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Home My WebLink About303236 09/22/16 �•..eAA" CITY OF CARMEL, INDIANA VENDOR: 358695 4� qil j; ® „ : ONE CIVIC SQUARE SUZANNE MAKI CHECK AMOUNT: $*******764.71* ,: CARMEL, INDIANA 46032 317 2ND AVE NE CHECK NUMBER: 303236 �'��TON_E°. CARMEL IN 46032 CHECK DATE: 09/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 081716 569.71 TRAVEL FEES & EXPENSE 1203 4343004 091416 195.00 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SUZANNE MAKI ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 317 2ND AVE NE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $195.00 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 EXPENSE 43-430.04 $195.00 I hereby certify that the attached invoice(s),or 9/14116 EXPENSE $195.00 REPORT REPORT 1203 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 Tuesday,September 20,2016 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 yFi'', ! CITY OF CARMEL Expense Report (required for all travel expenses) IN.�AHp EXHIBIT A EMPLOYEE NAME: Suzanne Maki DEPARTURE DATE: 8/13/2016 TIME: 6:35 -AM- DEPARTMENT:_Community Relations&Economic Development RETURN DATE: 8/17/2016 TIME: 5:55 -AAA-/PM REASON FOR TRAVEL: Presidents Environmental Youth Awarf DESTINATION CITY: Washington DC 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 METRO public 8/13/16 $209.96 $10.00 transit, $219:96 8/15/16 $163.85 $65.00 $228:85 8/16/16 $163.85 $65.00 .$228.S 8/17/16 $65.00 1656-00 $0.00 Airport $22.05 Parking $22.05 $0.0.0 $0:00 $0.00 $0.00 $0.00 $0:00 $Oc00 $0:00 $0:00 $0.00 $0600 Total $209:96 $0.0.0: $1.0.00 $22 05 $327:70 $0:00 $;0 00 $0.:00 $0:00 $fi95'OQ $0'x00 � DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 9/8/2016 Page 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SUZANNE MAKI ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 317 2ND AVE NE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $569.71 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 EXPSENSE 43-430.01 $569.71 1 hereby certify that the attached invoice(s),or 9/14/16 EXPSENSE $569.71 Q�REPORT REPORT 1203 d i l i(a 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 Tuesday, September 20,2016 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 Fli -hit reservation (9X25K0)- 113AUG16 1 IND-DCA 1. Maki/Suzanne Southwest Airlines Mon 7/11/2016 4:24 PM To:SUEMAKI@OUTLOOK.COM <SUEMAKI@OUTLOOK.COM>' Thanks for choosing Southwest®for yourtrip. SOUtITW!@Stw A Log in i View my itinerary Check In Online I Check Flight Status Change Flight Special.Offers `. Hotei Offers { Car Offers I Ready for takeoff! Thanks for choosing Southwest@ for your trip.You'll find everything you need to know about your.reservation below:.Happy travels! i uppoming Trip: 08/13/16-Washington D.C. r Air itinerary AIR Confirmation: 9X2SKO Confirmation.Date:07/11/2016 -- _----I Passengers) Rapid Rewards# Ticket# Expiration Est:Points Earned.. • EarlyBlyd . MAKI/SUZANNE 20067950685 5262427390060 Jul 11,2017 1014. . Ch eck n L Rapid Rewards points earned are only estimates..Visit your(My.Southwest,Southwest.com or Rapid Rewards)account for the most'accurate totals-including A-List&A-List Pteferred bonus points. LetG ke care of Date Flight Departure/Arrival - for • Sat Aug 13 1920 Depart INDIANAPOLIS;IN(IND)on Southwest Airlines at 06:35 AM Get bt now Arrive in WASHINGTON(REAGAN NATIONAL),DC(DCA) at 08:00 AM Travel Time.! hrs 25 mins Wanna Get Away .... . . ...... ..,.. -Add a hotel Date Flight DeparturelArrival Earn P<apid Re mrdsl points Wed Aug 17 2523 Depart WASHINGTON(REAGAN NATIONAL),DC(DCA) Y/ Best rate guarantee on Southwest Airlines at 4:10 PM V Free cancellation Arrive in INDIANAPOLIS;IN(IND)at 5:55 PM Travel Time 1 hrs 45 mins Wanna Get Away Book a hotel Check in for your flight(s): 24 hours before your trip on Southwest:com or your mobile device to secure your.boarding position. You'll be assigned a boarding position based on your check-in time. The earlier you check in within 24 hours of your flight, the earlier you get to,board. Bags fly free@: First and second checked bags. Weight and size limits apply: One.small.bag and one personal item are.permitted as carryon items;free of charge: Add a_ .rental car . . 