192413 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $1,112.58
CARMEL IN 46033 -9501
CHECK NUMBER: 192413
CHECK DATE: 1217/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 1,112.58 TRAVEL PER DIEMS
4nS� aF Cgg
s CITY OF CARMIEL (Expense Report (required for all travel expenses)
/H03ANA EXHIBIT A
EMPLOYEE NAME r DEPARTURE DATE: TIME: l M PM
DEPARTMENT: RETURN DATE: 3�lJ TIME: AM Y�M
REASON FOR TRAVEL: N/.�� DESTINATION CITY:nU
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Taxi Tips Luggage Breakfast Lunch Dinner Snacks Per Diem
t
of)
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g o ,d
i 0-:� n S on
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o
1
Total rU� 4 t
DIRECTOR'S STATEM, hher�!bby affirm that expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: C l Date:
City of Carmel Form ER06 Revision Date 3/18/2009 Page 1
AFFIDAVIT FOR EXPENSES
1, Diana L. Cordray, incurred expenses while traveling to the NLC annual
conference in Denver. A receipt for the tip(s) were not available.are.
November 30, 2010 9.00 Limousine
November 30, 2010 2.00 Skycap
:December 3, 2010 2.00 Shuttle
December 3, 2010 2.00 Skycap
$15.00
r
Diana L. Cordray
Clerk Treasurer
December 6, 2010
Page |of2
Cordray. Diana L
From: nkzregmndhouoing@jmpargo.oum
Sent: Friday, March 28.2O1O3:54PPW
To: Condnay, Diana L
Subject: Registration/Housing Confirmation and Receipt 100108
Ell
National League vrCities yJLC COC 2010
Nov 3Oth'ooc4th.2o10
The Colorado Convention Center
Denver, CO
Questions about your registration? Contact Us!
Confirmation Number: 1OO1D6
Date of Registration: namo/zo1n
Name: oionaCvm/av
Title/Position: City Clerk Treasurer
Representing Qty: City o/Carmel
Address: 1 Civic 8q
City/State/Zip: Carmel, IN 46032-2584
Country: USA
Phone: (317)571-2414
Fax: (317)571-2410
Email: dxurdray@namaUn.gov
PLEASE SEE IMPORTANT WES8AGE(S)BELOW
on your Registration and Housing form you indicated
that you would be sending u check and/or POmthe
Hotel for the required one night's deposit to
guarantee your room. PO's are not accepted uyhotels
xso form v, housing deposit- Checks must bosent
AFTER October 1.zo1O but BEFORE November 1 2010, If
you prefer, you may send v credit card
num»e,, expiration date, card holder name and
signature on this form and fax to7O3G31'scuu.BEFORE
October 15.2UOotoguarantee your hotel reservation.
We will gladly provide your credit card information /o
the hotel oua form of housing deposit.
This confirmation includes BOTH YOUR HOUSING AND REGISTRAT informa This is your official confirmation for conference paym�
hotel reservation. Please print this out and retain x for your records.
Click on Click here for On-Line Registration
Registration Information
REGISTRATION
Full Conference
$385.00
Payment Information
Payment Ty Check Payment
Reference: 183594
Payment Amount: $385n0
Amount Due: $305,00
Page 2 of 2
Amount Paid: $385.00
Balance Due: $0.00
The credit card supplied for payment has been charged for the applicable registration fees for the NLC Congress of Cities and Exposition. W
alternate forms of payment or change of payment type once registration is submitted. Duplicate payments will be returned.
Registration Change /Cancellation Information
All requests for cancellation must be in writing, postmarked by, October 20, 2009 and are subject to a $75.00 processing fee. No partial refur
decide not to attend particular functions. No registrations or cancellations will be accepted by telephone. No refunds for cancellations after 0(
Hotel Reservation Information
Hyatt Regency Denver Headquarter Hotel
650 15th Street
Denver, CO 80202
Phone: 303 436 -1234
Fax: 303- 486 -4450
Room Type: Double (2 people /1 bed) $209.00
Tax Rate: 14.85%
Check -In: 11/30/10
Check -Out: 12104/10
Smoking Room: No
Hotel Change /Cancellation information
Thank you for reserving your hotel room in advance. Your assigned hotel requires cancellations to be submitted at least 72 hours prior to yon
date. If your hotel does not receive notice prior to the 72 hours, this reservation will be subject to your guarantee equivalent to one night's roc
and cancellations to your reservation may be done online by visiting www.nlc.org or via e-mail at nlcregandhousing @jspargo.com, no later th
If you do not receive an acknowledgement reflecting the change or cancellation within 72 hours, If you fax or email your change or cancellatir
within 3 business days and resend a confirmation to the email or fax number in this record. If you do not receive a confirmation within 3 busin
contact us at 888 -319 -3864 or 703 -449 -6418 to ensure that we received your requested change or cancellation. Your hotel will attempt to prc
preference but it is not guaranteed.
Please verify that your check -in and check -out dates are correct. NOTE: Some hotels charge an early departure fee.
Your assigned Hotel requires cancellations to be submitted at least 72 hours prior to arrival date. If your Hotel does not receive notice outside
you will forfeit your deposit equivalent to one night's room and tax. Please note some hotels charge your credit card for the one night's guara
receipt of the hotel reservation information.
Please be sure to save your changes before logging out of the system. If you do not receive an updated confirmation email or fax with 3 days
Registration and Housing Center at 888 319 -3864 or nlcregandhousing @jspargo.com.
Registration and Housing Center Information
NLC Registration and Housing Center
11208 Waples Mill Road, Suite 112
Fairfax, VA 22030
Toll Free Phone: (888) 319 -3864
Phone: (703) 449 -6418
Fax: (703) 631 -6288
Email: nlcregandhousing @jspargo.com
3/26/2010
I
H Y Hyatt Regency Denver a
T do Convention Center
A J 650 15th Street
R E G E N C Y Denver, CO 80202
D E PJ V E R Tel: 303 -436 -1234
Fax: 303 488 -4450
AT COLORADO CONVENTION CENTER hyattregencydenver.com
INFORMATION INVOICE
Payee Diana Cordray
Room No. 1244
1 Civic Sq Arrival 11 -30 -10
Carmel IN 46032 -2584 Departure 12 -03 -10
United States
Page No. 1 of 1
Membership DL 2249570876 Folio Window 1
Bonus Code Folio
Confirmatio n No. 459275 4301
Invoice
I Group Name NLC 2010 Congress of Cities Exposition
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11 -30 -10 Group Room 209.00
11 -30 -10 City Occupancy Tax 10.75% 22.47
11 -30 -10 State Sales Tax 4,10% 8.57
12 -01 -10 Group Room 209.00
12 -01 -10 City Occupancy Tax 10.75% 22.47
12 -01 -10 State Sales Tax 4.10% 8.57
12 -02 -10 Group Room 209.00
12 -02 -10 City Occupancy Tax 10.75% 2.2.47
12 -02 -10 State Sales Tax 4.10% 8.57
12 -03 -10 jWj§jMj3jjb0 XXXXXXXXXXqffimb XX /XX 720.12
Your Delta Air Li+te SkyMiles frequent traveler account
will be credited for ;his stay. Total 720.12 720.12
Balance 0.00
Guest Signature WE HOPE YOU ENJOYED YOUR STAY WITH US!
agree that my liaMily for this bill is not waived and I agree to be held Our goal is to exceed your expectations. If we have not done so, please forward your
person, lay liable in '.he event that the indicated person, company or comments to our quality assurance department at qualitydencc @hyatt.com
association fails to pay for any part or the full amount of these charges. For information on events aria sales inquiries: salesdencc @hyatt.com
Follnw us on Twitter at twitter.com /dcnverhyatt or become a fan on facebook
at facebook.comlhyaitregencydcnver
Let us know how we did by visiiing Tripldvisor.com
If you have any questions regarding billing, please call 888 -863 -3020 or email
na.customerservice @hyatt.ccni.
Please remit payment to:
Hyat Regency Denver at
Colorado Convention Center
P.O. Box 5591
Denver, CO 80217 -5591
Confirmation Email Page }o[2
From: Marianne VanDerSchona[W4ahanna)/snDerShana@thetravelagenbncuon]
Sent: Thurndoy, October 281O2�31P&4
To: Cord/ay, Diana
Subject: FVV llukm |essConfionadion CORDRAY/DiANA'XVX8PA
Southwest confirmation
From: Southwest Airlines [mai|to:SouthwesbAidines@|uv.southvvest.com]
Sent: Thursday, October 14,ZD1OI:28PM
To: Marianne VanDerSchans
Subject: Tlcket|ess Confirmation -CORDRAY/DlANA XVX8PA
XNA
I SM
Confirmation Date: Confirmation Number:
CORDRAY/DIANA 10/14/10 XVXSPA TX
HIGH-SPEED l9TERH'FT
Passenger(s) Account Number Ticket Expiration
CORDRAY/DIANA 526213M9625" 10/14/11
All travel involving funds from this Confirmation Number must be completed by the
expiration date. Need A Car?
