171770 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 360144 Page 1 of 1
ONE CIVIC SQUARE CYNTHIA CANADA CHECK AMOUNT: $176.55
CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 171770
CHECK DATE: 4/29/2009
D EPARTMENT ACCOUNT P O NUM I NVOICE NUMBER A MOUNT DESCRIPT
104.6 4343002 176.55 EXTERNAL TRAINING TRA
Carmel o Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
J 09 yip �l C -q ,y 16 'N
q13')09 v
t-I 31 c
L l Li o
919 lo'l in on 6--� �-A G'3D Y-- 'T
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
T UTA
Employeen Name (print) C l g
Address 1._ x c IL,i NC'n b(
Check
payable to: City, St, Zip
Signature: Approved by:
Date: y o Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Carmel o Clay
Parks &Recreati ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
l i 1 09 C: t��11 i G n i L`� L L t Co --M 1 1 15'.0 cD V/
I n 6 'T
9 21 c9 A }r; 0
y 3►� 0,q3
All receipts should be attached in the same order as listed above. q u
No sales tax will be reimbursed. TOTAL: i o 4
D
Employeen Name (print) C' C-G C;,(3 o' F�
APR 2 0 2009 6
Address I L- ,tc_lC w Lan L
Check
payable to: City, St, Zip -)61 es' P L1(O oc' C)
Signature: C Approved by:
Date: y 1 j n q Date:
Business Services Division, Revised 3 -2 -07
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
360144 Canada, Cyndi Terms
11508 Lucky Dan Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/17/09 Reimb. Conference expenses 178.48
Total 178.48
1 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.
360144 Canada, Cyndi Allowed 20
11508 Lucky Dan Dr
Noblesville, IN 46060
In Sum of
178.48
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343002 1 hereby certify that the attached invoice(s), or
.5� 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
22 -Apr 2009
Signature
178.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
F 'CoinflneimtaO conUlmentzR 1-0))
PASSENGER RECEIPT
7 27C80
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CANADA/CYND
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NOT FOR U SE IN TIC STRIPE READERS
ADVICE TO INTERNATIONAL PASSENGERS ON LIMITATION OF LIABILITY
Passengers on a journey involving an ultimate destination of a stop in a country other award of legal fees and costs, the limit shall be the sum of U.S. $58,000 exclusive of
than the country of origin are advised that the provisions of a treaty known as the Warsaw legal fees and costs. For such passengers traveling by carrier not a parry to such special
Convention may be applicable to the entire journey, including any portion entirely within contracts or on a journey not to, from, or having an agreed stopping place in the United
the country of origin or destination. For such passengers on a journey to, from, or with States of America, liability of the carrier for death or personal injury to passengers is
an agreed stopping place in the United States of America, the Convention and special limited in most cases to approximately U.S. $10,000 or U.S. $20,000.
contracts of carriage embodied in applicable tariffs provide that the liability of certain The names of carriers, parties to special contracts, are available at all ticket offices of
carriers, parties to such special contracts, for death of or personal injury to passengers such carriers and may be examined on request. Additional protection can usually be
is limited in most cases to proven damages not to exceed U.S. $75,000 per passenger, obtained by purchasing insurance from a private company. Such insurance is not affected
and that -this liability up to such limit shall not depend on negligence on the part of the by any limitation of the carrier's liability under the Warsaw Convention or such special
carrier. The limit of liability of U.S. $75,000 above is inclusive of legal fees and costs contracts of carriage. For further information please consult your airline or insurance
except that in case of a claim brought in a state where provision is made for separate company representative.
NOTICE OF BAGGAGE LIABILITY LIMITATIONS
Liabilify for loss, delay, or damage to baggage is limited unless a higher value is declared For travel wholly between U.S. points, federal rules require any limit on an airline's
in advance and additional charges are paid. For most international travel (including baggage liability to be at least $2500 per passenger. Excess valuation may be declared
domestic portions of international journeys) the liability limit is approximately $9.07 per on certain types of articles. Some carriers assume no liability for fragile, valuable or
pound for checked baggage and $400 per passenger for unchecked baggage. perishable articles. Further information may be obtained from the carrier.
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WE'RE JAZZED YOU'RE HERE!
CAB COMPANY
TELEPHONE
PASSENGER R C EEIIPT, TAXI FARE
DATE
Amount...........
Other Charges
Total............
Driver's Name Cell
I Cab Number
�NEWMOf�EgNS
WELCOME, TO NEW ORLEANS
WE'RE JAZZED YOU'RE HERE!
WE INVITE YOU TO INDULGE IN OUR
DELICIOUS CUISINE, GREAT MUSIC, AND
AUTHENTIC CULTURE... AND SHARE THE GOpD
NEWS ABOUT THE NEW NEW ORLEANS!
LAISSEZ LES BON TEMPS ROULEZI
LET THE GOOD TIMES ROLL!
NEW ORLEANS METROPOLITAN CONVENTION VISITORS BUREAU
JAMBA JUICE
GFORGE BUSH IN FL RP
FERMINAL L
708-531-160;1
04/01/2009 20:48 Slow 21306 Rep 001
Cashier 2027/Andy Trx OWN
b 24 Hango-A-Ga-Go IN If
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6i 4 ?K
Tax State Tax 0.27
Tax Local City 03
Tax P Transit. 0.0
TOTAL 4
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CASH 510
f] h ZI CI fa CO DWI 0.S]
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ERNST CAFE
[[OSr Cafe
600 SOUfh P8t8,S St.
504-525-8544
Server: [o0y8 DOB: 04/02/2009
01:21 PM 04/02'2008
Table 49/3 3/30018
NC 3145748
Card #XXXXXXXXXXXX5548
N0QD8L1C card present: CANADA CYNDI
Approval: 558855
ANou0L 00
G[dtUitv
Total�
GO SAINTS
WEDNESDAY STEAK NIGHTi
******GUoGt'S Cupy****0
ERNST CAFE
Ernst Cafe
600 South Peters St.
504 525 -8544
erver: Tanya 04 /02/2009
ible 42/3 12:46 PM
jests: 1
#30018
Reprint N: 1
Chicken Spicy Sandwich 9.00
Sweet Fries 1.00
Complete Subtotal 10.00
Subtotal 10.00
Tax 0.00
Total 10.00
MC #XXXXX XXXXXv5548 10.00
Auth:568335 Exp 0909
Ba 1 arnce OL-je 0 .00
GO SAINTS
WEDNESDAY STEAK NIGHT!
Check Closed
0158
Server: MICHAEL M Rec:103
04/02/09 19:26, Swiped T: 40 Term: 2
LA BAYOU RESTUARANT
205 BO!IRBON ST,
NEW' ORLEANS, LA 70130
(504)525 -4755
MERCHANT
CARO TYPE ACCOUNT NUMBER EXP
MASTER CARD XXXXXXXXXXXX5548 0909
Name: CANA
00 TRANSACTION APPROVED
AUTHORI%,ATION a: 785222
Reference: AIU15391103
TYPE: Credit Card SALE
CHECK: 35.71
x
*C7up 1 i c ate Copy***
CARDHOLDER WILL PAY CARD ISSUER ABOVE
AMOUNT PURSUANT TO CARDHOLDER AGREEMENT
total and sign one copy, keep the other
31UrbxCks
A ram ark #.O COuentimD reOtaF
HeH Drl8oOa, L�
8023 jade
CHK 4957 03APR'09 8 07 AN
i Coffee Of Oriy V 2.43
Beverage 2.43
Total Paid 2.43
XXXXXXXXXXXX5548 WX\
MasterCard 2.43
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BRNST CAFE
Ernst Cafe
600 3Outh Pet8/s Si.
504-525-8544
Server: Jeff DOB: 04
12:17 AM O4/03/20OS
28/1 1/10085
NC 2097231
Card #XXXXXXXXXXXX5548
MnQne[\C Card present: CANADA CYN0l
Approval: 038703
AmUoA�� 6.00
G[dtUit/�
Total:
X
GO SAINTS
WEDNESDAY STEAK NIGHT!
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0 R D R 2155 09 04 G PM
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TRN 3413697
At[iuIII
ArO IT, Lark New OrleanS C.C.
New O[l8dnS LA
8525 VOl
CHK 5820 O 18:03AN
I G[euk. Special 5.50
FO0d S. 5O
Total Paid...... 5.50
XXXXXXXXXXXX5548 XX/XX
MasterCard 5.50
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Food 95
1_ Quor 50
Tax !.3i8
Other 'Charge 4 30
TOTAL 1 3 3 2
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about the Passport Program
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PASSENGER TICKET AND BAGGAGE CHECK oftheP
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NOTICE /CONDITIONS OF CONTRACT rc de d t aaggage rwh kenamei ,1,the'9uuedBy' "section on aceasse,9,,
PASSENGER COUPON
If the passenger's journey involves an ultimate destination or stop in a country other than the country of departure the Warsaw Convention may be applicable
and the Convention governs and in most cases limits the liability of carriers for death or personal injury and in respect of loss of or damage to baggage.
See also notice headed "Advice to International Passengers on Limitation of Liability" and "Notice of Baggage Liability Limitations"
1. As used in this contract "ticket' means this passenger ticket and baggage check, of which these conditions 6. Any exclusion or limitation of liability of carrier shall apply to and be for the benefit of agents, servants and
and the notices form part "carriage" is equivalent to "transportation "carrier" means all air carriers that carry or representatives of carrier and any person whose aircraft is used by carrier for carriage and its agents, servants and
undertake to carry the passenger or his baggage hereunder or perform any other service incidental to such air representatives.
carriage, 'WARSAW CONVENTION' mearts the Convention for the Unification of Certain Rules Relating to Interna- 7. Checked baggage will be delivered to bearer of the baggage check. In case of damage to baggag4 moving
tional Carriage by Air signed at Warsaw, 12th October 1929, or that Convention as amended at The Hague, 28th in international transportation complaint must be made in writing to carrier forthwith after discovery of damage
September 1955, whichever may be applicable. and, at the latest within 7 days from receipt; in use of delay, complaint must be made within 21 days from date
2. Carriage hereunder is subject to the rules and limitations relating to liability established by the Warsaw the baggage was delivered. See tariffs or conditions of carriage regarding non international transportation.
Convention unless such carriage Is not "International carriage" as defined by that Convention. 8. This ticket is good for carriage for one year from date of issue, except as otherwise provided in this ticket. in
3. To the extent not in conflict with the foregoing carriage and other services performed by each carrier are carrier's tariffs, conditions of carriage, or related regulations. The fare for carriage hereunder is subject to change
subject to: (1) provisions contained in this ticket, (II) applicable tariffs, (III) carrier's conditions of carriage and related prior to commencement of carriage. Cartier may refuse transportation if the applicable fare has not been paid.
regulations which are made part hereof (and are available on application at the offices of carrier) except in 9. Carrier undertakes to use its best efforts to carry the passenger and baggage with reasonable dispatch. Times
transportation between a place in the United States or Canada and any place outside thereof to which tariffs in shown in timetable or elsewhere are not guaranteed and form no part of this contract. Carrier may without notice
force in those countries apply. substitute alternate carriers or aircraft and may alter or omit stopping places shown on the ticket in case of necessity.
4. Carrier's name may be abbreviated in the ticket the full name and its abbreviation being set forth in carriers Schedules are subject to change without notice. Carrier assumes no responsibility for making connections.
tariffs, conditions of carriage, regulations or timetables; carriers address shall be the airport of departure shown 10. Passenger shall comply with Government travel requirements, present exit entry and other required docu
opposite the first abbreviation of carrer's name in the ticket; the agreed stopping places are those places set forth menu and arrive at airport by time fixed by carrier or, if no time is fixed, early enough to complete departure
in this ticket or as shown in carrier's timetables as scheduled stopping places on the passenger's route; carriage to procedures.
be performed hereunder by several successive carriers is regarded as a single operation. 11. No agent servant or representative of carrier has authority to alter, modify or waive any provision of this
5. An air carrier issuing a ticket for carriage over the lines of another air carrier does so only as its agent, contract unless authorized by a corporate officer of carrier.
BRNST CAFE
Ernst Cafe
0O0 3Outh Peters 3t.
504-525-0544
38[V8r: trdC1 04/02/2009
Cashier: Jeff
28/1 11:38 PH
GUeSt3: l
10085
Reprint 2
SN[3[ LGGROLL3 �.S0
C0NVlete Subi0La l 6. 00
3UUrOt.d| 6. 00
Tax 0.00
Total 6.00
�a|"rlCf [lue 3 -00
G0 3ATNTS
H[DHES0AY %T[AK NJGH|!
h
HANWN NAK
CUAR| OlTE UDUG! IN| 'L ATRPORT
O54T NhUh
5 3 l APR04'08 12 rjlPN
1 1 TTEM C0 H60 O 28
''�KXXXXXXXXXXXM XX/XX
NETJCARD Al 5* 6,81
Subtotal V29
Tax O.52
Amt Puid 6 81
THANK YOU, HNSHOST
COMMENTS, OUESTl0NS OR CONCERNS?
PLEASE CONTACT 704-358-4316 OR
CLTCUSTOMERhHMSHOST.COM
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WELCOME TO NEW ORLEANS
WE'RE JAZZED YOU'RE HERE!
WE INVITE YOU TO INDULGE IN OUR
DELICIOUS CUISINE, GREAT MUSIC, AND
AUTHENTIC CULTURE... AND SHARE THE GOOD
NEWS ABOUT THE NEW NEW ORLEANS!
LAISSEZ LES BON TEMPS RO ULEZ!
LET THE GOOD TIMES ROLL!
NEW ORLEANS METROPOLITAN CONVENTION &VISITORS BUREAU
WE'RE JAZZED YOU'RE HERE!
CAB COMPANY
TELEPHONE#
PASSENGER R TAXI FARE
DATE H s�
4 Amount oc)
Other Charges
Total
Driver's Name 2&A Cell
Cab Number sj. A NEW ORLEANS