186196 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: T357624 Page 1 of 1
ONE CIVIC SQUARE CHRISTINE BARTON- HOLMES CHECK AMOUNT: $550.00
CARMEL, INDIANA 46032 202 FENSTER DRIVE
INDIANAPOLIS IN 46234 CHECK NUMBER: 186196
CHECK DATE: 6/9/2010
DEPARTM ACCOUN PO NUMBER INVO NUMBER AMOU DESCRIPTION
1192 4343004 325.00 TRAVEL PER DIEMS
1192 4357004 225.00 EXTERNAL INSTRUCT FEE
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: NAME: Christine Barton Holmes DEPARTURE DATE: 17- May -10 TIME: 8 AM PM
DEPARTMENT: _DOGS RETURN DATE: 21 -May TIME. 11 AM t PM
REASON FOR TRAVEL. _Greening the Heartland Conf. DESTINATION CITY: Minneapolis, MN
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
5117110 $65.00 $225.00 $290.00
5118/10 $65.00 $65.00
5119110 $65.00 $65.00
5120110 $65.00 $65.00
5121110 1 $65.00 $65.00
$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
$0.00
Total $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $0.001 $325.ODI $22S.D01101022M
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:
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 $30 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 $30 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
City of Carmel Form ERAS Revision Date 6/32010 Page t
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.
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) bein deducte om t first paycheck issued more than 30 days �after the date ooffjmyyreturn. 0 Employee Signature
City of Carmel Form if ER0S Revision Date 613!2030 Page 2
Holmes, Christine B
From: rmolstad @intrinxec.com
Sent: Monday, May 17, 2010 11:34 PM
To: Holmes, Christine B
Cc: dan @danholmesgroup.com
Subject: Payment Confirmation No. 11968000 (Mrs. Christine Barton Holmes)
Dear Mrs. Christine Barton Holmes,
1
V I n n e s t a dream. plan. bui
Thank you for your order. If you have a balance due please remit payment within 30 days to the following address: USGBC- Minnesota, 5353 Wayzata
Blvd. Suite 207, Minneapolis, MN 55416. This confirmation is your invoice /receipt, if you require a formal invoice, please contact
rmolstadCd)usg bcm n.org
Date /Time: 5/17/2010 11:32 PM
Paid By:
Barton- Holmes Christine
317.571.2424
cholmes(&carmel. in.aov
Your confirmation number is: 11968000 Please keep this number for any
references.
Customer; Order /Invoice: Items Total
Barton- Holmes Christine Order 12688260 Dated 02/1512010 11 $22.5.00
Total $225.00
Payment $225.00
Balance $0.00
Payment Information
Payment Amount:.
$225.00
Payment Method: Credit Caid'
Card Type: Visa
Card Number. *3452
Gard Expiration Date: 09/2010
Cardholder Name: Dan Holmes
1
F
Holmes, Christine B
From: The Travelocity Team [travel ocity @traveiocity.comI
Sent: Friday, March 19, 2010 2:29 PM
To: Holmes, 0"hr o B
Subject: Travelocity Confirmation
Categories: Travel Required, USGBC -IN
$ravelocit'y I Travel Confirmation V� r
Christine,
Thank you for booking your travel with Travelocity,':
Your Travelocity Trip ID is: 6007 8345 9223
You can view your Trip Details by logging onto
Travelocity.com
If any issues arise with your reservation before or during
your trip, please contact us immediately.
Customer- Support
In the :US 1.888.872.8356 24 hours /7 days a week How to change my trip
Outside the US 1.210.521:5871 24 hours/7 days a week How to cancel my tri o
En Espanol 1.866.828.3933 7am 10pm CST Email Travelocity
Hotel
1 Room, 4 Nights
Confirmation number: 32972858 Contact: CHRISTINE BARTONHOLMES a
Comfort Suites Minneapolis Check in: Mon, May 17, 2010
425 South 7th Street Check out: Fri, May 21, 2010
Minneapolis, MN 55415 Room 1: Suite with 2 Double Beds and
612.333.3111
Hotel policie Sofabed Non Smoking (1 adult)
s
Attention Hotel Front Desk
This is a pre -paid reservation. Please check your reservation system for payment information.
Pre -paid amount may not include extra fees payable to the hotel at check out.
Pricing r
Room 1: Suite with 2 Double Beds and Sofabed Non Smoking (1 adult) 4 Nights
Mon, May 17 USD 87.00
Tue, May 18 USD 87.00
Wed, May 19 USD 87.00
Thu, May 20 USD 87.00
Sum of nightly rates USD 348.00
Tax Recovery Charge Service Fees USD 55.36
1
Room 1 Total: USD 403.36
Total: USD 403.36
We charged a total of USD 403.36 to your
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Flight: 1 Round -Trip Ticket Change Flight
Mon, May 31, 2010 Indianapolis (IND) to Minneapolis International Airport (MSP)
Depart 07:55am Indianapolis, IN (IND) to Delta Air Lines
Arrive: 08:27am Memphis, TN (MEM) Flight 5651 operated by 1
COMPASS DBA DELTA
CONNECTION (on Embraer j
EMB 175 Jet)
Adult fare rules
1 Stop change planes in Memphis, TN (MEM)
Connection Time: 1 hr 8 mins
Depart 09:35am Memphis, TN (MEM) to Delta Air Lines
Arrive. 10:49am St Louis, MO (STL) Flight 4338 operated by
PINNACLE DBA DELTA
CONNECTION (on Canadair
Regional Jet)
Adult fare rules
1 Stop change planes in St Louis, MO (STL)
Connection Time: 1 hr 19 rains
Depart 12:08pm St Louis, MO (STL) to Delta Air Lines
Arrive. 01:44pm Minneapolis, MN (MSP) Flight 5513 operated by ASA
DBA DELTA CONNECTION
(on CRJ -700 CANADAIR
REGIONAL)
Adult fare rules
Total Travel Time: 6 hrs 49 mins
Fri, Jun 4, 2010 Minneapolis International Airport (MSP) to Indianapolis (IND)
Depart 07:00am Minneapolis, MN (MSP) to _A. Delta Air Lines
Arrive: 08:31am St Louis, MO (STL) Flight 2897 (on Douglas
DC -9 -50)
Adult fare rules
1.
1 Stop change planes in St Louis, MO (STL)
Connection Time: 1 hr 44 rains
1
Depart 10:15am
Pa St Louis, MO (STL) to Delta Air Lines
Arrive: 12.52pm Detroit, MI (DTW) Flight 2576 (on Douglas
I DC -9 -50)
Adult fare rules
1 Stop change planes in Detroit, MI (DTW)
Connection Time: 48 mins
Depart 01:40pm Detroit, MI (DTW) to Delta Air Lines
Arrive: 02:52pm Indianapolis, IN (IND) Flight 1593 (on Douglas
DC -9 -50)
Adult fare rules
Total Travel Time: 6 hrs 52 mins
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Ticket total: $565.20
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"Log -in Name
CHOLMES @CARMEL.I N.GOV
'Passvwrd
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2 of 3 5/28/2010 10:00 AM
VOUCHER NO. WARRANT NO.
ALLOWED 20
Christine Barton Holmes
IN SUM OF
C/o One Civic Square
Carmel, IN 46032
$550.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members
1192 43- 570.04 $225.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.04 $325.00
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
Friday, June 04, 2010
J
Irec or, D(C)
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/04/10 Cost of conference $225.00
06/04/10 Travel Per Diems Greening the Heartland $325.00
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
Clerk- Treasurer