HomeMy WebLinkAbout199586 07/20/2011DEPARTMENT
601
651
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
5023990
5023990
VENDOR: 196800
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS IN 46222
Page 1 of 1
CHECK AMOUNT: $1,669.73
CHECK NUMBER: 199586
CHECK DATE: 7/20/2011
834.86 OTHER EXPENSES
834.87 OTHER EXPENSES
also t o aL vnvvJ gfc a
g OR scarf the form and
Cancellation and Refund
Policy
March 24, 2011: No fee
for cancellations received
before this date.
AprII 14, 2011: Cancellations
postmarked after March 24
but by AprII 14 will be
refunded, less a 25.percent
service fee.
AprII 29, 2011: Cancellations
postmarked after April 14 but
by AprII 20 will be refunded,
less a 50 percent service fee.
AprII 30, 2011: No refunds
wit be Issued this date forward.
egistrattanfr,rm fill ttoctand :Fax (312)977 Y
Conference Registration Form
Please print or type. Register online at www.gfoa.org
Scan this completed term and e-mail H to: can(Erartcecgfoa.org
If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted
with credit card payments only. Please affix your mailing label here, and
make any changes to your record in the spaces provided below.
I S ✓fl e. A7 a n tm d�
First Name MI Last Name
O
Title /Position
C o`C Car roe, Ut1 1, L`. e6 Dot
Organization /Company
77,0 o r-d vie s\A/ :7
Mailing Address
Cry'n
City
)1 alt 003 Z 123
State /Province Zip /Postal Code Country
317 5 71— a/rg
Telephone
3 /7
Fax
C rM,C, re) a In am (5 ec rm2>',,N, fJ1/
E mail Address (REQUIRED)
3 000,0 52 97
GFOA Membership Number (ii available)
C Y1d3. 1 GU
Preferred Name for Badge
Indicate if you are substituting for an active member.
Name of Active Member
5571
GFOA Membership Number (if available)
Print name(s) of additional guest(s). Please attach additional names if needed.
b y
First Name Last Name
First Name Last Name
Children 12 or Under
Print name(s) of child(ren) 12 or under, Please attach additional names if needed.
First Name Last Name
First Name Last Name
Gltai -`rte
Private Sector
Member
Nonmember
Government
Nonmember $790
Private Sector
Student $130
(Full-time, Unemployed only)
$500 $545
$525 $560
e rr' :J
o.Ealy Advanced Full
neglstratlon Registration Registration
(Pailmarked and pall (Postmarked end paid (Postmarked and paid
biJanuery 31, 2611} by April 12, 2011) after April 1a, 20111
Government tB $370 $410 $455
Member
$620
$610
$820 $695
$135 $145
m, atirisL,
zt
A
Preconference seminar registration and fees are separate from
annual conference registration and fees.
Check the seminar(s) of your choice:
MASTERING THE BUDGET PROCESS
May 20, 2011 Full Day 9:00 a.m.-5:00 p.m.
WHY YOUR GOVERNMENT NEEDS AN ENTERPRISE -WIDE
APPROACH TO RISK MANAGEMENT
May 20, 2011 Half Day 1:00 p.m. 5:00 p.m.
❑THE BENEFITS OF ASSESSING YOUR ORGANIZATION'S
FINANCIAL MANAGEMENT PERFORMANCE
May 21, 2011 Half Day 8:30 a.m. -12:30 p.m,
o FORECASTING IN UNCERTAIN TIMES
May 21, 2011 Half Day 1:00 p.m.-5:00 p.m.
IS A PUBLIC PRIVATE PARTNERSHIP RIGHT FOR YOUR
GOVERNMENT?
May 21, 2011 Half Day 1:00 p.m. p.m.
WHAT YOUR GOVERNMENT NEEDS TO KNOW ABOUT
HEALTH -CARE REFORM
May 21, 2011 Half Day 1:00 p.m.— 5:00 p.m.
Check rate below:
Please Check One:
Each Full -day Seminar
Each Half -day Seminar
Member
$310
$150
Nonmember
$430
$265
r
Member Type Please Check One:
Active Government Member Member Private Sector
'Join the GFOA today and receive $25 off your conference registration fee with a paid
new membership. For new membership fee information and an application, please visit
www.glo5,arp or call GFOA at 312 977-9700. All fees payable in U.S. funds except for
Canadian governments which may pay membership dues H Canadian funds.
The GFOA Is unable to fax confirmations due to the voillme of registrations.
10
Conference Registration:
Group Discount:'"
Preconference Seminar(s):
New member fee: Visit www.gfoa.org or
call GFOA at (312) 977 -9700 for fee.
Discount for paid new member: $25.00
Sub Total;
Texas Fest:
le of tickels /adults $40 00 k
5 o1 tickets /children under 18 515,00 x
1 0
Total Fees: '7 S9. 70
You will receive a 10 percent discount on your conference registration if three or
more people from your jurisdiction are attending the annual conference (registra-
dons must be submitted together). This discount does not apply to preconference
seminars.
