The URL can be used to link to this page

Home My WebLink About177489 09/22/2009 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $557.40 CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CARMEL IN 46033-9501 CHECK NUMBER: 177489 CHECK DATE: 9/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION '1701 4343004 557.40 TRAVEL PER DIEMS AMERI E 4 S5 repared Fo, Account Numbe, Cbsing Date Page 3 of 5 DIANA L CORDRAY 09/14/09 New Activity continue amo;,,,, 08/19/09 DELTA AIR LINES CINCINNATI OH 20.00 DELTA AIR LINES From: To: Carrier: INDIANAPOLIS IN o ATLANTA GA DL a NOT AVAILABLE Ticket Number: 00607698301394 Date of Departure: 08/19 Passenger Name: CORDRAY /DIANA Document Type: MISCELLANEOU TAX(S) /FEE(S) 08/19/09 DELTA AIR LINES CINCINNATI OH J� 557 -40 DELTA AIR LINES o From: Td: Carrier: Class: a INDIANAPOLIS IN ATLANTA GA DL KA SAN FRANCISCO CA OL KA 0 MINNEAPOLIS MN DL MA INDIANAPOLIS IN DL MA C%L M Ticket Number 00621718244685 Date of Departure: 10 /06 o Passenger Name: CORDRAY /DIANA o Document Type: PASSENGER TICKET 08/21/09" TRANSACTION PROCESSED BY AMERICAN EXPRESS 5.75 BAGGAGE INSURANCE- PREMIUM TKT NO. 00621 718244685 Total of New Activity 568.75 Finance Charges Average Dail Daily Actual ANNUAL Nominal ANNUAL Periodic Billing days this period: 31 Balance Periodic Rate PERCENTAGE PERCENTAGE FINANCE RATE RATE CHARGE$ Purchases 0.00 0.0363% 0.00% 13.24% 0 Cash Advances 0.00 0.0582% 0.00% 21.24% 0.00 0.00 Certain of the periodic rates and APRs above may be variable. Those rates may vary based upon the prime rate identified in the Wall Street Journal, as described in your Cardmember Agreement as currently in effect. font rnued on Page 4 Please detach,here Travel Insurance Premium Refund /Credit Form Reasons for Refund/Credit,: Please see the.back If reque'stmg refunds forTravelAssu're, Trave.lAssure Non fare airline services charge(s). (e.g. excess baggage, on: Otherwise continue below. itinerar Classic or IrtternatlonalMedicalProtecti: y charges, upgrade, or any other non4rtransportation charge) Please fill out this form to request "refunds fortravel premium's An uninsured person lncurred with the purchase ofan airline ticket ora c ar rental :if you have Non- scheduledairiine flights. (eg.privatejet) been charged an insurance premium for one of the reasons listed to the Two or more premium charges for same car rental right; please provide the information requested below:: Please deduct Car rental no show Z the totaipre6bmrefundamountfrom your total balance due and Other charges unrelated to actual car rental(e.g.,gas) return this form with your payment. In order to receive.a refund, you must Car rental in an excluded country fill out this form completely: Failure to.do so may result in a delay A vehicle otherthan a rental car z in processing or a denial of your reguest Cancelled Tripwithaon- refundable ticket Please do -not fill out coupon if.you cancelled an airline Otherreason o ticket Ora carrental reservdtionand expect credits for these 6 n.yourAmerican Express account These premrums.wifl be Account Number: automatically refunded to you =:any refunded premiums will 3725 401694 82002 appear as credits on your monthly statement: Vendor Nam6. Ticket /Rental Ticket•Number• Month No. of Premiums Program Total Premium Amount Billed Refund Requested Alrllne' $374.20 001643835 Mareh 1 Travel;D;ela $9 Cordray, Diana L From: DeltaElectronicTicketReceipt delta.com Sent: Wednesday, August 19, 2009 1:40 PM To: Cordray, Diana L Subject: DIANA C INDIANAPOLIS 060CT09 ELT".- Your Receipt and Itinerary (Scan this barcocle at a Delta Self- Service Kiosk to access your reservation.) DIANA L CORDRAY 11843 STONEY BAY CIRCLE CARMEL IN 46033 Thank you for choosing Delta. We encourage you to review this information before your trip. If you need to contact Delta or check on your flight information, go to delta.com call 800 22.1 -1212 or call the number on the back of your SkyMiles® card. Now, managing your travel plans just got easier. You can exchange, reissue and refund electronic tickets at delta. Take control and make changes to your itineraries at delta.com /itineraries Speed through the airport. Check -in online Check-in for your flight. Flight Information DELTA CONFIRMATION PICIOQ TICKET 00621718244685 Bkng Meals/ Seat/ Day Date Fight Status Class City Time Other Cabin Tue 060CT DELTA 1496 OK K LV INDIANAPOLIS 1110A AR ATLANTA 1250P COACH Tue 060CT DELTA 1069 OK K LV ATLANTA 140P F M AR SAN FRANCISCO 356P C Mon 120CT DELTA 2764* OK M LV SAN FRANCISCO 1155A F AR MINNEAPOLS /S 539P COACH TPAUL *Operated by NORTHWEST AIRLINES As NW Flt 360 Mon 120CT DELTA 3083* OK M LV MINNEAPOLS /S 705P TPAUL COACH AR INDIANAPOLIS 955P *Operated by NORTHWEST AIRLINES As NW Flt 496 8/19/2009 Check your flight information online at delta.com or call the Delta Flightline at 800 325 -1999. Key to Terms Arrival date different than departure date See Seats on deita.com Baggage and check -in requirements vary by airport and airline, so please check with the operating carrier Multi meals on your ticket. S$ 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 BagelslBeverages travel inside the United States. D Dinner 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 l lSafeT rave I do t.gov. M Movie R Refreshments Complimentary S Snack T Cold meal V Snacks for Sale Passenger Information DIANA CORDRAY SkyMiles Number: *876 Billing Details Receipt Information Fare Details: IND DL X /ATL DL SF0160.00KA07AONJ DL X /MSP DL IND319.07MA03AONJ USD479.07END ZP INDATLSFOMSP XF IND4.5ATL4.5SF04.5MSP4.5 Fare: 479.07 USD Form of Payment Tax: 7 8ry -3.3 --TX_ Total: 557.40 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. Detailed Tax Information Total Tax: 78.33 USD XF 18.00 ZP 14.40 AY 10.00 US 35.93 Service Charge /Fees Psgr: DIANA CORDRAY Service Charge /Fee Number: 00607698301394 Not Transferable Retain this receipt for your records. The amount shown below is the total of any nonrefundable service charges or fees paid in conjunction with issuance, exchange or refund of the following tickets /documents, including any direct ticket charge included in the fare you were quoted. 8/19/2009 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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)) M r 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 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR L Two Ri� 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund