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HomeMy WebLinkAbout302791 09/08/16 `%'0��p''"' CITY OF CARMEL, INDIANA VENDOR: 00350224 .{ ® ;, ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $*****3,894.91* :. :° CARMEL, INDIANA 46032 CHECK NUMBER: 302791 ''',;TON��` CHECK DATE: 09/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 082616 1,656.09 TRAVEL FEES & EXPENSE 1203 4343004 082616 292.50 TRAVEL PER DIEMS 1203 4359300 35181 1,766.32 ECONOMIC DEVELOPMENT 1203 4355300 65970826 180.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) NANCY HECK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ 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. $1,766.32 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 RECEIPT 43-593.00 $1,766.32 1 hereby certify that the attached invoice(s),or 8/10/16 RECEIPT $1,766.32 1203 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 and received except Wednesday,August 31,2016 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 BUSCH PLASTICS, INC. Phone# Fax# Invoice 21706.LINCOLN HWY. (RTE.30) 708-757-7055 708-757-_5367 LYNWOOD, IL 60411 Invoice Date Invoice Number 8/10/2016 35181 Sold To: Ship To: CARMEL STREET DEPT. SAME 3562 WEST 131 ST ST. CARMEL, IN. 46032 Cust ID ABC-MC Payment Terms Pay In Advance Customer P.O. Number Ship Date Due Date Shipping Method . VERBAL DAN MCFEELY 8/10/2016 8/10/2016 FREIGHT Quantity UOM Description Price Amount 2 EA 36" DIAMETER COMPLETE GOLF BALL WITH 790.00 1,580.00- CONCRETE ,580.00CONCRETE BASE, BASE COVER, PIPE AND TEE FREIGHT CHARGES / 186.32 186.32 PLEASE PROVIDE SALES TAX EXEMPTION CERTIFICATE { ogQ t9 ao � � Iv C5 cc LL_ U N �... # N co O �p W NZ p0 W a- � Z W C J _j J ^ ^ > } tiO J dj f� 4. a0pvso Q o` V000 0 Y S � 0ccco (C3 wA Mco o a C �` � "r n 1-- C3 mr } � o Z 04 O O * J C'4 * 0 to z co'� r Com = Q DELINQUENT ACCOUNTS ARE SUBJECT TO A LATE CHARGE, Total ATTORNEY FEES AND COURT COSTS AND WILL BE ADDED. $1,766.32 Payments/Credits $0.00 E-mail Web Site courtney@buschplastics.com www.buschplastics.com Balance Due $1,766.32 Number: 2105250967-00 DOHRIN Dchm Transfer Company LLC 625 3rd Ave SIN 11111111111111111111111111111111111111111111111 a" TRANSFER COMPANY Rock Island,IL 61201 www.dohrn.com c *MANUAL* *MANUAL* REFERENCE N CITY OF CARMEL STREET DEPT. H BUSCH PLASTICS BOL: 12223286 S 3562 WEST 131ST. STREET P 21706 RT. 30 OLD LINCOLN HWY PO: 12223286 G P N CARMEL, IN 46032 R CHICAGO HEIGHTS, IL 60411 E 317-571-2474 SHIP DATE TERMS I ORIG DEST MANIFEST TRAILER SPECIAL INSTRUCTIONS 08/18/16 PPD PER IND 873399 PLTS PCS HM DESCRIPTION CLASS WEIGHT(LBS) RATE CHARGES 1 1 GIANT GOLF BALLS WITH CONCRETE BASE 150 575 DELIVER 8-4:30 LIMITED ACCESS DELIVERY CHARGE 1 1 --------TOTAL-------- 1 5751 1 E! GLOBPH a IGLOBALTRANZ PO BOX 6348 "= O SCOTTSDALE, AZ 85261 ADVANCE CARRIER DHRN BEYOND CARRIER `" Pro Number Pro Number s. i QPNCBAN"K VISA SIGNATURE Account# XXXX XXXX XXX% Statement closing date 08/19/16 Questions? pnc.com EverydayRewards1-800-558-8472 24 hours a day,7 days a week YQ cun#�sl;��i �o�>rpa 1 Previous balance New balance Total payments received-thank you Minimum revolving payment Purchases 10 Due date 09/14/16 Credits Late Payment Warning: If we do not receive Cash advances $0,00 your minimum payment by the above date,you Fees charged $0.00 may have to pay up to a$35 late fee and your $0.00 APRsmaybe increased up to the Penalty APR of Interest charged 29.2410. New balance Minimum Payment Warning: If you make only the minimum payment each period,you Q Minimum revolving payment will pay more in interest and it will take you longer to pay off your balance.For example: A Due date 09/14/16 Cfvorrmake �Y,ou;�w„ An"d youil endue n dd ia -pay�fE the up i 99 Total revolving credit lineG - i ba nee ,.3asfima,ePta a Total revolving line availableth►srca*" -:wnroti Total available cash line 31 eaetnrrlo >wth Days in billing cycle yowpay astat�� +''�` Only the 11 minimum Years `.