178820 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 354940 Page 1 of 1
4� ONE CIVIC SQUARE THOMAS PERKINS CHECK AMOUNT: $1,020.43
CARMEL, INDIANA 46032 14150 EQUINE COURT
WESTFIELD IN 46074 CHECK NUMBER: 178820
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 1,020.43 EXTERNAL TRAINING TRA
AA eTicket Page 3 of 4
f
Record Locator: PBEHDH
Carrier Flight De a ing Arriving Booking
Number City Date Time City Time Code
4069 INDIANAPOLIS SAT 170CT CHICAGO OHARE 6:00 PM L
5:50 PM
OPERATED BY AMERICAN EAGLE
American Airlines Thomas Perkins Economy Food For Purchase
1822 1 CHICAGO OHARE SAT 170CT MIAMI INTERNTNL 10:50 PM L
A 6:55 PM
American Airlines Thomas Perkins Economy Seat 21A Food For Purcha
A 1509 MIAMI INTERNTNL WED 21 OCT CHICAGO OHARE 5:45 PM N
1 3D PM
American Airlines Thomas Perkins Economy Seat 15F Food For Purchase
P
7:10 PM
4252 CHICAGO OHARE WED 2M INDIANAPOLIS 905 PM N
OPERATED BY AMERICAN EAGLE
American Airlines Thomas Perkins Economy Seat 3A Food For Purchase
PASSENGER TICKET NUMBER FARE -USD TAX TICKET TOTAL
THOMAS PERKINS 0012355486400 339.53 67.87 407.40
THOMAS PERKINS Additional Fare Collection 134.20
ADDITIONAL SERVICES DATE CURRENCY AMOUNT
Ticket Change 29 SEP 09 USD 150.00
Payment Type: Exchange, Master Card XXXXXXXXXXXX6416
Additional Services are subject to credit card approval at time of ticketing. Additional Services may appear on multiple accompanied
documents as a matter of reference.
You have purchased a NON REFUNDABLE fare. The itinerary must be canceled before the ticketed departure time of the first unused
coupon or the ticket has no value. If the fare allows changes, a fee may be assessed for changes and restrictions may apply.
Electronic tickets are NOT TRANSFERABLE. Tickets with nonrestrictive fares are valid for one year from original date of issue. If you have
questions regarding our refund policy, please visit www.aa.com /refunds
To change your reservation, please call 1- 800 433 -7300 and refer to your record locator.
Check -in times will vary by departure location. In order to determine the time you need to check -in at the airport, please visit
www.aa.com /airportexpectations
A summary of Terms and Conditions of Travel is available by selecting the Conditions of Carriage button below.
We know why you fly'
American irlineV
AA.com
10/27/2009
i
LA's 74 Annual Conference
Hilton Miami Downtown and Marriott Miami Biscayne Bay (Joined Hotels)
Miami, Florida s October 18 21, 2009
REGISTRA1I0 Check here if you are a new member or first time conference attendee
Name THOMAS D. PFRKINS NEW HARD COPY POLICY*
Registration fees include flash drive of
Badge Name Tom Perkins speakers materials. These materials will
also be available for conference registrants
Title Assistant City Attorney, Carmel, IN from IMLA's web site one to two weeks
prior to the meeting. If you require paper
copies of speaker materials you must add an
Local Government Entity or firm City of Carmel. IN additional $120 to your registration fee and
check here.
Address One Civic Square
INSTITUTE FOR LOCAL GOVERNMENT
City /State /Zip Carmel, Indiana 46032 LAWYERS (ILGL)
New local government attorneys or more
Phone 317- 571 -2472 Fax 317- 571 -2484 senior attorneys looking for a refresher may
attend the ILGL for an additional fee. Please
check here to register. Cost $100.
E -mail tgerkinGf� a met. i n. gov For more information go to IMLA web site
for details.
Guest Name: Registration Fee includes: Admission to all sessions, conference
only if registering materials and all IMLA social functions (not applicable to guest).
Guest Fees Include: Attendance at the social events.
Guest Badge Name: IMLA Cancellation Refund Policy: (onrellation must be
received in writing by September 1, 2009 to qualify for a refund.
Luncheon Ticket(s) (875.00 each) All cancellations are subject to a $50 ($25 guest) administrative
only guest need to purchase please check date(s) Monday ❑Tuesday processing fee. After September 1, 2009, those not attending will
receive the event materials in full consideration of registration fees
paid. Replacements are always welcome. All refunds will be remitted
CLE Credits, Bar No. 184 90 days after the event. Send all cancellations in writing to IMLA
Please specify state(s) Indiana Event Department.
REGISTRATION INFORMATION:
REGISTRATION FEES Make all checks payable to the International Municipal
Lawyers Association
TO RECEIVE AN ADDITIONAL $50 DISCOUNT REGISTER ONLINE
at www.imlo.org click on MyIMLA. (Not applicable to Guest Rates) XBill Me Visa Master Card
f Endosed _W.S. currency only)
Super Early Regular Additional T����
Saver Rate Bird Rate Rate Fee for Payment Must be Received by Rate
Registration Ends Ends Ends After Papers in End Date or Next Rate Will Apply.
