HomeMy WebLinkAbout197883 05/27/2011 CITY OF CARMEL, INDIANA VENDOR. 080501 'Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $1,147.52
CARMEL, INDIANA 46032 13791 LAREDO DRIVE
CARMEL IN 46032 CHECK NUMBER: 197883
CHECK DATE: 5127/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 1,147.52 TRAVEL PER DIEMS
h.r ib.d bT 9tm. By d o: Acornmu. 2 —.cal Form No, 101 L1C6!
MILEAGE CLAIM
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ON ACCOUNT OF APPROPRIATION NO. JV�/ FO d
(OFFICE. <�ARD,- DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER j AUTO MILEAGE
READING+ MILES (Q�
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+SPEEDOMETER READING colurnns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155. Acts 1953, I hereby certify that the foregoing account is just and correct. that the amount claimed is legally due. after allowing. all just cred
and that no part of the same has been paid.
Date
Claim No, Warrant No. I have examined 4he wit-lun :claim and hereby
IN FAVOR OF certify as follows:
That it is in proper 'form.
ff�4 That it is -duly authenticated as required
by law.
That it is based upon statutory authority.
That it is apparently ic� correct—,
On Account of Appropriation No, UDior Dis ursing Officer
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AA. BCTCC CO.. MUNCIC. IND. 00173
,11 w arnott. GUEST FOLIO
SAN ANTONIO 101 Bowie Street, San Antonio, TX 78205 210.223.1000 Marriott.com /SATRC
RIVERCENTER
3640 SHEEKS /CINDY 175.00 05/26/11 12:00 20206 GROUP 20406
Room Name Rate Depart Time ACCT
GDA CITY OF CARMEL 52 05/22/11 16:13
Type Arrive Time
85
y MRW
C lerk Address Payment
DA TE I REFERENCE 'CHARGES CREDITS BALANCE DUE
05/04 ADVDP -CA GL 20212 200.00
FROM: CITY OF
05/22 ROOM 3640, 1 175.00
05/22 STATE TX 3640, 1 29.31
05/23 SAZOS 44133640
05/23 ROOM 3640, 1 75700
05/23 STATE TX 3640, 1 29.31
05/24 ROOM 3640, 1 175.00
05/24 STATE TX 3640, 1 29.31
05/25 ROOM 3640, 1 175.00
05/25 STATE TX 3640, 1 29.31
05/26 $fi
TO BE SETTLED TO: CURRENT BALANCE .00
THANK YOU FOR CHOOSING THE RIVERCENTER MARRIOTT
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:
CSHEEKS @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
0 Contains 30% post consumer fibers To secure your next stay, go to Marriott.com
BE REWARDED FOR YOUR TRAVEL PERFORMANCE.
A arnott Earn valuable points toward free vacations or airline miles every time
REWARD 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.
U WHY WAIT IN LINE USE EXPRESS CHECK -OUT
I�I�iJG'+l�t�G�3
If the bill under your door is correct please use one of the
following options
0 Video Check -Out
follow the directions on the Guest Service Channel on the TV
0 Voice Mail Check -Out
Call Ext. 6500 and follow the instructions.
O 3 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
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Y 1 Marriott Rewards point for every $1 spent on purchases elsewhere
Automatic Silver Elite status in Marriott Rewards
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
Accounts subject to credit approval. ,*ar110t1
�a.
Restrictions and limitations apply. p C W A R D S•
The Marriott Rewards Visa Signature credit r� L
card is issued by Chase Bank USA, N.A.
�r and may be serviced by its affiliates.
