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Home My WebLink About177981 10/13/2009 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1 ONE CIVIC SQUARE JAMES BRAINARD ip .a CARMEL, INDIANA 46032 CHECK AMOUNT: $1,116.22 CHECK NUMBER: 177981 CHECK DATE: 10113/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 1,116.22 REISSUE CK 168380 Washington, DC (4) Expedia Booked items Although this itinerary doesn't qualify for ThankYou Points, you can still earn points if you add a hotel booking today or any time before you travel. ffiThankl au p9s, aema -n Nerzort Learn more about how to earn points for future bookings. Flight: Indianapolis to Washington DC back to top Expedia itinerary number: 126031294904 Main contact: James Brainard Airline ticket number(s): 0377396126737 E -mail: brainardjc @aol.com US Airways confirmation code: EC31_27 Home phone: (317) 573 -9929 Work phone: (317) 571 -2401 Traveler and cost summary James Brainard Adult $269.00 Taxes Fees $21.20 Booking Fee $7.GQ Total ( $297.20 Change this flight Print a receipt View cancellation information Flight summary Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior for flights to Hawaii and international destinations). You may check your flight status and departure gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special meals are not available on many flights. Fri 16- Jan -09 Indianapolis (IND) to Washington DC 487 mi Depart 11:06 am (DCA) (784 km) Flight: 3968 Arrive 12:41 pm Duration: 1hr 35mn Operated by: US AIRWAYS Terminal C EXPRESS -AIR WISCONSIN Economy/Coach Class Seat assignments upon check4n Q More Information Canadair RJ y Total distance: 487 mi (784 km) Total duration: 1hr 35mn Mon 19 -Jan -09 Washington DC to Indianapolis (IND) 487 mi (DCA) Arrive 6:23 pm (784 km) Flight: 3271 Depart 4:33 pm Duration: 1 hr 50mn Operated by: US AIRWAYS Terminal C EXPRESS- REPUBLIC AIRLINES Economy/Coach Class Seat assignments upon check -In Q More Information E75 Total distance: 487 mi (784 km) Total duration: 1 h 50mn Airline rules regulations Tickets are nonrefundable. A fee of $150.00 per ticket will be charged for itinerary changes after http /www. expedia. corn /pub /agent. dll? gscr= open &itid 260312949 &vwtp =4 2/3/2009 STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT I, James Brainard, being duly sworn upon my oath, state that I personally expended the following sum of money, on my American Express card, for parking at the Indianapolis, Indiana Airport, to attend the United States Conference of Mayors Winter Meeting in Washington, D.C., which took place 1/16/09 through 1/19/09, and for which I need to be reimbursed: Airport on site parking 64.00 TOTAL: 64.00 Dated this 4th day of February, 2009. t .Ames Brainard Subscribed and sworn to before me, a Notary Public, this day of 200Qr 9� J *PubV Jt-7 Printed Nam Resident of County, Indiana My Commission Expires: Q �V,, 3 o AMERICAN EXPRESS I ONLINE 1NQUfPY Page 1 of l US AIRWAYS ATLANTA GA $290.20 01105 22009 GREEN CARD 33008 TRANSACTION DESCRIPTION: US AIRWAYS ATLANTA GA DOING BUSINESS AS: US AIRWAYS ARC SALES MERCHANT TYPE: AIRLINES INT'L Transaction Date: 01105/2009 Charge: $290.20 Reference 320090060147531457 Merchant Number: 7992400218 Merchant Address: 4000 E. SKY HARBOR BLVD, PHOENIX, AZ 85034 USA Print This Screen FC BEGIN INQUIRY httpsa /www99. amen' canexpress. com /myca/estatement/us /action ?request _type= authreg_Dyn... 2/2/2009 AMERICAN EXPRESS I ONLINE INQUIRY Page 1 of 1 1 US AIRWAYS INDIANAPO�IN 15.0 0 0111612009 i REEN CARD 33008 TRANSACTION DESCRIPTION: US AIRWAYS INDIANAPOLIS IN DOING BUSINESS AS: US AIRWAYS DIRECT SALES MERCHANT TYPE: AIRLINES INT'L Transaction Date: 01/16/2009 Charge: $15.00 Reference 320090170254119918 US AIRWAYS From To Carrier Class Ticket Number 03723352286065 Date of Departure 0116 Passenger Name: BRAINARDIJAMES Document Type: PASSENGER TICKET Merchant Number: 5027400191 Merchant Address: 4000 E SKY HARBOR BLVD PHOENIX, AZ 85034 USA Print This Screen CLOSE BEGIN INQUIRY https: /www99. amen' canexpress. com /myca/estatement/us /action ?request type authreg Dyn... 2/2/2009 AMERICAN EXPRESS I ONLINE INQUIRY Page 1 of 1 1 US AIRWAYS WASHINGTON D.DC $15.00 0111912009 EN CARD 333008 TRANSACTION DESCRIPTION: US AIRWAYS WASHINGTON D.DC DOING BUSINESS AS: US AIRWAYS DIRECT SALES MERCHANT TYPE: AIRLINES INT'L Transaction Date: 01/19/2009 Charge: $15.00 Reference 320090200281203978 US AIRWAYS From To: Carrier: Class Ticket Number 03723355817085 Date of Departure 0119 Passenger Name: BRAINARD /JAMES Document Type PASSENGER TICKET Merchant Number: 5027400191 Merchant Address: 4000 E SKY HARBOR BLVD PHOENIX, AZ 85034 USA aL Print This Screen C10SE BEGIN INQUIRY https: /www99.americanexpress. com /myca/estatement/us/ action ?request_type= authreg_Dyn... 212/2009 AMERICAN EXPRESS I ONLINE INQUIRY Page 1 of I Capital Hilton 00000Washington DC $684.7 01/20 GREEN CARD 33008 TRANSACTION DESCRIPTION: Capital Hilton 00000Washington DC DOING BUSINESS AS: No Additional Information MERCHANT TYPE: MEETINGS HIGH ROC Transaction Date: 01/20/2009 Charge: $684.72 Reference 320090200281203980 Merchant Number: 4080101702 Merchant Address: 16TH K ST NW WASHINGTON, DC 20036 USA Print This Screen C1 OSE BEGIN INQUIRY https: /www99. amen' canexpress .com /myca/estatement/us /action ?request type= authreg_Dyn... 2/2/2009 AMERICAN EXPRESS I ONLINE INQUIRY Page I of I INDIANAPMIRPORTINDIANAPOLIS IN SG4.0ta 0111912009 GREEN C300 TRANSACTION DESCRIPTION: INDIANAPOLIS AIRPORTINDIANAPOLIS IN DOING BUSINESS AS: INDIANAPOLIS AIRPORT AUTH MERCHANT TYPE: AIRPRT ONSITE PRKING Transaction Date: 01/1912009 Charge: $64.00 Reference 320090200281203979 3174875015 PARKING 0.64 Merchant Number: 3136529195 Merchant Address: 7800 COL H WEIR COOK MEM INDIANAPOLIS, IN 46241 -8000 USA Print This Screen CLOSE BEGIN INQUIRY https:// www99. americanexpress .com /myca/estatement/us/ action ?request_type= authreg_Dyn., 2/2/2009 TAXICAB jKKEIPT Time: 6 0 Date: Origin of trip: Destination: Fare: Sign: I P TAXICAB RECEIPT Time: Date: 4wt/ Alit md Origin of trip: --Lh IL Destination: a Fare: 2 Cc Sign: W, r P 1 Prescribed ty State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Ito. 201 (Rev. 1995 2/2/09 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 Mayor James Brainard Purchase Order No. 12662 Royce Ct. Terms Carmel In 46033 -2477 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) U 1 17/09 1/19/09 1/5/09 Recei t CM Winter meeting Airfare 290.20 1116109 Recei t Baggage fee-- US Air 15.00 1 19 09 Receipt Baggage fee US Air 15.00 1/20/09 Recei t Hotel charge Capital Hilton 684.72 1/16/09 Recei t Taxi fare 22.30 1119/09 Recei t Taxi fare 25.00 1 19 09 Receipt Indy air ort 64.00 Total $1,116.22 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. 2,'2/09 ALLOWED 20 Mayor ,lames Brainard IN SUM OF 12662 Royce Ct. Carmel. TN 46033 -2477 1,116.22 ON ACCOUNT OF APPROPRIATION FOR 1160 MAYOR 4343001 Travel fees expenses Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or Receipt 4343001 $290.20 bill(s) is (are) true and correct and that the Receipt 4341001 15.0 materials or services itemized thereon for Receint 4141001 15.00 which charge is made were ordered and Receipt 4343001 $684.7 2 received except Receipt 4343001 $22.30 Receipt 4343001 $25.00 Receipt 4343001 $64.00 a-� 200 u jignat re. Cost distribution ledger classification if Tail claim paid motor vehicle highway fund