HomeMy WebLinkAbout198396 06/21/2011 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
F CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $419.26
CARMEL IN 46033 -9501
CHECK NUMBER: 198396
CHECK DATE: 6121/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 140.76 SBA SCHOOLC�
1701 4343004 278.50 TRAVEL PER DIEMS
p
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
TO DR.
(Governmental Unit)
On Account of Appropriation No. for
(Office, Board, Department or Institution)
DATE FROM TO i
ODOMETER READING` NATURE OF BUSINESS AUTO MILES MILEAGE r
20 Point Point Start Finish TRAVELED PER MILE
y ZY r r 2561 r C
Auto License No. TOTALS
SPEEDOMETER READING columns 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, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
i
Date
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority,
�3 That it is apparently correct
incorrect
On Account of Appropriation No. for
ILL W i'�i3O0 j4c ib Disbursing Officer
Allowed A 20 o
in the sum of
0
5
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o (D
(Board or Commission)
CD
FILED m
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(Official Title)
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CITY OF CARMEL Expense Report (required for all travel expenses)
���NOIANp EXHIBIT A
EMPLOYEE NAME: DEPARTURE DATE: OZ TIME: AM PM
DEPARTMENT: RETURN DATE: TIME: AM PM f
p rR
REASON FOR TRAVEL: !v t w'l(:°U n DESTINATION CITY: t vr
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date p Luggage Parkin Lodging Misc. Total
Taxi Tips Lu a e g Breakfast Lunch Dinner Snacks Per Diem
4
i
5
II
Total
DIRECTOR'S STATEMEtkr.j 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 3/18/2009 Pagel
Cordray, Diana L
From: Marianne VanDer Schans MarianneV @thetravelagentinc.com]
Sent: Tuesday, May 31, 2011 11:33 AM n
To: Cordray, Diana L
Subject: Confirmed ticket t
Please note that there is not a seat assign from Birmingham to Atlanta.
ITINERARY /INVOICE NO. ITIN DATE: MAY 31 2011
ACCOUNT CPD VB3HHQ PAGE: 01
FOR:
CORDRAY /DIANA L
TO: CITY OF CARMEL CITY OF CARMEL TREASURE DEPT
ONE CIVIC SQUARE 3RD FLOOR ONE CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
02 JUN 11 THURSDAY MILES- 432 ELAPSED TIME- 1:33
AIR LV INDIANAPOLIS 1046A DELTA FLT:1247 ECONOMY CONFIRMED
AR ATLANTA 1219P NONSTOP
RESERVED SEATS 16D
FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL GQHR6R
MILES- 134 ELAPSED TIME- :50
AIR LV ATLANTA 1259P DELTA FLT:1723 ECONOMY CONFIRMED
AR BIRMINGHAM 1249P NONSTOP
RESERVED SEATS i
FREQ FLYER DL 2249570876 AIRLINE CONFIRMATIONiDL GQHR6R
04 JUN 11 SATURDAY MILES- 134 ELAPSED TIME- :59
AIR LV BIRMINGHAM 300P DELTA FLT:5585 ECONOMY CONFIRMED
AR ATLANTA 459P NONSTOP
FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL GQHR6R
SEAT ASSIGNMENT AT CHECK -IN
MILES- 432 ELAPSED TIME- 1:42
AIR LV ATLANTA 715P DELTA FLT:2307 ECONOMY CONFIRMED
AR INDIANAPOLIS 857P NONSTOP
RESERVED SEATS 32D
FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL GQHR6R
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS- CHANGES. AFTER
HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373
CODE A09- $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON
TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL
FOR TERMS AND CONDITIONS AIRLINE LUGGAGE POLICES AND
Additional collection $753.00
1
.129 RIVER ROAD
GADSDEN; AL 35901
r TELEPHONE ,256- 546 -2337 W'256-547-51124
CORDRAY, DIANA 340 /KXTY
11843 STONEY BAY CIR name room number.
address arrival date:
6!212011 2:26 OoPM
deparfure date 6/4/2011
CARMEL,:IN 46033
US adult/chlld: 1/0
room cater $77.00.
If the debit/creditcard you are using for check-in is attached to,a bank or checking account, a hold will RATE PLAN LVO
be placed on the.account for the fdli antlapated'dpliar.amount to be owedto the hotel, including HH# 348692524 SILVER
estimated incidentals, through your date of check -out and such funds MI not be released for 72 business AL US #999L7R4
hours from [he date of check- outor longer at the discretion of your..finannal institution. BONUS 'AL CAR'
Rates Subject to applicable sales, occu ant or other taxes.
j p y; Please,do not leave an mon mso(,' value unanended.in;
your
Confirmation: 85353522 v v or ite hat m
to be personally i able n he event indicated erson, om parr or assolc at ontfasl bil o is a of waived and agree
p y p p y pay for any part or the
full amount of these charges. I have requested weekday delivery of USA TODAY. If refused, a credit of $0.75 will he applied
6/4/2011 PAGE 1 o m account In the ever tbf an a ner en I or someone:in m
t p
ulre special evacuation :due to aphysical disability.
Y 9 y party, re
Please indicate yes by checking here:
Signature
6/2/2011 1319647 GUEST ROOM $77.00
6/2/2011 1319647 ROOM TAXES $10.74
6/3/2011 1319801 GUEST ROOM $77.00
6/3/2011 1319801 ROOM TAXES
WILL BE SETTLED I� EFFECTIVE BALANCE OF
TAX SUMMARY
CHAR 3E TOTAL STATE TAX
ROOM TAX $154.00 $21.48
TOTAL PAID $154.00 $21.48
You have earned approximately 1771 HHonors points and approxirrLaef�� f an it L
for this sta To check your earnings for this stay or any other stay a`� any o ore an fl on
Fam
STAY IN T UCH WITH US IN BETWEEN STAYS! FOLLOW US ON TWITT R @HAMPTONFYI)
AND LIKE S ON FACEBOOK (FACEBOOK.COM /HAMPTON).
s o it a o v
account no. date of charge folio /check no.
card member name authorization initial
establishment no. and location establishment agrees to transmit to card holder for payment purchases services
taxes
tips mist.
signature of card member
total amount
X
0.00
ONrtAD l r'; r It n
w4roORr C �(:a rrlcn inn t{(rrntP HOME Hi HHONORS
ASTORIA' I�11 T
SUITES
Doun[.r fate Grand Vacatitnts
x��,� HILTON WORLDWIDE
Page of 2
Cordray, Diana L
From: Stephanie Spirer [spirer @nlc.org]
Sent: Tuesday, April 05, 2011 3:28 PM
Subject: NLC FAIR Steering Committee Spring Meeting Logistics
Hi everyone,
t
It was great to see you in D.C. last month and I'm sure you're already looking forward to our next meeting.
NLC has confirmed a block of rooms at the Hampton Inn Gadsden for the upcoming Steering Committee spring I J
meeting. Hotel information is below. Please plan to arrive by Thursday, June 2 Business will begin on Friday
morning in Gadsden and conclude around noon on Saturday, June 4 in Homewood, Alabama, a suburb of
Birmingham and home to FAIR Committee Chair David Hooks. Lars Etzkorn is working on putting together a
productive meeting and Robert Avery and David Hooks are planning lots of wonderful activities.
RSVP
Please RSVP for the meeting, the shuttle and the events below by completing this survey: /1
http:/ www. surve .com /s /FAIRS ��5p
Hotel Information gS3
The meeting hotel is the Hampton Inn Gadsden, 129 River Road, Gadsden, Alabama 35901.
http /hampton;nn.hilton.com /en hp� Is index.' ?ct GADALHX
The rate is $77 per night. To make your reservation, please call (256) 546 -2337 and mention the National
League of Cities.
Reservations must be made by Thursday May 19, 2011
Transportation
You can fly into Birmingham- Shuttlesworth International Airport BHM), which is very close to Homewood and
approximately one hour's drive from Gadsden.
Robert has arranged for shuttle service departing from the airport at 3:00 p.m. Central. David will be arranging
for a lounge at the airport for those who arrive earlier than the shuttle departure time. Robert also will try to
arrange for transportation for later arrivals.
Ag enda
On Thursday, Robert has arranged for a tour of Noccalula Falls Park in Gadsden, as well as a hosted reception
and dinner at the park in the Kiwanis Pavilion.
On Friday, accommodations at the Hampton Inn include continental breakfast. Transportation will be provided
to our meeting at the Gadsden Museum of Art. Evening activities include a hosted dinner and attending "First
Friday" in downtown Gadsden.
On Saturday, we will depart from the Hampton Inn at 8:30 a.m. to meet at the Homewood City Hall for the
morning. David Hooks is making arrangements for lunch. Optional tours on Saturday afternoon may include the
Civil Rights Museum in Birmingham or shopping in Homewood.
Other Information
For those wishing to lengthen your stay in Homewood, David has arranged for rooms to be available on
Wednesday, June 1 and Saturd June 4 at the Aloft- Birmingham S oh o Square, 1903 29 Ave, S.,
Homewood, AL 35209, (205) 874 -8055
4/6/2011 sq -t
Page 1 of 2
You replied on 6/10/20118:42 AM.
Cordray, Diana L
From: Marianne VanDer Schans Sent: Fri 6/10/20118:02 AM
[MarianneV @thetravelagentinc.com]
To: Cordray, Diana L
Cc:
Subject: RE: Ticket to Birmingham
Attachments:
A few years they just keep going up.
Marianne
From: Cordray, Diana L [mailto:DCordray @carmel.in.gov]
Sent: Friday, June 10, 20119:01 AM
To: Marianne VanDer Schans
Subject: RE: Ticket to Birmingham
Thank you. When did the fee raise from $100 to $150?
Diana L. Cordray
CarmeCClerk Treasurer
(317)571 2414
From: Marianne VanDer Schans [mailto: Marian neV @thetravelagentinc.com]
Sent: Friday, June 10, 20119:00 AM
To: Cordray, Diana L
Subject: Ticket to Birmingham
Good Morning Diana,
The total charge was $753.00 which included the $150.000 change fee.
http://owa.cannel.in.gov/exchange/DCordray/Inbox/RE:%2OTick... 6/14/2011
Specialty Transportation, LL C
9455 Delegates Row
Indianapolis, IN 46240
317- 658 -8800
(Fax: 317-229-6433)
speciallytransp rtation dgmall.com
Confirmation
Charter 7899
Cordray Date Printed: Tuesday, May 31, 2011
Diana Cordray PO
1 1843 Stoney Bay Cir Group Name: airport transfer
Carmel, IN 46033 Phone: 317 -201 -1010 Fax:
Salesperson: Mike CassadyM
Email: mcassady @dts- healthcare.com
Cust Email: diana cordray @yahoo.com
Departure Time Date 4 Vehicles Description Total Capacity
Pickup Diana Cordray 8:30am 06/02/11 1 Lincoln Town Car 4
11843 Stoney Bay Circle Carmel, IN
Dropoff Indianapolis Int'I Airport 9:15am 06/02/11 4
7800 Col. H. Weir Cook Drive Indianapol
Your Charter Includes: units Cost/Unit Total Note
Airport transfer 1.00 50.00 50.00
Driver Gratuity 1.00 0.00 0.00 Cash tip direct to driver
Total Cost: 50.00 n is due: Jun 2, 11
L
PRICE QUOTED IS BASED ON THE COST OF FUEL AT THE TIME OF BOOKING AND MAY BE SUBJECT TO INCREASE.
PLEASE SIGN THIS AGREEMENT, ENCLOSE PAYMENT AS NOTED ABOVE. KEEP ONE COPY I.OR YOUR FILES AND RETURN
ONE COPY WITH YOUR PAYMENT, IF PAYING BY CHECK, PLEASE WRITE THE CHARTER NUMBER ON YOUR CHECK.
CANCELLATIONS MUST BE RECEIVED 30 DAYS PRIOR TO DEPARTURE TO INSURE FULL REFUND.
CHAR'I'ER IS SUBJECT TO CANCELLA'T'ION IF PAYMENTS ARE NOT RECEIVED BY DUE DATES.
SMOKING IS PROHIBITED AT ALL TIMES ON THE VEHICLES
YOUR COST IS BASED ON THE SERVICES DETAILED ABOVE AND IS SUBJECT TO CHANGE IN ACCORDANCE WITH YOUR
ACTUAL ITINERARY.'1'T -IIS COMPANY RESERVES ITS RIGHT TO LEASE EQUIPMENT FROM OTHER COMPANIES IN ORDER
TO FULFILL THIS AGREEMENT. THIS COMPANY SHALL NOT BE LIABLE FOR ITEMS LEFT ON THE VEHICLE OR LOSS OF
TIME DUE TO MECHANICAL FAILURE OR INCLEMENT WEATHER. WE CANNOT GUARANTEE THE ASSIGNMENT OF
REQUESTED DRIVERS OR VEHICLES. A SIGNED CONTRACT AND DEPOSIT WILL CONFIRM YOUR RESERVATION AND
ACKNOWLEDGE YOUR ACCEPTANCE OF THIS AGREEMENT.
Signature Date
View Boarding Pass Page 1 of 2
.DELTA
BOARDING PASS BOARDING PASS
CORDRAY/DIANAL 1 006 7988369227 5 CORDRAY /DIANAL
GQHR6R
DL2249570876 DL2249570876
MAOOAONA
FLIGHT DATE CLASS ORIGIN DEPARTS FLIGHT DATE
DL1247 02JUN M INDIANAPOLIS 1046A SEAT DL1247 02JUN SEAT
OPERATED BY COACH 16D 16D
DELTA AIR LINES INC DESTINATION BRD TIME ORIGIN
//I ATLANTA 1006A INDIANAPOLIS
DEPARTURE GATE/_ UBJECP TO CHANGE ZONE 4
ZONE 4 DESTINATION
ATLANTA
OPERATED BY DELTA AIR LINES INC
IND1B5C34 /WW
If your travel plans change, please contact Delta. Gate assignments and
departure times are subject to change, please check the screens when
arriving at the airport and be at the gate at least 30 minutes before departure
for flights within. the U.S. and 45 minutes for all other travel. Some airports
have exceptions to these times. See delta.com for requirements.
Reservations are subject to cancellation if you are not on board the aircraft
at least 15 minutes prior to departure.
�O
https: /www. delta. com/ PCCOciWeb /viewBoardingPass.action 6/1/201.1
View Boarding Pass Page 2 of 2
A. D E LTA BOARDING PASS BOARDING PASS
CORDRAY/DIANAL 2 006 7988369227 1 CORDRAY /DIANAL
GQHR6R
DL2249570876 DL2249570876
MAOOAONA
FLIGHT DATE CLASS ORIGIN DEPARTS FLIGHT DATE
DL1723 02JUN M ATLANTA 1259P SEAT DL1723 02JUN SEAT
OPERATED BY COACH 1 7 C 1 7 C
DELTA AIR LINES INC DESTINATION BRD TIME ORIGIN
BIRMINGHAM 1219P ATLANTA
DEPARTURE GATE *SUBJECT TO CHANGE'* ZONE 3
ZONE 3 DESTINATION
BIRMINGHAM
p OPERATED BY DELTA AIR LINES INC
IND1B5C35 /WW 1 i
If your travel plans change, please contact Delta. Gate assignments and
departure times are subject to change, please check the screens when
arriving at the airport and be at the gate at least 30 minutes before departure
for flights within the U.S. and 45 minutes for all other travel. Some airports
have exceptions to these times. See delta.com for requirements.
Reservations are subject to cancellation if you are not on board the aircraft
at least 15 minutes prior to departure.
https: /www. delta. com/ PCCOciWeb /viewBoardingPass.action 6/1/2011
Prescribed by State Board o1 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
:IN 0 l t� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) -7
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 /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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund