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HomeMy WebLinkAbout202186 09/27/2011 ".f CITY OF CARMEL, INDIANA VENDOR: 00351403 Page 1 of 1 ONE CIVIC SQUARE JEAN JUNKER CARMEL, INDIANA 46032 7901 WINDHILL DR CHECK AMOUNT: $471.83 INDIANAPOLIS IN 46256 CHECK NUMBER: 202186 CHECK DATE: 9/27/2011 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 13.83 GASOLINE 1120 4343002 458.00 EXTERNAL TRAINING TRA 4 �SQWT�CRS y f CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: DEPARTURE DATE: TIME: DEPARTMENT RETURN DATE: a,�, TIME: AM AP REASON FOR TRAVEL: �\�zl ��L DESTINATION CITY:Qr EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 9/18/11 $20.00 $9.00 $65.00 $12.00 $106:00 9/19/11 $9.00 $65.00 $12.00 $86.00 9120/11 $9.00 $65.00 $12.00 $86.00 9/21/11 $9.00 $65.00 $12.00 $86.00 9/22/11 $33.83 $9.00 $65.00 $107.8.3 $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 $53.83 $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.00 $48.00 DIRECTOR'S STATEMENT: I lhereb affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. .0 Director Signature: If Date: SEP 2 6 1011 City of Carmel Form 4 ER06 Revision Date 9/23/2011 Page 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed with 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 $32.50 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 $32.50 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 ER06 Revision Date 9/23/2011 Page 2 T Hyatt Regency Orange County H A Y .*I—T 11999 Harbor Boulevard R E G E N C Y Garden Grove, CA 92840 ORANGE COUNTY o TEL: 714.750.1234 NEAR DISNEYLAND? RESOR FAX: 714.740.0465 www.hyattoc.com INFORMATION INVOICE Payee Jean Junker Room No. 1621 Carmel Fire Department Arrival 09 -15 -11 2 Civic Square Departure 09 -22 -11 Carmel IN 46032 United States Page No. 1 of 2 Membership GP 507087222X Folio Window 1 Bonus Code Folio Confirmation No. 5262310601 Invoice Group Name Kronos Date `Descriptlon` Charges Credits.1 z 09 -15 -11 Package 164.00 09 -15 -11 City Occupancy Tax 13% 19.93 09 -15 -11 GGTID Assessment 3.93 09 -15 -11 Parking Overnig I ht Self 12.00 09 -16 -11 Package 164.00 09 -16 -11 City Occupancy Tax 13% 19.93 09 -16 -11 GGTID Assess ent 3.93 09 -16 -11 Parking Overnight Self 12.00 09 -17 -11 Package 164.00 09 -17 -11 City Occupancy Tax 13% 19.93 09 -17 -11 GGTID Assessment 3.93 09 -17 -11 Parking Overnight Self 12.00 09 -18 -11 Package 164.00 09 -18 -11 City Occupancy Tax 13% 19.93 09 -18 -11 GGTID Assessment 3.93 09 -18 -11 Parking Overnight Self 12.00 09 -19 -11 Package 164.00 09 -19 -11 City Occupancy Tax 13% 19.93 09 -19 -11 GGTID Assessment 3.93 09 -19 -11 Parking Overnight Self 1�. 09 -20 -11 Package 164.00 09 -20 -11 City Occupancy Tax 13% 19.93 09 -20 -11 GGTID Assessment 3.93 09 -20 -11 Parking Overnight Self _2 DO 09 -21 -11 Check CK #199964 City of Carmel, Indiana 758.08 1,400.66 Split Into 758.08 And 642.58 09 -21 -11 Package 164.00 T T Hyatt Regency Orange County H �,Y —A T 11999 Harbor Boulevard R E G E N C Y Garden Grove, CA 92840 ORANGE COUNTY TEL: 714.750.1234 NEAR DISNEYLANDs RESOR FAX: 714.740.0465 www.hyattoc.com INFORMATION INVOICE Payee Jean Junkier Room No, 1621 Carmel Fire Department Arrival 09 -15 -11 2 Civic Square Departure 09 -22 -11 Carmel IN 46032 United States Page No. 2 of 2 Membership GP 507087222X Folio Window 1 Bonus Code Folio Confirmation No. 5262310601 Invoice Group Name Kronos De Descrptran at Char ges Cr di ets° 09 -21 -11 City Occupancy Tax 13% 19.93 09 -21 -11 GGTID Assess ent 3.93 09 -21 -11 Parking Overnight Self 12.00 09 -22 -11 XXXXXXXXXXXX9127 XX /XX 640.94 Your Gold Passport account will be credited for this stay. Total 1,399.02 1,399.02 Balance 0.00 Guest Signature WE HOPE YOU ENJOYED YOUR STAY WITH US! I agree that my liability for this bill is not waived and I agree to be held we are interested in hearing your feedback regarding your visit. For comments regarding this personally liable in the event that the indi ated person, company or visit, please contact our Consumer Affairs Department. association fails to pay for any part or the full amount of these charges. E -mail: qualityalica @hyatt.com Mail: Consumer Affairs 11999 Harbor Blvd. Garden Grove, CA 92840 -2732 1 accept delivery of The Wall Str eet Journal. If refused, a refund of $1.00 Call Toll -Free: (866) 444 -HROC (4762) will be provided. Questions regarding your hotel charge, please call our Accounting Department (714) 750 -1234 ext.6110 Mon -Fri 8am -4pm Purchase your Hyatt Gift Card at our Front Desk. Hyatt Gift Cards are the perfect gift for any occassion. Ask your Front Desk Agent for a Hyatt Gift Card today. To receive special offers and news about the Hyatt Regency Orange County, please send and e- mail request to salesalica @hyatt.com. Snyder, Denise W From: Junker, Jean J Sent: Friday, March 11, 2011 11:00 AM To: Snyder, Denise W Subject: FW: Your Hotel Reservation PDSI 2011 User Group Conference Denise the 1 three nights will be paid by me as the conference is 9/18 9/21. Let me know if you have any questions. Thankyou! From: PDSI 2011 User Group Conference mailto :groupcampaigns @pkghlrss.com] Sent: Friday, March 11, 2011 10:42 AM To: Junker, Jean J Subject: Your Hotel Reservation PDSI 2011 User Group Conference PDSI- Te[estaff 2011 User Group Conference HOTEL RESERVATION ACKNOWLEDGEMENT #324PX3TS �tts is a 7 E F,w i:C e i3[ !CE J'! £'.f £.'E oz n the =��7t F'. >9ssi 2 C �'P��`Y C:' �izt£_ y �i1i k:c :J. i 3�. re p i£a Thank you for making your hotel reservation on 03/11 /2011 for PDSI- Tetestaff 2011 User Group Conference being held .in Garden Grove, CA, over the dates of 09/18/2011 09/21/2011. All reservation changes can be made at the event website: https://resweb.passkey.com/Resweb.do?rnode=welcome ei newEteventlD=2730062Etutm source=4882Etutm medium=e mail&utm_campaign= 3518968 or by calling (International). GUEST INFORMATION JEAN JUNKIER CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE Carmel, IN 46032 US 3174403316 jjunker@carmet.in.gov HOTEL INFORMATION Hyatt Regency Orange County 11999 Harbor Blvd Garden Grove, CA 92840 ROOM INFORMATION Room Name: Standard Room Business Plan Check -in: 09/15/2011 1 Check -out: 09/22/2011 Share- withs: ORBIE B0INILES Requests: KING ACX Accessible Room: No HOTEL RATES Single Occupancy Rate Per Room: Date Guest(s) Status Rate 1 09/15/2011 2 Confirmed 164.00 09/16/2011 2 Confirmed 164.00 09/17/2011 2 Confirmed 164.00 09/18/2011 2 Confirmed 164.00 09/19/2011 2 Confirmed 164.00 09/20/2011 2 Confirmed 164.00 09/2112011 2 Confirmed 164.00 IV Additional Guest Charges: Additional Guest Rate Second Guest 0.00 Third Guest 0.00 Fourth Guest 0.00 Hotel Tax Policy: Rates do not include 13.00 tax (subject to change). There is also a nightly Tourism Fee of .10 CANCELLATION POLICY Cancellation Policy is 72 hours prior to arrival (by 3pm, 3 days prior to arrival) 4 kind nC7.t€' e; amt calling t.iw hotM 5 just to be �t.3l'& Nease do not ca(i ymx ON lo he err K ti Al aher 04112/2011. Filease understand that pl'ocessxing your 1'� iervations from the Housini Oiil sau ir to tho Hotet s'y ern mill take a fE :w days. Rest a that if you hav-' receivcd a confirmation nuriber acre: "3,: fir sr?i the Hg.E5Mg WeaU, Lhe' hotel honor yow boc.)kmg, shank you for our consideration. After 039/12/2011, all rea r vati on Wnges can be made 1W rmntwling tha hotel dire Vy at 714 750 1234, Passkey, its reser vation system ar"rc( /u r tilei anvAs aCt only in the c.Alaadty of agent for aOE ?''t.r Somers in ail niat.ters, pertamino, to hotel reserva, ons, ai`�d as such ar e ct e .Ponsibic tC 114 te'; '°oonis, damages, expenses, incor1vf`i1rE'.11ces or loci a �e or proport: any C'c us'' vJlatsoeve'r. 2 Snyder, Denise W From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com] Sent: Tuesday, May 24, 2011 12:08 PM To: Snyder, Denise W Subject: Confirmed Flight Jean Junker SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: MAY 24 2011 ACCOUNT CPD WMND42 PAGE: 01 FOR: JUNKER /JEAN M TO: CITY OF CARMEL CITY OF CARMEL -FIRE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER CARMEL IN 46032 TWO CIVIC SQUARE CARMEL IN 46032 15 SEP 11- THURSDAY MILES- 762 ELAPSED TIME- 2:25 AIR LV INDIANAPOLIS 1150AAMERICAN FLT:1897 ECONOMY CONFIRMED AR DALLAS /FT WOR 115P NONSTOP FOOD TO PURCHASE RESERVED SEATS 17A AIRLINE CONFIRMATION:AA FOQZDJ MILES- 1205 ELAPSED TIME- 3:05 AIR LV DALLAS /FT WOR 250P AMERICAN FLT:1285 ECONOMY CONFIRMED AR ORANGE COUNTY 355P NONSTOP FOOD TO PURCHASE RESERVED SEATS 26B AIRLINE CONFIRMATION:AA FOQZDJ 22 SEP 11 -THURSDAY MILES- 846 ELAPSED TIME-2:13 AIR LV ORANGE COUNTY 1030A FRONTIER AIR FLT: 234 ECONOMY CONFIRMED AR DENVER 143P NONSTOP FOOD TO PURCHASE RESERVED SEATS 8B AIRLINE CONFIRMATION:179 POQTDM MILES- 977 ELAPSED TIME- 2:22 AIR LV DENVER 255P FRONTIER AIR FLT: 608 ECONOMY CONFIRMED AR INDIANAPOLIS 717P NONSTOP FOOD TO PURCHASE RESERVED SEATS 14B AIRLINE CONFIRMATION:F9 POQTDM TICKET IS NONREFUNDABLE. TO RECEIVE AIRLINE CREDIT- FLIGHTS MUST BE CANCELLED PRIOR TO DEPARTURE. CHANGE FEES WILL APPLY AMERICAN CQNF FOQZDJ FRONTIER CONF POQTDM *YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED FEES AND PENALTIES EXIST FOR REISSUES REFUNDS CHANGES. AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373 CODE A09- $15.00 PER CALLI 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. 1 THANK YOU. DEBBIE TUNSTILL 317 805 5762 AIR TRANSPORTATION 230.70 TAX 60.10 TTL 290.80 PROCEISING FEE 35.00 SUB TOTAL 325.80 CREDIT CARD PAYMENT 325.80 TOTAL AMOUNT 0.00 2 I n voice PEDS ra,�+ua�oxisron arrstn+emnBOnoi DATE INVOICE NO. 4 10114/2010 2010 -2253 BILL TO: SHIP TO: Carmel Fire Department 2 Carmel Civic Square Carmel. IN 46032 Attention: Jean Junker P.O. N0, TERMS DUE DATE REP SHIP DATE SHIP VIA FOB PROJECT 24129 N �l 30 1213112010 10/8/2010 SERVICED IT DESCRIPTION QTY RATE AMOUNT 'I'S I ARLY IIs... 13AK1 „Y registration l''ee rorTeleSialT20t I User 3 600.00 1,900.00 Conlerenec and l raining Seminar (Sept 191h to 21 st) Jean JUllkCl Dawn Patten. Orhie Howl” II you Have any queslinns. r. Icase call Casey Albert 6J (714)703-2150 x 1287 Total IJSt) 1.8011.00 Please make check payable l PIZINCIPAL DECISION SYSTEMS IN I L. Balance Due USn 1800.00 TeleStaff qSTAFFeasy gms 50 Corporate Park, Irvine, California 92606 tel 600.850.7374 fax 714.703.3000 www. pcisi- s oftwa re.co m VOUCHER NO. WARRANT NO. ALLOWED 20 Jean Junker IN SUM OF $471.83 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO #!Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 43- 430.02 $458.00 1 hereby certify that the attached invoice(s), or 1120 42- 314.00 $13.83 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 SEP 2 6 2011 s9 J Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) $458.00 $13.83 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 24 Clerk- Treasurer