS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ROB DEROCKER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3 WARNER LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service TARRYTOWN, NY 10591 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $11,560.38 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 33445 INVOICE 43404.01 $11,560.38 1 hereby certify that the attached invoice(s),or 7/1/16 INVOICE $11,560.38 1203 F 70 t' (q 101 1203 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered an _ received except Wednesday,July 06,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ROB DEROCKER & ASSOCIATES 3 WARNER LANE TARRYTOWN, NY 10591_ 917-658-4653 INVOICE Date: July 1, 2016 Client: City of Carmel For: Public Relations Services, June 1-30, 2016 Professional Fees: $109000.00 Out of Pocket Expenses: 14560.38' Total: $119560.38 ROB DEROCKER EXPENSE REPORT STAFF NAME: Rob DeRocker DATE : 07/05/16 Visit to Carmel during USCM meeting June 22-25, 2016 SUMMARY OF EXPENSES FINANCE USE ONLY VOUCHER# TOTAL CREDIT( $1,553.38 TOTAL CASH 1 $7.00 TOTAL $1;560.38 EXPENSE CREDIT CASH ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE 6/25/16 Hertz Car Rental $ 164.16 6/25/16 Gas for Car Rental $ 10.55 6/25/16 Cab from LaGuardia to train $ 30.41 6/25/16 snack in airport $ 11.99 6/25/16 Sprite in airport $ 2.88 6/25/16 hotel in Carmel $ 840.06vt 6/22/16 train to/from Manhattan $ 20.50 6/24/16 lunch $ 18.40 6/23/16 soda $ 3.00 6/22/16 dinner $ 31.16 6/23/16 lunch $ 18.65 6/22/16 cab to LGA $ 31.01 6/25/16 cab from train to home $ 7.00 6/23/16 dinner $ 33.41 6/22/16 flights to/from Indy $ 337.20 $ 1,553.38 1 $ 7.00 TOTAL $ 1,560.38 I • .C_REDIT RECEIPT e`�Y� #01 MR RR 114779162 HACK 05415590 � �►BERT DER®CKER, RES 69740815756 MEDALLION .- 9G96 06/25116 15:53- CC- TRIP 16:07 492i:rs to Saall TIAL CHARGES RATE # 7620 IT RT $ 60.80 /DAY Q 3-7 DAYS STAND. CITY'RATE 1 )TOTAL1 $ 182.40 Miles R1 .,oUNT- R 10% $ 182.40 FARE R1 5.32 SHELL ITOTAL LESS DISCOUNT S 18.24 / $19,00 9703 COL HIV COOK MERI 1 TS 164.16 TOLLS • ARGES ADDED DURING RENTAL RFK.Br. :$5.54 INDIANAPOLIS, IN U DECLINED STATE SRCHG: $0.50 "4541 DECLINED IMP.SRCHG. : 574461'26ael PEC DECLINED TIPS $0.30 .M RD SVC DECLINED GRAND TOTAL: -$5.0.41 69:50:2016 85423943 7 )DITIONAL CHARGES CRRDNUMBER $35852 09:50:53 AM RVICE CHARGESITAXES AUTHOR. 5852' kESSI ON FEE RECOVERY 11.11% T$ 18.24 MID: 10879501416918 PUr;1P 10 TFAccHG TS 12.00 ENTRY METHOD: - REGULAR j 4.398G 1 17.00D°k pNTAXABLETTLOFS 194.40 S 33.05 CONTACT CHIP TALA 1 $- 16416 RID: PRICE/GAL $2.399 jTALAMOUNTDUE - S 63.28 APPL. NAME�00000003iRpC �ARGEDON AMX XXXXXXX )=6026 CHASE VISA FUEL TOTAL $ 10.55 ATC: 0003EXPLANATION OF THE ABOVE CHARGES, AC: CREDIT $ 10.55 EASE ASK REPRESENTATIVE OR GO TO C3500362ECE519554 r.HERTZ.COM/CHARGEEXPLAINED RIDC1INUk: - 7620 r;{;: ,::;,i'; �ff11CLE: 01998 !3149481 16 JETTA 1.4 N 327701122 �rr;q ! TENSE: NY HEG5332 DESCRIPTION: ar;,;_ =L FULL 818 OUT 8/81N IEAGEIN: 13002 TR-X MILES: 236867 IEAGE OUT: 12884 MILES ALLOWED: I.ES DRIVEN: 118 MILES CHARGED: SIGNATURE: ................... P. XXXXXXX Bonus Savings INTED: INDIANAPOLIS INTL AP 41in FUsI Pernrds„, INTAL: 06/22/16 16:38 and am 9,1@fp1 ;TURN: 06/25/16 09:56 DEROCKERIROBERT whin ycu buy Shell iMPLETED BY: 5702/ININD11 P CARDHOLDER ACKNOWLEDGES I V-' =r I,iTfi6+, See ;,rulr�;ards,cai AN IN: VPHD3 RATE CLASS: B RECEIPT 0; FUNDS IN THE i AN OUT: VPHD3 AMOUNT OF THE TOTALtns/conditio�s INDICATED AND AGREES TO 'ur ;d=12/2, PERFORM THEOBLIGATIONSNOTED IN CARDHOLDER'S -Ar�-REE'..dff WITH ISSUER I �.• - r'Lase ecce vain Contact TLC DIAL 3-1-1 jPRRADIES SHOPS-INDIANAPOLIS I"TL RIRPOR INDIANAPOLIS INTERNATIO;'- ..IRPORT _INDIANAPOLIS, IN (317)247-9408 SPRITE ZERO 6445047806-' - ' !I O 2.69 TT _D 5� v, SUBTOTAL $2.69 . _gam_ �y - y ET Tr,rill 50.19 - v Z �+ a° N. TOTAL .52.88 AMEX $2.88 V -_ L tx * 00300 PURCHASE _ ti W _ Q- .$ rn c'4L G y =OPP,OVED RUTH# 000 rn w INVOICE 4: 8849- - 41 X20'. is=6aM -' LO Fn Q 0 51771 ,2686 �Q•,"o O"CVO m - - vim"�= 1 /1 �^ •n �.` �r1 _ _ j� GUEST FOLIO i RENAISSANCE* 11925 N.Meridian Street Carmel IN 46032 :NDIANAPOM NORTH HOTEL I t:317.816.0777 renhotels.com 222 DEROCKER/ROB/MR 261.20 06/25/16 12:00 2497 Rcc. Name Rote Dep rm ACCT# GKS 3 6/22/16 17: 19 Type145 Arrive Time i Room Payment MRW#: XXXXX7125 Clerk Address D 06/22 ST TAX 222, 1 27.95 06/23 GRILLE39. 689 222 17.26 0623 PA37.45 06/23 STCTAXE 222;1 1 1 227.95 06/24 PACKAGE 222; 1 261.20 06/24 ST TAX 222; 1 30.80 06/25 VS CARD $840.06 TO BE SETTLED 10: VILA CURRENT BALANCE .00 THANK YOU FOR CHOOSING RENATeCAMCF! TO EXPEDITE YOUR CHECK- OUT, PLEASE CALL THE FRS"'-/ """""' AN YOUR TV REMOTE CONTROL Tn " 1i1: I l;.glty(I)O1}•LNULAN • b15 E l{.'}S•17;1F'f.i)131•1r� '� 462_il 3.17m991-3 333 etro-North Railroad .1:i s � I``:1)YI'H:11`dCl(_>l)LLic'ii;,l itation a 30 TRRYTWN ;1' 1 1�i11)16TS ](� old Tickets Amount ` tt, !t: ,:56:1_ PI�1 RT Adult' OP/OP 420 550 RT Adult' OF/OP ~520.50 r,fir:,.,• ')YTI 1j.a`;L I Item """—--_, ------- t;0UU630 I ,.. $41.00 bL RAD KI�Ir1 !:r lie. Total Amount I Payments Credit DLI_T COi 7.)9 � aaaaaxaaaa#a5a52 sai.00 Tgp1(-)cr1_ ?.19 3.9; ,,ty� I _ - Thank You for Riding l:c SulytOt:11: Metro North ! 511 l.�E.Q1v.Ub1l..! 4.ri' 14.13 TSM ID a �y+rK>>i' � 7`(' 1.27 Transaction a 694721 0-177?G 6 l:l"1 15.40 Oate / Time 06/21/16.15=05 ' ---------- Dunt 15.40 I'llANK Y'GC; —___--- - ! Tck9:p} Trans#:OU tU63U4 Qtral 25oia=3.85 20v/o=3.08 - — oi _ s o M m `'-nz -. a x L tomer COPY o r y- (.lU —f— o�t= piss.cmi -r O In Co T71 to CMj �w2 � n' �� He A, N W,.