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Home My WebLink About323600 03/29/18 1, ♦y/,Coq*ff a: CITY OF CARMEL, INDIANA VENDOR: 00352672 �y i• ONE CIVIC SQUARE ADAM SCHRINER CHECK AMOUNT: $*****1,148.54* ?q CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 323600 4'�roN�co'� CHECK DATE: 03/29/18 DEPARTMENT _ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343002 REIMB 1,148.54 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00352672 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ADAM SCHRINER IN SUM OF$ CITY OF CARMEL C/O DOCS 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 $1,148.54 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 Schriner 43-430.02 $520.00 1 hereby certify that the attached invoice(s),or 3/27/18 Schriner Per diem for 7 days plus 1 extra day due to $520.00 1192 101 1192 101 diverted flight Schriner 43-430.02 $486.97 bill(s)is(are)true and correct and that the 3/27/18 Schriner Hotel for nights 03-18-18 to 03-24-18 $486.97 1192 101 materials or services itemized thereon for 1192 101 Schriner 43-430.01 $63.00 3/27/18 Schriner Parking at IND airport $63.00 1192 101 which charge is made were ordered and 1192 101 Schriner 43-430.01 $78.57 received except 3/27/18 Schriner Taxi's to and from airports and hotel $78.57 1192 101 1192 101 Tuesday, March 27,2018 Mike Hollibaugh Director 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 cAti'�°F fie'. 's CITY OF CARMEL Expense Report (required for all travel expenses) n EMPLOYEE NAME: Adam Schriner DEPARTURE DATE: 18-Mar TIME: 9:00:00 AM DEPARTMENT: DOCS RETURN DATE: 25-Mar TIME: 3:00 AM REASON FOR TRAVEL: Training DESTINATION CITY: Las Vegas EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM °Z- Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/18/18 $30.41 $65.00 $95.41 3/19/18 1 $65.00 $65:00 3/20/18 V $12.75 $65.00 $77.75 3/21/18 $65.00 $65.00 3/22/18 $65.00 $65:00 3/23/18 $12.40 $65.00 $77.40 3/24/18 $23.01 $486.97 $65.00 $574.98 3/25/18 $63.00 $65.00 $128.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 "$0.00 0:00 Total $0.00 $0.00 $78.57 $63.00 $486:97 $0.00 $0.001 $0.00 $0.00 $520.00 $0.00 City of Carmel Form#ER06 Revision Date 3/26/2018 Page 1 THE ORLEANS HOTEL&CASINO t 4500 W.TROPICANA AVENUE yU LAS VEGAS, NEVADA 89103 HOTEL &CASINO•LAS VEGAS FOR RESERVATIONS CALL(800)675-3267 www.orleanseasino.com Name: ADAM SCHRINER FoliolD: 431603468416 Address:: 17017 LAKEVILLE CROSSING Arrival Date: 03/18/2018 Departure Date: 03/24/2018 WESTFIELD IN 46074 Room No: T3 1290 Guests: 1 Group Code: A8ECC03 DATE REFERENCE DESCRIPTION CHARGES BALANCE 03/18/2018 431769101039 ESTANDBY CHARGE 22.60 ESTANDBY FRIDGE $20 03/18/2018 431769101040 RESORT FEE 11.29 RESORT FEE $9.99 + TAX 03/18/2018 431769102772 ROOM CHARGE T3 1290 57 .00 TAX 2 7.41 03/18/2018 431764578566 APPLIED DEPOSIT 64 .41- ***********1006 03/18/2018 431764606438 IN ROOM INTERNET 1290 19:33 LAPTOP-25002 03/19/2018 431779100767 RESORT FEE 11.29 ' RESORT FEE $9.99 + TAX 03/19/2018 431779102157 ROOM CHARGE T3 1290 57.00 TAX 2 7.41 03/20/2018 431789100772 RESORT FEE 11.29 O RESORT FEE $9.99 + TAX 03/20/2018 431789102114 ROOM CHARGE T3 1290 57.00 TAX 2 _ 7.41 03/21/2018 431799100993 RESORT FEE 11.29 RESORT FEE $9.99 + TAX 03/21/2018 431799102565 ROOM CHARGE T3 1290 57.00 TAX 2 7.41 03/22/2018 431809101157 RESORT FEE 11.29 RESORT FEE $9.99 + TAX O 03/22/2018 431809102978 ROOM CHARGE T3 1290 57.00 TAX 2 7.41 03/23/2018 431819100996 RESORT FEE -- 11.29 I agree that my liability is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part of the full amount of these charges. GUEST SIGNATURE: Balance Due: APPROVED BY: THANK YOU FOR CHOOSING THE ORLEANS HOTEL&CASINO THE ORLEANS HOTEL&CASINO 4500 W.TROPICANA AVENUE yN LAS VEGAS, NEVADA 89103 HOTEL &CASINO•LAS VEGAS FOR RESERVATIONS CALL(800)675-3267 www.orleanseasino.com Name: ADAM SCHRINER Folio ID: 431603468416 Address:: 17 017 LAKEVI LLE CROSSING Arrival Date: 03/18/2018 Departure Date: 03/24/2018 WESTFIELD IN 46074 Room No: T3 1290 Guests: 1 Group Code: A8ECC03 DATE REFERENCE DESCRIPTION CHARGES BALANCE RESORT FEE $9.99 + TAX 03/23/2018 431819102709 ROOM CHARGE T3 1290 123. 