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164310 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1 ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $560.64 CARMEL, INDIANA 46032 433 AUTUMN DRIVE CARMEL IN 46032 CHECK NUMBER: 164310 CHECK DATE: 9130/2008 DEPARTMENT ACCO PO NUMBER INVOICE NUMB A DES 1160 4343002 560.64 EXTERNAL TRAINING TRA G\S� o f1 9 F C CITY OF CARMEL Expense Report (required for all travel expenses) N EXHIBIT A EMPLOYEE NAME: t b,e.A 2 K S ~_Me,( DEPARTURE DATE: TIME: 1 2-'• AM P DEPARTMENT: &fY\(\{wof RETURN DATE: "i q TIME: AM PM REASON FORTRAVEL: NATOPt DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT V TRAVEL PER DIEM V ransportation Gas /Tolls/ Meals Date p Parkin Lodging Misc. Total am Tips Luggage g Breakfast Lunch Dinner Snacks Per Diem nLk #65-CO 8 6S o0 g 2°►b. bs.00 Totallocsnq I i 4 296.E -0 t95.O� Sk:r7.1�� DIRECTOR'S STATEM NT: I hereby a rm t at 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 9/25/2008 Pagel 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 $65 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 $65 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 ERO6 Revision Date 9/25/2008 Page 2 255 Courtland Street NE Atlanta, GA 30303 H y lt®y7 Phone (404) 659 -2000 Fax (404) 221 -6368 n Reservations Name Address Atlanta www.atlanta.hilton.com or 1 800 HILTONS KRCMERY, MICHELLE Room 1832/K1 433 AUTUMN DR Arrival Date 9/18/2008 5:36:OOPM Departure Date 9/20/2008 8:18:OOAM CARMEL, IN 46032 Adult/Child 1/0 US Room Rate 129.00 RATE PLAN C -NAT G f HH# AL: BONUS AL: CAR: CONFIRMATION NUMBER: 3324162888 9/20/2008 PAGE 1 DATE I DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 9/18/2008 GUEST ROOM JOHNZ 5339245 $129.00 9/18/2008 STATE ROOM TAX JOHNZ 5339245 $10.32 TheHiWi,- Family 9/18/2008 OCCUPANCY TAX JOHNZ 5339245 $9.03 9/19/2008 GUEST ROOM JOHNZ 5341717 $129.00 9/19/2008 STATE ROOM TAX JOHNZ 5341717 $10.32 9/19/2008 OCCUPANCY TAX JOHNZ 5341717 $9.03 Hilton 9/20/2008 TRUDIANN 5342465 (::$2:9:6 .70 BALANCE $0.00 coNRno lT DOC S LET RE E' Hilto a Garden hin Hilton Grand Vacations Club ACCOUNT NO. DATE OF CHARGE FOLIO N0. /CHECK NO. 9/18/2008 859477 A a ICP,%'%K)0D surm CARD MEMBER NAME AUTHORIZATION INITIAL KRCMERY, MICHELLE 582255 ESTABLISHMENT NO. &LOCATION FS AGRES TO TRANsmrr To CARD HOLDER POR PAYMENT PURCHASES SERVICES USA TAXES Official Sponsor TIPS MISC. TOTAL AMOUNT ,MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT t Page 1 of 2 .Thank you for using Hotwire! H©twere Your trip details are confirmed as follows: Car rental Pick -up and drop -off location Atlanta Hartsfield Intl., ATL Atlanta, Georgia Driver name Nancy S Heck Rental company Hertz Car type Mid -size car Mileage Includes unlimited mileage Rental days 2 Pick -up Thu, Sep 18, 2008, 2:30PM Drop -off Sat, Sep 20, 2008, 11 :00AM Reservation E1403399052 Driver age 25 or over Nancy Heck must be present to pick up the vehicle with a valid driver's license. The rental agency will require a credit card as a deposit when you pick up the car. Debit/check cards are not accepted. The card must be in the name of the primary driver, and must include sufficient available credit to secure your rental. The amount of available credit necessary varies depending on the car type and rental period. If optional items (such as insurance) are purchased, additional available credit will be required. Hotwire's rates cover only one driver. Any additional drivers must be present and added to your car rental agreement when you pick up the rental car. There may be a charge for any additional drivers. Any additional drivers must be at least 25 years of age, and they will need to provide a valid driver's license. Hotwire does not currently offer special equipment such as child seats or ski racks. These items may be available at the rental counter for a nominal fee. If you have special requests, please contact Hertz at 1- 800 654 -3131. If you arrive at the rental agency at your scheduled time, the agency should be open. But please note the rental agency's hours of operation, just in case you have an unexpected delay. This booking is final and cannot be cancelled, refunded, changed, exchanged or transferred. Total cost for your trip Car rental Car daily rate: $10.95 Rental days: 2 Subtotal: $21.90 Rental Car Protection`: $27.00 A Th\ S S CeA S t cm Tax recovery charges and fees: Total price: Includes applicable tax recovery charges and fees C� `Rental Car Protection will be listed as a charge from Access America on your credit card statement. 