36-minutes before departure: lNe encourage youao.arri.ve in the gate area - noaater than 30minutes.prior to your flight's scheduled departure as. we V.Ea;n Rapid Re:v rds�points ma begin boarding as early as 30.minutes before your flight::; �;I.Giiaranteeio,�:rate; L F 1:0:min.utes.befo.re:departure:You:must obtain your boarding.pass(es). r/. ree cancellatian and be.in_the:gate area,forbo atleast 10 minutes.-priorto your flight's. Scheduled departure time. If.not SouthWest.may.canceLyour reserved :•• space and-you will not:be eligible for deniedboarding compensation: If you do not plan to travel on.your flight: In accordance with Trau � or Southwest's No Show Policy, you_must notify Southwest at least 10 I . minutes prior to your.flight's,scheduled departure rr if you do not plato i or I ess. travel on the-flight.:If not, Southwest will cancel yourreservation and all funds will be forfeited. Exclusive deals for your favorite destinations. Air Cost: 209.96Sign. • . Fare:Rule(,§): 5262427390060:--NONREF/NONTRANSFERABLE/STANDBY REQ . UPGRADE TO Y.. Valid.only:on.Southwest-Airlines.:All travel.involving funds.feom this Confirmation; Number.must.be completed by the-expiration date.-Unused travel funds.'may.only. South ejf wl: be.applied:toward the purchase of future.travel-for the individual named on the:. Rap6d_Rewards;: .-ticket.:Any changes to this itinerary:may:result in a.fare.-increase: Failure.-to- cancel reservations fora-Wanna:GetAway fare:segment.at.least:10_minutes prior a/:Unlimltedmwardseats _ to travel will result in the forfeiture of all remaining unused:funds. �/:No blackout datn5 - IND, . . •. .. . WN.WAS89.19TLNVVNR INN IND79:89TLNVVNR 169.08 END ZPINDDCA- r/ Rede�sm.for International XFIND4:5DCA4.5 AY11:20$iND5.60 DGA5.60 11. hts oaid more: ; Enroll 4 l-6am about our: Learn about infl.ight .boarding processes ^ -WiFi &:entertainment COst:And•Payment Summary.: AIR.=9X2SK0. .. Base Fare $..1.69.08: Payment Information Excise.Taxes . $:. 12.68 Payment Type:Visa"XXXXXXXXXXXX6274. Segment.Fee.: $ _ 8.00 . Date:Jul 11,2016 Passenger Facility Charge $ 9:00, :Payment Amount:$209,96 SepfeniberI Ith Security Fee - $ 11.20 Total Air Cost $ 2091.96 Useful Tools.. Know Before You Go. Special:Travel Needs Checkan Online.. In the Aimort :. Traveling with Children Early-Bird Check-In Baggaoe Policies Traveling with Pets View/Share Itinerary. Suggested Airport Arrival Times Unaccompanied Minors. Change AirReseivation Security.Procedures Babv on Board Cancel Air Reservation. Customers of Size- Customers with Disabilities Check Flight Status In the Air- Flight Status Notification Purchasing and.Refunds Book a Car Book a.Hotel ..THE CAPITAL HILTON 1001 16TH STREET NW WASHINGTON,DC 20036.' - H n United } States of America' " 1 4011 TELEPHONE 202-393-1000 -FAX202-639-5784,- HOTELS&RESORTS Reservations . . www:hiitorixom or.1 800 HILTONS MAKI,SUZANNE: Room No:. 9411O1D: Amval Date:' : 8/13/201'6"9:14:00 AM 3.11.2ND.AVE NE Departure Date: . 8/17/2016 2:16:00 P.M Ad ulUChild: 2/0. ' CARMEL IN.46032 Cashier ID- TTHO UNITED STATES OF AMERICA Room Rate: - 143.10 AL: . UA 00999960154 HH#. 859556655 GOLD VAT#. Folio No/Che 1384176 A Confirmation Number.3259215459 THE CAPITAL.HILTON.8/17/2016 2;16:00 PM DATE- IDESCRIPTION ID REF NO: .: CHARGES CREDIT BALANCE. 8/13/2016. . GUEST ROOM, GWINT :7487538' -_ $143.10 8/13/2016 ROOM TAX : GWINT 7487538 $20.75 8/14/2016 GUEST ROOM KRYANI_ .7488608 $143,10. 