HomeMy WebLinkAbout319782 12/21/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 027850
ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $"""3,831.30'
CARMEL, INDIANA 46032 CHECK NUMBER: 319782
CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER;' AMOUNT DESCRIPTION
1.160 4343003 EXPENSE 3,506.30 TRAVEL & LODGING
.1160 4343004 EXPENSE 325.00 TRAVEL PER DIEMS
VOUCHER NO. ARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 027850
JAMES BRAINARD IN SUM OF$ 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.
Payee
$3,831.30
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office Terms
Date Due
PO# ACCT# INVOICE# DESCRIPTION
DEPT# INVOICE#. Fund# AMOUNT Board Members �''DE�PT FUND# (or note attachedinvoice(s)or bill(s)) AMOUNT
.EXPENSE 43-430.04 $325.00 1 hereby certify that the attached invoice(s),or 12/15/17 EXPENSE $325.00
REPORT REPORT
1160 101 bill(s)is(are)true and correct and that the 1160 101
EXPENSE 43-430.03 $3,506.30 12/15/17 EXPENSE $3,506.30
REPORT materials or services itemized thereon for REPORT
1160 101 which charge is made were ordered and 1160 101
received except
Friday, December 15,2017
Kibbe,Sharon
Executive Office Manager
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
G7 CA)?,,�
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CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANP.. - EXHIBIT A-
Jiin Brainard 11/.7/2017 . Trave e from T lsa, O
EMPLOYEE NAME: DEPARTURE DATE: TIME:S eech AM/PM
DEPARTMENT: Mayor RETURN DATE: 11/12/2017 TIME:Evening. Am p
'REASON FOR TRAVEL: WWF Conference DESTINATION CITY: Bonn German
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT' XTRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc: -Total
Air-fare 'Car Rental Other. Parking Breakfast Lunch Dinner . Snacks. Per Diem
$0.00
11/7/17 $1,000.00 Traveled from Tulsa, OKspeech. $1,000.00
11/8/17 $11.76 $65.00 $76.76
11/9/17 $37:26 $65.00 $102.26
11/10/17 $11.00 $65.00 $76,00
11111/17 $56.58 $65.00 $121.58
11/12/17 $131.311 $25.00 $2,233.39 $65.00 $2,464.70 ,
$0.00
$0.00 .
Note: World Wildlife Fund has agreed to pay$1,500 towards airfare expense of$4,262.00;Mayor is requesting reimbursement
from city of$1,000 for airfare and,he will pay the balance. $0.00
„$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
40.00
0.00
Totally $1,000.00 $0.00 $247:91 $25.00 $2i233.391, -$0.00 $0.00 , •$0.00 $0.00 $325.00 • . , $0.00 r
DI,RECTOWS.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 12/15/2017 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 12/15/2017 Page 2
110
SU13NATIONAL INNOVATIOP
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THURSDAY, NOVEMBER 9TH 112:00 - 14:00 9 FIJI DOME
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TThe next year, an outpouring of countries joined the Agreement,
and propelled it into force faster than nearly any international agreement
in the past 100 years.The next phase of the Paris Agreement- its SCHEDULED EVENT S
implementation - relies on local communities, businesses, academic.
institutions,faith groups, and all parts of society to take ownership over Thursday November 9th ................ ...........
j the goals of the Paris Agreement and do what they can to contribute to the Friday November 10th ...............................
transition to a cleaner future.
Saturday November 11th
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American cities,states and tribes, businesses, universities,faith groups Tuesday November 14th .............................
and many others responded to this call to action. PresidentTrump's
announcement to withdraw from the Paris Agreement only accelerated this Wednesday November 15th.........................
momentum. Since the President's June 1 announcement, Governors of 14
states and Puerto Rico launched the U.S. Climate Alliance, over 400 mayors Thursday November 16th ...........................
joined the Climate Mayors platform, and over 2,500 cities,states and tribes,
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The U.S. Climate Action Center at COP23 in Bonn, Germany is the first ever
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We hope to see you at the U.S. Climate Action Center! America.The U.S. Climate Action Center is coordinated by
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Action Programme for providing the physical space for th
logistical support.
2
Kibbe, Sharon
From: . Kessler,Arona <Arona.Kessler@wwfus.org>
Sent: Wednesday, December 13, 2017 5:05 PM
To: Kibbe, Sharon; Leonard, Lou
Cc: Brainard,James C;Taylor, Kevin
Subject: RE: Request.for Travel Reimbursement_ Mayor Jim Brainard
Hi Sharon,
We are happy to provide$1,500 towards Mayor Brainard's travel.$900 will come from ICLEI,and the remaining$600
will come from WWF US. Kevin Taylor has been in touch with ICLEI and will forward along to them the receipts and W9
you sent to us.
Please look out for an email from DocuSign in the next day or two so we can finalize our$600 payment.
Let me know if you have any questions.
Thanks,
Arona
Arona Kessler
Senior Assistant,Climate and Energy
World Wildlife Fund—US
1250 24h St.NW/Washington,DC 20037.Office#5092A
Office Tel:+1-202-495-4424
arona.ke s s ler@,wwfus.org
hap://worldwildlife.org
From: Kibbe,Sharon [mailto:skibbe@carmel.in.sovl
Sent:Tuesday, November 28,2017 3:08 PM
To: Leonard, Lou<Lou.Leonard @wwfus.ore>
Cc: Brainard,James C<JBrainard@carmel.in.eov>
Subject: Request for Travel Reimbursement- Mayor Jim Brainard
Mr. Leonard,
At Mayor Brainard's.request, I'm submitting his travel expenses and receipts for recent travel to Bonn, Germany for the
WWF Conference. I'm also attaching a copy of his W-9. The Mayor is most appreciative of any travel expenses you're
able to reimburse. If you have any questions concerning the attached, please don't hesitate to contact.me.
Sincerely,
Sharon Kibbe I Executive Office Manager I Office of the Mayor City of Carmel
1 Civic Square,Carmel,Indiana 46032
317-571-2483 Direct 1317-571-2401 Main 1317-844-3498 Fax I skibbeaawarmel.in.eov
i
Page 1 of 1
Transaction Details Prepared for
HMERtfAN James C Brainard
orPacss Account Number
XXXX-XXXXXX-38007
DATE DESCRIPTION CARD MEMBER AMOUNT
I
NOV32017 IFLYFIRSTCLASS-Chicago,IL JAMES C BRAINARD $4,482.00
Doing business as:
IFLYFIRSTCLASS iMernbershlp Rewards®Points
aasz
980 N MICHIGAN AVE#1587 lyou can eam 1X points.
CHICAGO Base
Pa82
IL Total
60611 ia4e2
UNITED STATES OF AMERICA(THE) (io eam points,please make the required minimum payment by the next Payment Due Data.
888.347.7817
Additional Information:JF7M66 squareup.com/receipts
squareup.com/receipts
Reference:320173070420909863
Category:Travel-Travel Agencies
https://online.americanexpress.com/myca/shared/summary/estatement/print doc2016-R1.... 11/28/2017
Page 1 of 1
Transaction Details Prepared for
M
James C Brainard
Account Number -
Xl0(X-XXXXXX-38007
DATE DESCRIPTION CARD MEMBER AMOUNT
NOV3 2017 IFLYFIRSTCLASS-Chicago,IL JAMES C BRAINARD -$400.00
Doing business as: Credit Details
IFLYFIRSTCLASS
You received a credit for
980 N MICHIGAN AVE#1587
CHICAGO $400.00
IL Rewards
60611 We've debited your Membership Rewards balance.
UNITED STATES OF AMERICA(THE) For details,visit the points summary page.
888.347.7817
Additional Information:JF7M66 squareup.com/receipts
squareup.com/receipts
Reference:320173120498357557
Category:Travel-Travel Agencies
https://online.americanexpress.com/myca/shared/summary/estatement/print_doc20l 6-R1.... 11/28/2017
Page 1 of 1
Transaction Details Prepared for
ncmewow James C Brainard
oc>nsss Account Number
x100(-XXXXX C-38007
ATE DESCRIPTION CARD MEMBER AMOUNT
INOV112017 IFLYFIRSTCLASS-Chicago,IL JAMES C BRAINARD $180.00
Doing business as:
IFLYFIRSTCLASS Membership Rewards®Points
ISO
960 N MICHIGAN AVE#1587 You can am 1X points.
CHICAGO Base
leo
IL
Total
60611 leo
UNITED STATES OF AMERICA(THE) To eam points,please make the required minimum payment by the next Payment Due Date.
888.347.7817
Additional Information:JG3UG4 squareup.com/receipts
Reference:320173140527206049
Category:Travel-Travel Agencies
https://online.americanexpress.com/myca/shared/summary/estatement/print_doc2O 16-R1.... 11/28/2017
IFlyFirstClass- Quote Request Confirmation Page 1 of 2
From: info<info@flyfirst.com>
To: Brainardjc<Brainardjc@aol.com>
Subject: IFIyFirstClass-Quote Request Confirmation
Date: Thu, Nov 2,2017 6:58 pm
t
RAVEL
Call Us: iii 347 7817
Quote Request Confirmation
Reference Number
IFFCN-4354
Contact info
Name: Jim Brainard
Telephone: 3174317477
Email: Brainard jc a aol.com
MULTICITY FLIGHT DETAILS:
DESTINATION #1
From: (DFW) Dallas/Fort Worth Intl, Dallas, TX, US
To: (FRA) Frankfurt Airport, Frankfurt, DE
Departure Date: 11/7/2017
DESTINATION #2
https://mail.aol.com/webmail-std/en-us/PrintMessage 12/15/2017
IF1yFirstClass - Quote Request Confirmation Page 2 of 2
From: (FRA) Frankfurt Airport, Frankfurt, DE
To: (IND) Indianapolis Intl, Indianapolis, IN, US
Departure Date: 11/12/2017
DESTINATION #3
From: -
To: -
Departure Date: -
DESTINATION #4
From: -
To: -
Departure Date: -
Class: not selected
Number of Passengers: 1
Thank you! You will be contacted by our representative.
This email is sent via Fast Free Quote Form on IFlyFirstClass.com
https://mail.aoLcom/webmail-std/en-us/PrintMessage 12/15/2017
Page 1 of 1
0Transaction Details Prepared for
AMEaIf/W James C Brainard
owmEs Account Number
XXXX-XXXXXX-38007
r - -
DATE DESCRIPTION CARD MEMBER AMOUNT
INOV72017 HILTON BONN-BONN,NR JAMES C BRAINARD $2,233.39
Doing business as:
HILTON BONN Membership Rewards®Points
2233
BERLINER FREIHEIT 2 You can am 1X polnts.
BONN ease
2233
53111 Total
GERMANY 2233
To eam points,please make the required minimum payment by the next Payment Due Date.
Foreign Spend Amount:1,926.00 EURO
Additional Information:05301333465 LODGING
LODGING i
MERCHANDISE
Reference:320173120506279089
Category:Travel-Lodging
https:Honline.americanexpress.com/myea/shared/summary/estatement/,nrint_doe2016-R1.... 11/28/2017
Hilton
BONN
COP23 ZIMMER NUMMER 321 /K1
X ANKUNFTSDATUM 08/11/2017 12:22:00
53113 BONN ABREISEDATUM 12/11/2017
GERMANY Adult/Child 1/0
ZIMMERPREIS— - 459.00--- — -
PREIS DETAIL LV5
FL DL 070913146
VAT INVOICE:926078 Hilton Honors 928398206 SILVER
Confirmation Number:3402874008 MWST 812550919
DR JAMES BRAINARD FOLIO# 533910 A
HILTON BONN 12/11/2017 05:14:00
DATUM BES CHREIBUNG BENUTZ. REF NR I GAST KREDIT BETRAG
BELASTUNG
07/11/2017 Advance Deposit AX*8007 FEFA 3106589 -€1,926.00
08/11/2017 ZIMMER OHNE FRUEHSTUECK SABR 3108323 €459.00
09/11/2017 ZIMMER OHNE FRUEHSTUECK PAGE 3109382 €459.00
10/11/2017 ZIMMER OHNE FRUEHSTUECK PAGE 3110478 €459.00
11/11/2017 ZIMMER OHNE FRUEHSTUECK ALMO 3111625 €549.00
BETRAG €0.00
STEUERZFSG
DEBITOREN NETTO 19.00% €0.00
DEBITOREN NETTO 7.00% €1,799.99
DEBITOREN NETTO 7.00% €0.00
19%MWST €0.00
7%MWST €126.01
VAT AT 7%OTHER €0.00
DEBITOREN INKL.MWST €1,926.00
You have earned approximately 46603 Hilton Honors points and approximately 4334 Miles with Delta Air Lines for this stay.Hilton Honors(R)
stays are posted within 72 hours of checkout.To check your e
Guest Signature
Please debit my account by the amount indicated above.
Beherbergungssteuer fiir Privataufenthalte 5%.Info and Erstattungen fiir Geschaftsreisende unter+49 228 77-2370.
City tax for leisure stays 5%.Info and refunds for business travelers call+49 228 77-2370.
GENEHMIGUNGS BETR €1,926.00 APPROVAL CODE 170678
Transaction ID: 3106589 BETRAG -€1,926.00
Page:1
HILTON BONN
Berliner Freiheit 2 1 53111 Bonn I Deutschland
T:+49(0)228 7269-0 1 F:+49(0)228 7269-6015 1 E:info.bonn@hilton.com
Hilton Reservierung&Kundenservice:00 800-444 58 667
International Brand Hospitality GmbH
Amtsgericht Bonn HRB 9736,V.A.T.Reg.No.DE 812550919 1 Finanzamt MOnchen I Steuer-Nr.143/150/60754
Geschaftsfuhrer:Johannes Csar,Jochem-Jan Sleiffer,Maik Kollartzyk U HILTON
Deutsche Bank Bonn I IBAN:DE 55 3807 0059 0074 2650 00 BIC SWIFT-Code:DEUTDEDK380 r1_ HHONORS
Summary of Charges for Taxis and Trains in Germany
Euros USD
11/8/2017 € 10.00 $11.76
11/9/2017 € 10.50 $12.34
11/9/2017 € 10.20 $11.99
11/9/2017 € 11.00 $12.93
11/10/2017 € 11.00 $11.00
11/11/2017 € 6.40 $7.52
11/11/2017 € 42.00 $49.06
11/12/2017 € 111.70 $131.31
$247.91
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Terminal-ID: 59011232 Datum/Ze-it; 11 . 11 . 20.17/14: 14
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Indianapolis International Airport
7800 Col. Weir Cook Memorial Drive
Indianapolis, IN 46241
Fee Computer Number: 12
Gooding Id #223
Cashier 116221
Transaction Number: 11/12/2017 14:41
Entered: 11/12/2017 18:43
Exited: Dispenser'#3f ,
Ticket #86386 Sfjor--t Term
Lot: Area 1
Area: valetR
Rate: $ 25.00
Parking Fee: $ 25,00
Total Fee: $ 25,00
Cash: $ 25.00
Total Paid:
Thank You have a nice day
(317) 487-5017