S of tickets /children under 6, Complimentary x
Card Number Expiration Date
c eiH Iii
&Payment by Check
Payable to "Government Finance Off icers 'Association"
Send to: GFOA 3076 Eagle Way Chicago, IL 60978 -1030
Payment by Credit Card, Fax: (312) 977 4806
Send to: GFOA 203 North LaSalle Street Suite 2700
Chicago, IL 60601 -1210
Amex Discover MasterCard VISA
Name on Card
c
Signature
O Bill Me P.O, Number:
You must include a purchase order number.
All billed registrations should be mailed to: GFOA
203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1 21 0
GFOA Fax Number (312) 977.4809
GFOA Tax ID Number: 36-2167796
Please remove this registration form, 011 It out and
tax It lo the OFOA, Fax: (312) 977-4806.
You can also register online at: www.gtoa.org
OR scan the completed form and a -mall It to: canierenceC40FOA.6rg.
D Government Finance Officers Association
203 North LaSalle Street, Suite 2700
Chicago, Illinois 60601 -1 21 0
312- 977 -9700 fax: 302 www.gf'oa.org
Date
Transportation
Gas/Tolls/
Parking
g
Lodging
Meals
Misc.
Total
Car Rental
Other
Breakfast
Lunch
Dinner
Snacks
Per Diem
5/20/11
$93.08
$93.08
5/21/11
$232.33
$50.00
$282.33
5/22/11
$232.33
$50.00
$282.33
5/23/11
$232.33
$50.00
$282.33
5/24/11
$232.33
$50.00
$282.33
5/25/11
$232.33
$50.00
$282.33
5/26/11
$25.00
$25.00
$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
$118.08
$0.00
$1,161.65
$0.00
$0.00
$0.00
$0.00
$250.00
$0.00
EMPLOYEE NAME: Carol McManama
DEPARTMENT: Utilities RETURN DATE: SZ2L TIME: e/' S AM
REASON FOR TRAVEL: Conference DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Director Signature:
City of Carmel Form ERO6
CITY OF CARMEL Expense Report (required for all travel expenses)
DEPARTURE DATE: .5 Lvh-/
Date:
Revision Date 7/15/2011
TIME: /1' AM)/ PM
San Antonio
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my departments appropriated budget.
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:
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:
City of Carmel Form ERO6
Date: 7/5/1/
Revision Date 7/15/2011 Page 2
If you make no
additional charges
using this card and
each month you
pay...
You will pay off the
balance shown on
this statement in
about...
And you will end up
paying an estimated
total of...
Only the minimum
payment
13 years
$5,335
$103
3 years
$3,709
(Savings $1,626)
from CHASE C1
'ACCOUNT SUMMARY
Date of
Transaction
06/15
05/21
05/23
05/24
05/26
05/26
05/27
05/26
05/26
05/27
05/30
06/03
06/03,
06/06
06/05
06/08
06/09
06/08
06/10
06/10
06/11
06/13
Account Number:
Previous Balance
Payment, Credits
Purchases
Cash Advances
Balance Transfers
Fees Charged
Interest Charged
New Balance
Opening/Closing Date
Total Credit Line
Available Credit
Cash Access Line
Available for Cash
0000001 FIS33338 C 1
X INS14923
05/23/11 06/22/11
$23,500
$20,343
$4,700
$4,700
Manage your account online:
www.chase.corn/creditcards
$570.45
$570.45
+$3,156.52
$0.00
$0.00
$0.00
$0.00
$3,156.52
TONY ROMA'S SAN ANTONIO TX
CAREY LIMOUSINE INDIANA 3172412522 IN
EL PUENTE SAN ANTONIO TX
LUCIANO ON THE RIVER INC SAN ANTONIO TX
IBIZA SAN ANTONIO TX
000 N Z 22 11/06/22
LPAYMENT INFORMATION
New Balance
Payment Due Date
Minimum Payment Due
Customer Service
1- 800 945 -2000
Additional contact
information on back
$3,156.52
07/19/11
$31.00
Late Payment Warning: If we do not receive your minimum
payment by the date listed above, you may have to pay a late fee of
up to $35.00 and your APR's will be subject to increase to a
maximum Penalty APR of 29.99
Minimum Payment Warning: If you make only the minimum
payment each period, you will pay more in interest and it will take
you longer to pay off your balance. For example:
If you would like information about credit counseling services, call
1- 866 797 -2885.
ACCOUNT ACTIVITY
Merchant Name or Transaction Description
eak:,NTS :AND IOWA
Payment Thank You Image Check
HAS
AMERICAN Al 0010283772775 SAN ANTONIO TX
052611 1 M XAA XAE
2 Y XAE XXX
FRIDAYS_AM_BAR #0807 DFW AIRPORT TX
HYATT GRAND SA CONVENT CT SAN ANTONIO TX
Page 1 of 2
Amount
570.45
28.85
93.08
10.00
29.83
21.73
25.00
06598 MA MA 22717 17310000010602271701
GRAND
HAY -A-
SAN ANTONIO
INVOICE
Payee Carol Mcmanama
760 3rd Ave Sw Suite 110
Carmel IN 46032
United States
Membership
Bonus Code
Confirmation No.
