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160718 06/24/2008
I CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE. DIANA CORDRAY I` tJ CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $1,062.84 ,r CARMEL IN 46033 -9501 CHECK NUMBER: 160718 CHECK DATE: 6/24/2008 DEPARTMENT ACCOUNT PO N UMBER INV OICE NUMBER AM OUNT DESCRIP 1701 `4343004 1,062.84 GFOA �t� 6F Cqq� i CITY OF CARMEL Expense Report (required for all travel expenses) ��NOIpHa EXHIBIT A p EMPLOYEE NAME: C t.J DEPARTURE DATE: D© TIME: 7 &S AM PM DEPARTMENT: RETURN DATE: J 1 TIME: AM PM REASON FOR TRAVEL: 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 g g Breakfast Lunch Dinner Snacks Per Diem de a ot o-0 t yrx f 3 iw S ....r: „ry. OI L E-0 r k. -n r� ..,.�4` p .?1, ,x x.... 4„.at.: s �n a� .�Q nom. DIRECTOR'S STATE E T: I hereby a m t tall expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: ��aS City of Carmel Form ER06 Revision Date 10/17/2006 Page 1 Aarrion. GUEST FOLIO HOTELS RESORTS 621 CORDRAY /DIANA 06/18/08 11:00 800 6337 Rom Nam Rae Depart Time ACCT GROUP KGOF GOVERNMENT FINANCE 0 06/14/08 14:25 Type Arrive Time 73 180 NORTH MICHIGAN A PASSPORT: CHICAGO IL Room 60601 payment Clerk Address DATE REFERENCE CHARGES CREDITS BALANCE DUE 06/14 CAS BAR 7772 621 16.8 oh 06/14 ROOM 621, 1 161.00 06/14 STATE TX 621, 1 9.66 06/14 LOCAL TX 621, 1 8.05 06/15 ROOM 621, 1 161.00 06/15 STATE TX 621, 1 9.66 06/15 LOCAL TX 621, 1 8.05 06/16 CAS REST 8342 621 12.66 AKfiT 06/16 ROOM 621, 1 161.00 06/16 STATE TX 621, 1 9.66 06/16 LOCAL TX 621, 1 8.05 06/17 ROOM 621, 1 161.00 06/17 STATE TX 621, 1 9.66 06/17 LOCAL TX 621, 1 8.05 06/18 AX CARD 744.34 TO BE SETTLED TO: AMERICAN EXPRESS CURRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK -OUT, PLEASE CALL EXTENSION 6558 OR PRESS "MENU" ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK -OUT. GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR MARRIOTT REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM Earn 20,000 Marriott Rewards (R) Bonus Points and a Free Night Stay e- certificate with the Marriott Rewards Visa Signature(R) card. Plus, receive 3 Marriott Rewards points per $1 spent at Marriott. Please visit MarriottRewards.com /visa to learn more and apply. Earn Up to 25,000 Bonus Points To learn more, visit www.JoinMarriottRewards.com /Friend Thank you for staying with Marriott! Your Marriott Rewards points miles earned for this stay will be credited to your account and will appear on your next statement. For account activity: 801 -468 -4000 or www.Marriott.com. This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5% per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees. Signature X 7 -2955 Rev. 09/07 To secure your next stay, go to Marriott.com. BE REWARDED FOR YOUR TRAVEL PERFORMANCE. A arnott Earn valuable points toward free vacations or airline miles every time REWARD S you stay with the Marriott' family of hotels. With more than 2,700 locations worldwide, you're bound to rack up the Rewards quickly. Stop by the front desk, call guest services at 1.800.249.0800 or log on to MarriottRewards.com to enroll. WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY. Follow these simple steps to streamline the check -out process: Call the front desk to inform us you'll be using Express Checkout. F 4 0 Leave your key in the room or in one of the drop boxes at the front desk. v Q3 Keep the attached receipt for your records. It includes charges as of ;w 2 a.m. today. (For charges incurred after 2 a.m., you can pay at the point of sale, the front desk or, at your request, we'll mail you an updated bill within 24 hours of your departure.) Thank you for choosing Marriott. We hope your stay was as comfortable as k it was productive. 4 MAXIMIZE YOUR REWARDS WITH A MARRIOTT REWARDS VISA CARD. With the Marriott Rewards' Visa Signature' Card you'll earn: A FREE night e- certificate upon I account opening 20,000 bonus points after you make your first card purchase 3 Marriott Rewards points for every $1 spent at over 2,700 Marriott locations r: 1 Marriott Rewards point for every $1 spent on purchases elsewhere Automatic Silver Elite status in Marriott Rewards No annual fee foe the first ,year, then a low annual fee applies Log onto MarriottRewards.com /visa to apply or to learn about the benefits of other Marriott Rewards Visa cards. Accounts subject to credit approval. Restrictions and limitations apply. R ARD S. The Marriott Rewards Visa Signature credit r card is issued by Chase Bank USA, N.A. and may be serviced by its affiliates. See MarriottRewards.com /visa for pricing✓_ and rewards details. The Marriott Rewards +t Visa Signature credit card is available to U.S. residents only. won•; fir r AFFIDAVIT FOR EXPENSES I, Diana L. Cordray, incurred expenses while on City business (GFOA) for which no receipt was possible. The following non- receipted expense(s) are as follows: June 14, 2008 Skycap at lndpls. $7.00 Extra bag charge 25.00 $32.00 June 18, 2008 Bellman 3.00 Skycap 6.00 Extra bag charge 25.00 Shuttle tip 5.00 $39.00 Total $71.00 June 20, 2008 r Diana L. Cordray Clerk Treasurer 1aa3acy v aLIVl l yrL�u��iii�ii� use Cordray, Diana L From: GFOA 2008 Reservation Acknowledgment [acknowledgement @pkghlrss.com] Sent: Wednesday, May 14, 2008 3:36 PM To: Cordray, Diana L Subject: Reservation: Cordray 323MB9PKO «12629805» tRfiC:K BEACH j' s GFOA 102nd Annual Conference HOTEL, RESERVATION MODIFICATION ACKNOWLEDGEMENT YOUR ACKNOWLEDGEMENT NUMBER IS 323MB9PKO This is an automated acknowledgement, from the GFOA 102nd Annual Conference Housing Bureau. Please do not reply to this acknowledgement. You will not receive a return response. Please see below for further contact information. This is a Modification to your hotel reservation, modified on May 14, 2008. As a reminder, your Acknowledgement Number is 323MB9PKO. Please retain this number for reference if you need to make further modifications to your reservation. Please make all changes, new reservations and cancettations through http: /www.gfoa.org, by calting 1- 877 -664 -4774 or 954- 765 -4774 (International) or by fax at 954 -765 -4414 or 4197 through June 6, 2008. After June 6, 2008, please contact your hotel directly. HOTEL RESERVATION INFORMATION Hotel name: Marriott's Harbor Beach Resort Et Spa Address: 3030 Holiday Drive Fort Lauderdale, FL 33316 Telephone: 954. 525.4000 Fax: 954- 766 -6152 Room reserved: Standard Room Number of rooms: 1 Number of guests: 1 Check -in: June 14, 2008 Check -out: June 18, 2008 Room Being Shared With: GUEST INFORMATION Name: Diana Cordray Organization; Address: One Civic Square 5/14/2008 x aJJn�y vauvic rlk%,NLIVvVI�,U6 1111 ,,k Carmel, IN 46032 UNITED STATES Telephone: 317.571 -2414 Fax: E -Mail: dcordray@carmel.in.gov HOTEL RATES Single Occupancy Rate Per Room: Date Rate June 14, 2008 USD 161.00 June 15, 2008 USD 161.00 June 16, 2008 USD 161.00 June 17, 2008 USD 161.00 ADDITIONAL GUEST CHARGES Additional Guest Rate 2nd USD 0.00 3rd USD 0.00 4th USD 0.00 Hotel Tax: 11% SPECIAL REQUESTS King Bed, Non Smoking +5 114 Departure date status is Departure date changed. Accessible Room No Request: CANCELLATION POLICY Room reservation cancellations may be completed on -line at www.gfoa.org OR must be received in writing by the GFOA Housing Bureau (gflhousing@broward org). All cancellations will be issued a cancellation date and number. Alt cancellations will result in a $10.00 non refundable penalty (after time of booking). Cancellations made after January 31, 2008 will result in a $25.00 non- refundable penalty. Cancellations made after March 15, 2008 will result in a $50.00 non refundabte penalty. Within 72 hours prior to arrival, canceled reservations