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158919 04/30/2008
'ef CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $965.60 CARMEL, INDIANA 46032 CHECK NUMBER: 158919 CHECK DATE: 4/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOU DESCRIPTION 1160 4343002 819.00 EXTERNAL TRAINING TRA 1160 4355100 146.60 PROMOTIONAL FUNDS r z �2u S2 fie, m b U r �c e c� 3Z 3S 3� enl C,��I��r►U�.. uU i4iI peclL, Ic,he,l l KCcroU y sh�r Bub's Cafe' 2nd Street S.VV. armel 46032 Server: herry Table: U Ma 14:21 AM 4/25/2008 Bub's Cafe' Item Price 220 2nd Street S.W. Carmel 46032 English Breakfast 2.25 SeRler: Sher One Pancake 2.10 Table: Main 12 00046405 Plain English Breakfast 2.25 Q' ?4:53 AM 4/25/2008 French Toast 4.75 Bacon 2.95 X /NANC`( S Visa Coffee 1.75 * Exp 1208 Regular 02542B Frenc-h Toast: 1.75 :D: 2 x339 3acon 2.95 ubl -3 1.95 1 Chocolate _Uf 2$,72 1 Powdered 1 Glazed TAP CO Donut Cinnamon 0.65 Total r Z Subtotal: 26.35 18% =5.17 22% =6.32 2 Tax: 2.37 S /o =7.18 Tota 1: 28,72 Total: 28.72 Thank You! Tck #:01 32- Trans 0nn i I �5� c\)� -ncy Pe-c.,L 2-$ �'O 0 A v Q-01-f MCA L1 -6033 I Ss CA 0 C' I KJ� light Store. eight Price. 1217 S. RRNGELINE RD, 1 YOUR CASHIER OS LINNLA B-F-Y SOCK PC 6.59 F PL(Z CARD SAVINGS 0.34 y SACK PC 6.59 F 1056 CARD SAVINGS 0.34 f PC 6.59 F 055 PLUS CARD SAVINGS 0.34 SUNCHIPS CHD F SUNCHIF< 2.29 F SUNCHIPS DID 2.29 F SUNCHIPS C 14 1'j 2.29 F KP06ER PLUS CUSTOMER TAX 0.00 FAX E X E M P f I (11 1 0.00 BAI-ANCE 28.93 CREDIT CARD 28.4 United Airlines Confirmation Pagel of 3 1#1UNITED Reservation complete: See ticket details below Your ticket(s) have been issued as an E- Ticket Your e- ticket was issued You will receive a confirmation email in a few minutes To check in for your flight use EasyCheck- inOnline Available 1 -24 hours before domestic flights and 2 -24 hours before international flights View the Traveler guide to learn about itinerary changes, travel tips, meal and entertainment offerings Your confirmation number is S72FHA EasyCheck -in Online Register for united.com Join Mileage Plus rice: USD 819.00 View price breakdown Total P View fare rules Wed, Jul 16, 2008 Indianapolis, IN (IND) to Washington, DC (IAD) United 7830 Depart: IND Non -stop Fare basis code: 10A, 10D, 10F Operated by: 09:50 AM 1h 34m WA10ON7 Download to calendar United Arrive: IAD Embraer 145 Booking class: W Express /chautauqua 11:24 AM 476 miles Economy traveled 500Award miles No Meal Service Fri, Jul 18, 2008 Washington, DC (IAD) to Indianapolis, IN (IND) United 7831 Depart: IAD Non -stop Fare basis code: 10A, 10D, 10F Operated by: 04:50 PM 1h 49m WE14A1 N Download to calendar United i Arrive: IND Embraer 145 Booking class: W Express /chautauqua i 06:39 PM 476 miles Economy traveled 500Award miles No Meal i Service PenaltyCXL BY FLT DATE OR NOVALUE NON REF /CHGFEEPLUS FARE DIF/ Additional information: Check -in information Please note that valid, government- issued photo identification must be presented at check -in. View printable e- receipt Create new itinerary Go to EasyUodate Flight pginq alert Passenger(s) Name NANCY S HECK Flight Seat Type Adult 7830 10A Email NHECK @CARMEL.IN.GOV 7831 10A Phone 317 848 -4840 https: /travel. united. com /ube /confinnPaymentDispatch.do 4/28/2008 United Airlines Confirmation Page 2 of 3 Name MELANIE J LENTZ Flight Seat Type Adult 7830 10D 7831 10D Name MICHELLE A KRCMERY Flight Seat Type Adult 7830 10F 7831 10F Travel insurance: 40.50 USD l S 4'tfGL: 1 y) y I You have purchased Access America travel insurance for $40.50. Your policy number is UAP00000126372. You will also receive a separate letter of CessAmerlCd` confirmation