Loading...
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)?,,� nQW Rgiq i 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 PROGRESS. CALIFORNIA CRE ENTS - HARNESSING POLICY. REC IV INFORMS 01 . • . • ,., AND CI-1ALLI k . THURSDAY, ` GREEIMHPUSE GAS9T1-1 115.00 . - , . - - • • FIJI DOME Fulily _ _ _ -SDA)(, NOVEMBER 9TH Innovations in cl \,www,.wea�resti.l:lin.coim/COP23 14:00 e 1 FIJI DOME fornia will be pre • .. - tension the Cap the allocation of _nera tal . .• tion proceeds, ai For . . . . Lessons learned, marketCommunication @wearestillin.com challenges foe in ;P •. -. vances into mar! climate ''_ programs in othi Speakers:Pam Kiely,Senior - be explored. tor of RegulatoryStrategy, sand Energy, Environmental DefenseSpeakers:The H . • Lara, California Environ-and Chief than Parfrey,EXE mental Counsel, Berkshire Hathaway mate Resolve; EI En I ergy Dirk, • and - Blue Conservatic id Muller, UNFCCC - . • • •- Moderator: Louie WE'RE DERE, AND WE ARE STILL IN: Hosted . Environmental . - California Climat U.S. CLIMATE ACTION CENTER KICKOFF Fund The Nature Cons Hosted by:The f` THURSDAY, NOVEMBER 9TH 112:00 - 14:00 9 FIJI DOME In the absence of leadership from Washington, representatives of cities and states,tribes, businesses, and academia have traveled to Bonn and _ U.S. PEOPLES D L GA`I=IO tN SPEAK OUT are standing alongside the international community to make clear that the THURSDAY, NOVEMBER 9TH � 16:00 _ 18:00 representation of the United States extends beyond its federal government. Community and grassroots leaders will join activists to partic With over 2,500 signatories representing more than 130 million Americans sharing personal stories of how their communities are being and$6.2 trillion of economic output,'We Are Still In' is the largest cross policies,governmental unaccountability,the fossil fuel indus- section of the American economy yet assembled in pursuit of climate action. We invite all attendees to join them as they kick off the U.S. non-national climate disasters.We invite the public to listen, learn,and coi presence at COP 23. our urgency t stop the climate crisis. ,pea sears arises Bra,ina"rd, MayorIof CaPrriel, India'roa; avid Phillips,VP for Speakers:Kiran Oommen,Our Children's Trust youth plaintiff ner and'Sustai abili Rhiannon Gallagher, Daisey Guadalupe Romero, ICLEI; Mich E gy y Universi of_Ca ifornia; Bishop Marc Andrus,The Ie,Troy Robertson,SustainUS; Kandi Mossett,Indigenous Ern Episcopal Church;Jeff Moe, Global Director, Product Advocacy, Ingersoll Liana Lopez, Katia Vasquez,Organizaclon Boricua de Agricull Rand; others to be confirmed Puerto Rico&Climate Justice Alliance; Milan Loeak, Kathy Je Boosted by:We Are Still In Climate Warriors; Kathrin Henneberger, Dorothee Haugermai Moderator:Varshini Prakash,SustainUS • Hosted-by: ICLEI USA;350.org 8 For a full, up-to-date schedule of events,visit www.wearestillin.com/COP23 #WEARESTILLIN - www,.wea:restill,in.com • 1ys t. - �;� ,,.fix Aa-.