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157802 03/27/2008 may. CITY OF CARMEL INDIANA VENDOR: 359065 Page 1 of 1 0 ONE CIVIC SQUARE BOB HIGGINS CARMEL, INDIANA 46032 16133 HYMERA GREEN CHECK AMOUNT: $1,237.72 9�•; WESTFIELD IN 46074 CHECK NUMBER: 157802 CHECK DATE: 3/27/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 905 4343004 932.72 TRAVEL PER DIEMS 905 4357004 305.00 EXTERNAL INSTRUCT FEE :J I C 3 CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: 1_6_S_-/08 TIME: 6'5 5 AM ZW DEPARTMENT: RETURN DATE: /0 A TIME: 1,00 AM PM REASON FOR TRAVEL: dwCcz M &IL Cev re�et4c' DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 1/25/08 $141.60 $198.43 $275.00 $592.69 $1,207.72 $0.00 0.001 $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 $0.013 $0.00 E$0.0( $0.00 Tota $141.601 $198.43 $275.00 $0.00 $592.691 $0.00 $0.00 $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 ERC16 Revision Date 312412008 Page I 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 $60 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 $30 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 $30 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 $60 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), I 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 3/7/2008 Page 2 Rent9FLocation Vehicle Information Rental Expires On DTG OPERATION to DOLLAR RENT A CAR VEH. 179323 -4 �3 AIRPORT BOULEVARD LIC. W47GGY STALL B36L 02/02/2008 1300 S038a•349 -3 ORLANJA FLT- 32827 _07. CHRYSLER SEBRING 866- 434 -2225 Rate: REIMS Cls: ICAR i ----TIME-OUT TIWE IN ir FUEL LEVEL OUT: FULL 01!25/2008 2390 Car To Be Returned To Above Unless Stated Below MILEAGE OUT: 29521 4RENTAL RATES4* EST CIIG Hours 5.50/ als CUSTOMER DECLINES LD9 AND IS RESPON- Days 27.50/ als SIBLE FOR LOSS OR DAMAGE PER TERM Weeks 1139.99/ als OF THE• RENTAL AGREEMENT,. Xd•ay 17.991 _als 17.93 UMP DECLINED nYiaitd ols SLI DECLINED Fuel 6.94 /gall Customer Information I ii r` i PPP DEC% NIF CEERECCHG 9. 800 A 00 ESP LINED VEH LTC 47iva HIGGINS RACHELLE LA SRCHRG* 2.03/Day' na 16133 HYMERA GRN BY KACICEPTED INITIALS YOU ACI{NOWL•EDGE.YDU TATS-TAX 2 A WESTFIELD IN 46074 -317-896-166.5 HA :ORvD ECLIN f -ABOVE ggaide 10:0 /Day 60.110 4403 IN 08!25/2009 TIONAL ITEMS: A t d„ L_ Dr.ivet, ADB'L DRIVER: ROBERT HIGGINS TCD •7475 IN 07!29!2009 REDIT CARD WILL BE °CHARGER FOR ALL CITATId,' PENALTIES AND TOLL RDA? VIOL'ATIONS (B&DING.VIOLATIONS CAPTURED BY C AMERA) PLUS A 1 x25. FL Stir chg includes t '=,ADMIN FEE PFR VIOLATIGH IF NOT PA .0 82 FL St..Srchg X03 r /l l by ORIGI.ML DUE DATE. X Recycle Fee Recw 77� /AC r CREDIT CARD AUTHORiiATION /I ASH 4I3.02lA/01J25Jc�08 �f Ca DUE DATE /TIPfE: 132/02./08 1300 Early Return Fee of $15.00 will•a lu r. if you return PRIOR TO 02 /01/08 IM: DP r:';± `,Late Return Fee of S16.1'3 pper day LCOLIDJ198 4i !1 a ply a Max of 854.95) of 1161 0 you return AFTER 02!0.3/08 130 ifi H.; ,addition to any outer rental L6rtles. FLORIDA NOTICE TO RENTERS I Renter's insurance primary: The valid and collectible liability insurance and personal eton- suzance of -any authorized. rental or leasing driver is primary for the limits of- liability and personal injury coverage: required by 24: 1 (7) and 627.736, Florida Statutes. Failure to return rental Vehicle: Failure to :return rental property 'or equipmerit upon e4' ti p. of ih "o ntal riod and failure to pay.