Depart: INDIANAPOLIS IN to DENVER CO Travel Time: 3 hrs 5 mins
Date Flight Flight Information
Depart INDIANAPOLIS IN (IND) at 11:30 AM C"Irl;
Tue Nov 30 3138 Arrive in DENVER CO (DEN) at 12:35 PM �a.
Return: DENVER CO to INDIANAPOLIS IN Travel Time: 2 hrs 20 mins st-ay
Date Flight Flight Information
Depart DENVER CO (DEN) at 2:10 PM
Fri Dec 03 1383 Arrive in INDIANAPOLIS IN (IND) at 6:30 PM
Base Fare $246.sz
Excise Taxes $18.4*
Advertised Fare $265.00
U Segment Fee $7.40 U
Confirmation Email Page 2 of
A
Ahaf To Coo
Passenger Facility Charge $9.00
Security Fee $5.00
Total Payment $286.40
E SL}�Ul� W ESTs o C M
Current payments
10/14/10 XXXXXXXXXX 4r $286.40 T aril �au
z Security Fee is the government- imposed September 11th Security Fee.
�,vR'ee4s l Y e-mail
NONREF /NONTRANSFERABLE /STANDBY REQ UPGRADE TO YL. Valid only on Southwest NEVER MISS
AM rwraruu wear
Airlines. All travel involving funds from this Confirmation Number must be completed by
the expiration date. Effective January 28, 2011, unused travel funds may only be applied UICA 1 SAFE'
toward the purchase of future travel for the individual named on the ticket. Any change
to this itinerary may result in a fare increase.
Fare Calculation: S�al Nary
IND WN DEN162.79WYA7PNR WN IND83.72MXAUNNR 246.51END ZPINDDEN
XT5.00AY9.00XFIND4.5DEN4.5 Got Rowordpd
o
Passengers who do not obtain a boarding pass and are not present and available for
boarding in the departure gate area at least ten minutes prior to scheduled departure k t aa,cn.h4trro „u
time may have their reserved space cancelled and will not be eligible for denied boarding
compensation.
Travel Ti
Boarding_ School
Air transportation by Southwest Airlines is subject to Southwest Airlines' Passenger Change, Flight
Contract of Carriage, the terms of which are incorporated by reference. Ca ncel F light
Notice of Incorporated Terms.
Additional Information for Travelers
Online Checkin I Free Bag Allowance I Checkin Procedure I Inflight Service
Travel Tools R efund Information I Privacy Policy I Sou thwe st Airline Destinations
We can notify y o u of flight d eparture or arrival s tat us vi a text_mess.ages on your cell phone, pager, personal digital assistant
(PDA), or e -mail account. Or, use our automated phone service by calling 1- 888 -SWA -TRIP.
www.s outhwest_com I Book Air I Bpok Car I Book Hotel I Book Cruise I Book V acation Pac kage. I Download DING!
10/14/2010
Platinum Delte.SkyMiles° Credit Card A. DEL P. 3/12
DIANA L CO.RDRAY'
Closing Date 11/15/10
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PaymentsrandCredts
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*lndicatesposting;date
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10/20/10 IN
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10/22/10 MEL IN V
10/22/10 M. IN
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10/22/10 RTtf29: IN
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10/29/10 IN
317- 566 -8124
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;�stail
DIANA L CORDRA
Card Ending
Arnaud
10/15/1 9121137450413 8 07317 8469619 IN
TRAVELAGENCY
1
10/16/10 EL IN
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10/16/10 L IN
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Continued -on reverse
Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev_ 1995)
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
C)t
t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
n ALLOWED 20
IN SUM OF
I t QL• 4
ON ACCOUNT OF APPROPRIATION FOR
�n D tild
1w --DcrL V� I Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
20
Signature``
4Q
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund