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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 skyRide skyR®de No Fare Value No Fare Value N No Cash Value No Cash Value jt7 14 Service Service Date Date q a Amount Amount j 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