from Access America which contains your Certificate of Insurance. Please review this document carefully and if you have any questions, contact Access America at 1- 866 456 -3104. A Book your hotel Location Dates of stay Hotel Rating Price The Liaison Washington Capitol Hill As low as USD239.20 per night D.C. 07/16 -07/18 An Affinia Book now Hotel Washington The Madison As low as USD339.15 per night D.C. 07/16 -07/18 Hotel a Book now Loews Hotel Donovan Washington House A As low as USD396.10 per night D.C. 07/16 -07/18 Thompson Book now Hotel More hotels Reserve your car `J Z 50% off on weekends $30 off weekly rentals 500 -mile online booking bonus Reserve now Enhance your travel experience o 6 United Mileage Plus Visa Earn 21,000 miles. First year free, a $60 value. Apply now! ©UN ITO0 Easycheck -in Save time with EasyCheck -in Online. Find out more. m U N I T E D Mileage Plus Dining Dining opportunities to earn miles. Sion up now WUNITEDoCOM* https: travel. united. com /ube /confirmPaymentDispatch.do 4/28/2008 United Airlines Confirmation Page 3 of 3 Thank you for booking at ynited.com where you'll always enjoy: e United's guaranteed lowest fares Learn more o No booking fees Payment details USD 819.00 Total Payment USD 819.00 Billing Delivery information G>`�Z� 1 �S r" r C RICHARD G HECK J I 1326 COOL CREEK DRIVE CARMEL IN 46033 C,� r S�1oSe USA 85 I JCJ Z7�0.� 0"� United Airlines Contract of Carriage. Espanol I About United I Investor relations Business resources Careers Site map 4.•��'- h= r?cala Compatible browsers I Terms and conditions I Privacy I Special Terms and Conditions I 'D 2008 United Air Lines. Inc. https: travel. united. com /ube /confimiPaymentDispatch.do 4/28/2008 View price breakdown Page 1 of 1 Selected itinerary'price details Traveler Base fare Taxes fees* Total Adult 1 USD 234.42 USD 38.58 USD 273.00 Adult 2 USD 234.42 USD 38.58 USD 273.00 Adult 3 USD 234.42 USD 38.58 USD 273.00 Total price: USD 819.00 *Additional taxes /fees /surcharges (award travel is exempt from select taxes/fees/surcharges): Travel within Domestic 50 United States Airport passenger facility charges (PFCs) of up to US$18 roundtrip U.S. government excise tax of US$3.40 on each flight segmentt September 11th Security Fee of US$2.50 per enplanement at a U.S. airport For travel to or from Hawaii and Alaska: U.S. government excise tax of $7.50 per direction International Travel (including Puerto Rico and U.S. Virgin Islands) Airport passenger facility charges (PFCs) of up to $18 roundtrip September 11th Security Fee of $2.50 per enplanement at a U.S. airport Other government taxes and fees (including U.S. government excise tax) of up to $140 based on destination; total may vary slightly based upon currency exchange rate at time of purchase Taxes and fees are subject to change without notice and at the discretion of each country's government. Carrier imposed fuel surcharges (YQ) of up to $150 per direction of travel, and which are subject to change at United's discretion, without notice t A flight segment is defined as each sector of an itinerary that involves one takeoff and one landing Close https:H travel. united. com /ube /fareDetail.do ?itinType= 4/28/2008 LETTER OF CONFIRMATION April 28, 2008 NANCY HECK 1326 COOL CREEK DRIVE CARMEL, IN 46033 Dear NANCY HECK, Confirmation Number /Policy ID: UAP00000126372 Thank you for purchasing Access America. This Letter of Confirmation and the enclosed Certificate of Insurance /Policy contains important information on the travel insurance program you purchased. We recommend that you take copies of these materials with you on your trip. If you did not receive a Certificate of Insurance /Policy, or would like another copy, please call 1- 866 -456 -3104 or e-mail united @accessamerica.com. Program Information Date of purchase: April 28, 2008 Travel Dates: July 16, 2008 July 18, 2008 Trip Cancellation effective date: April 29, 2008 All other coverages effective date: July 16, 2008 Insured's Name: NANCY HECK MELANIE LENTZ MICHELLE KRCMERY Plan Purchased: Airline Ticket Protector Benefits and maximum coverage amounts are per individual (unless otherwise noted) 24 -Hour Hotline Assistance Trip Cancellation Protection $300.00 Trip Interruption Protection $300.00 Total Package Price: $40.50 Amount Paid: $40.50 Order Type: Gateway Satisfaction Guarantee: Within 10 days of purchasing this program, Access America will process a full refund of premium (the amount you paid for insurance) to you, as long as you have not already departed on your trip or filed a claim. No refunds shall be paid to you after 10 days of purchasing the program. Some Important Coverage Information This Certificate of Insurance /Policy does not cover any loss(es) caused by bankruptcy or other financial default of any airline, cruise line or tour operator. California residents: Please note that we are doing business in California as WASC Insurance Agency and our California License is OB01400. Insurance coverage is provided under a Master Policy issued by BCS Insurance Company, Chicago, IL. If You Need to Contact Us 155 If you need help while traveling, call 1- 800.654 -1908 from the U.S., Canada, Puerto Rico and the U.S. Virgin Islands or call collect to 1-804 -281 -55700 from all other locations. To file a claim, call 1-800 -334 -7525 or visit our website at www.accessamerica.com. Thank you again for purchasing Access America. We wish you a safe and pleasant trip. Sincerely, Jeff Hyman Vice President of Travel Operations 155 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 1& ((V1ei� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 25 08 S u1S�Dr 2. 5 w L 85 WLLC, h l c hM6 Co Total 2-0 g 1 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 13 z.., Lo I (2,ael- T)f I V e-- g ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 355 ()0 A 32..3 bill(s) is (are) true and correct and that the LA 355100 28 5 materials or services itemized thereon for 3COL j� which charge is made were ordered and received except 20 Si a ure� Cost distribution ledger classification if Title claim paid motor vehicle highway fund J 02:37 (ru v server: VcUIIICa [at Out COUNTER Cashier: Chad B Paymel t�: 523, Tax I!;: O1:? ;7 ALIth Code: _I i 1 Ref No: 0(128 Ca rds 1 hd l'••' I I !;HICK( N 1 RLUBf:N 1 BOWL OF ,x 2 SLUE $2.Jr; 1 CI A,S:)iC Cllil: E CAKE $6.48 N1C i i% N'd; PIE $6.48 )r' $0.92 ..Ib -1u $70.32 Tax: Exempt juf3l: M K lip Tota Y n I ac�'(F;.' 1_ %1 dlitave tCif ii .n acco rd i l ly i sau r (merchan! Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 4/28./08 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 Nancy Heck Purchase Order No. 1326 Cool Creek Drive Terms Carmel IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/ 17/08 Receipt Lunch for staff crew "Connecting with Carmel" 85.32 filming 4/17/08 Total $85.32 1 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. 4/28/08 ALLOWED 20 Nancy Heck IN SUM OF 1326 Creek Drive Carmel IN 46033 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4355100 Promotional Fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or Receipt 4355100 $85.32 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 Cost distribution ledger classification if Title claim paid motor vehicle highway fund