Group Name
5441178401
Govt Fin Off Assn 16337572
Date Description
05 -20 -11 Perks Dinner Food
05 -20 -11 Group Room
05 -20 -11 Texas Hotel Occupancy Tax 6.0%
05 -20 -11 Bexar County Hotel Occ. Tax 1.750%
05 -20 -11 San Antonio Hotel Occ. Tax 9.000%
05 -21 -11 Achiote Breakfast Food
05 -21 -11 Group Room
05 -21 -11 Texas Hotel Occupancy Tax 6.0%
05 -21 -11 Bexar County Hotel Occ. Tax 1.750%
05 -21 -11 San Antonio Hotel Occ. Tax 9.000%
05 -22 -11 Achiote Breakfast Food
05 -22 -11 Achiote Lunch Food
05 -22 -11 Group Room
05 -22 -11 Texas Hotel Occupancy Tax 6.0%
05 -22 -11 Bexar County Hotel Occ. Tax 1.750%
05 -22 -11 San Antonio Hotel Occ. Tax 9.000%
05 -23 -11 Achiote Breakfast Food
05 -23 -11 Achiote Dinner Food
05 -23 -11 Group Room
05 -23 -11 Texas Hotel Occupancy Tax 6.0%
05 -23 -11 Bexar County Hotel Occ. Tax 1.750%
05 -23 -11 San Antonio Hotel Occ. Tax 9.000%
05 -24 -11 Achiote Breakfast Food
05 -24 -11 Group Room
05 -24 -11 Texas Hotel Occupancy Tax 6.0%
05 -24 -11 Bexar County Hotel Occ. Tax 1.750%
05 -24 -11 San Antonio Hotel Occ. Tax 9.000%
Line# 1523 CHECK# 0323015
Line# 1523: CHECK# 0211533
Line# 1523 CHECK# 0211788
Line# 1523: CHECK# 0211906
Line# 1523 CHECK# 0211060
Line# 1523 CHECK# 0211292
Line# 1523: CHECK# 0211352
Grand Hyatt San Antonio
600 East Market Street
San Antonio, TX. 78205
Ph: 210 224 -1234
Fx: 210- 271 -8019
Room No. 1523
Arrival 05 -20 -11
Departure 05 -26 -11
Page No. 1 of 2
Folio Window 1
Folio 354612
Invoice
Charges Credits
199.00
11.94
3.48
17.91
23.00
199.00
11.94
3.48
17.91
52.35
18.90
199.00
11.94
3.48
17.91
21.26
32.45
199.00
11.94
3.48
17.91
21.26
199.00
11.94
3.48
17.91
GRAND
SAN ANTONIO
INVOICE
Payee Carol Mcmanama
760 3rd Ave Sw Suite 110
Carmel IN 46032
United States
Membership
Bonus Code
Confirmation No. 5441178401
Group Name Govt Fin Off Assn 16337572
Date Description
05 -25 -11 Achiote Breakfast Food
05 -25 -11 Achiote Dinner Food
05 -25 -11 Group Room
05 -25 -11 Texas Hotel Occupancy Tax 6.0%
05 -25 -11 Bexar County Hotel Occ. Tax 1.750%
05 -25 -11 San Antonio Hotel Occ. Tax 9.000%
05 -26 -11 Achiote Breakfast Food
05 -26 -11 Visa XXXXXXXXXXXX5668 XX /XX
No frequent traveler account has been credited for this
stay. To enroll in Gold Passport, call 1- 800 -51- HYATT, or
visit www.GoldPassport.com.
Guest Signature
I agree that my liability for this bill is not waived and I 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.
Line# 1523: CHECK# 0211719
Line# 1523: CHECK# 0211961
Line# 1523 CHECK# 0211052
Total
Balance
Grand Hyatt San Antonio
600 East Market Street
San Antonio, TX. 78205
Ph: 210- 224 -1234
Fx: 210- 271 -8019
Room No.
Arrival
Departure
Page No.
Folio Window
Folio
Invoice
Charges
21.26
8.65
199.00
11.94
3.48
17.91
21.26
1523
05 -20 -11
05 -26 -11
2 of 2
1
354612
1,624.10 1,624.10
0.00
WE HOPE YOU ENJOYED YOUR STAY US!
Thank you for choosing the Grand Hyatt San Antonio. Our goal is to provide you with an
exceptional stay. Your feedback is important to us. We would appreciate your comments directly
to Kevin,Hodge, Executive Assistant Manager at qualitysatgh @hyatt.com.
We thank you for your business and appreciate your loyalty.
For questions concerning your bill, please call 888- 472 -2870, or email:
na.satghaccounting @hyatt.com
For questions on your Gold Passport account, please call 800 -30 -HYATT
I accept delivery of The Wall Street Journal. If refused, a refund of $1.00 will be provided.