• ; payment '\ 3 Years �I (Savings= l if you would like information about credit counseling services,call 1-866-214-0934. Y 5170 HXH 001 7 12 160819 0 PAGE 1 of 5 1 0 5624 9600 4058 OA5170CD r--------------------------------------------�_r , P��IC,B��� Account# XXXX XXXX XXXX 74MNew balance PO SOX 3429 A Minimum revolving payment PITTSBURGH PA 15230-3429 '' ❑Check here Raddress,phone or e-mail Due date PAYMENT ENCLOSED 09/14/16 changes are indicated on reverse side 4311g67�79205916dq�!]4262�2Q�1]lD1�13270�I]��106�Q� NANCY S HECK 1326 COOL CREEK DR Make check payable to: CARMEL IN 46033-2315 PNC BANK PO BOX 856177 LOUISVILLE KY 40285-6177 IIJI,LJIII,,,,II,I,..IIILIILL,JI. „LLII„IL.,,,I,I,„ 431 5000 0080 1967079205916 001 i Q PNCBANK Account# xxxx xxxx xxxx Statement closing date 08/19/16 Your transactions (continued) TRANS DATE POST DATE REFERENCE NUMBER DESCRIPTION AMOUNT 08/04 08/04 244450OK98PMYV6MD 08/04 08/04 2449215K9MJDZZ2WO 08/04 08/04 744360OK901MMM6P2 08/05 08/05 2443106KB60OW9EWK 08/07 08/07 2426979KDEJ6QAXOS 08/07 08/07 2444500KQ8PP300JJ 08/07 08/07 2444500KQ8PP3QOM5 08/07 08/07 2444500KQ8PP3QOPH 08/07 08/07 2444571KQ8PP3QOG3 08/07 08/07 2475542KD3HS7YLKK 08/08 08/08 2490641KDOSZ17LRI 08/09 08/09 244450OKFHEXM83DP 08/10 08/10 2401339KFO17LJIOY 08/10 08/10 2444500KGHEXLVFWG 08/11 08/11 2444571 KG8PMS2BD8 08/11 08/11 7443600KG01 MMM6P3 08/12 08/12 2475542KJM9ZAK40Y 08/14 08/14 2490641KKOV4TPRX7 08/16 08/16 2427539KN08MOWFJ6 08/17 08/17 244450OKPOODOKAEH 08/17 08/17 244450OKPOODOKAL5 08/17 08/17 2449215KNLXLNDXGH 0.817 08/17 2476,197KP8B2Z6NEIIK _ - 08/,1'8 2 � _ Z08-7577055 LS249PL `p.•=:Sr rads L ''' 1 766y32. 08/18 0868 2449215KPLXLV17ZO — 08/18 08/18 2449215KPLXMDONMY Fees TOTAL FEES FOR THIS PERIOD $0.00 Interest Charged 08/19 08/19 Interest Charge on Purchases 0.00 08/19 08/19 Interest Charge on Cash Advances 0.00 TOTAL INTEREST FOR THIS PERIOD $0.00 �lsr . rin `rtes es,rvuerte,►ealeula - - - - � - ANNUAL DAILY DAYS TYPE OF PERCENTAGE PERIODIC RATE IN BILLING BALANCE SUBJECT INTEREST BALANCE RATE(APR) (MAY VARY) CYCLE TO INTEREST RATE CHARGE Purchases 9.240%(V) 0.02531% 31 $0.00 $0.00 Cash advances 22.240%(V) 0.06093% 31 $0.00 $0.00 Your Annual Percentage Rate(APR)is the annual interest rate on your account. (V):Variable Rate 'G6 ToTo- a ,tea e Total fees charged in 2016 Total interest charged in 2016 5170 HXH 001 7 12 160819 0 PAGE 4 of 5 1 0 5624 9600 4058 OA5170CD ..Li. VOUCHER NO. WARRANT. NO. Prescribed by State Board of Accounts ---- City Form No.201(Rev.1995) NANCY HECK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ 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. $292.50 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 EXPENSE 43-430.04 $292.50 1 hereby certify that the attached invoice(s),or 8/26/16 EXPENSE $292.50 REPORT REPORT 1203 1 101 bill(s)is(are)true and correct and that the 1203 101 materials or services itemized thereon for which charge is made were ordered and received except Wednesday,August 31,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer G�tiJityl;t�ip! s CITY OF CARMEL Expense Report (required for all travel expenses) y (N0111Ba EXHIBIT A EMPLOYEE.NAME:_Nancy.Heck DEPARTURE DATE: !7 / TIME: 5-�o AM/ M DEPARTMENT: Community Relations &Econ. Dev. RETURN DATE: TIME: / I AM PM REASON FOR TRAVEL:Alliance for Community Media Conference DESTINATION CITY: Boston, MA EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Lodging Meals Date Misc. Total ' Air-fare Car:Rental Uber%Other Parking Breakfast' Lunch Dinner Snacks ' ''Per Diem 8/17/16 $12.30 $273:53 $32.50 $318:33, 8/18/16 $10.57 $273.53 $65600 4349:_10 8/19/16 $30.15 $273.53 $65.00. $_368;613 8/20/16 $13.65 $273.53 $65.00 $352 s 8/21/16 $32.35 $65.00 $97:35 _$0::0.0 '$0;00 • 4 $0,00 $0®0 34$0•,00 ty ,$000 $0:00 "$O 0, $0;00 $9,40 $0.0.0 Total. $0:00 $0.00 $99.02. $0.00 $1,094.12 $0.00 - .