�W N LIT N g * g $ * m C,M oo m C, I 00 — 1 * o S a1 Q7-O,O r NED i o0 T Y Carmel, IN 46032 {317) 566-1400 Server: ELLISE 06/22/2016 Table 207/1 9!:40 PM Guests: 0 10119 Kona Grill Carmel Sushi Sampler 12,25 14395 Clay Terrace Blvd Salmon Wasabi 11.75 Carmel, IN 46032 (317) 566-1400 ° .Subtotal 24,00 Tax 2.16 J Server: ELLISE DOB: 06/22/2016 I 09,45 PM 06/22/2016 Total 26,16 �. Table 207/1 1/10119 i Ba 1 ance Due 26 , 16 SALE -- Visa 2097210 -- Card #XXXXXXXXXXXX5852 Magnetic card present: DEROCKER ROBERT Card Entry.Method: S Approval: 04787G Amount: $ 26.16 f + Tip: = Total: Tab 1 e -- — — -" CREDIT RECEIPT .Cheek\Per Tata Sr;ryer Tiffie Date HACK # 056256--o ' 635694\1 41 a15 2:28:45 PM 6/21i2.016` LICENSE AA8,,2 -------- - ---- -= ----- i DIET 06122116 11:26-11:40 �•�, 2.30;(11 Pri �.��, TRIP # 58062. RATE # i Ffs- 1H SAN,)\ .135 (iaie: 1 0.40 pate: 612312016 STAND. CITY RATE --`'UE Si ANW� . ` 1.00 i Visa „� 52 Miles R1 .17 I �� ------ 15'Pe: xxK1�X,\X'n " FARE RI $19.50 Foci Sub-Trtal , , Car TOLLS 1 1� 3., Card Nulobea Mr'rELY;i RFK.Br.:$5.54 SUB.TUlh� 14.35 Server ISan�e' ps5694 STATE SRCHG: $0.50 ) Sales Tax �: 1 ?0 Check Ivurober- 41 IMP.SRC;;G. $0.30 I - �u�,ber CIPS $5.17 -� 17�� i lab pERL�LKERIR01i�R5 --'�P,j1Np_?_l1TP!?----- $;1.,01✓! TOTAL ( p�aner: CAR'!iUMBER 5852 j Card M ID'. 00720000292089 THANK NE 11�l11�` 1� ENTRY METHOD: MADELINE �11oU1�� CONTACT CHIP - AID: A0000000031010 Sign up for our VIP emai is and get APPL. NAME: offers CHASE UISA and info sent right to your;irihux. nom, : 1O�R1 ATC: 0001 a - AC: 4.5.00 s;; coupon from us upCn:email verifi 21146BG7EF3D5DEE pp73gG RECrINU#: 5806 :cation. r TID: 327644611 `.r EXT;duIdoor:L. to _�'S28 �PPaoval: *this ;s to receive emails raly�your phone Contact TLC DIAL 3-1-1 inIQ fo urill NOT b_ s tLared.tjext and Data rakes maRECEIPT Y apply. i - --- -- uiomr _is.-.--• �w' -:' i Il asp Refund j Receipt https: 71 W. City Cente,Dr. Carmel, IN 46 2 !� /n� 317.706.0000 Amedcan Arflnes Server: BAR ® 00335159 Named: p19 :i ras.star[.:?rcr 9:15:19 PM 6/23/2016 DEROCKER/ROBERT Visa **x+*:t::i,:R*:,**5852 Exp .k4:44 D E R O C KE R, ROBERT Autn: 056080 TroutD: Thank you for choosing American Airlines,a member of the oneworld©Alliance.We are happy to provide a copy of your ticket receipt. Amount $ 30,41 Itinerary Information Origin City Destination City Airline Flight Booking Flight Date Flight Time Status Tip Number Class Total LGA [NO AA 4440 Q 06/22/2016 01:59 .USED — —1-89/b-=-S.47-20%=6.08-2-2-%=6.-69- IND LGA AA 4414 S 0612512016 11:10 USED j Customer Copy i 317.706.00100 1 Receipt server:-BAR - - - - --- - 1'able-, p14 Passenger Ticket Fare Taxes and Carrier Ticket Total / t, r,.t,,.13:b20".-PA4 6_3 -It 16 DEROCKER,ROBERT 0012377884506 287.44 USD 40:76 USD 337.20 USD .). , Sale Form of Payment Credit Card Type Number Item Price Credit Card AMEX xxxxxxxxxxxx3000 C110col A 11r'1.'ORI'L 5.00 15.95 lV' l)c:Tll 6.95 Subtotal: 2790 Tax: 2.51 Total: 30.41 j Total: 30.41 � Tckt':01 TrantJt:00335159 i I ................................. 1 Of 1 Ten,At Dotted Line