HomeMy WebLinkAbout174004 06/24/2009 ��e• CITY OF CARMEL, INDIANA VENDOR: 363010 Page 1 of 1
ONE CIVIC SQUARE BRYAN POHL CHECK AMOUNT: $410.00
CARMEL, INDIANA 46032 1646 ENGLISH AV
INDPLS IN 46201 CHECK NUMBER: 174004
CHECK DATE: 6/24/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343001 20.00 TRAVEL FEES EXPENSE
1192 4343004 390.00 TRAVEL PER DIEMS
I' 1
CITY OF CARMEL Expense Report (required for all travel expenses)
/NOIANP�
EMPLOYEE'NAME: _Bryan W. Pohl DEPARTURE DATE: 6/9/2009 TIME: ?'t Q PM
DEPARTMENT: DOCS RETURN DATE: 6/14/2009 TIME: t1 :p AM 1
REASON FOR TRAVEL: _Congress for the New Urbanism 17 DESTINATION CITY: _Denver, CO
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Meals
Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
619/09 $10.00 $65.00 $75.00
6110/09 $65.00 $65.00
6111109 $65.00 $65.00
6112109 $65.00 $65.00
6113/09 $65.00 $65.00
6/14/09 $10.00 $65.00 $75.00
$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 $0.001 $0.00 $20.00 $0.00 $020 $0.00 $0-001 $o .0a $0.00 4tign 001 S0.00 jj11
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.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 6/16/2009 Page 1
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 ER06 Revision Date 6/16/2009 Page 2
P" Sheraton Denver Hotel
55o Court Place
Denver, Colorado 80202
Come back soon T era 843 3333 F 303 2543
sheratonco m /denverhotel el
mueOT TRAN®L AnENTrCNAPME TO
Room 1517
Bryan Pohl Rate
No. pers. 1
1 Civic Square Folio 195550 A
Carmel, IN 46032 Page 1
United States Arrive 09- JUN -09 00:00
Depart 14- JUN -09 00:00
CNUGOV Payment
OATS Pl0PQ19eNCY 0M8CPUPTIBN cWAAW9rCPt6pfT
Q�J -JUN- RT1517 Room Chrg Grp Association 149.00
09- JUN -09 RT1517 Occupancy /Tourism 22,13
09- JUN -09 DEPOSIT Deposit Applied 655.63-
10- JUN -09 RT1517 Room Chrg Grp Association 149.00
10- JUN -09 RT1517 Occupancy /Tourism 22.13
11- JUN -09 RT1517 Room Chrg Grp Association 149.00
11- JUN -09 RT1517 Occupancy /Tourism 22.13
12- JUN -09 RT1517 Room Chrg Grp Association 149.00
12- JUN -09 PT1517 Occupancy /Tourism 22.13
13- JUN -09 RT1517 Room Chrg Grp Association 149.00
13- JUN-09 RT1517 Occupancy /Tourism 22.13
14- JUN -09 mb -ADJ Occupancy /Tourism 0.02
Balance Due 0.00-
continued on the next page
agree to remaui persona0y liable for the payment of this account if the
corporation or other third party billed fails to pay part or all of these charges
Signature
Bryan Pohl
FOLIO 195550 09- JUN -09
Member of Starwood Preferred Guest"
Sheraton Denver Hotel
1550 Court Place
Denver, Colorado 8o2o2
Come back soon
PP T sh era c on c om/ 303 tlenverhot el 2543
eraon om /el
G;U"WT TwA%ML A®ONT l GWAwB■ TO
Room 1517
Bryan Pohl Rate
No. pers 1
1 Civic Square Folio 195554 A
Carmel, IN 46032 R age 2
United States Arrive 09- JUN -09 00:00
Depart 14- JUN -09 00:00
CNUGOV Payment sh
maTa wa�waNCe oae�rPrtoN cwownee�cwaciT
EXPENSE REPORT SUMMARY
Date ROOM F &B Phn /Intrnt Misc. Laundry Misc. Other
09- JUN -09 171.13 0.00 0.00 0.00 0.00 0.00 0.00
10- JUN -09 171.13 0.00 0.00 0.00 0.00 0.00 0.00
11- JUN -09 171.13 0.00 0.00 0.00 0.00 0.00 0.00
12- JUN -09 171.13 0.00 0.00 0.00 0.00 0.00 0.00
13- JUN -09 171.13 0.00 0.00 0.00 0.00 0.00 0.00
14- JUN -09 0.02- 0.00 0.00 0.00 0.00 0.00 0.00
Total 855.63 0.00 0.00 0.00 0.00 0.00 0.00
Date Total Payment
09- JUN -09 171.13 855.63-
10- JUN -09 171.13 0.00
11- JUN -09 171.13 0.00
12- JUN -09 171.13 0.00
13- JUN -09 171.13 0.00
14- JUN -09 0.02- 0.00
Total 855.63 855.63
Thank you for choosing Starwood Hotels. we look forward to welcoming you back soon!
I agree to remain personally liable for the payrrtent of this account if the
corporation QrOther third party billed fails to pay partor all of these charges
Signature
As a Starwood Preferred Guest you have earned at least 1490
Star for this visit A42014528959
Bryan Pohl
€OLIO 195550 09- JUN -09
Member of Starwood Preferred Guest's
Pohl, B an W
From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com]
Sent: Friday, February 20, 2009 10:45 AM
To: Stewart, Lisa M
Cc: Pohl, Bryan W
Subject: Confirmed Flight for Denver
Follow Up Flag: Follow up
Flag Status: Red
SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: FEB 20
2009
ACCOUNT CPD T1H52A PAGE: 01
FOR:
POHL /BRYAN
TO: CITY OF CARMEL CITY OF CARMEL COMMUNITY
SERVICES
ONE CIVIC SQUARE 3RD FLOOR ATTN:LISA STEWART
CARMEL IN 46032 ONE CIVIC SQ
CARMEL IN 46032
09 JUN 09 TUESDAY MILES- 977 ELAPSED TIME- 2:45
AIR LV INDIANAPOLIS 710A SOUTHWEST FLT:1752 COACH CLASS
CONFIRMED
AR DENVER 755A NONSTOP
SOUTHWEST CONF J5H5HJ
14 JUN 09 SUNDAY MILES- 977 ELAPSED TIME- 2:30
AIR LV DENVER 635P SOUTHWEST FLT: 246-COACH CLASS
CONFIRMED
AR INDIANAPOLIS 1105P NONSTOP
SOUTHWEST CONF J5H5HJ
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH CONF. TICKET IS NONREFUNDABLE IF UNUSED.
MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY.
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS CHANGES. FOR
AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL
877 6456373 CODE A09. $15.00 PER CALL FEE WILL BE CHARGED
A CANCELLATION FEE OF 10PCT ON TTL COST OF BOOKED TOURS CRUISES
LAND HOTEL PKGS WILL APPLY. AIRLINE CHECKED BAGGAGE NOTICE
FOR DOMESTIC AND INTERNATIONAL TRAVEL AIRLINES MAY CHARGE
THE TRAVEL AGENT THANKS YOU -317 846 9619..DEBBIE WWW.TTA.TRAVEL
AIR TRANSPORTATION 146.98 TAX 32.22 TTL 179.20
PROCESSING FEE 35.00
SUB TOTAL 214.20
CREDIT CARD PAYMENT 214.20-
1
Pagel of 2
Pohl, Bryan W
From: CNU Congress Registration [convene @aol.com]
Sent: Wednesday, March 25, 2009 4:00 PM
To: Pohl, Bryan W
Subject: Registration Confirmed CNU 17: Experiencing the New Urbanism: The Convenient Remedy
Follow Up Flag: Follow up
Flag Status: Red
UNU EXPERIENCINGTHE NEW URBANISM
THE CONVENIENT REMEDY
17 JUNE tR. COLORADO
DENVER. COLORADO
Thank you for registering for CNU 17.
Your registration is confirmed. Please save this email for future reference.
Event: CNU 17: Experiencing the New Urbanism: The Convenient Remedy
Attending: Bryan Pohl
Registration Fees: $580:00
Payments Received: $0.00
Balance Due: $580.00
Location: Sheraton Denver
Date: 06 /10/09
Confirmation number: 6MNYMWUNRTV
To view or modify your online registration, go to Click here
You wi,li be asked to enter the confirmation number shown above.
Should you have questions regarding your registration, please check your registratic
call (800) 788 -7077 or (302) 436 -4375.
The Registration desks will be located in the Concourse Level of the Sheraton Hotel,
It will be open:
Wednesday June 10, 2009 7:30 a.m. 7:00 p.m.
Thursday June 11, 2009 7:00 a.m. 7:00 p.m.
Friday June 12, 2009 7:00 a.m. 7:30 p.m.
Saturday June 13, 2009 7:30 a.m. 7:00 p.m.
You will receive onsite your CNU 17 badge, program, special events and tour tickets
at the CNU 17 registration desk.
We encourage you to pick your registration on Wednesday June 10 if you have purcl
NU 202 session ticket. The lines will be much shorter than on Thursday morning!
Cancellation
There is a $100 non refundable fee for cancellation after May 8.
Tours
You must have your tour ticket to participate in a tour. Please make sure to allow en
Hotels
For hotel information, please visit CNU 17 Hotel
Plug into the new urbanist social network on the web and tell your colleagues and
friends about CNU 17. We've set up a presence on the following sites to help you
connect with other attendees before the event.
Find us on
Facebook{
http://www.facebook-com/event.r)hp?eid=113493645437
6/17/2009
Page 2 of 2
Linked
http: /events.Iinkedin.com /pub /32091
TWITTER
http:I/www.twitter.com/cnu17
Thank you, We look forward to seeing you in Denver, June 10 -14.
If you prefer not to receive emails from CNU please click Click here >here.
ce ded t
CYent
6/17/2009
DNA Service IA Service
Receipt Receipt
MD MUD
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No Fare Value
No Fare Value
N No Cash Value
No Cash Value
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Service
Service
Date
Date
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Amount
Amount
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Non- Negotiable Non-Negotiable
1358-1 10/93 Rev. 51117
1258 -1 10/93 Rev. 5/07
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bryan Pohl
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$410.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1192 43- 430.01 $20.00 1 hereby certify that the attached invoice(s), or
1192 43- 430.04 $390.00 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
Mo a ,June 2, 2009
i ctor, DO
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))
06/14/09 Airport transportation $20.00
06/14/09 Per diem $390.00
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