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Home My WebLink About304377 10/26/16 J •G4q CITY OF CARMEL, INDIANA VENDOR: 129401 j it ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $*****1,636.40* CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 304377 CHECK DATE: 10/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 102416 1,636.40 TRAVEL FEES & EXPENSE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) MICHAEL HOLLIBAUGH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O DOCS IN SUM OF$ 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. $1,636.40 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Dept of Community Service 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 ULI mtg. 43-430.01 $353.33 1 hereby certify that the attached invoice(s),or 10/17/16 ULI mtg. ULI Bi-Annual Meeting,Cincinnati,OH $353.33 1192 101 1192 101 ULI Nat.Conf. 43-430.01 $1,283.07 bill(s)is(are)true and correct and that the 10/17/16 ULI Nat.Conf. ULI Annual National Conference,Dallas TX $1,283.07 1192 1 1 101 1 materials or services itemized thereon for 1192 101 which charge is made were ordered and received except Tuesday, October 18,2016 Mike Hollibaugh Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer /`tv of CAN,jj . CITY OF CARMEL Travel Expense Report ��NDIAH.p' EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 9/29/201 TIME: 10:00 AM AM/PM DEPARTMENT: Community Services RETURN DATE: 9/30/2016 TIME: 5:30 PM AM/PM REASON FOR TRAVEL: Cont. Ed, ULI RPC bi-annual meeting DESTINATION CITY: Cincinnati,OH EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date - Lodging Misc. Total, Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9/29/16 $32.50 $32;50 $_0:00 9/30/16 $22.00 $233.83 $65.00 $320.83 $0;00 $OAO $0.00 $0:00 $0;00 $000 $0__00 $000 $0:0.0 $.0;00 $0:00 $0':00 $M00 $0:00 $0.00 $0:00 o o Total $0.001-$0.001-$0.001 $22.00 $233.83 $0.00 $0.00 $0.00 $0.00 $97.601 $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 10/11/2016 Page 1 ULI Indiana, Midwest Mixed-Use Development Product Council—Cincinnati Meeting Sept 29+30, 2016 Mike Hollibaugh,Hotel and Parking expenses ng/accountSuhimary?switchedAccounts=true& fsk=476080061 Carmel GIS ❑ Ham County GIS, ALP,City Coale 1 AnthemTimesheet ®CHC Wefl EAC *.BAS Fithif twitter :m cens RC( _- Good morning,Michael RO Elite Reiivaids M4asterCwd_jM9 bafC[ JCa(+d View all aowunlr� Payments Ac"tSta-tements- SerAces Yourprofile- CURRENT BALANCE PAYMENTSTATUS $2738.90 Your payment is_ Redeem your ' due.on Oct.231' Rewards, Ava[lab7elaediaGi $7,261.10 mtnlmumamount due $27.00 ---- To view and 2deem your rewards;please dick - - --- - Statement balance� the button,below. Re "oredgttirneGi $10,o00.OD asar69i3sa�me6 S120D.fl0 vo Q+ v9eN.balantedetall5 (i]Mew Statem rrent nt .Statement I RECENTACrIVnY Mew all transactions 1 FICO CREDIT SCORE- _ larorv7A16' TRAVEI.00IRY.COM '31283;07: I, POSTED DATE -'ACCOUNT ENDING - ' tOVOif+•A14 �9 VIeWyour E1CODCtedltscore onlLne.lt'S - the sTmrtwoytostay ontap ofyourcredit laioinaw RENAISSANCECINCINNATU $733.83 (D' history. TOS�EO'DATE,, ACCOUNT EleDING . I 10103R016 2049 Vi ew my FICO'Scau e 69130/2016 ;OUXTAINSOUARENGARA "32200 �1 - POSTED DATE AICCOUNTENDING Earn rewards faSL 101032016 2049 Set up authorized users_ Addauset 69d09/20e6 .SO-T1&10TWSHULTZDBA '# travclocity• Dallas Oct 23,2016-Oct 27,2016 I Itinerary#7215636579489 Important Information Price Summary • Remember to bring your itinerary and government-issued photo ID for Flight+Hotel $1,283.07 airport check-in and security. Total Price $1,283.0.7 All prices include taxes&fees and are quoted in US dollars. Indianapolis (IND) Dallas (DFW) TICKETING IN PROGRESS Oct 23,2016-Oct 27,2016,1 round trip ticket American Airlines XAJUNY Your ticket is not yet confirmed. We are confirming it with the airline Additional Flight Services and will update your online itinerary within 24 hours. Traveler Information The airline may charge additional fees for checked baggage or other MIKE HOLLIBAUGH No frequent flyer Ticketing in progress optional services. Adult details provided *Seat assignments,special meals,frequent flyer point awards and special assistance requests should be confirmed directly with the airline. Oct 23,2016-Departure Nonstop Total travel time:2 h 24 m Special Fare Indianapolis Dallas 2 h 24 m 759 mi - IND 8:10am DFW 9:34am American Airlines 1074 Economy/Coach(V)I Confirm seats with the airline Oct 27,2016-Return Nonstop Total travel time:2 h 7 m Special Fare Dallas Indianapolis 2 h 7 m 1 759 mi - DFW 6:30pm IND 9:37pm American Airlines 2304 Economy I Coach(N)I Confirm seats with the airline Airline Rules&Regulations • Fares are not guaranteed until ticketed. • We understand that sometimes plans change.We do not charge a cancel or change fee.When the airline charges such fees in accordance with its own policies,the cost will be passed on to you. • Tickets are nonrefundable,nontransferable and name changes are not allowed. • Please read important information regarding airline liability limitations. Hotel Indigo Dallas Downtown CONFIRMED Oct 23,2016-Oct 27,2016 Confirmation# 62323232 We have confirmed your hotel reservation with the property. Additional Hotel Services 1933 Main St,Dallas,TX,75201 United States of America c?y The below fees and deposits only Tel: 1 (214)741-7700,Fax: 1 (214)939-3639 apply if they are not included in your selected room rate. The following fees and deposits are Check-in charged by the property at time of Check-in time starts at 3 PM service,check-in,or check-out. • Check-in time ends at 5:30 AM • Breakfast fee:between USD 10 Minimum check-in age is 21 and USD 17 per person • Your room will be guaranteed for late arrival. (approximately) • Self parking fee: USD 12 per day Important Hotel Information • Valet parking fee: USD 25 per day This reservation is non-refundable and cannot be canceled or changed. (inlout privileges) View your online itinerary for additional rules and restrictions. • Pet deposit: USD 75 per stay • Pet fee: USD 75 per accommodation,per stay Room Room, 2 Queen Beds, Non Smoking - The above list may not be Advance Purchase Offers comprehensive.Fees and deposits may not include tax and are subject Confirmation#: 62323232 to change. Reserved for MIKE HOLLIBAUGH 1 adult Requests 2 queen beds,non-smoking room Need help with your reservation? • Visit our Customer Support page. • Call Travelocity customer care at 1-855-201-7820 • For faster service,mention itinerary#7215636579489 travelecity° Receipt for Dallas Oct 23,2016-Oct 27,2016 Itinerary#7215636579489 Booked Items Cost Summary Flight: Indianapolis(IND)to Dallas(DFW) Booked Date:Oct 6,2016 Depart:10/23/2016,1 round trip ticket Flight+Hotel $1,283.07 Hotel:Hotel Indigo Dallas Downtown Total Price:$1,283.07 1933 Main St,Dallas,TX75201 Paid:$1,283.07 Check-in: 10/23/2016 1 Check-out: 10/27/2016, 1 rooms 4 nights [MasterCard 2049] All prices include taxes&fees and are quoted in US dollars. Traveler Information MIKE HOLLIBAUGH-Adult Room 1:Room,2 Queen Beds,Non Smoking'-Advance Purchase Offers 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$60 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$30 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$30 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$60 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , 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 10/11/2016 Page 2 Document ID: Policy and Procedure Name Policy: Course or principle of action. Consideration of completeness, authorization,accuracy,timeliness, safeguarding of assets and managerial review. Procedure: Established way of completing task Scope: The procedure applies to which areas Statutory Requirements(if applicable): Indiana Code Reference (or other statutory/regulatory guidance) Task Performed: Staff Resource(Position Title): Preparer's Name/Title: Date Prepared: Reviewer's Name/Title: Date Reviewed: Approver's Name/Title: Date Approved: Document ID Codes ADMINISTRATION =ADMIN BROOKSHIRE GOLF=GOLF CLERK-TREASURER=CT COMMUNITY RELATIONS=DOCR COMMUNITY SERVICES=DOCS BUILDING CODE SERVICES=BCS COURT=COURT ENGINEERING=ENG FIRE DEPARTMENT=CFD HUMAN RESOURCES=HR INFORMATION &COMM SYSTEMS=IT LAW DEPARTMENT=LAW MAINTENANCE=MAIN MAYOR'S OFFICE=MAYOR POLICE DEPARTMENT=CPD REDEVELOPMENT DEPT=REDEV STREET DEPARTMENT=STREET UTILITIES=UTILITIES SEWER=SEWER WATER PLANTS AND OPERATIONS=WATER PARKS=PARKS EXAMPLE DOCUMENT 1D WOULD BE ADMIIV-UU1 FOR THE FIRST POLICY AND PROCEDURE FO 9-K4INIS�TiRATi3O, VIVO®DV WAREHOUSE Invoice N U R S E R Y. I N C. 3339 W 850 N Phone# 317-994-5487 PO Box 259 Fax# 317-994-5494 Due Date DATE INVOICE# Lizton, IN 46149 10/14/2016 10/14/2016 36114 BILL TO SHIP TO City of Carmel intersection of Gray Rd.and 116th Street Department of Community Services One Civic Square Carmel,IN 46032 P.O. NUMBER TERMS REP SHIP VIA PROJECT 33657 Due on receipt Pete 10/14/2016 Sprinter QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT TAGGED BLUE WHITE CHECKERS 4 SPAI5GRT Alnus rugosa-Speckled Alder- 15-gal RootTrapper 5-6' 95.00 380.00 5 PAW7GRT Asimina triloba-Pawpaw-7 gallon RootTrapper 1.00" 60.00 300.00 5 FLD7GRT Cornus florida-Flowering Dogwood-7 gallon RootTrapper 1.00" 65.00 325.00 5 WIT7GRT Hamamelis virginiana-Common Witchhazel-7 gal RootTrapper 60.00 300.00 1.00" 5 WIN3 Ilex verticillata-Winterberry-3 gallon 4-5'A GRADE 14.00 70.00 5 CON3 Physocarpus opulifolius-Common Ninebark-3 gallon 34A 15.25 76.25 GRADE 5 CHC7GRT Prunus virginiana-Chokecherry-7 gallon RootTrapper 1.00" 55.00 275.00 5 BLV 15GRT Viburnum prunifolium-Blackhaw Viburnum-15 gallon 105.00 525.00 RootTrapper 1.25" 1 FRT-SPRINT Delivery via sprinter van to: 200.00 200.00 intersection of Gray Rd.and 116th Street in Carmel. It is on the south side of 116th Street Suzy Dubois 317-867-3691 dubl64@aol.com $40 applies when driver unload assistance is required. U�-I��'� Subtotal $2,451.25 Sales Tax $0.00 Payments/Credits $0.00 Balance Due $2,451.25