HomeMy WebLinkAbout305348 11/16/16 CITY OF CARMEL, INDIANA VENDOR: 129401
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ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $*******410.93*
CARMEL, INDIANA 46032 cio Docs CHECK NUMBER: 305348
9M�Tp'N- ` CHECK DATE: 11/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 111516 410.93 TRAVEL FEES & EXPENSE
VOUCHER NO. WARRANT NO. Prescribed by State Board or Accounts City Form No.201(Rev.1995)
MICHAEL HOLLIBAUGH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O DOCS IN SUM OF$ 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.
$410.93 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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 Annual Mtg. 43-430.01 -$410.93 1 hereby certify that the attached invoice(s),or 11/14/16 ULI Annual Mtg. ULI Annual Meeting in Dallas,TX $410.93
1192 101 1192 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
Tuesday, November 15,2016
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
Subject: AA eTDS Notification-XAJUNY
From: American Airlines@aa.com (notify@aa.globalnotifications.com)
To: mhollibaugh@yahoo.com;
Date: Monday, October 17, 2016 11:56 AM
\ ,
American Airlines i Reservations Redeem Miles Myrtcc4unt peals
Miscellaneous Recept
Issued:Oct 17,2016
Michael Hollibaugh,
Thank you for choosing American Airlines/American Eagle,a member of
the oneworld®Alliance. Ilk )DIN r.-ac AA0VararncA
€'rznrrra,at FOR FRFF
This receipt is for services purchased below.
If you reside in the U.S.and have any questions regarding your
reservations,please contactAmerican Airlines at 1-800-433-7300. If you Cltl AAdiraritage t
reside outside the U.S.,please visit Customer Service for the AA office
nearest you. Earri bonu,. rnfles.
rll_.S V. V,:lY Urchccked
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visit www.aa.com/OptionalServices Learn more»
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Lecord
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Receipt
Passenger Document# Description Amount Tax Total
N Mike Hollibaugh
0010639186103 Preferred Seats/DFW-IND 25.62 USD 1.92 27.54 USD
I"'1 Mike Hollibaugh
0010639186103 Main Cabin Extra/IND-DFW 31.06 USD 2.33 33.39 USD
EM MasterCard XXXXXXXXXXXX2049 $60.93
Page 3 of 8
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QRCI
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fi r x Earn 1 reward for`eVdry dollar you spend on purchases
i &double rewards for RCI'purchases
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}' Redemption'and Information: 1-877-587-8742
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} d _' Activity for MICHAEL HOLLIBAUGH card ending In'2049
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Payments
` }Trans'Date•Posting Date Transaction Description Amount
N, y ` 10/13 10/13` PAYMENT £
Total Payment Activity $27.00
Y3 sy •, ,
x }r Purchasesmw
f s ,10/01 ,10/03 RENAISSANCE CINCINNATI CINCINNATI `OH $233.83
r , � � I fi 09/30 10/03_ FOUNTAIN SQUARE N GARA CINCINNATI' OH $22,00
lG !t 10/06 10/07 TRAVELOCITYCOM' WWW.fVLY.COM WA $1,283:07
10/17 10/19 AMERICAN 0010639186103008004337300 TX $60.93
r _ HOLLIBAUGH/MIKE 10/17/2016 RVU FEE
+c Agency, k00106391861030
4 ` ` 10/23' 10/24'' DART TICKET VENDING DALLAS TX
$25,00
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�eS� "Total Purchase Activity $1,62483
4 a
n{r Summary of Fees and Interest
Fx v� ' InterestChargetl , err, K : d c4,
r
Trans Date Posting Date Transaction Description Amount t f
h e r 7•� ', 'iii Jnr -•
111-0/,26',' 10/262 INTEREST CHARGE ON PURCHASES $30;62
� :. � Z }d 7 lit...y �... h h � i
%:r „; i i, f _>Total:interest for this Period _ $30'62
A 'Fees Charged ,
Trans Date Posting Date Transaction Description' ,r_a f Amount
Total',F.ees forthis Periotl
,_. ;, Year to Date Summary of Fees and Interest Charged* �,
r ISSUE .l UIt
3rT23 %Total Fees cher'ged m 2016 {$0.00 cr Total Interest charged m;2016 e,j' 1 .r, $30.62
EXPIRES: *This Year to Date Summary reflects•th 'Fees'an&lhterest charged.on billing statements;with closing
.. dates in 2016 The Summary does novreflect any fees orinterest adjustments and/or credits that have
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beenmade f s r" tl_ i� .�x. , -.i, ` ,' .,..
i Interest Charge Calculation 30 Days in Billing Cycle
G
pp ,
j
w a C_ F7Hha Promotional, Balance ANNUAL
:.Rate End Subject to PERCENTAGE Interest.
l Date Interest Rate RATE (APR) Charge
j .
"I56a5t Purchases
Current Purchases --- $2,329.94 15.99% $30.62
Balance Transfers
Current Balance Transfers/Checks - $0.00 9.99%
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CITY OF CARMEL Travel Expense Report
NDIANP ..
EMPLOYEE NAME: Mike Hollibaugh DEPARTURE DATE: 10/23/2016 TIME: 8:00 AM AM/PM
DEPARTMENT: Community Services RETURN DATE: 10/27/2016 TIME: 9:30 PM AM/PM
REASON FOR TRAVEL: Continuing Ed, ULI Annual Mtg. DESTINATION CITY: Dallas,TX
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
10/23/16 $60.93 $25.00 $ 65.00 $150:',93
10/24/16 $ 65.00 $65.00
10/25/16 $ 65.00 $65.00
10/26/16 $ 65.00 $.65.00
10/27/16 $ 65.00 $O.Q0
$0.00
$0.00
$0.00
$0.00
$0.00
$0':00
$0.00
$0.00
$0.00
$409
" $0:'00
$0.00
$0.00
$0.00
0.00
Total $60.93 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.001 $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:- L /yOV�i'1�[/�l J�
City of Carmel Form#ER06 Revision Date 11/9/2016 Page 1