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Home My WebLink About331437 10/25/18 \� CITY OF CARMEL, INDIANA VENDOR: 356653 j } ONE CIVIC SQUARE ALEXIA LOPEZ CHECK AMOUNT: $*******770.24* :9� i� CARMEL, INDIANA 46032 1265 E 106TH STREET CHECK NUMBER: 331437 M,�roN_�o. INDIANAPOLIS IN 46280 CHECK DATE: 10/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 198.98 TRAVEL FEES & EXPENSE 1192 4343002 541.26 EXTERNAL TRAINING TRA 1192 4357004 30.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 356653 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ALEXIA LOPEZ IN SUM of$ CITY OF CARMEL 1265 E 106TH STREET 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. INDIANAPOLIS, IN 46280 Payee $770.24 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 Lopez 43-570.04 $30.00 1 hereby certify that the attached invoice(s),or 10/5/18 Lopez Additional class added after registeration- $30.00 1192 101 1192 101 Lopez Lopez 43-430.01 $198.98 bill(s)is(are)true and correct and that the 10/5/18 Lopez Parking and Mileage for OKI Conference in $198.98 1192 101 materials or services itemized thereon for 1192 101 Cin,OH Oct 3-5,2018-Lopez Lopez I 43-430.02 I $541.26 10/5/18 I Lopez I Hotel and per diem for OKI Conference in Cin, I $541.26 1192 101 which charge is made were ordered and 1192 101 OH Oct 3-5,2018-Lopez received except Monday, October 22,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1 CITY OF CARMEL Expense Report (required for all travel expenses) `.�n!ninwa; EMPLOYEE NAME: Alexia Lopez DEPARTURE DATE: 10/3/2018 TIME: ,8:00 PM DEPARTMENT:_DOCS RETURN DATE: 10/5/2018 TIME: 15:30 PM REASON FOR TRAVEL:_OKI Regional Planning Conference DESTINATION CITY: Cincinnati, OH EXPENSES ARE FOR(check all that apply): TRAVEL REIMBURSEMENT X_ TRAVEL PER DIEM X_ Transportation Gaslrolls/ Date Parking/Mileage Hotel Misc: Total Air-fare Car Rental Parking .545 . Per Diem 10/3/18 $33.00 $66.49 $205.63 S0, 00 $305.12 10/4/18 $33.00 $205.63 $65.00 $303.63 10/5/18 $66.49 $65.00 $131.49 $0.00 $040 $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 $0.00 $0.00 0.00 Total $0.001 $0.001 $66.00 $.132.98 $411.26 . .$0.00 $0.00 $0.00 $0.00 $130.00 3 p,00 1-70-:1.4L-7 43 Ob -8 4 �3DDz q-31+301)2 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: Form#ER06 Revision Date 10/19/2018 HILTON CINCINNATI NETHERLAND PLAZA 35 WEST 5TH ST CINCINNATI,OH 45202 United States of America Hilton TELEPHONE 513-421-9100 •FAX 513-421-4291 HOTELS&RESORTS Reservations www.hilton.com or 1 800 HILTONS LOPEZ,ALEXIA Room No: 2040/K1MR01 Arrival Date: 10/3/2018 10:13:00 PM ........... Departure Date: 10/5/2018 1:59:00 PM Adult/Child: 2/0 INDIANAPOLIS IN 46280 Cashier ID: HANEEFAVAL1 UNITED STATES OF AMERICA Room Rate: 175.00 AL: HH# 174942888 BLUE VAT# Folio No/Che 1632825 A Confirmation Number:3486240929 HILTON CINCINNATI NETHERLAND PLAZA 10/5/2018 1:59:00 PM DATE I REF NO IDESCRIPTION RGES_ 10/3/2018 7802603 VALET PARKING 24917 $33.00 10/3/2018 7802604 GUEST ROOM $175.00 10/3/2018 7802604 STATE TAX $12.25 10/3/2018 7802604 COUNTY TAX $11.38 10/3/2018 7802604 CITY TAX �� ' $7.00 10/4/2018 7803847 VALET PARKING 24917 $33.00 10/4/2018 7803848 GUEST ROOM $175.00 10/4/2018 7803848 STATE TAX $12.25 10/4/2018 7803848 COUNTY TAX $11.38 10/4/2018 7803848 CITY TAX $7.00 10/5/2018 7804654 VS*7873 ($477.26) REF=0001632825-02087541 CHIP ] ,V C, 05 Application Label:CHASE VISA TC:C7851 B98C64C3C56 TVR:0080008000 "BALANCE" $0.00 Hilton Honors(R)stays are posted within 72 hours of checkout.To check your earnings or book your next stay at more than 5,000 hotels and resorts in 100 countries,please visit Honors.com Thank you for choosing Hilton.You'll get more when you book directly with us-more destinations,more points,and more value.Book your next stay at hilton.com. CREDIT CARD DETAIL APPR CODE 07415C MERCHANT ID 56739 CARD NUMBER VS*7873 EXP DATE 05/23 TRANSACTION ID 7804654 TRANS TYPE Sale Page:1 Lopez, Alexia K From: APA Ohio <info@ohioplanning.org> Sent: Friday,August 17, 2018 4:11 PM To: Lopez,Alexia K Subject: Thanks for Registering 2018 OKI Conference OKIP LANA MA AMERICAN PLANNING ASSOCIATION OKI REGIONAL PLANNING CONFERENCE OCTOBER 3-5, 2018 CINCINNATI l S � Please make checks payable to: L,n 6" p n k� �ST \5 APA Ohio 1`- j 1� PO Box 40085 Cope �� Copley OH 44320 �� For questions, including W-9 requests, please email info(cD.ohioplan ning.org. RECEIPT Alexia K. Lopez Invoice#: 6132 City of Carmel Date: 08/17/2018 1 Civic Square Charges: $275.00 Carmel, IN 46032 Payments: $275.00 Balance: $0.00 Charges 08/17/2018-2018 OKI Planning Conference $275.00 ..........-.............................................................................................................................................................................................................................................................................................:.............................................................. Payments 08/17/2018-Online payment via Authorize.net $275.00 ....................................................................................................................................................................................................................................................................................:.............................................................. Registration Details i Lopez, Alexia K From: APA Ohio <info@ohioplanning.org> Sent: Monday, September 10, 2018 11:01 AM To: Lopez,Alexia K . Subject: Thanks for Registering 12018 OKI Conference OKI P LANA MA AMERICAN PLANNING ASSOCIATION OKI REGIONAL PLANNING CONFERENCE OCTOBER 3-5, 2018 CINCINNATI Please make checks payable to: APA Ohio PO Box 40085 Copley OH 44320 For questions, including W-9 requests, please email info(aD-ohioplanning.org. RECEIPT Alexia K. Lopez Invoice#: 6488 City of Carmel Date: 09/10/2018 1 Civic Square Charges: $30.00 Carmel, IN 46032 Payments: $30.00 Balance: $0.00 Charges 09/10/2018-2018 OKI Planning Conference $30.00 .............................................................................................................................................................................................................................................................:.............................................................. Payments 09/10/2018-Online payment via Authorize.net $30.00 .........................................................................................................................................................................................................................................................................................................:......... ...................................0........... D Registration Details 5� i Lopez, Alexia K From: Auto-Receipt <noreply@mai l.authorize.net> Sent: Monday, September 10, 2018 11:01 AM To: Lopez,Alexia K Subject: Transaction Receipt from APA Ohio for$30.00 (USD) ® � �IBM 1w 7/ /7 Description: 2018 OKI Planning Conference Invoice Number 6488-T1 Customer ID 1879013 Billing Information Shipping Information Alexia Lopez Alexia Lopez 1265 E 106th St 1 Civic Square Indianapolis,Indiana 46280 Carmel,IN 46032 United States a l op eza c arm el.i n.gov 3176705459 Total: $30.00(USD) ow Date/Time: 10-Sep-2018 8:01:07 PDT Transaction ID: 61277958805 Payment Method: Visa xxxx7873 Transaction Type: Purchase Auth Code: 03242C APA Ohio Akron,OH 44320 US info(fthioglanning.org Email secured by Check Point i