1 Q l O g Credit card Billed to Michelle A Krcmery Hotwire itinerary 4764205306 Date booked Wed, 09/17/08, 8:54AM http://www.hotwire.com/car/confirm-printjsp sp 9/ 17/2008 Page 2 of 2 The Rental Car Protection insurance you elected to purchase for $27.00 is pending approval from our partner, Access America. You will receive a separate confirmation email within 4 -6 hours with insurance details, including the policy number(s). If you need to contact Hotwire Customer Care, please have your itinerary number available. In the U.S. and Canada, we can be reached toll -free at 1- 866 HOTWIRE (468- 9473). Outside U.S. and Canada, please call 1- 920- 634 -3150 (regular toll charges apply). Back to previous page http://www.hotwire.com/car/confinn-print-JSP 9/17/2008 1 tV a T0a Ew El 1 ,P t �1 iE �3..e.w.x haw .a oA s a i j a� t •.s� -tom x 1 a x e 4 t' tr 4 .ii x 1 1 1 1 1 1 Q�' ii sit i �4 G9C2iil p illT96f9B61 �li)�!i$ ii) 118H>3B>ltli a���a��oeAaae�al e 6 A }151 tt. oin NATOA in Atlanta, Georgia, for the 20o8 Annual your production facility, sessions specifically tailored for Conference! Attendance at the Annual Conference will programmers will be offered, and enhanced by video better prepare you to address the myriad of issues presentations. You will also want to attend the Government facing today's communications industry and will allow Programming Awards presentation held on September you to equip your community for the challenges ahead. 20 as the winners of this year's awards competition are Take advantage of networking opportunities, learn the recognized during this special Gala and seated dinner. The latest trends and hear from elite industry experts on a All Day Storytelling Workshop will be held on September variety of "hot topics" affecting the industry. Don't miss 20. There is a $25 fee. Sign up using the registration form. this opportunity to be educated and motivated to take your community to the next level! Technology Showcase sessions are presented by conference exhibitors and are a proven Three concurrent topic tracks guide you in designing a way for conference attendees to get hands -on personalized program to meet your specific needs. Select introductions to products and services they may a track to follow throughout the conference, or pick and consider using or that will be used in their area. Showcases choose from all sessions —the choice is yours. provide an opportunity to relate product and service capabilities to your needs, bring your questions to the ED The Community Networks Track is devoted to product experts and connect with other attendees that have the issues surrounding community networks experience working with the technology. Attendance at the of all types —from public broadband networks Tech Showcases is free, but you must sign up in advance. to Institutional Networks to free downtown hotspots —and utilizing the full range of technologies —from wireless to fiber to powerline communications. The track focuses on the technological, financial, operational, and legal issues that arise from the efforts of communities to deploy their own networks to meet institutional, business, and citizen needs. You should attend this track if you are considering implementing a communications network of e e e any size or scope for your jurisdiction, or if you currently 'e e operate an I Net, WiFi network, or other networking project. s e e e e o e e e The Policy and Legal Track is designed to help 1 I you catch up and keep up with the most pressing o 0 policy, legal and regulatory issues concerning today's communications regulators. Each session is focused on a particular regulatory interest and will fully address your concerns and give guidance on how to transcend policy and litigation issues in your area. Session topics include local, state and federal franchising, right- o a of -way management, community needs ascertainments, broadband services, and key developments at Congress, the courts and FCC. e 1 The Programming Track will help you produce eye- catching programming for diverse audiences, as well as finding and keeping creative talent and developing ways to put your community's best foot forward. From marketing your channel to managing PRELIMINARY PROGRAM o NATCA' sz8th Annual Local Government Conference o 1 U� �f k y3 K A ea.y ,yy ,{�r`i�w mss' y114.. pt} tllt {it 9'i.4C ie947 #a v s z .Z s t4 hy, 7,.+.; �l1h Ii tl lltt tlllllbll f✓ err. r s'� a. 1 3x .s rl r£ ���'s.3�.tt d•: If paying by credit card, you may also register for the conference online at www.natoa.org Please print or type. Use a separate form for each person registering for the conference. Full Name 11 First name referred for bade \�r 1eAkiz- Title Department Agency/Company Address V City/State/Zi Telephone J q Fax `1 8 E -mail ['Lroex L` pair (re,1 i r% v REGISTRATION FEES OPTIONAL SESSIONS For NATOA planning purposes, please indicate the track that yo re most Please indicate the activity in which you wish to participate likely to follow: Community Networks O Policy and Legal Programming First Time Attendees Meeting- Please join us at this meeting if this is your FULL CONFERENCE first time attending a NATOA conference no charge Full conference registration includes admission to all educational sessions, exhibits, Community Networks Primer (By reservation only) no charge luncheons, refreshment breaks, receptions and handout materials. It does not Policy and Legal Primer (By reservation only( no charge include optional activities or meals for guests. Programming Primer (By reservation only( no charge Registration Registration 7/16/08 After 8 /29/08 O Community Networks Masters Class JBy reservation only) no charge until 7/15108 until 8/29/o8 P cy and Legal Masters Class (By reservation only( no charge__ NATOA Member $575 $625 $675 MlWamming Masters Class (By reservation only) no charge NLC Primary Member/ $575 $625 $675 NKProgramming Tack All Day Storytelling Workshop Elected Official Government Non Member/ $675 $725 $775 Sa turday, September 20 (By reservation only) 525.00 Non -Profit ech Showcase- TelVue Corporation Non Member Private Sector $775 $825 $875 rsda September 18 (By reservation only) no charge Tech Showcase Granicus ONE OR TWO DAY REGISTRATION Friday, September 19 (By reservation only( no charge One or two -day registration includes that day's concurrent educational sessions, Joe Laposa Golf Tournament, Tuesday, September 16, 2008 $100.00 refreshment breaks, any meals and handout materials. Optional activities are not included. You may register for one or two days, otherwise you must register for FAMILY AND FRIENDS GUEST REGISTRATION the entire conference. All meals for the registrant are included with full conference registration. Wednesday Thursday Friday Of Saturday If you have registered for the full conference, it is not necessary to purchase Registration (Per Day) additional meals for yourself. NATOA Member: $250 All Meals (includes 3 breakfasts) $275.00 NLC Primary Member/ $250 Thursday Keynote Luncheon 45.00 Elected Official Government Non Member/ $280 Thursday Welcome Reception 50.00 Non -Profit Saturday Keynote Luncheon S 45.00 Non Member Private Sector $350 Saturday GPA Awards Banquet 80.00 ANNUAL BUSINESS MEETING TOTAL CONFERENCE PAYMENT Please indicate your intent to attend the Annual Business Meeting Please include all categories checked, i.e., registration fees, extra meals, and new member dues Total: SR5 on ACCOMMODATIONS FOR PEOPLE WITH DISABILITIES: NATOA wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of an auxiliary aid or service. if any auxiliary aid or service identified with the Americans with Disabilities Act is required, please contact NATOA Headquarters at info @natoa.org or (703) 519.8035. SPECIAL DIETARY NEEDS: Please indicate here or email info ®natoa.org if you require special dietary needs, such as diabetic, kosher, vegetarian, etc. Dietary requests such as Atkins or South Beach cannot be accommodated. Contact NATOA Headquarters at info@natoa.org or (703) 519 -8035 if you have any questions. CANCELLATION POLICY: Conference Registration: Full registration fee minus a 25% service charge will be refunded if cancellation is received in writing at NATOA Headquarters no later than Friday, August 29, 2008. No refunds will be made for cancellations received after Friday, August 29, 2008. Substitutions are permitted and encouraged in lieu of cancellation. You may fax your cancellation to (703) 519 -8036. PAYMENT INFORMATION Please note that actual payment must he received by the date indicated in order to receive the registration rate. If your registration form and payment are not received by the date indicated, the correct (higher) fee will be applied. A purchase order does not constitute payment. If paying by check, complete and return this form with payment lo: NATOA, P.O. Box 826127, Philadelphia, PA 19182.6127 Registrations paid by credit card or Government PO may be faxed to (703) 519 -8036 Government PO No If paying by credit card, you may also register via our web site at www.natoa.org CREDIT CARD INFORMATION: VISA MasterCard American Express Credit card number Exp. date Cardholder name Signature Pagel of 3 Krcmery, Michelle A From: DeltaElectronicTicketReceipt @delta.com Zrc, Sent: Wednesday, August 27, 2008 3:38 PM To: Krcmery, Michelle A —gave. Subject: MICHELLE K INDIANAPOLIS 18SEP08 D E LTA P� (Scan this barcode at a Delta Self- Service Kiosk to access Your Receipt and Itinerary your reservation.) MICHELLE KRCMERY 433 AUTUMN DRIVE CARM EL IN 46032 Thank you for choosing Delta. We encourage you to review this information before your trip. If you need to contact Delta or check on your flight information, go to delta.com call 800 221 -1212 or call the number on the back of your SkyMiles@ card. Now, managing your travel plans just got easier. You can exchange, reissue and refund electronic tickets at delta.com Take control and make changes to your itineraries at delta.com /itineraries Speed through the airport. Check -in online for your flight. Check-in Flight Information DELTA CONFIRMATION C1Y6LA TICKET 00623494834550 Bkng Meals/ Seat/ Day Date Flight Status Class City Time Other Cabin Thu 18SEP DELTA 683 OK L LV INDIANAPOLIS 1220P 26E AR ATLANTA 156P COACH Sat 20SEP DELTA 5916* OK U LV ATLANTA 1258P 12D AR INDIANAPOLIS 233P COACH *Operated by SHUTTLE AMERICA Check your flight information online at delta.com or call the Delta Flightline at 800 325 -1999. Key to Terms Arrival date different than departure date Check in required Baggage and check -in requirements vary by airport and airline, so please check with the operating carrier Multi meals on your ticket. *S$ Multiple seats Please review Delta's check -in Requirements and baggage guidelines for details. AR Arrives B Breakfast You must be checked in and at the gate at least 15 minutes before your scheduled departure time for C Bagels /Beverages travel inside the United States. D Dinner 8/27/2008 Page 2 of 3 You must be checked in and at the gate at least 45 minutes before your scheduled departure time for F Food available for purchase international travel. L Lunch For tips on flying safely with laptops, cell phones, and other battery- powered devices, please visit LV Departs http: /SafeTravel.dot.g M Movie ov R Refreshments Complimentary S Snack T Cold meat V Snacks for Sale Passenger Information MICHELLE KRCMERY Billing Details Receipt Information Fare Details: IND DL ATL92.09LB14NAWF DL IND82.79UO07NAWF USD174.88END ZP IND ATL XT AY 5.00 XF 9.00 IND4.5ATL4.5 Fare: 174.88 USD Form of Payment Tax: 14.00 XT Tax: 13.12 US Tax: 7.00 ZP Total: 209.00 USD NON REF /$CHANGE FEE Note: When using certain vouchers to purchase tickets, remaining credits may not be refunded. Additional charges and /or credits may apply and are displayed in the sections below. This ticket is non refundable unless issued at a fully refundable fare. Any change to your itinerary may require payment of a change fee and increased fare. Failure to appear for any flight without notice to Delta will result in cancellation of your remaining reservation. Ticketing Details Scan this barcode at a Delta Self- Service Kiosk to access your reservation. TICKET 00623494834550 Issue Date: 08/27/08 Expiration: 08/27/09 Place of Ticket Issue: WWWRES Issuing Agent Id: DL /WW Ticket Issue date: 27AUG08 Not Transferable Transfer miles and Great Rates and 500 Hotel Search by The Up to 25,000 bonus receive a 25% bonus for Bonus Miles on all Hilton Family. miles. Plus, no annual you and your recipient. rentals. fee for first year. Apply Now. 8x'27/2008 Page 3 of 3 A O E LTA S K Y M 1 L E S' -6 TheffiN Family s tr Conditions of Carriage Air transportation on Delta and the Delta Connection carriers® is subject to Delta's conditions of carriage They include terms governing, for example: Limits on our liability for personal injury or death of passengers, and for loss, damage or delay of goods and baggage. Claim restrictions including time periods within which you must file a claim or bring an action against us Our right to change terms of the contract Check -in requirements and other rules establishing when we may refuse carriage Our rights and limits of our liability for delay or failure to perform service including schedule changes, substitution of alternative air carriers or aircraft, and rerouting Our policy on overbooking flights and your rights if we deny you boarding due to an oversold flight These terms are incorporated by reference into our contract with you. You may view these conditions of carriage on delta.com, or by requesting a copy from Delta. You have received this e-mail because you elected to receive your Electronic Ticket receipt sent to you via e-mail. If you would like to take advantage of other Delta e-mail programs featuring special fares, promotions, information and flight updates, please visit: delta.com/emaiIprograms or de lta.coMnotifications COPYRIGHT INFORMATION This e-mail message and its contents are copyrighted and are proprietary products of Delta Air Lines, Inc. Delta Blvd. P.O. Box 20706 Atlanta, GA 30320 -6001. Any unauthorized use, reproduction, or transfer of this message or its contents, in any medium, is strictly prohibited. This is a post only e-mail. Please do not respond to this message. 8/27/2008 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL 5/29/08 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 Michelle Krcmery Purchase Order No. 433 Autumn Drive Terms Carmel IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/1 08 NATOA Conference Meals $65.00 9 9/20/08 Meals 65.00 9/18108 Rental car collision damage waiver 6 8--9-4—... 9/20/08 Hotel $296.70 Total $560.64 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. 5/29/08 ALLOWED 20 Michelle Krcmery IN SUM OF 433 Autumn Drive Carmel IN 46032 560.64 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4343002 External Training Travel Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or R eceipts 4 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 ignat r� e, Cost distribution ledger classification if Title claim paid motor vehicle highway fund