Type 5/29/09 7/15/09 09/01109 09/01/09 Packets*
First Member $550 $625 $700 $825 $120 Amount
Additional Member $500 $575 $650 $775 $120 Name:
3 or More $450 $525 $600 $750 $120 Account
Number:
Non Member $1,322 $1,374 $1,500 $1,600 $120
Expiration Date:
Judicial $355 $355 $355 $355 $120
Guest /Spouse $125 $125 $150 $200 n/a Signature:
To help defray attrition expenses from
To Register: Register on -line at www.imla.orq MyIMLA for an additional the contracted conference hotel, an
$50 Discount or receive the above rates by sending a copy of form payment additional $100 will be added to your
to: International Municipal Lawyers Association, 7910 Woodmont Avenue, registration fees if you do not stay at the
Suite 1440, Bethesda, Maryland 20814, Phone 202.466.5424 Fax Conference hotel (daily /drive in
202.785.0152 or E -mail: infoo_imla.org. registrants excluded).
ar,r
D t /n
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIANP
EMPLOYEE NAME: Thomas T. Perkins DEPARTURE DATE: 10/17/09 5:50 p.m.
DEPARTMENT: Law Department RETURN DATE: 10/21/09 TIME: 3:35 p.m.
REASON FOR TRAVEL: IMLA's 74th Annual Conference DESTINATION CITY: Miami, Florida
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 Breakfast Lunch Dinner Snacks Per Diem
Oct. 17-
21, 2009 $38.00 $689.93 .00 $1,052.93
$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
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.001 $38.001 $0.00 $689.93 $0.00 $0.00 $0.00 $0.00 $3X.001 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. [b 43
Director Signature: Date: ,CJ _1
City of Carmel Form ER06 Revision Date 10/26/2009 Page 1
:5
1601 Biscayne Blvd. Miami, FL 33132
g�
Phone (305) 374 -0000 Fax (305) 714 -3811
F
Hil Reservations
I Name Address Miami Downtown www.hilton.com or 1 800 HILTONS
PERKINS, THOMAS Room 1117/K1
Arrival Date 10/17/2009 12:22:OOAM
Departure Date 10/21/2009
Adult/Child 1/0
Room Rate 149.00
RATE PLAN C- IMLA09
HH#
AL: G Z G
BONUS AL: CAR:
CONFIRMATION NUMBER: 3347648781
10/21/2009 PAGE 1
DATE I DESCRIPTION ID I REF. NO CHARGES CREDITS BALANCE
10/17/200 GUEST ROOM I RICARDOR 10299901 $149.00
10/17/200 RM -STATE SALES TAX RICARDOR 1029990 $10.43
10/17/200 RM- OCCUPANCY TAX RICARDOR 1029990 $8.94
/48/200 I&A- BISTRe I
10118/200 GUEST ROOM RICARDOR 1031378 $149.00 TheHiltorlFamily
10/18/200 RM -STATE SALES TAX RICARDOR 1031378 $10.43
10/1 8/200 RM- OCCUPANCY TAX RICARDOR 1031378 $8.94
/831'935 $8 -89
10/19/200 YGALLERY LOUNGE LINTR 1032563 $16.45 Hilton
10/19/200 GUEST ROOM KC2 1032757 $149.00
10/19/200 RM -STATE SALES TAX KC2 1032757 $10.43
10/19/200 RM- OCCUPANCY TAX KC2 1032757 $8.94 CON RAD'
ISi1 BiBT-R-G NNT-R 0 333o-
10/20/200 GUEST ROOM KC2 1034152 $149.00
10/20/200 RM -STATE SALES TAX KC2 1034152 $10.43 Q9
10/20/200 RM- OCCUPANCY TAX KC2 1034152 $8.94 Doug LETRE E'
10/21G2O0- BRISA- BISTRO L -INTR 1034668 1A -16
BALANCE $729.30
3
3 ...1......
3
Thank you for choosin Hilton! Book our next say at hilton. com and take
advantage of our in et -only Advan e Purcha Rates and 6mlted- fine
speciai offers!
Hilton
Garden Inn
ACCOUNT N0, DATE OF CHARGE FOLIO NO. /CHECK NO. (i1
170383 A Grand Vacations Club
CARD MEMBER NAME AUTHORIZATION INITIAL 9`
HOMEWOOD
SWES
ESTABLISHMENT NO. &LOCATION crrABLISHNILNF irro CARD HOLDER FOR PAYSIET PURCHASES SERVICES
TAXES
U
TIPS MISC.
CARD MEMBER'S SIGNATURE Official Sponsor
X TOTAL AMOUNT
MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT
C i INDIANA RETAIL TAX EXEMPT PAGE
Car CERTIFICATE NO. 003120155 002 0 y. �-of PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT {y� i
Nw i gn--ly'r c 35- 60000972 15 j
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FARM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
/Obl t
VENDOR t`Z' t�� SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
t
1, rl
j 06
5 �i s
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
-'t,2 PAYMENT e 5 ?_3
--s j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i�'"` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
y VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS i I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS. APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. `fit-- •�`5-
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. l
2 i CLERK— TREASURER Y
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUC,-IER NU,.... WARRANT NO
ALLOWED 20
IN THE SUM OF
a
ON #CCOUNT OF APPJRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
1 hereby certify that the attached invoice(s), or
bill(s) (are) true and correct and that the
g X07" materials or services itemized thereon for
which charge is made were ordered and
received except
L 20
ig 4
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund