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Home My WebLink About164840 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: T361884 Page 1 of 1 ONE CIVIC SQUARE MELISSA MONTGOMERY CHECK AMOUNT: $1,234.46 CARMEL, INDIANA 46032 434 3RD AVE NW #8 CARMEL IN 46032 CHECK NUMBER: 164840 CHECK DATE: 10/16/2008 DEP ARTMENT A CCOUNT PO N INVOICE NUMBER AMOUNT DESCRI 1150 4343004 532.26 TRAVEL PER DIEMS 7* 1150 4357004 300.00 EXTERNAL INSTRUCT FEE 1150 4343002 183762 402.20 EXTERNAL TRAINING TPA I 1 j 8 0 R R Ems; �NO 1�376t2 0 RUM C R E D I T U N 1 O N P.O. Box 50738. Indianapolis, IN 46250 -0738 VOID AFTER 180 DAYS DATE AMOUNT 15SEPOS #399.20 PAY THREE HUNDRED NINETY NINE AND 20/100 DOLLARS TO THE PGA OF AMERICA*** ORDER OF Re io i t t.er MELISSA A MONTGOMERY E AUTHORIZED SIGNATUR 3' 6 3 =3.3 3 3`' 13 m WIN NO. 183762 C R E D I T U N+ o N P.O. Box 50738. Indianapolis, IN 46250 -0738 t r.,, 06 Ot 0. Payee: PGA OF AMERICA Miscellaneous Fee: $3.00 :F Q R�E l 83762; BrooWdre cou+ci0e Brookshire Golf club 12120 Brookshire Pkway T>�d Carmel, I\ 16033 -n4F- PGA of AKIE ArrN MEKSER SA o P 100 AVFNVE of TH t G1.4RmpfOMs PAWq SE G t FL 33418 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 IQIIQi a Description Amount Date Number (or note attached invoice(s) or bill(s)) 11 15 le 8 1 49-37 &Z i.�• o L Total O 2 Z 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 ON ACCOUNT OF APPROPRIATION FOR Board Members C—A eck- PO# or E NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or q3v —D bill(s) is (are) true and correct and that the U� 0 materials or services itemized thereon for which charge is made were ordered and received except 20 na t u re Cost distribution ledger classification if Title claim paid motor vehicle highway fund Driving Directions from 12120 Brookshire Pkwy, Carmel, IN to Mystic Hills Golf Club, Page 1 of 2 M AP QU IE S T Sorry! When printing directly from the browser your directions or map may not print correctly. For best results, try clicking the Printer Friendly button. O 12120 Brookshire Pkwy 999 Mystic Hills Golf Club Carmel, IN 46033 -3314 16788 20B Rd Culver, IN 46511 Website_ 1 (574) 842 -2687 Total Estimated Time: 1 hour 46 minutes Total Estimated Distance: 95.85 miles v Directions from A to B: 0 1: Start out going NORTH on BROOKSHIRE PKWY toward CAMELOT LN. 0.5 mi 2: Turn LEFT onto E 126TH ST. 1.0 mi 3: Turn RIGHT onto N KEYSTONE AVE /IN -431 N. Continue to follow IN -431 N. 2.3 mi 431 4: Turn SLIGHT RIGHT onto US -31 N. 84.2 mi 3t� Q 5: Turn LEFT onto IN -110. 7.2 mi 6: Turn RIGHT onto IN -117. 0.5 mi 7: Turn LEFT onto 20 B RD. 0.1 mi 8: End at 16788 20B Rd Culver, IN 46511 Estimated Time: 1 hour 46 minutes Estimated Distance: 95.85 miles Total Estimated Time: 1 hour 46 minutes Total Estimated Distance: 95.85 miles S ponsored Links S ponsored Links Great Wolf in Trave Hotels at Expedia Culver, In. Real Estate Culve_ prop" America's Largest Family of Save up to 50% on Hotels at Culver Indiana homes by See Homes For Sale, MLS j Indoor Expedia Pam Baker More in Waterparks. Bring the Kids! And Now Earn ThankYou Lake -front, Waterfront, the South Bend Area. Free i www.Greatwolf.comlrraverse Points Too! Residential www.HomeFinderConnect.com www.Expedia.com j www.pambaker.com eff t 7 http: /www.mapquest.com/maps? 1 c= Carmel& i s =IN& l a =12120 +Brookshire +Pkwy& l z 10/8/2008 Driving Directions from 12120 Brookshire Pkwy, Carmel, IN to Shadowood Golf Course,... Page 1 of 2 ST Sorry! When printing directly from the browser your directions or map may not print correctly. For best results, try clicking MAPQUEthe Printer Friendly button. O 12120 Brookshire Pkwy WN Shadowood Golf Course Carmel, IN 46033 -3314 333 N Sandy Creek Dr Seymour, IN 47274 Web site 1 (812) 522 -8164 Total Estimated Time: 1 hour 27 minutes Total Estimated Distance: 82.02 miles v Directions from A to B: 1: Start out going EAST on BROOKSHIRE PKWY toward SOMERSET WAY 0.5 mi E. 2: Turn RIGHT onto N GRAY RD. 0.4 mi 3. Turn RIGHT onto E 116TH ST. 1.3 mi aotn 4: Turn LEFT onto N KEYSTONE AVE /IN -431 S. 2.5 mi 431 5: Merge onto 1 -465 E via the ramp on the LEFT. 19.9 mi 6: Merge onto 1 -65 S via EXIT 53B toward LOUISVILLE. 