$0.00 $0:00 '$0.001- . .$292.50' $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: BGG Date: City of Carmel Form#ER06 Revision Date 8/26/2016 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#ERO6 Revision Date 8/26/2016 Page 2 Westin Boston Waterfront 425 Summer Street � T I N Boston,MA 02210 United States Tel:617-532-4600 Fax:617-532-4630 HOTELS & RESORTS Nancy Heck Page Number 1 Invoice Nbr 300390 1326 Cool Creek Drive Guest Number 1510462 Carmel,IN 46033 Folio ID A United States Arrive Date 17-AUG-16 20:14 Depart Date 21-AUG-16 12:59 No.Of Guest 1 Room Number 663 Club Account Westin Boston Waterf 21-AUG-16 12:59 LLIBERGE 5 77 _ _ _ __ Date Reference ., _DescnpU_o'_n; „ . F a p r} ,_x,{'Charges_(USD), �y_ Credits;(USD)� 17-AUG-16 RT663 Room Chrg Grp Corporate 239.00 17-AUG-16 RT663 Convention Tax 6.57 17-AUG-16 RT663 City Tax 14.34 17-AUG-16 RT663 Occupancy[Toudsm Tax 13.62 18-AUG-16 RT663 Room Chrg Grp Corporate 239.00 18-AUG-16 RT663 Convention Tax 6.57 18-AUG-16 RT663 City Tax 14.34 18-AUG-16 RT663 Occupancy/Tourism Tax 13.62 19-AUG-16 RT663 Room Chrg Grp Corporate 239.00 19-AUG-16 RT663 Convention Tax 6.57 19-AUG-16 RT663 City Tax 14.34 19-AUG-16 RT663 Occupancy/Tourism Tax 13.62 20-AUG-16 RT663 Room Chrg Grp Corporate 239.00 20-AUG-16 RT663 Convention Tax 6.57 20-AUG-16 RT663 City Tax 14.34 20-AUG-16 RT663 Occupancy/Tourism Tax 13.62 21-AUG-16 VI Visa-5916 -1094.12 "**For Authorization Purpose Only**"* xxxxx Date Code Authorized 17-AUG-16 017318 1290.6 Continued on the next page Westin Boston Waterfront 425 Summer Street � �,IN® Boston,MA 02210 United States Tel:617-532-4600 Fax:617-532-4630 HOTELS & RESORTS Nancy Heck Page Number 2 Invoice Nbr : 300390 1326 Cool Creek Drive Guest Number 1510462 Carmel,IN 46033 Folio ID A United States Arrive Date 17-AUG-16 20:14 Depart Date 21-AUG-16 12:59 No.Of Guest 1 Room Number 663 Club Account Approve EMV Receipt for VI- no CVM TC:5FCFEFF4D0262DOA TVR:8080008000 AID:A0000000031010 Application Label:VISA CREDIT "Total 1094.12 -1094.12 ***Balance 0.00 FIND CLARITY,BOOST HAPPINESS-Like a gym membership for your mind,Headspace gives you simple tools to feel happier,work smarter and sleep better.Get some Headspace at westin.com/headspace As a Starwood Preferred Guest,you could have earned 1912 Starpoints for this visit.Please provide your member number or enroll today. Tell us about your stay.www.westin.com/reviews 13tG4?tGV t9 ucer ruaars-my A rips r FREE RIDES Filter TripsMY TRIPS Payment Nancy Method Driver Fare far City Method 'Your profile 33 08/21/16 Marc uberX Boston •••• % $23.49 V Add Credit Card ,f. Verify Mobile 08/21/16 GILBERTO 0 uberX Boston •••• Verify Email $8.86 My Trips 08/20/16 PETCHARIN $7.09 uberX Boston •••• Profile Payment 08/20/16 MORGANA $6.56 uberX Boston •.•. Free Rides mEwt Log Out 9 08/19/16 ALEX $6.15 uberX Boston •••• Lost something? 08/18/16 Marc $10.57 uberX Boston •••• Check out - uber.com/lost 5, 08/17/16 Abdifitah $6.15 uberX Boston •••• 8 08/17/16 Daniel Cancelee uberX Boston ..•• 08/17/16 William $6.15 uberPOOL Boston •••• hVs:/1riders.uber.comArips# 1/2 yy\,b LA K)cA yjCAj t.-wiil wY Sri BOSTON HARBOR CRUOMES Boston Harbor Cruises One Long Wharf Boston Massachusetts 02110 United States(617) 227-4320 www.bostonharborcruises.corn No Client Record ON16085 Water Taxi Lack Rates Long Wharf Stop 8/Pier 4 Bookina:8/19/2016 12:01:00 Am Adult 2 $24.00 Subtotal $24.00 Total $24.00 Order Currency: US Dollars Type: VISA Name; HECKINANCY S Number: XXXX XXXX XXXX. Expiry: XX/XX Amount.: $24.00 USA Ref#: AROPMABECS Date: 0811912016 11:56 AM I agree to pay above amount aCcording Lo card issuer agreement(merchantagreerinent if credit voucher) X G 172 8 5 slap a Pier 4 08/L9/2016 12:01 