-al amounts due (including costs for damage to the property or egdipment) are evidence of ab _na do ent or refusal to redeliver she property, punishable in accordance with section 812.155, Florida.Stat es. t .These terms supersede any conflicting terms stated elsew ere. G'� 1 The Rental Agreement is between the undersigned and'lhe company identified above (the "Company By signature below, the undersigned acknowledges and represents that they are legally authorized to operate the rental vehicle by valid driver's license, and that they have read and agree -to the terms, conditions and notices, both printed and written, including the Loss Damage Waiver information, that appear on this Rental Statement and on the separate dental jacket (the "Agreement which, is incorporated herein. THE UNDERSIGNED AUTHORIZE THE COMPANY TO PROCESS A CHARGE TO THEIR CREDIT, DEBIT OR CHARGE CARD IN THE AMOUNT SPECIFIED ABOVE FOR THIS RENTAL UPON SIGNATILBE BELOW AND FOR ALL ADDITIONAL CHARGES DUE UPON RETURN OF THE VEHICLE. ALL CHARGES SUBJECT TO-AUDIT. No additional drivers are permitted without the bompany's approval. K R ENTER t RENTER ADDITIONAL DRIVER U6 min 1 77 R E NT A C A R ROW ,a �SPQGE LEATHER Yes No SUN ROOF Yes CHILD SEATS Yes o of Keys 1 2 `of! emotes 2 Un A T I I Tag \h/ Wiia B, Make Model Body. 2D�> Z SW ,1tANU c color Mileage Out Gas Out lFull Eillpty sA Name 4 r�v e9bLovement0ut„ Mark damaged part it he a r fetter on drawings'. D =Dent S Scr c oke 4'Mn Sin C'= Cracked A NT A t: W /NOSHMLD GER DljNERS SIDE ustomers ignature u ate ,t Vehicle subject ot msp cti��, for hidemdamage DRIVER OUT: c, MIL�ES DATE: TIME: 3 PT Pi,SE 02 OF cj2 F- 'Kl' PA'-`- RE.C.E.-L D E L T A N'S F E P. A 0 OX i 'Nil IN T 1 11 P C; S F. N S RO B E RTDAV I D .;PLP CF OF ISSUE 04 Iss 41(. ID AF, AM) CONFNBR 31XA14 !ATA 1 (117,) `0 FA RE CALCU! 4 F Ni i XT 10 00AYI 8, 00\ I N 0- 1 1 0 1 Us 6.98 7_ 13.60 XT 28.00 USD14 60 MY1 Ir'?A 1 17 0 F-, 70 7 6- 7 F%,�:Pl TCATF STATEMENT Merid 7099 Spring Mill Road Hd(s lradicnnnpolis, Indiana 46260 -4298 Country Club Club House: (317) 255 -2496 923 Accounting: (317) 251 -3636 o -I Bob Higgins January 10, 2008 Brookshire Golf Course 12120 Brookshire Parkway Carmel, W 46033 AMOUNT ENCLOSED Accounts due on or before the 25th of the current month PLEASE DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT NOW 706 Jan 10 All Star Vacation Home R ntal 592.69 GCSAA Housing Jan 25 Feb 2 o 592.69 Meridian Hills Count Club 7099 Sp ring MITI Road Indianapolis, Indiana 46260 -4298 317 -3636 CLUB DUES, ASSESSMENTS AND SIMILAR PAYMENTS ARE Country P 9 P 251 NOT DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS FOR FEDERAL INCOME TAX PURPOSES. MSN Hotmail Message Page 1 of 2 MSN Home 1 My MSN Hotmai4 {Shopping {Money {People &Chat Signtluk t` Web Search: tz Fl W Go. otm a i 1 Today 4 Mail Calendar Contacts I Options I Help 111 44 rdhiggins7 @msn.com Free Newsletter (0 Reply Reply All I Forward I Delete Junk I Put in Folder. i Print View I j Save Address From <registration @gcsaa.org> u° I I Inb Sent Wednesday, January 2, 2008 8:04 AM To: rdhiggins7 @msn.com CC: registration @gcsaa.org Subject 2008 GCSAA Education