,Credits
1,624.10
Status: Not collected
Carey Indiana Limousines (317) 241 -7100
Name: JACOBS AND MCNANAMA of Pas: 2
Departures
Pck: Geist
Dst: IND
Date: 05/20/11
Time: 09:15 AM
Conf 661169
Status: Not collected
Name: JACOBS AND MCNANAMA of Pas: 2
Arrivals
Pck: IND
Dst: Geist
Date: 05/26/11
Time: 04:45 PM
Conf #:661170
Credit card
Total: $93.08
*Carey Indiana Limousines will not
be responsible or liable for:
Lost. Stolen or damaged items and baggage or vehicles parked at any of our locations. Acts of God or nature. delays in traffic or flight plans
Signature X
Rep: ericm
Carey Indiana Limousines
DON'T FORGET TO VISIT US ONLINE AT:
www.careyindiana.com
Le
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
196800
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
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,
Date
Purchase Order No.
Terms
Due Date
City Form No. 201 (Rev 1995)
7/15/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2011 052011 $764.87
fficer
VOUCHER 115502 WARRANT ALLOWED
196800
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
PO INV ACCT AMOUNT Audit Trail Code
052011 01-7040-08.
Voucher Total $764.87
Cost distribution ledger classification if
claim paid under vehicle highway fund
IN SUM OF$
Board members
ease re in 1 regrst_r"
nd faxtt o the.GFOAi;Faz
Cancellation and Refund
Policy
March 24, 2011: No fee
for cancellations received
before this date.
April 14, 2011: Cancellations
postmarked after March 24
but by April 14 will be
refunded, less a 25 percent
service tee.
April 29, 2011: Cancellations
postmarked after April 14 but
by April 29 will be refunded,
Tess a 50 percent service fee.
April 30, 2011: No refunds
will be Issued this date forward.
Conference Registration Form
kik gOlaferenkoegoifer nceNe
Please print or type. Register online at www.gfoa.org
Scan this completed form and e-mail it to: conterene@gfoa.org
If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted
with credit card payments only. Please affix your mailing label here, and
make any changes to your record in the spaces provided below.
L B. rs� S 61 1 Y1GC vn
First Name MI Last Name
cro
Title /Position
e 04' Car roe,/ p10
Organization /Company
7f 3 rd i ve UvJ 1 <a`J1 "iSe 11
Mailing Address
Carmel
City
)1`l Y(vo32- f)Sx
State /Province Zip /Postal Code Country
31 571- ,Vpc
Telephone
3)
Fax
5 ��hS
C O-r),c, rye m G2. C-6 rme/ irl, 171/
E -mail Address (REQUIRED)
.3 O000sa 97
GFOA Membership Number (if available)
C es( 01 ✓)l c. o✓Yl 0t-• vY3 d
Preferred Name for Badge
0 Indicate if you are substituting for an active member.
Name of Active Member
GFOA Membership Number (if available)
2:�fitt�esttr tegist�aiiop
Print name(s) Of additional guest(s). Please attach additional names if needed.
<�h J e -o s
First Name Last Name
First Name Last Name
Children 12 or Under
Print name(s) of child(ren) 12 or under. Please attach additional names if needed.
First Name Last Name
First Name Last Name
0732ConceIle t
ion +FeesS' seFCl1�"Gtr r
IrenWnferei sn. baidbp_, s srtt at�^.•S- {:<G �i:,sY A.:r iea4
Government
Member
Private- Sector
Member
Nonmember
Government
Nonmember
Private Sector
Student $130
(Full-time, Unemployed ony)
Check rate below:
Please Check One:
Each Full -day Seminar
Each Halt -day Seminar
Early Advanced
Registration Registration
Postmarked and paid (Postmarked and paid
by January 31. 2011) by April 12, 2011)
CV$370 $410 $455
$500
$525
$790
ir5W (P eoon a erne ye3n�narRegish on
Preconference seminar registration and fees are separate from
annual conference registration and fees.
Check the seminar(s) of your choice:
O MASTERING THE BUDGET PROCESS
May 20, 2011 Full Day 9:00 a.m. 5:00 p.m.
WHY YOUR GOVERNMENT NEEDS AN ENTERPRISE -WIDE
APPROACH TO RISK MANAGEMENT
May 20, 2011 Half Day 1:00 p.m. 5:00 p.m.
THE BENEFITS OF ASSESSING YOUR ORGANIZATION'S
FINANCIAL MANAGEMENT PERFORMANCE
May 21, 2011 Half Day 8:30 a.m. —12:30 p.m.
FORECASTING IN UNCERTAIN TIMES
May 21, 2011 Half Day 1:00 p.m. 5:00 p.m.
O IS A PUBLIC PRIVATE PARTNERSHIP RIGHT FOR YOUR
GOVERNMENT?
May 21, 2011 Half Day 1:00 p.m. 5:00 p.m.
WHAT YOUR GOVERNMENT NEEDS TO KNOW ABOUT
HEALTH -CARE REFORM
May 21, 2011 Half Day 1:00 p.m. 5:00 p.m.
Member
$310
$150
$545
$560
O $820
$135
Full
Registration
(Postmarked and paid
attar April13, 2011)
$620
O $610
$895
$145
Nonmember
$430
O $265
RS Ne V; ibilf ee
Member Type' Please Check One
0 Active Government Member 0 Member Private Sector
'Join the GFOA today and receive 025 on your conference registration fee with a paid
new membership. For new membership fee information and an application, please visit
www.groa. erg or call GFOA at 312- 977 -9700. All fees payable in U.S. funds except for
Canadian governments which may pay membership dues in Canadian funds.
The GFOA Is unable to fax confirmations due to the volume of registrations.
c
��ta�fFc�e� (Alyziee
31
Conference Registration:
Group Discount:•
Preconference Seminar(s):
New member fee: Visit www.gfoa.org or
call GFOA at (312) 977 -9700 for fee.
Discount for paid new member: $25.00')
Sub Total:
Texas Fest:
1 of tickets /adults $40.00 x 10 00
N of tickets /children under 18 $15.00 x
1 of tickets /children under 5. Complimentary x J 0
Total Fees: 1 4$9. u0
"You will receive a 10 percent discount on your conference registration if three or
more people from your jurisdiction are attending the annual conference (registra-
tions must be submitted together). This discount does not apply to preconference
seminars.
tY'Yayment by Check
Payable to "Government Finance Officers Association"
Send to: GFOA 3076 Eagle Way Chicago, IL 60678 -1030
Payment by Credit Card, Fax: (312) 977 4806
Send to: GFOA 203 North LaSalle Street Suite 2700
Chicago, IL 60601 -1210
0 Amex Discover 0 MasterCard 0 VISA
Name on Card
Card Number Expiration Date
Signature
Bill Me P.O. Number:
You must include a purchase order number,
All billed registrations should be mailed to: GFOA
203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1210
GFOA Fax Number (312) 977 -4806
GFOA Tax ID Number: 36- 2167796
Please remove this registration form, till It out and
fax ft 10 the GFOA, Fax: 1312) 977 4806.
You can also register online at: www.gfoa.org
OR scan the completed form and a -mall It to: conlerence @GFOA.org.
D Government Finance Officers Association
203 North LaSalle Street, Suite 2700
Chicago, Illinois 60601-1210
312- 977 -9700 fax: 312- 977 -4506 www.gfoa.org
Date
Transportation
Gas/Tolls/
Parkin 9
Lodging
Meals
Misc.
Total
Air -fare
Car Rental
Other
Breakfast
Lunch
Dinner
Snacks
Per Diem
5/20/11
$93.08
$93.08
5/21111
$232.33
$6500
$297.33
5/22/11
$232.33
$65.00
$297.33
5/23/11
$232.33
$65.00
$297.33
5/24/11
$232.33
$65.00
$297.33
5125111
$232.33
$65.00
$297.33
5126/11
$25.00
te, i5Z
$25.00
80.00
$0.00
$0.00
80.00
r
$0.00'
$0.00
$0.00
$0.00
$0.00
$0.00
1 ,1
$0.00
$0.00
$0.00
$0.00
$7161."3
Total
$0.00
$0.00
$118.08
$0.00'
$0.00
$0.00
$0.00
$0.00
32 00
$0.00
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Carol McManama DEPARTURE DATE: TIME:
DEPARTMENT: Utilities RETURN DATE: TIME:
REASON FOR TRAVEL: Conference DESTINATION CITY: San Antonio
I EXPENSES ARE FOR (check all that apply): T RAVtl. AUVANCt TRAVEL REiMBURSEMENT TRAVEL PER DIEM
DIRECTORS STATEMENT: I hereby affirm That all expen
Director Signature:
City or Carmel Form ERO6
fisted conform tote City's travel policy and are within my department's appropriated budget.
Revision Date 7/1912011
Date:
AM PM
AM /PM
w
CO
m
m
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 ail 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 instate travel and $60 for out -of -state travel
EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES:
1 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. 1 accept responsibility for these funds and agree to repay them if lost or stolen.
I understand that within ten (10) business days of my retum (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:
City 0 Carmel Form ER06
d4.41-4-r,,
Date: 741 /iI
Revision Bate 7119/2011 Page 2
m
If you make no
additional charges
using this card and
each month you
pay...
You will pay off the
balance shown on
this statement in
about...
And you will end up
paying an estimated
total of...
Only the minimum
payment....