56.7 mi 4 7: Merge onto US -50 W via EXIT 50B toward SEYMOUR /BROWNSTOWN. 0.4 mi 8: Turn RIGHT onto N SANDY CREEK DR. 0.3 mi 9: End at 333 N Sandy Creek Dr Seymour, IN 47274 Estimated Time: 1 hour 27 minutes Estimated Distance: 82.02 miles Total Estimated Time: 1 hour 27 minutes Total Estimated Distance: 82.02 miles S ponsored Links S ponsored Links i j Hotels at Expedia Great Wolf -Mason Desig Office Furnitur Restaurants Save up to 50% on Hotels Enjoy Family Adventure Fumishings designed by Check Out Louisville at Expedia Fun at the Jerszy Restaurants 4 And Now Earn ThankYou Great Wolf Lodge in Mason! Seymour. Business Menus, Locations More! 4 Points Too! www.GreatWolf.com/Mason customers only! www.metromix.com www.Expedia.com www.topdeq.com http: /www.mapquest.com/maps? 1 c= Carmel& 1 s =IN& 1 a= 12120 +Brookshire +Pkwy& 1 z=... 10/8/2008 ':ring Directions from 12120 Brookshire Pkwy Carmel, IN to Coyote Creek Golf Club... Page 1 of 2 sorry! When printing directly from the browser your directions APQUE'ST or map may not print correctly. For best results, try clicking the Printer Friendly button. O 12120 Brookshire Pkwy IAM Coyote Creek Golf Club Carmel, IN 46033 -3314 4935 Hillegas Rd Fort Wayne, IN 46818 260 483 -3148 Total Estimated Time: 1 hour 49 minutes Total Estimated Distance: 111.48 miles Directions from A to B: a u 1: Start out going EAST on BROOKSHIRE PKWY toward SOMERSET WAY 0.5 mi E. Q 2: Turn RIGHT onto N GRAY RD. 0.4 mi Q 3: Turn LEFT onto E 116TH ST. 4.4 mi •a 4: Merge onto IN -37 N. 0.5 mi a7° 5: Merge onto 1 -69 N. 104.0 mi EASY- 6: Merge onto IN -930 E via EXIT 109A toward GOSHEN RD. 0.5 mi 930 7: Turn SHARP RIGHT onto W COLISEUM BLVD. 0.7 mi 8: Turn SHARP RIGHT onto HILLEGAS RD. 0.5 mi 9: End at 4935 Hillegas Rd Fort Wayne, IN 46818 Estimated Time: 1 hour 49 minutes Estimated Distance: 111.48 miles Total Estimated Time: 1 hour 49 minutes Total Estimated Distance: 111.48 miles Sponsored Links Sp onsored Link j Hotel Rates Great Wolf Mason Travelers Auto Insurance Medical Billing Degrees Comfort Convenience In A Enjoy Family Adventure Get a Free Instant Earn your Medical Billing 1 Hotel? Fun at the Insurance Quote. Degree All And More At The Adam's Great Wolf Lodge in Mason! See How Much You Could at IBC. Get more info here! Mark! www.GreatWolf.com /Mason Save! IBCschools.edu www.AdamsMark.com /Indianapolis www.Travelers.com http: /www.mapquest.com/maps? 1 c= Cannel& I s =IN& 1 a= 12120 +Brookshire +pkwy& 1 z=... 10/8/2008 Prey ib-d by 8ta1- Board o: A ts. 0e al Fom No. 101 (1*5e MILEAGE CLAIM (GOVERNMENTAL UNIT) TO �'l.iV DR (OFFICE. BOARD, DEPARTMENT OR INSTITUTION) ON ACCOUNT OF APPROPRIATION N0. FO DATE FROM TO I SPEEDOMETER I g READMG+ AUTO MILEAGE I POINT POINT T FINISH NATURE OF BU M STAR TRILES SINESS I AVELED PER MILE i i I 1 I 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. 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 Ciairn No. Warrant No. I have examined the witl�in.:claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That. it is -duly authenticated as required; bylaw. That it is based upon statutory authority. That it is apparently t correct j incorrect d On Account of Appropriation No. l/� for Disbursing Officer CD p Q cHD Allowed 19 a. i 'q OH Q in the sum of o m ID o M Q (n -i co ti CD I Q- y Q CD CD (Board or Commission) CD H Q n Q O R CD FILED CD n H ro Q- a' tr'Q C'. CD (Official Title) o p o a c� A.E. eoree CO.. runcie, 1n0- a6ie3 C1 Source: hit ps: /secure.ichotelsgroup com /h /dJex/1 /en /rcc ?secure =true Guest Information MELISSA MONTGOMERY 434 3rd Ave. NW 8 Carmel, IN 46032 United States 3174429691 mmontgomery2@att.net Hotel Information PLYMOUTH Holiday Inn Express Hotel Suites 2619 N. MICHIGAN ROAD PLYMOUTH, IN 46563 UNITED STATES LOCAL PHONE: 1- 574 9362444 Check -In Date: Sun 10 Aug 2008 Check -Out Mon 11 Aug 2008 Date: Driving Directions: FROM HWY US 30 TAKE EXIT #17 (MICHIGAN ST.). GO NORTH ON MICHIGAN STREET. HOTEL IS 200 YARDS ON WEST SIDE OF ROAD. Room and Rate Information Rate Type: Best Flexible Rate Rate Description: Restrictions may apply. Tax: 10% per night not included in rate effective 10 August, 2008 thru 11 August, 2008 SALES TAX 7 PCT COUNTY TAX 3 PCT Early Depar Fee: 99.00 USD Room Type: 1 K ING BE STAND NONS Number of Rooms: 1 Number of Nights: 1 Person(s): 1 ADULT(S), 0 CHILD(REN) Check -in Time: 03:00 PM Check out Time: 12:00 PM Sun Mon Tue Wed Thu Fri Sat http: /clipmarks.com/pdnt clips_direct.aspx ?c= 8212E2B1- 2589- 4DF9- BD2E- FC757A 8/8/2008 EXPRESS HOT1ElL SV #TIE'S %Ieliv ontgomery Membership No. tfa A VE'. NW A/R Number krl`42 United, Sates Group Code Folio /Invoice No. 214465 No. 223 Page No. 1 of 1 ai =1.0 -08 Cashier No. 111 pai lure 08-11 -08 User ID STEPH www.h(express.com/plymoulth i Date Description Charges Credits 1,8 -10 -08 'Accommodation 99.99 08 -10 -08 State Tax -7% 7.00 08 -10 -08 G)unty Tax -3 3.00 08 =11 -08 MasterCard XXXXXXXXXXXX0766 109.99 Total 109.99 109.99 Balance 0.00 Guest Signature: i I have received the goods and or services in the amount shown heron. I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or association fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholders agreement with the issuer. Holiday Inn Express Hotel Plymouth IN 2619 N. Michigan Street Plymouth, IN 46563 Telephone: (574) 936 -2444 Fax: (574) 936 -3333 i a i Room No. 102 I mery Arrival 07 -13 -08 dl,4N 4602 Departure 07 -14 -08 Page No. 1 of 1 800 456 -4000 Folio No. www.countryinns.com INFORMATION INVOICE Conf. No. 9380653 Membership No. Cashier No. 1700 A/R Number Group Code Company Name 07 -14 -08 02:21:43 AM Date Text Charges Credits 07 -13 -08 Room 89.09 07 -13 -08 State Tax 7 6.24 07 -13 -08 City Tax 7% 6.24 07 -14 -08 Mastercard 101.57 XXX— XXXXXXXXX0766 XX/XX Total 101.57 101.57 Balance 0.00 Join goldpoints plus today! Enroll in goldpoints plus at a participating hotel front desk or on line at gold pointsplus.com and start earning Gold Points today! Thank You For Staying With Us I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company or association fails to pay for any portion or the full amount of these charges. Guest Signature Country Inn and Suites Fort Wayne North 5926 Cross Creek Boulevard Fort Wayne,IN 46818 Telephone: 260-490-6060 Fax: 260-490-5050 Email: cx_ftwn @countryinns.com i PGA OF AMERICA PGA'. Event Registration Confirmation Notice For information please call us at (800) 474 -2776 27571008 Melissa Montgomery Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN 46033 -3314 Confirmation 1165278 Event ID 12334A Location: Mystic Hills GC Name: I 2334 Mystic Hill "s GC i Start Date: 08/11/2008 End Date: 08/11/2008 CHARGES: DATE I TYPE I REFERENCE I DESCRIPTION I QTY I STATUS I AMOUNT BILL TO: 27571008 Melissa Montgomery 07/09/2008 ITEM PAT PAT 1 ACTIVE $100.00 $100.00 Total Charges: $100.00 PAYMENTS: DATE I TYPE AND DESCRIPTION I PAID BY J AMOUNT 07/09/2008 5x Mastercard 27571008 Melissa Montgomery $100.00 $1 00.00 Total Payments: $100.00 ACTIVITY_as of 7A0 /2008_ You are now registered for the Playing Ability Test(s) listed above. To make changes to this registration or ask questions about this event, please contact the PGA Member Services Team by calling 800 474 -2776. D� i, o PGA OF AMERICA Event Rel4istration Confirmation