00 I ar TAX 2 15. 99 03/24/2018 431825068458 FRONT DESK VISA 486.97- ************6785 I agree that my liability is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part of the full amount of these charges. GUEST SIGNATURE: Balance Due: .00 APPROVED BY: THANK YOU FOR CHOOSING THE ORLEANS HOTEL&CASINO 1 Vehicle: 2463 l Driver ID: 111386 i Name: JESUS VAZQUEZ OSOR IO 3/18/18 12: 45 PM r xf�ff r SRra • Receipt N• 16100 Start 3/18/18 12:29 P.M - _ End 3/18/18 12: 4 5 $19. 60k: : Fare �xF,aa �n � Extras �:':...,,•.�... -�,. :. �: :; . Voucher $3,00 ___ __ 7800 Col. Weir Cook Memorial Drive subtotal $24. 60 Indianapolis, IN 46241 Excise Tax $0. 79 F1C #96 A Payment N0.00039500 Tip $5.0 7 __ T/D #38 Ticket No.083165 Total Cashier ID #114 $30. 41 ✓ Entry Time 3/18/2018 (Sun) 8:26 Paid Time 3/25/2018 (Sun) 2:10 CREDIT CARD $30. 91 Parkins.Time 6 Days 17:44 ************6 7 8 5 Parkins Fee Rate F $63.00 Authoriz. N. 06293B f Method: Chip AMEX CHASE VISA Account # ****************************1006 AID: AOOOOO00031010 Slip # 22313 ATC: 01004 Auth Code 585387 AC: DF0676EDEC10AEDC CREDIT CARD AMOUNT $63.00 TERMINAL: T288859743 Cash Amount $0.00 MERCHANT: 0 0 7 2 0 0 0 0 2 6 2 6 9 963.00 CARDHOLDER ACKNOWLEDGES Total Thank you, Have a nice day! $ RECEIPT OF FUNDS IN THE (317) 487-5017 AMOUNT OF THE TOTAL i , INDICATED AND AGREES TO PERFORM THE OBLIGATIONS NOTED IN THE � n- o Schriner, Adam J From: Adam Schriner <adamschriner@yahoo.com> Sent: Monday, March 26, 2018 8:42 AM To: Schriner,Adam J Subject: Fwd:Your ride with Anthony on March 20 Sent from my iPhone Begin forwarded message: From: Lyft Ride Receipt<no-repIyQIyftmail.com> Date: March 20, 2018 at 21:35:54 EDT To: adamschriner@yahoo.com Subject: Your ride with Anthony on March 20 __ _ S - tiF ti �� B 'A 1. Thanks for riding with Anthony! E; March 20, 2018 at 6:09 PM ' _ 4 Ride Details Lyft fare (8.06mi, 25m 48s) $15.29 NV Cost Recovery Fee $0.46 Tip $2.00 Lyft Credits -$5.00 'v's' Visa *6890 $12.75 ✓ Schriner, Adam J From: Adam Schriner <adamschriner@yahoo.com> Sent: Monday, March 26,2018 8:43 AM To: Schriner,Adam J Subject: Fwd:Your ride with Lucas on March 23 Sent from my iPhone Begin forwarded message: From: Lyft Ride Receipt<no-reply lyftmail.com> Date: March 23, 2018 at 16:34:00 EDT To: adamschriner@yahoo.com Subject: Your ride with Lucas on March 23 _ F } R i; Thanks for riding with Lucas! March 23, 2018 at 1:20 PM Ride Details Lyft fare (4.11 mi, 12m 34s) $10.10 NV Cost Recovery Fee $0.30 Tip $2.00 Visa *6890 $12.40 i Schriner, Adam J From: Adam Schriner <adamschriner@yahoo.com> Sent: Monday, March 26,2018 8:43 AM To: Schriner,Adam J Subject: Fwd:Your ride with Todd on March 24 Sent from my iPhone Begin forwarded message: From: Lyft Ride Receipt<no-repIy@,lyftmail.com> Date: March 24, 2018 at 11:58:17 EDT To: adamschriner@yahoo.com Subject: Your ride with Todd on March 24 z A ,A � u Thanks for riding with Todd! March 24, 2018 at 8:44 AM Ride Details Lyft fare (4.15mi, 13m 27s) $12.70 NV Cost Recovery Fee $0.31 Tip $2.00 f vrsa visa *6890 $15.01 f 1 Schriner, Adam J From: Adam Schriner <adamschriner@yahoo.com> Sent: Monday, March 26, 2018 8:44 AM To: Schriner, Adam J Subject: Fwd: Southwest Airlines WiFi Hotspot Receipt Sent from my iPhone Begin forwarded message: From: "SouthwestAirlines&wifi.southwest.com" <SouthwestAirlines&wifi.southwest.com> Date: March 24, 2018 at 14:51:22 EDT To: Adamschrinergyahoo.com Subject: Southwest Airlines WiFi Hotspot Receipt mot J I A�' �tI i Thank you for purchasing inflight WiFi on your recent Southwest Airlines flight!We hope you enjoyed using the service,and we look forward to welcoming you onboard again soon! I Purchased: WiFi Customer: Adam Schriner Date: 03/24/2018 11:51 AM (Pacific) Flight Number: WN2749 I Origin: Las Vegas (LAS) Destination: Indianapolis (IND) Amount: $8.00 Payment Type: VISA ending 6890 We would:LUV to hear from your For assistance or to provide feedback please contact us via phone a mail or in writing 1