13 years
$5,335
$103
3 years
$3,709
(Savings= $1,626)
ACCOUNT SUMMARY
Account Number:
Previous Balance $570.45
$570.45
+$3,156.52
$0.00
$0.00
$0.00
$0.00
$3,156.52
Payment, Credits
Purchases
Cash Advances
Balance Transfers
Fees Charged
Interest Charged
New Balance
Opening/Closing Date
Total Credit Line
Available Credit
Cash Access Line
Available for Cash
Date of
Transaction
05/21
05/23
05/24
05/26
05/26
05/27
05/26
05/26
05/27
05/30
06/03
06/03,
06/06
06/05
06/08
06/09
06/08
06/10
06/10
06/11,
06/13'
from CHA5E CO
0000001 FIS33338 C 1
X INS14923
05/23/11 06/22/11
$23,500
$20,343
$4,700
$4,700
Payment Thank You Image Check
www.chase.com/creditcards
TONY ROMA'S SAN ANTONIO TX
CAREY LIMOUSINE INDIANA 3172412522 IN
EL PUENTE SAN ANTONIO TX
LUCIANO ON THE RIVER INC SAN ANTONIO TX
IBIZA SAN ANTONIO TX
AMERICAN AI 0010283772775 SAN ANTONIO TX
052611 1 M XAA XAE
2 Y XAE XXX
FRIDAYS_AM_BAR #0807 DFW AIRPORT TX
HYATT GRAND SA CONVENT CT SAN ANTONIO TX
000 N Z 22 11/06/22
1- 800 945 -2000
LPAYMENT INFORMATION
New Balance
Payment Due Date
Minimum Payment Due
Late Payment Warning: If we do not receive your minimum
payment by the date listed above, you may have to pay a late fee of
up to $35.00 and your APR's will be subject to increase to a
maximum Penalty APR of 29.99
Minimum Payment Warning: If you make only the minimum
payment each period, you will pay more in interest and it will take
you longer to pay off your balance. For example:
If you would like information about credit counseling services, call
1- 866 797 -2885.
Merchant Name or Transaction Description
`PA YMENTSSANDOTH CREDITS'
Page 1 of 2
Inrormallon on ua0n --y
$3,156.52
07/19/11
$31.00
ACCOUNT ACTIVITY
Amount
RCHASES
28.85
93.08
10.00
29.83
21.73
'Mee
25.00
06598 MA MA 22717 17310000010602271701
GRAND
H�Y_A-TJ
SAN ANTONIO
INVOICE
Payee Carol Mcmanama
760 3rd Ave Sw Suite 110
Carmel IN 46032
United States
Membership
Bonus Code
Confirmation No.
Group Name
05 -20 -11
05 -20 -11
05 -20 -11
05 -20 -11
05 -20 -11
05 -21 -11
05 -21 -11
05 -21 -11
05 -21 -11
05 -21 -11
05 -22 -11
05 -22 -11
05 -22 -11
05 -22 -11
05 -22 -11
05 -22 -11
05 -23 -11
05 -23 -11
05 -23 -11
05 -23 -11
05 -23 -11
05 -23 -11
05 -24 -11
05 -24 -11
05 -24 -11
05 -24 -11
05 -24 -11
5441178401
Govt Fin Off Assn 16337572
Perks Dinner Food
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Achiote Breakfast Food
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Achiote Breakfast Food
Achiote Lunch Food
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Achiote Breakfast Food
Achiote Dinner Food,
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Achiote Breakfast Food
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Line# 1523: CHECK# 0323015
Line# 1523 CHECK# 0211533
Line# 1523: CHECK# 0211788
Line# 1523 CHECK# 0211906
Line# 1523 CHECK# 0211060
Line# 1523: CHECK# 0211292
Line# 1523: CHECK# 0211352
Grand Hyatt San Antonio
600 East Market Street
San Antonio, TX. 78205
Ph: 210 224 -1234
Fx: 210- 271 -8019
Room No. 1523
Arrival 05 -20 -11
Departure 05 -26 -11
Page No. 1 of 2
Folio Window 1
Folio 354612
Invoice
9.73
199.00
11.94
3.48
17.91
23.00
199.00
11.94
3.48
17.91
52.35
18.90
199.00
11.94
3.48
17.91
21.26
32.45
199.00
11.94
3.48
17.91
21.26
199.00
11.94
3.48
17.91
GRAND
H -A -T
SAN ANTONIO
INVOICE
Payee Carol Mcmanama
760 3rd Ave Sw Suite 110
Carmel IN 46032
United States
Membership
Bonus Code
Confirmation No.
Group Name
5441178401
Govt Fin Off Assn 16337572
at'e a "D escri
05 -25 =11
05 -25 -11
05 -25 -11
05 -25 -11
05 -25 -11
05 -25 -11
05 -26 -11
05 -26 -11
Achiote Breakfast Food
Achiote Dinner Food
Group Room
Texas Hotel Occupancy Tax 6.0%
Bexar County Hotel Occ. Tax 1.750%
San Antonio Hotel Occ. Tax 9.000%
Achiote Breakfast Food
No frequent traveler account has been credited for this
stay. To enroll in Gold Passport, call 1- 800 -51- HYATT, or
visit www.GoldPassport.com.
Guest Signature
I agree that my liability for this bill is not waived and I 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.
Total
Balance
Line# 1523: CHECK# 0211719
Line# 1523 CHECK# 0211961
Line# 1523: CHECK# 0211052
Visa XXXXXXXXXXXX5668 XX /XX
Grand Hyatt San Antonio
600 East Market Street
San Antonio, TX. 78205
Ph: 210 224 -1234
Fx: 210- 271 -8019
Room No.
Arrival
Departure
Page No.
Folio Window
Folio
Invoice
21.26
8.65
199.00
11.94
3.48
17.91
21.26
1,624.10 1,624.10
WE HOPE YOU ENJOYED YOUR STAY WITH US!
We thank you for your business and appreciate your loyalty.
For questions concerning your bill, please call 888 472 -2870, or email:
na.satghaccounting @hyatt.com
For questions on your Gold Passport account, please call 800 -30 -HYATT
1523
05 -20 -11
05 -26 -11
2 of 2
1
354612
0.00
Thank you for choosing the Grand Hyatt San Antonio. Our goal is to provide you with an
exceptional stay. Your feedback is important to us. We would appreciate your comments directly
to Kevin,Hodge, Executive Assistant Manager at qualitysatgh @hyatt.com.
I accept delivery of The Wall Street Journal. If refused, a refund of $1.00 will be provided.
1,624.10
Status: Not collected
Carey Indiana Limousines (317) 241 -7100
Name: JACOBS AND MCNANAMA of Pas: 2
Departures
Pck: Geist
Dst: IND
Date: 05/20/11
Time: 09:15 AM
Conf 661169
Status: Not collected
Name: JACOBS AND MCNANAMA of Pas: 2
Arrivals
Pck: IND
Dst: Geist
Date: 05/26/11
Time: 04:45 PM
Conf #:661170
Credit card
Total: $93.08
"Carey Indiana Limousines will not
be responsible or liable for:
Lost. Stolen or damaged items and baggage or vehicles parked at any of our locations. Acts of God or nature, delays in traffic or Flight plans
Signature X
Rep: ericm
Carey Indiana Limousines
DON'T FORGET TO VISIT US ONLINE AT:
www.careyindiana.com
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
196800
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
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
Date
Purchase Order No.
Terms
Due Date
City Form No. 201 (Rev 1995)
7/15/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2011 052011 $764.86
VOUCHER 111826 WARRANT ALLOWED
196800 IN SUM OF
CAROL MCMANAMA
3313 BEACON COURT
INDIANAPOLIS, IN 46222
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
PO INV ACCT AMOUNT Audit Trail Code
052011
01- 6040 -08
3L,
Cost distribution ledger classification if
claim paid under vehicle highway fund
-$764.86
Total $764.86
Board members
SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN20745 DATE: FEB 14 2011
ACCOUNT 175712691 TZ9ZNM PAGE: 01
'OR:
07/19/2011 11:38 3175712265
JACOBS /KATHLEEN MS
`0: CAROL MCMANAMA
3313 BEACON CT
INDIANAPOLIS IN 46222
CARMEL UTILITIES PAGE 04/07
CAROL MCMANAMA
3313 BEACON CT
INDIANAPOLIS IN 46222
;0 MAY 11 FRIDAY MILES- 762 ELAPSED TIME 2 :20
SIR LV INDIANAPOLIS 1150A AMERICAN FLT: 691 ECONOMY CONFIRMED
AR DALLAS /FT WOR 110P NONSTOP FOOD TO PURCHASE
RESERVED SEATS 1$D
AIRLINE CONFIRMATION :AA -HIBGUL
MILES- 247 ELAPSED TIME- 1 :05
\IR LV DALLAS /FT WOR 235P AMERICAN FLT:1343 ECONOMY CONFIRMED
AR SAN ANTONIO 340P NONSTOP
RESERVED SEATS 23D
AIRLINE CONFIRMATION:AA HIBGUL
26 MAY 11 THURSDAY MILES- 247 ELAPSED TIME- 1:15
SIR LV SAN ANTONIO 1045A AMERICAN FLT:2044 ECONOMY CONFIRMED
AR DALLAS /FT WOR 1200N NONSTOP
RESERVED SEATS 23D
AIRLINE CONFIRMATION:AA HIBGUL
MILES- 762 ELAPSED TIME- 2:05
%IR LV DALLAS /FT WOR 145P AMERICAN FLT:1300 ECONOMY CONFIRMED
AR INDIANAPOLIS 450P NONSTOP FOOD TO PURCHASE
AIRLINE CONFIRMATION:AA HIBGUL
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY
NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL
TRAVEL DATE. FEES WILL APPLY.
AA CONF HIBGUL
**YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES- REFUNDS- CHANGES. AFTER
07/19/2011 11:38 3175712265
CARMEL UTILITIES
;ALES PERSON: AO9DT ITINERARY /INVOICE NO. ITI PAGE: 02E 14 2011
ACCOUNT 175712691
]R
JACOBS /KATHLEEN MS
0: CAROL MCMANAMA
3313 BEACON CT
INDIANAPOLIS IN 46222
CAROL MCMANAMA
3313 BEACON CT
INDIANAPOLIS IN 46222
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
OTHER SERVICES OFFERED.
THANK YOU. DEBBIE TUNSTILL 317 730 6210 OR OFFICE AT 317 846 9619
PROCESSING FEE •35.00
PAGE 05/07
07/19/2011 11:38 3175712265
McManama Carol S
From: 2011 GFOA Annual Conference [groupcampaignst pkghlrss.comi
Sent: Monday, April 18, 2011 12:03 PM
To: McManama, Carol S
Subject: Your GFOA Housing Acknowledgement Carol McManama
2011 GFOA Annual Conference
HOTEL RESERVATION MODIFICATION ACKNOWLEDGEMENT #324K7SQIN
a :1; a nr:9Il :'fl a :i j't;r .r :,i i b'. I', 1`I'P
Thank you for making your hotel reservation on 11 /08/2010 for 2011 GFOA Annual Conference being held in San
Antonio, TX, over the dates of 05/22/2011 05/25/2011.
This is a Modification to your hotel reservation, modified on 04/18/2011.
All reservation changes can be made at the event website:
httos://resweb.passkev.com/Resweb.do?mode=welcome newEteventi0= 2692003Etutm source= 4290Etutm_medium =e
mail utm campaign =3450049
or by calling 210. 207.6734,
GUEST INFORMATION
Carol S. McManama
City of Carmel Utilities Dept.
760 3rd Ave SW Suite 110
Carmel, IN 46032
US
317- 571.2691
cmcmanama ®ca rmeL i n. Rov
HOTEL INFORMATION
Grand Hyatt 5an Antonio
600 E Market St.
San Antonio, TX 78205
ROOM INFORMATION
Roorn Name: Early Bird Grand Double
Check -in: 05/20/2011
Check -out: 05/7.6/2011
Share withs:
Kathy Jacob:
Requests: handicapped bathroom, not a fall bed. 2 beds
Accessible Room: Yes
HOTEL RATES
Single Occupancy Rate Per Room:
Date Guest(s) Status Rate
05/20/2011 2 Confirmed 199.00
05/21/2011 2 Confirmed 199.00
05/22/2011 2 Confirmed 199.00
05/23/2011 2 Confirmed 199.00
i
CARMEL UTILITIES PAGE 06/07
07/19/2011 11:38 3175712265
r�--
Thank you for using Carey Indiana Limousines.
PLEASE DO NOT REPLY TO THIS MESSAGE. Responses from a made e n o ch a d ai ly
b as i s. May incur cancellation fees or other fees if
you would like to update your reservation, please contact a Customer Care Representative at
(317) 241 -7100.
This email contains your reservation confirmation. Beloweisuyour scheduled roundtriP service.
Please review it carefully and call us immediately
corrections that need to,be made.
FOR PRIVATE SERVICE: YOUR CHAUFFEUR WILL MEET YOU AT THE BOTTOM OF THE ESCALATORS TO BAGGAGE
CLAIM WITH YOUR LAST NAME ON THE SIGN.
FOR SHARE A RIDE SERVICE: UPON COLLECTING YOUR LUGGAGE,BQ0EASE PROCEEDATOOTHEFGROUAVIS TH
TRANSPORTATION CENTER AND CHECK IN AT THE CAREY INDI A
RENTAL CAR. UPON CHECKING IN, YOUR VEHICLE WILL BE ASSIGNED TO YOU.
Service Leg 1: par of 2 on Friday, May z0, 2011 at 09:15 AM.
We will be picking up IAC0BS AND MCNANAMA, p tY
The pickup will be from 8669 QUARTER HORSE DRIVE- KATHY JACOBS Geist for a trip to
Indianapolis international Airport.
The requested service type is Sedan.
The fare for this trip is $88.39 and will be paid by Cash.
The reservation number for the first leg of your trip is: 661169.
CARMEL UTILITIES
McManama Carat S
From: Carey Indiana L imO Si e n yres @carey.com]
Sent: Friday, May
Mc :Manama. Carol S
To: Su bject: Reservation number(s): 661169 661170
$o
5ervi.ce Leg 2: 2011 at 04:45 PM.
We will be picking up 3ACOBS AND MCNANAMA, party of 2 on Thursday, May
The pickup will be from Indianapolis International Airportfor a trip to8669 QUARTER HORSE
DRIVE- KATHY JACOBS Geist.
The requested service typ£ is Sedan.
The are for this trip is $96.39 and will be paid by Cash.
Your reservation number for your second leg of the trip is 661170.
The total roundtrip fare is $184.78.
Call Us With Any Corrections please contact our
If you feel that there are any errors in the above reservation(s), p
reservation center immediately at (317) 241- 7100.
Have a great trip, and thanks again for using Carey Indiana Limousines.
PAGE 07/07