AM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) NANCY HECK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ 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. $1,656.09 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 RECEIPT 43-430.01 $12.99 1 hereby certify that the attached invoice(s),or 8/17/16 RECEIPT $12.99 1203 101 1203 101 RECEIPT 43-430.01 $449.96 bill(s)is(are)true and correct and that the 8/23/16 RECEIPT $449.96 1203 1 101 materials or services itemized thereon for 1203 101 EXPENSE 43-430.01 $99.02 8/26/16 EXPENSE $1,094.12 REPORT which charge is made were ordered and REPORT 1203 101 received except 1203 101 EXPENSE 43-430.01 $1,094.12 8/26/16 EXPENSE $99.02 REPORT REPORT 1203 101 1203 101 Wednesday,August 31,2016 1 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer J% ;� :CITY-OF,CARMEL Expense Report-(regtte' d.for: all travel expenses) EXHIBIT HIBIT A EMPLOYEE NAME:_Nancy Neck DEPARTURE DATE:- 7:. / TIME: AM-, M DEPARTMENT: Community Relations Econ:Deu.: RETURN DATE: .2i �6 TIME: .1 AM 'PM.•: -REASONFOR TRAVEL:-Alliance for Community Media.Conference DESTINATION CITY:. : Boston! MA,' EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE : TRAVEL.REIMBURSEMENT TRAVEL.PER DIEM Date Transportation Gas/Tol s/ . Lodging' Mise.' Total' I � ' .. ' Meals .. . ' Air-fare;• Car.Rental U.ber/Other . Parking'.'. Breakfast Lunch Dinher - Snacks Per,Diem : 8/17/16 . :. . $12:30.: . $273:53 . " .. .$32:50 $318:33 8/18/16 $1.0.57:: .. _ $273.53 :. $65:00 $349:10 8%19/16. .: $30.15 $273:53 :$65.00 : :• $3680 8/2.0/•16. .$•13.65' . $273:53 $65:00 $352:18 . 8/21/16 : $32.35 $65:00 $97:35 • $0.00 ' . .. . ' 0.0:0 " - 0:00 0.00 $0:00 .$0:'00 $0:00 ;$0:00 " 0:00 . .'$0:00 . . .. • . . .$0:00 • .•; • • . . .. . :. .ig • Total : : $0:00 $0.00 $99.02 $0.00 $1,094.1'2 :. : :$0:00 $0.00' $0:00 : $0.00 $292.50 $0:00 y P . . Y . P Y y .. P PP P • DIRECTOR'S'STATEMENT:'I hereb affirm'that all ex enses listed conform to the Cit 's travel olic and are within'm de artment's 8 ro riated budget. Director Signature: Date: City of Carmef Form R ER06 Revision Date'8/26/2016 Pager I 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, applicable 2) Travel:itineraryor.car rental agreement; if applicable 3) Original.item ized;receiptsforall.expenses{oraffidavits.if appropriate),'exceptfor.meal.perdiems (whichrequire.hotel.receipt), Prorated meal allowance: For travel that commences,before -00 pxh.:(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 . . nds:before 1:00 p:m: (flight arrival time, d•traveling by.air); $25 for in-state travel $32:50 for out=of-state travel For aravel.that a For.travel that:ends.after 1•;00: ".rim.. fli ht arrival time if tr' elin 'b air),'$50 for•in=state travel and_$65 for out=of-state travel: EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO IDO.CUMENT EXPENDITURES: hereby acknowledge receipt.bf;$ '. such funds beirig:advanced to 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 re' y.them,if lost.or stolen.. f:understand that within.ten 10 business da s of:m return as stated orro osite side ; I am,res onsible to:, . ( )„ Y . . y ( PP . . ) P 1) Submit original itemized.receipts to.the office of'the Clerk-Treasurer documenting ail 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#otal amount of the.advance being deducted from the first paycheck issued more.than 30 days afterthe 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 CarmeFForm,'#ER06 Revision'Date 8/26/2016• • Page 2. Westin Boston Waterfront 425 Summer Street � TIN Boston,MA 02210 United States Tel:617-532-4600 Fax:617-532-4630 HOTELS & RESORTS Nancy Heck Page Number 1 Invoice Nbr 300390 1326 Cool Creek Drive Guest Number 1510462 Carmel,IN 46033 Folio ID A United States Arrive Date 17-AUG-16 20:14 Depart Date 21-AUG-16 12:59 No.Of Guest 1 Room Number 663 Club Account