See MarriottRewards.com /visa for pricing cn P
and rewards details. The Marriott Rewardst
Visa Signature credit card is available
to U.S. residents only. 0 aG a
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12
5 -2955c Rev. 08/10
en _US. email. title. rnyItmenary999 Page 1 of 1
Shell Cindy L
From: americanairlines @aa.com
Sent: Tuesday, May 17, 2011 8:32 AM
To: Sheeks, Cindy L; dcorcray @carmel.in.gov; mikecsa @sbcglobal.net
Subject: D. CORDRAY 05/22/11 Itinerary
Menc n A' 1i
'AAz
Reservations I AAdvarrlage Account I Fare Sales E. Offers
Record Locator: DCIXAM
Status: Ticketed Mar 24, 2411
Your Itinerary
Carrier Flight Departing Arriving Booking Mez
Number city Date 8 Time I city Time Code
May 22, 2011 May 22, 2011
AA 691 IND Indianapolis 11.50 AM DFW Dallas/ Fort Worth 01:10 PM Food For F
AMERICAN AIRLINES
May 22, 2011 May 22, 2011
AA. 1343 DFW Dallas/ Fort Worth 02.35 PM SAT San Antonio 03:40 PM
AMERICAN AIRLINES
Aid. 2044 SAT San Antonio May 25, 2011 DFW Dallas/ Fort Worth May 25, M ❑Q Nh
AMERICAN AIRLINES 10.45 AM 12 00 PM
May 25, 2M p May 25, 2011 ❑E Fo.dFr A& 1300 DFW Dallas/ Fort Worth 01.40 20 IND Indianapolis 04:45 PM O
AMERICAN AIRLIN
Traveler Information
Passenger Cabin Class Seat Assignment
DIANA L CORDRAY Economy 2513
CYNTHIA L SHEEKS JEconorny 25A
DIANA L CORDRAY IlEconomy 1130E
CYNTHIA L SHEEKS JEconorny 30D
DIANA L CORDRAY JEconorny 125E
CYNTHIA L SHEEKS JEconorny 25D
DIANA L CORDRAY JEconorny 124 E
CYNTHIA L SHEEKS Economy 124D
Flight information for San Antonio trip
Traveling passengers may check in and obtain boarding passes for U.S. domestic electronic tickets within
hours of the flight time online at AA.com by using www.aa.com /checkin or at a Self- Service Check -In macf
the airport. Check -in options may be found at www.aa.com /options. For information regarding American Ai
checked baggage policies, please visit www.aa.com /baggageinfo.
Travelers must present a government -issue photo ID with either a boarding pass or a priority verification c,
the security screening checkpoint
Please remember flight details are subject to change. In order to check a flight's status, gate, or departure
arrival time, go to www.aa.com and enter the flight information in the Gates and Times search area. In ord
receive automatic notifications of flight changes, click on the Flight Status Notifications section on the
www.aa.com homepage and enter the required flight and contact information.
Privacy Policy
5/27/2011
oe CARM
CITY OF CARMEL Expense Report (required for all travel expenses)
WO a pp EXHIBIT A
EMPLOYEE NAME. _CINDY SHEEKS DEPARTURE DATE: ��p'Z TIME: CAM PM
DEPARTMENT: �/t RETURN DATE: 5 I 2lp TIME: �E AM /d?Y)
REASON FOR TRAVEL: VIU DESTINATION CITY: LDTy-
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM V
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/2.2/11 $25.00 $65.00 $90.00
5123/11 $65.00 $65.00
5124/11 $65.00 $65.00
5/25/11 $30.00 $65.00 $95.00
5126/11 $30.00 $88.00 $617.24 $65.00 $800.2
$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 $85.00 $88.00 $617.24 $0.00 $0.00 $0.00 $0.00 $325.00 $0.00
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:
City of Carmel Form ER06 Revision Date 5/27/2011 Page 1
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 $32.50 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 $32.50 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
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.
I understand that within ten (10) business days of my return (as stated on opposite side), 1 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) being deducted from the first paycheck issued more than 30 days after the date of my return.
Employee Signature: Date:
City of Carmel Form ER06 Revision Date 5/2712011 Page 2
Goucrn�ment ]Finance O. 6ficers Association
105th Annual Conference
Henry B. Gonzalez Convention Center •San Antonio, Texas •May 22 25, 2011
a" "GC P, e at
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.ie•�
�Na�ig }atring the New Nor al
in Govern ent Finance
PROGRAM GUIDE
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Important Phone Numbers
Registration
210 582 -7008
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Message Center
210- 582 -7010
f
Staff Office
210 582 -7011
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Prescribed by State 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
t
j Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
X115.
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
4
ON ACCOUNT OF APPROPRIATION FOR
��a b
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
t
Cost distribution ledger classification if Title 01 claim paid motor vehicle highway fund