8[14/201.6. . .ROOM TAX KRYANI,. 7488608 :$20.75 5/2016GUEStROOM `GWINT', ;748977. 93 $14310 ' X8/15/2016 >ROOM.TAX _yGWINT;S- — 7489793" $20 7 " /.16120,1.6y GUESLR00M GWINT 7491066 -$14310 .. 8/16/2016. .. _ROOM.TAX -, IkfN C :x749 066 ,:4 $2 Ems 1 8/17/2016 VS*1715 TTHO. -. 7491461 .. ($655,40) You have eamed approximately 12879 Hilton,HHonors points and approximately 572 Miles with United Airlines for:this stay.Hilton HHonors(R)..-" stays are posted Within 72 hours of checkout.To.check your: Thank you forchoosing Hilton.You'll_get more when you book directly-with.us•more destinations,morepoints,and mole value.Book yournext stay at.hilton.00m: THANK YOU FOR STAYING WITH US AT THE CAPITAL HILTON. CREDIT CARD DETAIL. APPR CODE 81911CMERCHANT 10 000100682400 CARD NUMBER. VS.'1715 EXP DATE .09/18 TRANSACT.IbN.ID 7491461 TRANS TYPE Sale' . Page:1 - Easy Airport Parking 5773 West Washington St Indianapolis, IN 46241 00/13/16 08:24.57 317-481-6875 . National Airport Ticket # 94020 Arlington VA Open Date 08/13/16 05:46 . FOR CUSTOMF SERVICE CALL GUL-9G?,5719 Close Date 08/17/16 18:16 2400 S_ Smith Blud_ Cashier ID 2556 MEZZAN iNE 46 Date 08/17/16 18:22 MACHINE 36 Name MAKI, SUE AN: "'"4840 4040 Vehicle BLACK HONDA/ACCORD VENDOR: w16-36-32263 PARKING CHARGES REF NO: -3"',12G39939090 RUTH NO: 03704D Weeks 0 @ $ 49.00 $ 0.00 Days 5 @ $ 7.00 $ 35.00 CREDIT PURCHASE Charged Hours 0 @ $ 1.00 $ 0.00 Fuel Surcharge 1 $ 1,75 QUANTITY SELECTED: 1 ------- COST IS $10.00 PER Parking Total $ 36.75 CARD Grand Total $ 36.75 S/N 0167 0884 8602 8657 5367 PAYMENTS VI_4840 08/17/1618:22 $ 36.75 TOTAL AMOUrai: $10.00 TTID: 56609 Auth: 06943D Batch: 398 THANK YOU FOR RIDING METRORAII X THE FUTURE IS RIDING ON METRO h Do It Right and h Make It Easy! Collect FIVE Claim Check stubs and earn a FREE DAY of parking!!! PDA I�) Easy Airport Parking 5773 West Washington St Indianapolis, IN 46241 08/13/16 08:24:57 317-481-6875 National Airport Ticket # 94020 Arlington VA Open Date 08/13/16 05:46 FOR CUSTOMF,' SE_ RVICE Close Date 08/17/16 18:16 CALL �u�-ai��-5719 . 2400 S_ Smith Blud_ Cashier ID 2556 MEZZAN i NE 46 Date 08/17/16 18:22 MACHINE 36 Name MAKI, SUE AN. Vehicle BLACK HONDA/ACCORD VENDOR: ,t.11,-36-32263 PARKING CHARGES REF NO: "','26"9939090RUTH NO: 03704❑ Weeks 0 @ $ 49.00 $ 0.00 Days 5 @ $ 7.00 $ 35.00 CREDIT PURCHASE Charged Hours 0 @ $ 1.00 $ 0.00 Fuel Surcharge 1 $ 1.75 QUANTITY SELECTED: 1 ------- COST IS $10.00 PER Parking Total $ 36.75 CARD Grand Total $ 36.75 SIN: 0167 0884 8602 8657 5367 PAYMENTS VI_4840 08/17/16 18:22 $ 36.75 TOTAL AHWiis $10.00 TTID: 56609 Auth: 06943D Batch: 398 THANK YOU FOR RIDING ME TI:URA I I X THE FUTURE IS RIDING ON METRO k k It Right and h Make It Easy! Collect FIVE Claim Check stubs and earn a FREE DAY of parking!!! d roxvi�n �\ CITY OF CARMEL Expense Report (required for all travel expenses) \`•,�N�IANQ%-` EXHIBIT A EMPLOYEE NAME: Suzanne Maki DEPARTURE DATE: 8/13/2016 TIME: 6:35 -AAA- DEPARTMENT:_Community Relations & Economic Development_ RETURN DATE: 8/17/2016 TIME: 5:55 -AAA-/PM REASON FOR TRAVEL: Presidents Environmental Youth Awan DESTINATION CITY: Washington DC EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_X_ TRAVEL PER DIEM X_ Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem METRO public 8/13/16 1 $209.96 $10.00 1 transit $219.96 8/15/16 $163.85 $65.00 $228.85 8/16/16 $163.85 $65.00 $228.85 8/17/16 $65.00 $65.00 $0.00 Airport $22.05 Parking $22.05 $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 ($209:96 1 $0.00 W1,19MUly .$22:05' x$327 7Ui $0.00 $0.00 $0.00 $0.00 $195.00 $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. �1/ q-iZ/_ i6 Director Signature: Date: City of Carmel Form#ER06 Revision Date 9/8/2016 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 9/8/2016 Page 2