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Home My WebLink About197899 05/31/2011 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY t! CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $1,028.24 CARMEL IN 46033 -9501 CHECK NUMBER: 197899 CHECK DATE: 5/31/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 1,028.24 TRAVEL PER DIEMS t. aF Cgg G IQ aRTF:� CITY OF CARMEL Expense Report (required for all travel expenses) MDIANP. EXHIBIT A EMPLOYEE NAME: v f�d� DEPARTURE DATE: TIME: //1 Z6 C AM PM DEPARTMENT: RETURN DATE:. TIME: 8. Uu AM PM 9 REASON FOR TRAVEL.: AJILJ tAtCP DESTINATION CITY: -7 EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas /Tolls/ Meals Date Tips Parkin Lodging Misc. Total Taxi Ti s Luggage g Breakfast Lunch Dinner Snacks Per Diem r0 r U Total a Vol DIRECTOR'S STATEMENT: I ereby affirm th t 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 hate 3/18/2009 Pagel Government Finance Officers Association Invoice No. 2665034 203 North LaSalle Street, Suite 2700 INVOICE Chicago, I L 60601 -1210 (312) 977 -97001 Tax ID: 36- 2167796 Remit to: 3076 Eagle Way Chicago, IL 60678 -1030 Sold Ms. Diana L. Cordray Ship Ms. Diana L. Cordray To: City Clerk Treasurer To: 1 Civic Square City of Carmel Carmel, IN 46032 1 Civic Square United States Carmel, IN 46032 UNITED STATES Account No. Purchase Order No. Order Date Order Number Terms Invoice Date 300057820 01 317830 Due Upon Receipt 03/04/2011 Qty Item Code Description Unit Price Extended Shipped Price 105th Annual Conference 05/22/2011 .0512512011 San Antonlo, TX 1 CON111REG 105th Conference San Antonio, Texas 410.00 410.00 1 CON111DEL DELEGATE Line Item Total Freight Handling'- Other Tax Subtotal Amount Received Amount Due 410.00 410.00 410.00 0.00 Aarnott. GUEST FOLIO SAN ANTONIO 101 Bowie Street, San Antonio, TX 78205 210.223.1000 Marriott.com /SATRC RIVERCENTER 3636 CORDRAY /DIANA 175.00 05/26/11 12:00 20207 20406 Room Name Rate Depart Time ACCT GROUP ,FD CITY OF CARMEL 52 Ar /22/11 16:15 yPe 85 Room Payment MRW# Clerk Address r DA 05/04 ADVDP —CA GL 20212 2 .00 FROM: CITY OF 05/22 ROOM 3636, 1 175.00 05/22 STATE TX 3636, 1 29.31 05/23 SAZOS 44153636 05/23 ROOM 3636, 1 175.00 05/23 STATE TX 3636, 1 29.31 05/24 ROOM 3636, 1 175.00 05/24 STATE TX 3636, 1 29.31 05/25 ROOM 3636, 1 175.00 05/25 STATF TX 3636, 1 29.31 05/26 $635.38 TO BE SETTLED TO: AMERICAN EXPRESS CURRENT BALANCE .00 THANK YOU FOR CHOOSING THE RIVERCENTER MARRIOTT 1 TO EXPEDITE YOUR CHECK—OUT, PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR TV REMOTE TO ACCESS VIDEO CHECK —OUT.. AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO: DCORDRAY @CARMEL.IN.GOV SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5% per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees. Signature X B Contains 30% post consumer fibers To secure your next stay, go to Marriott.com BE REWARDED FOR YOUR TRAVEL PERFORMANCE. A a rnott Earn valuable points toward free vacations or airline miles every time R S. you stay with the Marriott® family of hotels. With more than 2,700 locations worldwide, you're bound to rack up the Rewards quickly. Stop by the front desk, call guest services at 1.800.249.0800 or log on to MarriottRewards.com to enroll. Quo Q WHY WAIT IN LINE USE EXPRESS CHECK -OUT If the bill under your door is correct please use one of the following options O Video Check -Out follow the directions on the Guest Service Channel on the TV t� Voice Mail Check -Out Call Ext. 6500 and follow the instructions. O If you self parked, keep your parking pass key to exit from the parking garage. Thank you for choosing Marriott