� �. -L n ,� r� „OM1 1r" y_.�..�� ..1.Y_y"L��• � :Y,.�lifr � • 4� COP.Z3 EVENT PROGRAM ri .$" }}•} ra , November 9t.h to 16th, 201 r i 1 ,.. ..,� Irk+ � e M • _ '^^,: ` Y T WELCOME TABLE OF CONTE f r. LOCATION,,,,,,,,, the world's first-ever'comprehensive and universal climate accord. he Paris Agreement was unanimously adopted in December 2015 as F L®O R LA�9. .................................. 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 . 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, businesses, academic institutions, and faith groups have stood to together to join the"We Are Still In" network. I The U.S. Climate Action Center at COP23 in Bonn, Germany is the first ever American center operated not for the federal government, but for everyday Americans,community representatives, and business leaders. It will serve �� N O ��/ L E �� E M I as the hub for these courageous American leaders to tell their story. Over - a hundred of these leaders will be attending COP23 in Bonn, Germany to showcase their action in American communities around the country to address climate change.This action is also being quantified for the first time, and through the America's Pledge effort, it will be clear that subnational I action truly adds up and makes a measurable difference in addressing climate change. The U.S. Climate Action Center would not be possible wit support of Bloomberg Philanthropies,The Hewlett Foundc` We hope to see you at the U.S. Climate Action Center! America.The U.S. Climate Action Center is coordinated by Fund, Ceres, and Climate Nexus.The coordinators are gra 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 $247.91 � ' 0225=55 55 55 Bonn eG www.taxibonn.de AV Print-ExpressCent mss Qualitnt unicht teuer seln bti- Preis in Euro MOnsterst[.IS Tax i-QU I t clA ll g 53111 Bonn bel einem Fahrpreis Ober 100,00€berecht gt these (Cassius-Baste!) Quittung nicht nn,Vorsl uerab g. Das u.g.Untemehmen sendet auf V,�ansch gerne eine den www.av-printexpress.de besonderen Fonnvorschriften genOgende Quittung zu. 0228 - 97 66 333 S/WKo Patientenfahrt Stadtfahrt ❑ Kurierfahrt El ICE Siegburg El Flughafen IenA4A0 Elp FarbkopienA4A1 Von Fr./Herrn/Firma FarbausdruckbisAO for eine Taxifahrt Veddeinem and Vergrd/dem' r f Bonn,den V/skYenkaden im Betrag sind %MwSt.enthalten. Bar ❑ Kartenzahlung Brieffidgen Hochzeffskarten Taxi Daghlas GmbH BroschOren T-Shirt-Druck zwischen der ktaxi-bestehen ffic Honneferstr. 25 zwischen der Funktaxi- 9 1 TAG: 01577-620 16 20 Einbinden ellerArf e.G. Bonn,sondem en bezeichnetem Unterne r and NACHT. 0177 -3306851 Stempel dem Fahrgasl. FensterbeschnRungen KR-Bewhrittungen Steuer-N r.206/595110869 San Taxi GmbH Personenbeforderung ist Vertrauensache Taxi Quittung Bei einem Fidupreis ober 756E berecldigl diese Quulung nicht Preis in Euro Cent zum Vorsteuerabzug. Das u.g.Untemehmen Bendel auf Wunsch Berne eine den ' -0 hosunderen Forntvorschrillen genagende Quittung zu. D Patientenfahrt / tadtfahrt ❑Kurierfahrt ❑Flughafen ❑ ICE Siegburg von Fr. / Herr/ Firma fur eine Taxifahrt /� Bonn, den 6 9 I I im Betrag sind % MwSt. enthalten Taxi=Nr Situ Taxi GmhUl Muffendorfer .Sn: 13 �C 0152 515 15122 26. 53177 Ronn St.-Nr. 206/59480382 Tnki'0«it Tax1'0uittunQ ' ~ /r*"`m"" l jwrkes, Ibrahim Karl-LegMmckestr. oz ~~^^' Bonn. 53119 Bonn 205/5305)6l062223/5198/2285 � z�� ^/ /~^ ' Twv� 319 ' HNI ` HWID 355963866235837 �f � utadtfehrt Be zou ' �=y"~~~~ ' mwlwqnummar: 42e � _-`--- . 61, ' !EUR 'Ne 18'28�EUR / % "vS` __''�-'''' ` '7 % MwSt. --�-�`� 7� �U� '-''''`' ` ` � � - --- ` `zo l$\EvR \ ___________________ Brvtt�-- — � ' ` Wrutto 11'88 EU�-- von: . /� _ von : ' � o*ch; nwch � � ' 89 '11 . 2017 / 09.11.2017 *� *******~************ 1 ��/ d^nkan . ' - � en� #ir dwnkwn zhr »«' ruuf�r Ihr xwr�rmu�nn » as T�Xz ono ._ _� _ ' »»' TAXI Bonn w6 / Tel -029 5, �� 5s � Taxi-Ouittung Preis in uro Cent zwischen der Funk- " ale eG Hermann-Gmeiner-Str.13 Bonn nur zwische dem 226, St.-Nr.205/5717/0485 / � w�= ^ i Taxi-Quittung Preis in Euro Cent Bei einem Fahrpreis Ober 150,00 @ berechtigt diose Quittung nicht zum Vorsteuerabzug. Das u.g.Untemehmen sendet auf Wunsch genre eine den besonderen Formvorschriften genOgende Quittung zu. ❑ Kreditkartenzahlung ❑ Patientenfahrt Stadtfahrt ❑ Kurierfahrt ❑ Flughafen ❑ ICE Siegburg von Fr./Herrn/Firma for eine Taxifahrt ■ Bonn, den ^ .4 L. Im Betrag sind %MwSt.enthalten. i Taxibetrieb GmbH A&S Rechtsbeziehungen bestehen nicht Taxe Nr. $Ornt1 Taxi Stra�C 9 zwischen der Funk-Taxi-Zentrale eG Bonn,sondern nur zwischen dem 53l l9 Bon bezeichneten Untemehmen and �� ■ dem Fahrgast. St.-Nr.2015702/0584 DB Ausgabestelle: 503557 Rz NVS. Schalternummer: 604 FRANKFURT (MAIN) FLUGH IKARTENZAH'LUNG NVS-Auftrag: 353489264 Betrag: ****42, 00 EUR Zahlverfahren: AmericanExpress Transaktion: 359166 Kartennummer: #####.#####8007 Belegnuinmer: 5733 Giiltig bis: 09/22 Genehmigung: 000025. Y VU-Nummer: 9502682198 Terminal-ID: 59011232 Datum/Ze-it; 11 . 11 . 20.17/14: 14 EMV-Daten: 0000008000/F800/3C00/002C/A0000 00025010801/00/0001/0280/EOBOCB/5E0300/22/.X/85043972/00359l. m 66/ �' o AS-Proc-Code = 00 053 00 . f o Bei Umtauscl, oder Erstattung .D Vielen .Dank fur Ihren Auftrag• bitte Beieg zusammen mit Kreditkarte vorlegen! 7 10-Y101-LIP Ihre Deutsche Bahn AG - PeDler FSC FSC-C015208 �S l no valid �Iket tDB Kartenaahlung rv`loso 14 � ############2055 F: ,�.� Cav rten Nr 5060' { n � em►nal iD:. ' y 5� � � 11366., raSaktlons Nr, x556204400: j 07577,C: y n`Nr esadtbetrag�** - 2 t a 7 05 42 41 UhG �,°Zahlung;ertplgt ;2 ,, eiterelDaten6, 80808000(F80018C0010007/A000000(3031010100/008CI0280(60DOC8130 j Q17251X188020012/0 061 13661 7 ? ESI ,e,Ien;Dankl - Bei Urntausch oder Erstattung Istxder Zahlungsbeleg , v unbedrngt zusammen ausschliefll 6h fOr Zahlungsri ittelentgelt, orsteuerbeleg ?� vp5 VertnebGnibH Inkl Zahlungsmttelentgelt SUR 55696924 = einschl 19 00°/a MwSt.(D) } 391767-19 =4DE 81160246 - UISA _ 12.11.17. 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