will be charged $50.00 plus one nights room and tax. A kind note about calling the hotel "just t0 be sure Please do not call your Motet "to be sure" until after June 6 2008. Please understand that processing, your reservations front the Housing Bureau into the hintel system will take a few days. Rest assured that if you have received a confirmation rulniber already from the Housirro Bureau, tl hotel will honor your booking. Thank you Tor your consideration. Passkey, its reservation sy5l:errl and/01 t:hc;lr daerlls act only ill the C2 €ty Oi 8i,]Oilt "CA Al a CUaAor le-rs ill all matters pertaining to hotel reservations, and as SLIC11 are not r cspon5ible for guaranteed, horet rObip,, damages, expenses, inconvCeroeiictes or damage to any parson or property from aiw causc wh atsoever. 5/14/2008 [Segment] Sec. Nr: [1] 5 ]2] 8 nua .cor n check-i n. Boarding Pass Name: CORDRAY /DIANAL Confirmation 2JVLAY E- Ticket 0127163735364 Date Flight From To Time Cabin Seat Gate 114Jun NW 964 Indianapolis Memphis Board: 7:15 AM Coach Depart: 7:45 AM 15 -C Verify Arrive: 8:10 AM 2 14Jun NW 962 Memphis Ft. Lauderdale Board: 8:51 AM Coach 11 -D Depart: 9:21 AM EXIT B42 Arrive: 12:36 PM Frequent Flyer NW. 341 Requests: Note: Gates may change check monitors Checking luggage? Use the airport Self- service Check -in Kiosks and select the "nwa.com Luggage Check" option, or curbside check -in (fees may apply). The recommended ;arrival time at the c irport prior to departure is 75 minutes for travel_ within the U.S. and 2 hours for travel outside the U.S. Please be on board the aircraft ai least 15 minutes prior to departure for flights within the U.S. and at least 30 minutes prior to departure for flights outside of the U.S. Customers traveling outside of the U.S. are required to insert a passport at an airport kiosk or present it to an agent. https:// www. nwa. com/ AOPSSDWeb /ici /Checkin.do ?checkIn =print 6/13/2008 [Segment] Sec. Nr [1] 45 [2] 43 Y ntilva.com check-in. "i Boarding Pass Name: CORDRAYIDIANAL onfirWa�ion 2JVLAY E-Ticket 0127163735364 Date Flight From Seat Gate To Time Cabin 1 18Jun NW 243 Ft. Lauderdale Detroit t Board: 12-53 PM Coach Depart: 1:23 PM 16-C C9 Arrive: 4:25 PM 218Jun NW 1011 Detroit Indianapolis Board: 4:29 PM Coach Depart: 4:59 PM 15-D Al2 Arrive: 6:11 PM Frequent Flyer NW. 341 Requests: Note: Gates may change check monitors Checking luggage? Use the airport Self-service Check-in Kiosks and select the "nwa.corn Luggage Check" option, or curbside check-in (fees may apply). The recommended arrival time at the airport prior to departure is 75 minutes for travel within the U.S. and 2 hours for travel outsid the U S. Please be on board the aircraft at least 15 minutes prior to departure for flights within the U.S. and at least 30 minutes prior to departure for flights outside of the U.S. Customers traveling outside of the U.S. are required to insert a passport at an airport kiosk or present it to an agent. LINITE13 RELEASE( ENCESS —C)l MIJINJULUMM IN131RHAPCILIS LIMITED RELEASE( CGRORAY/rIZANAL TC EXCES'S 18JI1N 08 1503 64000r, I H D 3A Ili 14 P Cl L. I S 2 JVILAY FLL 11T00() p01 COREIRAY/O 1I FINAL TW OTU INO t 1011 19JUN 18JLIH 1313 1501 64013Z4 FLL OTIU NU 243 113-JUN 2JVL,A FLA. LJTOO1I POI 13TIJ IME) i4W 1011 18JUM MORTNIJEST FLI. (31311 14W 243 18JUN 11111111111111111111111111111 II I�II� I H Cl RIT H IJ E S T NU 63 9357 IN I 11114 IN I 111111 NUJ 655 183 https:// www. nwa. com/ AOPSSDWeb /ici /Checkin.do ?checkIn =print eb/ici/Checkin.do?check1n=print 6/18/2008 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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 l IN SUM OF ON ACCOUNT OF APPROPRIATION FOR (t7* LPT 0 7a� �gp 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 10 4 20 Signatur Title Cost distribution ledger classification if claim paid motor vehicle highway fund