Rivercenter. MAXIMIZE YOUR REWARDS WITH A MARRIOTT REWARDS VISA CARD. With the Marriott Rewards® Visa Signature® Card you'll earn: A FREE night e- certificate upon account opening 20,000 bonus points after you make your first card purchase 3 Marriott Rewards points for every $1 spent at over 2,700 Marriott locations 1 Marriott Rewards point for every $1 spent on purchases elsewhere Automatic Silver Elite status in Marriott Rewards E No annual fee for the first year, then a low annual fee applies Log on to MarriottRewards.com /visa to apply or to learn about the benefits of other Marriott Rewards Visa cards. O f Accounts subject to credit approval ,Warnott Restrictions and limitations apply. p E W A R S• The Marriott Rewards Visa Signature credit card is issued by Chase Bank USA, N.A. y g and may be serviced by its affiliates. r' r See MarriottRewards.com /visa for pricing and rewards details. The Marriott Rewards q R �1� Visa Signature credit card is available Y t (N a per fA l� to U.S. residents only. YALIO aL�":`I�f�ti rr N Ul' 5 -2955c Rev. 08/10 ReservatiorLs Book Flight View Reservation Details Page 1 of) pp A f' m eripanAirlones' C LOSE wz NDO1Nl y Get your boarding pass faster! Record �°�}�j f Confirmation: DC Locator/ III d^t ®I I�I any American ode at Airlines Self- Service Machine. Thank you for choosing American Airlines, American Eagle and AmericanConnection, members of the oneworld Alliance. If your flight is operated by another carrier, please check in with that carrier per their guidelines. Check -in times will vary depending on your departure or destination city. In order to determine the time you need to check in at the airport, visit our Suggested Arrival Times page at www.aa.com /arrivaltimes If you have a U.S. DOMESTIC E- TICKET, check in for your flight using Flight Check -In at AA.com between 1 and 24 hours prior to flight time. Use the E- TICKET confirmation /record locator above to select or change your seat and obtain a boarding pass. On day of departure, you will be required to present a government- issued photo -ID at the airport. �r As a security measure, if this ticket was purchased using a credit card with billing address in Latin America or the Caribbean (except Puerto Rico and U.S. Virgin Islands), the credit card holder must be present at time of check -in to verify identification and sign a credit card W-1111110— voucher. For your convenience, the credit card holder can present the credit card and provide this signature prior to departure date at any AA ticketing office in Latin America and the Caribbean. :a See the ENDORSEMENT line below for key fare rules pertaining to your ticket, if applicable. If you have begun travel, your online receipt record may only indicate portions of your trip which have not been flown. Itinerary Date: 22Ma Sunda Flight: AMERICAN AIRLINES 691 McDonnell Douglas Super Booking Code: Q MD -80 S80 Departure: IND Indianapolis '11:50 AM 2HR 20MIN Arrival: DFW Dallas/ Fort Worth 01:10 PM SHEEKS, CYNTHIA L Economy FF# :AA 7891 SEAT 25B CORDRAY, DIANA L Economy FF# :AA V1 77U56 SEAT 25A Date: 22Ma Sunda Y Flight: AMERICAN AIRLINES 1343 McDonnell Douglas Super Booking Code: Q MD-80(S80 Departure: DFW Dallas/ Fort Worth 02:35 PM 1 HR 5MIN Arrival: SAT San Antonio 03:40 PM SHEEKS, CYNTHIA L Economy FF# :AA 7R91 SEAT 30E CORDRAY DIANA L Economy FF# :AA V1 77U56 SEAT 30D Date: 25M We esd Flight: AME CAN A R E 2044 McDonnell Douglas Super Booking Code: Q f MD-80(S8 Departure: SAT San nto 0 10:45 AM 1 HR 15M IN Arrival: DFW DallaNYA Worth 12:00 PM SHEEKS, HIA L Economy FF# :AA 7891 SEAT E CORD DIANA L Economy FF# :AA V1 77U56 https: /www.aa.com /reservation /pri ntltinerary.do? forward= itineraryReceipt &isReceipt= true &anchorLocat... 