Conference and Golf Industry Show "Final Summary" Attachment 08_gis_reghead.gif 0.01 MB) Thank you for registering. Below you will find your registration confirmation. Should you need to make changes, please contact GCSAA Member /Customer Solutions at 800 -472 -7878 or 785 841 -2240 (for International registrants). Any changes made will generate a new registration confirmation email to you. You will also be mailed a printed copy of your final confirmation About the Golf Industry Show lContact Us 164825 Robert Higgins Final Registration Summary for Robert Higgins Fees Amount Registration fees $275.00 Event fees $0.00 Guest fees $0.00 Amount paid $275.00 Balance due $0.00 Registrant Information This is how your badge will appear: Bob Robert D Higgins Brookshire Golf Course Westfield, IN Specific ADA needs? No http: //by 101 fd.bay 10 l hotmail. msn. com /cgi- bin/getmsg ?msg= 778DA52B- 3046 -45F2- 8290- 186865OD3B4... 1/2/2008 Page 1 of 5 Print Date March 24, 2008 Account Title Account #8 History Check Transaction Date Credit Debit Balance Description 01 -31- PURCHASE 2008 hqs: /www. tcudirect. com/ onlinesery /HB /Summary.cgi ?startDate =11 %2F01 %2F07 &end... 3/24/2008 Page 2 of 5 01 -26- '01 -22- 4913` SH'- 592.69 2,977.24 01 -22- https:// www. tcudirect. com/ onlinesery /HB /Summary.cgi ?startDate =11 %2F01 %2F07 &end... 3/24/2008 Page 3 of 5 305224 01 -19- https:// www. tcudirect. com/ onlinesery /HB /Summary.cgi ?startDate =11 %2F01 %2F07 &end... 3/24/2008 Page 4of5 2008 https:// www. tcudirect. com/ onlinesery /HB /Summary.cgi ?startDate =11 %2F01 %2F07 &end... 3/24/2008 Page 5 of 5 01 -06- PURL CO; �;01� -03-0 8 GOOF, ;COURSEvSUPERI;L -A WRENCE =KS' auth# 5498'` 01 -04- https:// www. tcudirect. com/ onlinesery /HB /Summary.cgi ?startDate =11 %2F01 %2F07 &end... 3/24/2008 Nursing 2006 WorldPoints Preparedioc RACHELLE A HIGGINS February 2008 Statement /N Credit Line: $ Forinformation on YourAccount Visit www. bankofamerica.com Summary of Transactions Billing Cycle and Payment Information Call toll -free 1-800 -7 TDD hearing- impaired 1 -805 1 -800- 346 -3178 Previous Balance $ Payment D WILMINGTON, DE 19850 -5026 Posting Transaction Reference Account Payments and Credits Date Date Number Number Category Amount tments DOLLAR- -ENT -A -CAR MCOO ORLANDO FL. 02/04_ 02/03. 0202. .3255 X358:35 C CK OUT DA E 2/02/08 WORLDPOINTS 358 MONTHLY EARNINGS 0 BONUS POINTS THIS MONTH 7,145 POINTS AVAILABLE Corresponding Annual Balance Subject to Category Periodic Rate Percenta Rate Finance Charge Cash Advances A. Balance Transfers, Checks 0.005452% DLY 1.99% B. ATM, Bank 0.054767% IDLY 19.99% C. Purchases 0.02164356 IDLY 7.90% D. Other 0.021643% IDLY 7.90% Annual Percentage Rate for this Billing Period: 64.01% (Includes Minimum Finance Charges and Transaction Fee Finance Charges.) YOUR CREDIT LINE IS INCREASED TO THE AMOUNT SHOWN! USE IT TO TRANSFER OTHER ACCOUNT BALANCES TO THIS ACCOUNT. PAY YOUR BILL QUICKLY WITH THE PAY BY PHONE SERVICE. CALL 1- 866 297 -9258 TO USE THE AUTOMATED SERVICE OR DISCUSS OTHER PAYMENT OPTIONS. Check here for a charge of mailing address or phone numbegs). BANK OF AMERICA Please provide all corrections on the reverse side. P.O. BOX 15721 WILMINGTON, DE 19886 -5721 ACCOUNTNUMBER. m RACHELLE A HIGGINS Entai Prymen(Am WEn M". 16133 HYMERA GRN WESTFIELD IN 46074- 8418 -332 Mail this payment coupon along with a check or money order payable to: BANK OF AMERICA Nursing 2006 WorldPointsM Preparedfor• RACHELLE A HIGGINS September_ 2007 Statement For Information on YourAccount Visit. www.bankofamerica.com Summary of Transactions Billing Cycle and Payment Information BANK OF F AM E RI CA BANK MCA Previous Balance $ Payment Due TDD hearing- impaired 1- 800 346 -3178 Posting Transaction Reference Account Purchases and Adjustments Date Date Number Number Category Amount DELTf� 0670736279846ATLANTA� 09/0 oG 6. WORLDPOINTS 950 MONTHLY EARNINGS 0 BONUS POINTS THIS MONTH 6,549 POINTS AVAILABLE Corresponding Annual Balance Subject to Category Periodic Rate Percentage Rate Finance Charge Cash Advances A. Balance Transfers, Checks 0.010931 IDLY 3.99% $0.00 B. ATM, Bank 0.054767% IDLY 19.999KO $0.00 C. Purchases 0.021643% IDLY 7.90% $4,267.29 D. Other 0.021643% DLY 7.90% $4,094.37 Annual Percentage Rate for this Billing Period: 7 890/6 (Includes Periodic Rate Finance Charges and Transaction Fee Finance Charges.) Check here for a change of mailing address or phone number(s). BANK OF AMERICA Please provide all corrections on the reverse side. P.O. BOX 15726 WILMINGTON, DE 19886 -5726 L��IIIJ��I��LI „I��II��I�LL��LJ�LII „I „I,I ACCOUNTNUMBER: NEWBALANCE TOTAL: PAYMENT DUE DATE: rn RACHELLE A HIGGINS Eter ar rtA—M E_1os 16133 HYMERA GRN W L___J C$_ ESTFIELD IN 46074- 8418 -332 Mail this payment coupon along with a check or money order payable to: BANK OF AMERICA q'ovC,G 1 CITY OF CARMIEL Expense Report (required for all travel expenses) EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: �eh pb n TIME: PM DEPARTMENT: b Q0 Lti -e RETURN DATE: TIME: q pv AM M REASON FOR TRAVEL: DESTINATION CITY: A-44 EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT IC TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Air -fare Car Rental Other Parking Lodging Breakfast Lunch Dinner Snacks Per Diem Misc. Total 2/21/08 $30.00 $30.00 $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 $0.00 $0.00 $0.00 i$0.00 0.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1 11 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 3/25/2008 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 $60 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 $30 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 $30 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 $60 for out -of -state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: 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. understand that within ten (10) business days of my return (as stated on opposite side), I 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 Fbrm ER06 Revision Date 3/25/2008 Page 2 I /S a �d Indiana Golf Course Superintendents Association Receipt Sse Su eri Name: 76 It% s Date: February 21, 2008 y cn Event IGCSA Spring Ecjucational Meetin ctR Cost: $30. l G IGCSA Representative: 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. U j Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) I i'h 30 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 S 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 '��JODC�DU 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