Westin Boston Waterf 21-AUG-16 12:59 LLIBERGE Date Reference `Description :' s __ a Gharpes USD r Credits'-(USD) 17-AUG-16 RT663 Room Chrg Grp Corporate 239.00 17-AUG-16 RT663 Convention Tax 6.57 17-AUG-16 RT663 City Tax 14.34 17-AUG-16 RT663 Occupancylfourism Tax 13.62 18-AUG-16 RT663 Room Chrg Grp Corporate 239.00 18-AUG-16 RT663 Convention Tax 6.57 18-AUG-16 RT663 City Tax 14.34 18-AUG-16 RT663 Occupancy(fourism Tax 13.62 19-AUG-16 RT663 Room Chrg Grp Corporate 239.00 19-AUG-16 RT663 Convention Tax 6.57 19-AUG-16 RT663 City Tax 14.34 19-AUG-16 RT663 Occupancy/Tourism Tax 13.62 20-AUG-16 RT663 Room Chrg Grp Corporate 239.00 20-AUG-16 RT663 Convention Tax 6.57 20-AUG-16 RT663 City Tax 14.34 20-AUG-16 RT663 Occupancyll'ourism Tax 13.62 21-AUG-16 VI Visa-5916 -1094.12 ***For Authorization Purpose Only"* xxxxx Date Code Authorized 17-AUG-16 017318 1290.6 Continued on the next page Westin Boston Waterfront 425 Summer Street WESTIN Boston,MA 02210 United States Tel:617-532-4600 Fax:617-532-4630 HOTELS & RESORTS Nancy Heck Page Number 2 Invoice Nbr 300390 1326 Cool Creek Drive Guest Number 1510462 Carmel,IN 46033 Folio ID A United States - Arrive Date 17-AUG-16 20:14 Depart Date 21-AUG-16 12:59 No.Of Guest 1 Room Number 663 Club Account Approve EMV Receipt for VI- no CVM TC:5FCFEFF4DO262DOA TVR:8080008000 AID:A0000000031010 Application Label:VISACREDIT **Total 1094.12 -1094.12 ***Balance 0.00 FIND CLARITY,BOOST HAPPINESS-Like a gym membership for your mind,Headspace gives you simple tools to feel happier,work smarter and sleep better.Get some Headspace at westin.com/headspace As a Starwood Preferred Guest,you could have earned 1912 Starpoints for this visit.Please provide your member number or enroll today. Tell us about your stay.www.westin.com/reviews 8/26/2016 Uber Riders-My Trips U B E R0 Nancy 0 Nancy FREE RIDES Filter Trips MV TRIPS 4L i 1. r � Nancy Pickup Driver Fare Car City Payment Method Your profile 33 > 08/21/16 Marc 0 uberX Boston •••• % $23.49 v0 Add Credit Card Verify Mobile > 08/21/16 GILBERTO 0 uberX Boston •••• v Verify Email $8.86 My Trips > 08/20/16 PETCHARIN $7.09 uberX Boston •••• Profile Payment > 08/20/16 MORGANA $6.56 uberX Boston •••• Free Rides NEIN! Log Out > 08/19/16 ALEX $6.15 uberX Boston •••• Lost something? > 08/18/16 Marc $10.57 uberX Boston •••• Check out uber.com/lost > 08/17/16 Abdifitah $6.15 uberX Boston •... > 08/17/16 Daniel Canceled uberX Boston •••• > 08/17/16 William $6.15 uberPOOL Boston •••• httpsl/riders.uber.com/trips# 1/2 _ !V�nCAI W BOSTON HARBOR CRUISES Boston Harbor Cruises One Long Wharf Boston Massachusetts 02110 United States(617) 227-4320 www.bostonharborcruises.com No Client Record ON16085 Water Taxi i.ack Rates Long wharf Stop 8/Pier 4 Booking:8/19/2016 12:01:00 AM Adult 2 $24.00 Subtotal $24.00 Total $24.00 Order Currency: US Dollars Type: VISA Name: HECKMANCY S Number: XXXX XXXX XXXX. Expo y: XX/XX Amount.: $24.00 USA Ref#: AROPD9DABEC:5 Date: 08119/2016 i1:56 AM 1 agree to pay above amount according Lo card issuer agieernent (nierchant agreement if credit voucher) X G1?285 Stop 81 Pier 4 OB/L9/2016 Ik:01 AM 7 Q11ri b�►, . nay\" �fc CVS/pharmaoll ra-s-sroAki-sm 1� 1421 S. RANGE LINE RD, (:ARMEL, IN (317) 844-2775 REG#03 TRN#7671 -SHR#1448164 STR#86'(4 Helped by: SARAH ExtraCare Card 1: I KIT KAT BAR e- 1 1.19F 1.19 EACH 21.00 LACI. 1 KIT KAT BA 1.5Z .25F tl sur 1 1 FT 1 $.26 1 KDK APEX PSSPRT 06 12.99T 3 ITEMS SUBTOTAL 4 IN 7.0% TAX 1 TOTAL. CHARGE 5,34 ** * CH VISA CREDIT ************5916 APPROVED# 017346 REF# 036718 AID: AOOOOO00031010 TC: 8FD19002D999ADBE TERMINAL# 86664186 NO SIGNATURE REQUIRED 'CVM: 5E000O TVR(95): 8000008000 TSI(9B): 6800 CHANGE .00 2508 6746 2307 6710 35 'RETURNS WITH RECEIPT THRU 10;16I2U16 AUGUST 17, 2016 2:42 PM TRIP SUMMARY: Today You Saved �4 Savings Value E.! THANK YOU. OPEN 24 HOURS 7 DAYS A ldl E:: ExfraCare Card balances as of 08112 Year to Date Savings 357.93 2% of your Summe^ 2016 Spend Summer 2016 Spending 231 .6:3 Spend $50 on Beajfy, Ge-f $F; F11 Beauty Club- Amount Toward tits Reward 72,x.42 Amount, Needed t) Earn Rew.,{ A 2.; .58 :812312016: Southwest Airlines=Purchase Cenfi�mation Espaiiol®: SthW-6sto. FLIGHT I HOTEL I CAR. SPECIAL.OFFERS'. RAPID REWARDS Thank you.for your:purchase! _ - ". .TV v►ir'S2 'fir aincu� Southwestiv: q indianapolis,IN-IND'to Sart Diego,CA.-.SAN GCJ - - . _ . . NeW."Purchases,In-Trip. -Air. ':Co.n irniafio.rf#B.3MZER' Indianapolis,IN r IND:to ,Sart Diego, _ r cA.-sAN. Tuesday;September 27,'2016-Sunday, - Oetober 2,2016 6. '.Ear(yBirdCheck-In Purchased: Air Totai: $449;96 Amount Paid., TripTotal b. $449.96 .. . . . . . . .. . . . IMLA°.Cnf.9/27/16.- San"Diego -"New.purchases added.#o yourar�p:: AIR. . Indianapolis,IN.-iND'.to .San Diego,.CA-.SAN. 09/27/2016 7•10/02/2016 Confirmation.# . . - : .B3MZER. : Adult Passenger(s). Rapid Rewards# NANCY HECK. - Subscribe"to Flight Status'Messaging �rayel Date. :'Flight Segments::'_ 'F.light=Summary DEPART: 11:35 AM- .Depart'Indianapolis;IN : Flight SW ai. (IND)on.Southwest-Airlines. - #60 Tl)E 12:30 PM Arrive.iri Las Vegas,NV .Tuesday,September 27, 2016: 02:30.PM to Southwest. Flight soutimesc.:- Travel time 7-h=05-m f Airlines irr Las Vegas,NV' is35 S sto p;iricludes.i'plane change) .(LAS) . Wanna Get Away. 03:40 PM Arrive:in San:Diego,CA .. .(SAN). . - - WIFI available - - - - - - - - - - - -- - RErURN '01:35 PM Depart-"n Diego,CA: Flight- oer2: (SAN)on Southwest Airlines - .#zszl souN,wesi.' SUN ., m ht.4%lA6ww.southwest.com/reservations/confirm-reseNabons.hftl?disc=sdc%3AEC242C 4CCC8B48F"380AAFAF7B388EDlD&int=' 1l3 .8/23/201,6.: Southwest Airlines:Purchase Confirmation 02:45-PM -Arrive"In Pfioenlx;.AZ(PHX): st nday,Dabber 2'2016 - - - :WIFJ available - Travel Time S h-55 m e f a(to -.. ht bot dnvest.. : wayl P (l stovin' lu lane change). 04.10 PM.-Chang Southwest Flip Manna.Get K Airlines in PhoenlX,AZ(PHX)' #3123 .10:30 PM. :Arnve-In.Ind11anapolis;1N' wlFl av (IND) ailable. . What you-need.to know to-trawil: Cheek-Ino-Be sure to arrive at the;departure gate with your boarding:piss, t least 40 minutes before:your scheduled departure time.Otherwise;your-reserved space may be,cancelled and you won't be'eligible for denied boarding compensation, No Show.Pblicy:If you are-not planning to travel on any portion of this itinerary,please cancel:your.. Feseevation,at-least10 minutes-prior to-scheduled"departure of°the-Flight.Custdmerswho 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.flightwiill"be considered a'no show,-ana all-remaining,unused funds on-this reservation will be. - forfelted;.including Business.Select and Anytime.funds.. :PRICE:ADULT. Trip - Routing ', Fare-Type-_I View Fare Rules .. . .-Fare Details- Quantity •- - No Change Fees .. _ . . IiNanna`GetL1Wa_ .(appficable fare difference applies) .Depart. IND:LAS-SAN. Y-. Reusable Funds 1- aoaerlt Vahie (rionlrenOerable-no name changes allowed) • Nonrefundable unless purchased-vgth Points- -- - . - No:change.Fees 'Return.-SAN-PHX-IND Manna GetAWay : .(aPPlicable tare difference applied - - - . - - 6co?JItlltValue-- Reusahle Funds - (nbmransferable:no name charigas alioWedj Nonrefundable unless purchased wWPoinrs - - - - Subtotal: $419.96. - - Fare Breakdown: " Carry-cin Item s:'1 bag+1 small personal Item are free,see full detalIs. Checked Items:First and second bags arefree,size andwelght limitsappty:. - - - -Bag-Charge EARCYBIRD CHECK-IN PRICING' option Passenger Price Quantity Details' Receipt#: _Total E6rly6ird Lheck-In , : :NANCY HECK IND-LAS-SAN, 5260696501200'• .$15.00, EarlyBird Check-In- NANCY HECK $15.1)0 T .SAN-PHX-IND 5260696501199- : $15.-00 : .Subtotal. $30.00. . :Air Total; . . . . . : . $449.96 . :Gov taxes&fees now included i :v'S e Purchaser Name Nancy HedcBilling Address 1326 Cool•creek,Dr C.0 Carmel IN US 46033 ��GC`� :� 4 Forin'ofPayment Amount Applied �. Visa.=XXXXXXXXXXXX X449:96 . aced :. z/3-4366_l. Amount Paid' $449.96 Trip Total. $449:96: hppslAAiww,southwest.com/reservations/confirm=reservation..hft?disc=sdc%3AEC242C4CCC8B48F380AAFAF.7B388EDlD&int=- :. 03 -8/23/2016"" Southwest Airlines=Purchase Confirmation. e.-tudl.!�ates.extemalsite'whlchmay.ormay.notmeetaccessibilityguidelines. ©2016 Southwest Airlines Co:All Rights Reserved:Use of the Southwest websites and-our Company Information constitutes acceptance ofourTerms and Conditions.Privacy Policy' W. - ht4XJAfvww.southwest.com/reservations/confirm=reservations.html?disc=sdc%3AEC242C4CCC8B48F380AAFAF7B388ED1D&int=: 3/3 l�i �Y. ��a(.t��V,i.�1Si1).J p, IY YY i imla,org. J O �.`A L �.�d �s ., ' } F Y.g„�. , Y Y "'".. A9s CODE ENFORCEMENT PROGRAM � � � }� ����i � ` yHEW L Registration Form- September 28 &-29, 2016 - - s � �'' f9� ks`M Milton San Diego Fay-front hotel, San Diego, CA M4 REGISTRATION INFORMATION 010 �`� :' Name:' L� ` 6 Title: �fMu .' s (_ Q-e'U_V? Badge Name: NanL Local Govt Entity: ; Address: 1/11-1\ '-p Q I ��a_,Jtaoue_ City:& � State: Zi , � 0.� gg r� Phone: Fax.- E-mail: co{ ' Please indicate your registration type and options listed below(Check all that apply). &V CLE Credits$25 each state,please specify state(s): Your Bar No's,: 1 0 —'4 IJ !RSO POMOM FUS iflft,d9' Admission to Code sessions,electronic documents and welcome reception.Canaelialgan I Raftod rider.Cancellations must be received in writing by September 1, 2016 to qualify for a refund.AllcanceLations are subject to a $50.00 administrative processing fee.After September 1,2016 those not attending will receive the event electronic documents in full consideration of registration fees paid.Replacements are always welcomed.All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. AUrkian Foss: To help defray attrition expenses from the contracted hotel,an additional$100 will be added to your registration fees if you do not stay at the Code meeting hotel(daily/drive in registrations excluded).Register online at=fvww.irnla.org using My- EVILA shopping cart event registration. You must have an account to use the online registration process. First time users,if you need assistance setting up an account contact info@imla.org HARD COPY POLICY' Registration fees include electronic documents. These materials will be available for registrants one to two weeks prior to the meeting through IMLA's mobile.App and dropbox. If you require paper copies of speaker materials you must add an additional $350 or at cost if greater to your registration fee and check here. WE EASY WAYS TO REGISTER. PIAW IMLA, P.O. Box 200016, Pittsburgh, PA 15251-0016 P-HON920 202-466-5424 FAXOR 202-785-0152 E 2119' info@imla.org My IPILA wwwdlrala.org gamy Erd R R6663triNdan Type Rau ead's- � 7129A ilk �I �I Bil 11:' Check Enclosed Vis7i�M/fasterCard Code Enforcement ProgramOnly Sept.28 &29 $525 $350 Make all checks payable to IMLA; U Code Enforcement Program � � and IMLA Annual Confer- Amount$:_` ence(Register for confer- $225 $250 ence separately) Name: ,. Sept. 28-Wednesday Only $200 $250 Sept 29- Thursday Only Card No,: $175 $225 M(CLE) Processing Fee Exp. Date: (Per state) S25 $25 Signature: Sign up for the Code Mobile'y\Torkshop Tour that comes FREE with registration. Click here to register. For hotel reservations,program updates g to register � �Il online visit our web site:http://www.imia.ora Click on conference page to access hotel room block IMLA9s 81st Annum Conference Hilton San Diego Bayfront I Sept. 28-Oct. 2, 2016C,4j�,� Save the Date! REGISTRATION INFORMATION -No Name �15 i�9ancy Heck Title Dir.of Community Relations&Economic Development h Badge Name hlancy Local Government Entity Cit , of Carmel Address®ne Civic Square city, Carmel State iN zip 46032 Phone(317) 431-5393 Fax (317) 344-3493 Email nheck@carmel.in.gov Guest Name Guest Badge Name (Complete only if registenng Guest)Badges are required for all functions. Guest Rates Below Please indicate your registration type and options listed below(check all that apply) M CLE Credits,please specify state(s) INDIANA Your Bar No's. 19106-49 Breakfast: O STATE/PROVINCE$15,_ 1 ❑iRlONK$15_ R. 19MMINIUMMI M1MR9MF1fflMEZM= • � •- e e • e • • • o o • Registration Fees include:Admission to program,all sessions,conference materials,IMLA social functions,Conference Luncheon (CL)and all coffee breaks(not applicable to guest).Guest Fees include:Attendance at the events selected below. Cancellation/ Refund Policy:Cancellations must be received in writing by August 1,2016 to qualify for a refund.All cancellations are subject to a $50.00 administrative processing fee.After August 1,2016 those not attending will receive the event materials in full consideration of registration fees paid.Replacements are always welcomed.Guest Cancellations are subject to a$25.00 administrative processing fee.All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Full participation required to qualify for discounted rates(see below). *Register same time. Discounted Registration Fees-Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply. The discounted registration fees below are available for those staying in IMLA Conference Hotel,otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100).Conference payment must be received within 15 days. HARD COPY POLICY:Registration fees include speaker's materials,available electronically.These materials will be available for registrants from IMLA's App one to two weeks prior to the meeting.if you require paper copies of speaker materials IMLA encourages you to download and print these materials yourself if you want IMLA to produce them for you at the Conference you must acid an additional$554 to your registration fee and check here. _ Regular FIVE EASY WAYS TO REGISTER! Registration Rate Ends Rate After MAIL:international Rlunicipsl Lawyers Association,P Q Sox 200016; Type 8/19/16 3/29/16 Plttstiiirgh PK15251-0016 I PHONE:202-466-54241 FAX:202-785-0152 E-MAIL:info@imla.org I MylMLA Online:www.imia.org First Membero $700 $725 Addt'l.Membero $475 $500 REGISTRATION PAYMENT INFORMATION 3 or More From Same Office ® Bili Me ❑ Check Enclosed ❑ Visa ❑ MasterCard Each person*® $425 $450 Make all checks payable to IPALA: U.S.currency only- Member-First Time Attendee or New Attorney 1-5 yrs.o $435 $460 Amount $ Las Vegas Loyaltyo $650 $675 Name Nancy Heck- City of Carmel Judicial o $380 $430 Nonmember o $1,200 $1,600 Card No. Guest-Receptiono $125 $150 Guest-Reception Plus Exp.Date Breakfast o $150 $175 Signature Guest-Luncheon Ticitet clC1L $75 each $75 each VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) NANCY HECK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ 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. $180.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 RI2eEIF9F 43-553.00 $180.00 1 hereby certify that the attached invoice(s),or 9f7/16 RECEIPT $180.00 1203 �59�o 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 and received except Wednesday, September 07, 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 portal.courts.IN.gov Annual Indiana Attorney Registration Payment'Receipt Thank you for submitting your payment! Please print this page for your records. Confirmation#:65970826 Billing Information Payment submitted-9/7/2016 Nancy Heck nheck@carmel.in.gov (317)431-5393 1326 COOL CREEK DRIVE CARMEL, IN 46033-2315 us Payment Method Nancy S Heck VISA -12/2018 Invoice Summary Nancy Heck(19106-49) AnnualFee .............................................. $180.00 Grand Total: $180.00