5/17/2011 Reservations, Book Flight View Reservation Details Page 2 of 3 SEAT 25D Date: 25Ma Wednesda Flight: AMERICAN AIRLINES 1300 McDonnell Douglas Super Booking Code: Q MD-80(S80 Departure: DFW Dallas/ Fort Worth 01:40 PM 2HR 5MIN Arrival: IND Indianapolis 04:45 PM SHEEKS, CYNTHfA L Economy FF# :AA 7R91 SEAT 24E CORDRAY, DIANA L Economy FF# :AA V177U56 SEAT 24D Receipt PASSENGER TICKET NUMBER FARE TAXES TICKET TOTAL CORDRAY,DIANA L 0017983064532 266.04 USD 62.76 328.80 SHEEKS,CYNTHIA L 0017983064533 266.04 USD 62.76 328.80 Payment Type: Total 657.60 USD Endorsements /Restrictions NONREF- SVCCHGPLUSFAREDIF -CXL BY FLT TIME OR NOVALUE Note If your ticket involves travel outside the U.S., Canada, U.S. Virgin Islands or Puerto Rico and has been reissued for any reason, the total amount above may not include all taxes. Please check with American Airlines Reservations at 1- 800- 433 -7300 for the correct total. TERMS AND CONDITIONS A summary of Terms and Conditions applicable to your travel is available on ticket jackets, which are available at any American Airlines ticket office or at www .aa.com /conditionsofcarriage You may have purchased a "Special Fare" and certain restrictions apply. Some fares are non- refundable. If the fare allows changes, a charge may be assessed for the change. If you have questions regarding our refund policy, please visit www.aa.com /refunds CHECKING IN On day of departure, you will be required to present a government- issued photo identification at the airport. Check -in times will vary depending on your departure or destination city. If your flight is operated by another carrier, please check in with that carrier per their guidelines. In order to determine the time you need to check in at the airport, visit our Suggested Arrival Times page at www,aa.com/arrivaltimes Check in for your flight using Check -In www.aa.com /checkin at AA.com between 1 and 24 hours prior to flight time if you have a U.S. domestic e- ticket. You may also use the Self Service Check -In machine www.aa.com /selfservice at the airport on your day of departure. Use the e- ticket confirmation /record locator above to select or change your seat and obtain a boarding pass. TRAVELING INTERNATIONALLY If you are traveling internationally, please ensure that you have all necessary travel documents for the countries you are visiting. Visit the International Travel section at www.aa.com /intl for more information and helpful links. BAGGAGE INFORMATION To enhance security, FAA requirements mandate that customers are allowed one carry-on bag plus one personal item onboard. To learn more about current carry-on baggage allowances including checked bag policies and applicable charges, please visit www aa.com /bapga-geinfo HAZARDOUS ITEMS Many common items can be hazardous when transported by air and are prohibited. Please refer to the Restricted Items page at www.aa.com /restricteditems for more information. SPECIAL ASSISTANCE If you need special assistance due to a disability, or have children or pets traveling, visit the Special Assistance section www.aa.com /assistance before you travel. https: /www.aa.com /reservati on/printItinerary.do? forward= 1tineraryReceipt& isReeeipt= true &anchorLocat, 5/17/2011 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)) 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TfTLE 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 Signatu Title Cost distribution ledger classification if claim paid motor vehicle highway fund