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301255 07/28/16
(9, CITY OF CARMEL, INDIANA VENDOR: 114500 ONE CIVIC SQUARE TIMOTHY J. GREEN CHECK AMOUNT: S*******440.96* CARMEL, INDIANA 46032 CHECK DATE: 07/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER -AMOUNT DESCRIPTION 210 4357000 072516 440.96 TRAINING SEMINARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) TIMOTHY J. GREEN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $440.96 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 0 43-570.00 $440.96 1 hereby certify that the attached invoice(s),or 7/27/16 0 air fare $440.96 1110 ��2 .210 1110 210 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 Wednesday,July 27,2016 Tim Green Chief of Police 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 F A CITY OF CARMEL Expense Report (required for all travel expenses) \ V \"'^INDIANA% EMPLOYEE NAME: Tim Green DEPARTURE DATE: 10/14/2016 TIME: 11:15AM AM/PM DEPARTMENT: Police Department RETURN DATE: 10/19/2016 TIME: 7:25PM AM/PM REASON FOR TRAVEL: Conference DESTINATION CITY: San Diego, CA EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 10/14/16 $440.96 $440.96 $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 1 $440.96 $0.001 $0.001 $0.001 $0.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 - 1 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 7/27/2016 Page 1 7/26!2016 . Southwest Airlines-Purchase Confirmation. Espanol® . . Southwest®, FLIGHT I HOTEL I CAR SPECIAL OFFERS • RAPID REWARDS (� Thank you for your purchase! Southweste Indianapolis,.IN-.IND to San Diego,CA-SAN New Purchases in Trip j 'Air, - --=-= Confirmation#964EIZ. Indianapolis,IN-IND.to San Diego, CA SAN Friday,.October 14,2016-Wednesday; 10ctober 19;2016 ". E;rOyBird :Chdck�-In . Automatic check in before I - ourtiadltionel24-hrcheck-' -Add it now in: - .. Al'r_Tota[::.$881..92' Amount.Paid 5881,92, Trip Total _ = $881.92 OCT 14 FRI _�. 10/14116 . $an Diego New purchases added to your trip. .AIR: Indianapolis,IN-IND to .San Diego,CA.-SAN 10/14/2016 -. 10/19/2016 Confirmation.#. .964EIZ Adult Passenger(s) . Rapid Rewards# - TIMOTHY GREEN 00001089976694 ............._............._..............._. .. ...... . , BRIGIT GREEN Add Rapid Rewards-Number Subscribe to Flight Status Messaging Travel Dated Flight Segments Flight Summary DEPART 11:15 AM Depart Indianapolis,IN Flight sounest� OCT ib. (IND_)on Southwest Airlines #2gs3 -FRI ----=- 12:00 PM. Arrive in Phoenix;AZ(PHX) wiFl available: Friday,October 14,2016 ............ ........................:................_..............................._.............,_..._...........--------___................. Travel . 6 h OS rave i T'.ne rn 01:15 PM Change 7(7(to Southwest Flight (1 stop;includes 1 plane change) Airlines in Phoenix,AZ.(PHX) #lari- Wanna Get Away 02:20 PM Arrive in San Diego,CA (SAN) OR available RETURN16:25 AM Depart San Diego,CA Ought - - - - - ocT 19 (SAN)on Southwest Airllnes #2485 !_WED httpsl/www.souU westcom/reservations/Confirm-reservaUons.html?disc=sdc%3A33DEFOEB25E94AD89FB7987EDAE27472&int= 1/2. 7/26/2016 Southwest Airlines-Purchase,Confifdotion Wednesday,:.October 19, 11:35 AM Arrive In Las Vegas,NV w (�S) iFi available- -j. 2016 ......_........ -.__.:..:_:............_................ _.._ _ .................-....... Travel Time m 12:55 PM Change.X to.Southwest Flight (1 stop,Includes-1 plane change) Airlines in Las Vegas,NV. #2875 Wa,nna Get Away (LAS). 07:25 PM Arrive In Indianapolis,IN wiFl available (IND) - What you need to know to travel:" Check4n: 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 tie eligible..for denied boarding compensation, No Show Policy:If yoti are not planning to travel on any portion of this itinerary,please cancel your, reservation at least 10 rrilnutes prior to scheduled departure of the flight.Customers who fail to,cancel reservations for a Wanna Get Away 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 tie forfeited,including Business Select and Anytime funds.. PRICE:.ADULT. Trip Routing Fare Type I View Fare Rules Fare Details' Quantity - No Change Fees. - De art IND-PHX-SAN Wanna GetAway .(applicable fare difference eppries) _ p Reusable Funds .2 - - Bmgdrtyahle _ (nontransferable-no name changes allowed) • Nonrefundable unless purchased with Points . .. .. ..No Change Fees. .. .. .. . Return SAN-LAS-IND - V.Get Away (applicable tare dlfferende applies) Reusable Funds 2 Bmigent.. - .. . . .(nontransferable-.no name changes:allowed) . . Nonrefundable unless purchased with Points Enrollin Rapid Rewards and earn at least 2209 Points for this trip. Subtotal881.92 Already a Member?Log into ensure you are getting the points you $ deserve: - fare Breakdown Carry-on4tems:.1 bag+A small personal item are free,see.full details. . . Checked Items:First and second.bags are free,size and weight limits apply.. - Bag Charge $0.00. Air Total y. .$881.9 Gov't.taxes,&fees now included Purchaser Name Tim Green Billing Address 11468 Some,Lane Carmel,4N US 46032. Form of Payment Amount Applied Visa.-XXXXXXXXXXXX=4670 $881.92 Amount Paid $881:97 Trip.Total - $881.92 " G Indicates external site which may or may not meet accessibility guidelines. - - - ©2016 Southwest Airlines Co.All Rights.Reserved.Use of the Southwest websites and our.Company Information constitutes'acceptance of our Terms and Conditions.Privacy Policy httpsJ/www.southwestcorn/reservations/Confirm-reservabons.html?disc=sdc%3A33DEFOEB25E9"89FB7987EDAE27472&int= 2/2.'