Notice For information please call us at (800) 474 -2776 27571008 Melissa Montgomery Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN 46033 -3314 Confirmation 1138848 V� Event ID 12333A Location: Coyote Creek Golf Club Name_ 12 333A Coyote Creek__ Start Date: 07/14/2008 End Date: 07/14/2008 CHARGES: DATE I TYPE I REFERENCE I DESCRIPTION I QTY I STATUS I AMOUNT B1LL TO: 27571008 Melissa Montgomery 06/08/2008 ITEM PAT PAT I ACTIVE $100.00 $100.00 "total Charges: $100.00 PAYMENTS: DATE I TYPE AND DESCRIPTION I PAID BY I AMOUNT 06/08/2008 5x Mastercard 27571008 Melissa Montgomery $100.00 $100.00 Total Payments: $100.00 AC "fl\CCI'Y- as -of.6 /_9/2008- e You are now registered for the Playing Ability Test(s) listed above. To make changes to this registration or ask questions about this event, please contact the PGA Member Services Team by calling 800 474 -2776. ell 1 J rvty ,uui� 1 ct o f a \i^�4�� 3 ��ib. a �x..ik^�'�,,,..,an� s men.._.. The Official Member Website of The PGA of America Your Registration has been Completed! PRINT THIS PAGE, IT IS YOUR CONFIRMATION NOTICE FOR THIS EVENT. Press print on your browser to print the confirmation notice on your printer. If you do not have a printer or are having problems printing, please note the Confirmation Number, located at the bottom of this page. Your Confirmation Number is 1190459 Order Summary Contact Information .Y 3 Melissa Montgomery Phone: (317) 846 -7431 Brookshire Golf Club Email: melissa@brookshiregolf.com U 12120 Brookshire Pkwy Carmel, IN 46033 -3314 United States of America Badge Name: Melissa Montgomery 12335A Shadowood GC (09/29/2008 thru 09/29/2008) Shadowood Golf Course Seymour, IN Additional Information Facility PGM University Carmel, IN City and State Facility PGM University Brookshir If Club Name Item Day Time Qty Price Total Price Total PAT Monday, September 29 07:00am 1 $100.00 $100.00 $100.00 Paid By: Mastercard Payment Amount. $100.00 i Notice for Event 12335A Shadowood GC PLAYING ABILITY TEST INFORMATION REGISTRATIONS Registrations are taken in order of receipt at the PGA of America National Office and through vvww,pgaSrks.com. There is a 30 da y reg istration deadl for every PAT, and an individual may be registered for only two PATs at any one time. The registration fee is $100 plus the additional on -site fee for each PAT, and must be paid at the time of registration. Those who are employed in a capacity that gives them eligible employment or are registered PGA /PGM University students may register for a PAT at any time prior to the 30 day registration deadline. Those not meeting this eligibility criteria may only register within the fourteen (14) days prior to the 30 day registration deadline. If it is found that an individual registered more than fourteen (14) days prior to the registration deadline and did not meet the above eligibility criteria, that individual will be suspended for two years from taking a PAT. If the individual has already played in the PAT, the score will be null and void. For schedule information or to register with a MasterCard, Visa or American Express visit u or call http://extranet.pgalinks.com/pat/evtssapayment.validcc 9/2/2008 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 !Ile Purchase Order No. ��14�:v o ,P 6 p .r. r Terms Date Due Invoice Ira*eiee Description Amount Date Number (or note attached invoice(s) or bill(s)) 64 G e 4C C C C L ,?;Z.3 X 59 Z. loe 21y q le5 God %o 9 a M N g C. 5e C/ 6 y� 1,96 10 /;I 41D /4 C r� r �L'`� S®• BZ e� Total 303 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 i S S fi �fJ ��it'f 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 /f3b'8 q6 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 nil 4 e 20 S t e.. Cost distribution ledger classification if Title claim paid motor vehicle highway fund