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Home My WebLink About206155 02/14/2012 �.E CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1 ri ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $7,335.09 CARMEL, INDIANA 46032 CHECK NUMBER: 206155 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 1,327.82 LONDON TRIP 1160 4343001 1,625.39 WASHINGTON 1160 4343003 2,264.66 LONDON TRIP 1160 4343003 834.72 WASHINGTON 1160 4343004 455.00 PER DIEM- LONDON 1160 4343004 227.50 PER DIEM WASHINGTON 1160 4357004 600.00 CONFERENCE FEES CITY OF CARMEL Expense Report (required for all travel expenses) �MUIPHP. EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: TIME: AM PM DEPARTMENT: yMQ O ti cQ. RETURN DATE: 1 ;Lj aoAa TIME: AM PM REASON FOR TRAVEL: �Cot%om%(_ vP.Vtxr%jQ 'tne� DESTINATION CITY: LOr�t 1 rn EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM V Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 1/21/12 $65.00 $65.00 1/21/12 $1,159.79 $1,159.7 1/21/12 $8.21 V $8.21 1/22/12 $65.00 $65.00 1/23/12 $65.00 L Z $65.00 1/24/12 $65.00 $65.00 1124/12 $18.99 $18.9 1125112 $65.00 $65.00 1125/12 $15.82 $15.82 1125/12 $28.65 V $28.6 1/25/12 $6.71 $6.71 1/26/12 $65.00 i/ $65.00 1/26/12 $29.87 $29.87 1/26/12 $13.36 $13.3 1126/12 $16.55 $16.5 1127112 $65.00 $65.00 1127112 $2,264.66 $2,264.6 1127/12 $29.87 29.87 Total $1,159.79 $0.00 $168.03 $0.001 $2,264.66 $0.00 $0.00 $0.00 $0.00 $455.00 $0 00WEIM DIRECTOR'S STATEMENT: I her y a 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 2/7/2012 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 $32.50 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 $32.50 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 ERO6 Revision Date 2/7/2012 Page 2 Affidavit I, James Brainard, hereby state that I personally paid for the following charges associated with an economic development trip to England in January 2012: Date British Pounds US Dollars Purpose 1/24/12 12 $18.99 Taxi receipt included 1/25/12 10 $15.82 Taxi receipt included 1/25/12 18.10 $28.65 Transportation receipt included TOTAL $63.46 Signature: I r James Brainard Date: 22 Page 1 of 1 Transaction Date: 0111212012Th. Transaction Description; BRITISH AIRWAYS INTEUSA BRITISH AIRWAYS Fmm: To: Came- Class WASHINGTON DULLES LONDON HEATHROW AP BA T WASHINGTON DULLES BA T NIA YY 00 NIA YY 00 Ticket Number: 1252485640876 Date of Departure: 01120 Passenger Name: BRAiNARD /JAMES DR Document Type: PASSENGER TICKET Cardmember Name: JAMES C BRAINARD Amount S: 1.159.79 Doing Business As: BRITISH AIRWAYS INTERNET SALES Merchant Address: SUBMISSIONS USD USA 00000 UNITED STATES Reference Number: 320120170387299692 Category; Travel Airline https: online. americanexpress. com /myca /estmt /us /docs /print_doc.html 2/7/2012 Page 1 of 4 THIS IS AN AUTOMATED EMAIL PLEASE DO NOT REPLY AS EMAILS RECEIVED AT THIS ADDRESS WILL BE AUTOMATICALLY DELETED. Virus checking of emails (including attachments) is the responsibility of the recipient. This message is private and confidential and may also be legally privileged. If you have received this message in error, please advise the sender and immediately, permanently destroy the document. Please do not read, print, re- transmit, store or act in reliance on it or any attachments. e- ticket receipt BRITISH AIRWAYS Dear DR BRAINARD, Booking reference: 4M90WI Thank you for booking with British Airways. Ticket Type: e- ticket This is your e- ticket receipt. Your ticket is held in our systems, you will not receive a paper ticket for your booking. If the payment cardholder is travelling, you must bring the card used to pay for this booking to the airport with you, for verification, before you can travel. Your itinerary is detailed below. O What to do next Visit Manage My Booking and print "Your Itinerary a customer friendly up -to -date summary of your booking. We suggest you take this with you on your trip, as some authorities will need to see a printed flight itinerary. We also recommend the following services to help you get the most out of your journey: Add Advance Passenger Information Save time at the airport by I�I providing this information online now. If you are travelling with an infant, this can only be added for them when online check -in opens at 24 hours before departure. Choose your seat Get a wider choice by paying to choose your seats now, a,, I Book a great value hotel Need somewhere to stay? We've got a wide range of carefully selected hotels to suit your budget. Request special meals If you have special or medical dietary requirements then request your special meal online. This is only a selection of the services available for you in Manage My Booking. To use these, or to see what else is available please click below I Manage My Booking® Please note that this link provides direct access to your booking, so please only forward this email if you want the recipient to access your booking and the related services. a Your Itinerary British Airways booking reference: 4M90WI Passenger(s) DR JAMES BRAINARD http: mail. aol. com 35475- 111/aol- 6 /en- us /Suite.aspx 2/7/2012 Page 2 of 4 Flight number BA0216 From Dulles International (DC) (Washington DC) To Heathrow (London) Depart 20 Jan 2012 18:15 Arrive 21 Jan 2012 06:20 Cabin World Traveller Plus Operated by British Airways Booking status Confirmed Flight number BA0217 From Heathrow (London) Terminal 5 To Dulles International (DC) (Washington DC) Depart 27 Jan 2012 11:15 Arrive 27 Jan 2012 14:35 Cabin World Traveller Plus Operated by British Airways Booking status Confirmed Checked baggage 2 bags at 23kg (51lbs) per bag per passenger In addition to their baggage allowance infants and children, up to age 11, can also take one fully collapsible pushchair (stroller) and one car seat. You may be charged for extra or overweight bags. There are restrictions on what you may pack and on the dimensions of your bags. British Airways baggage information Baggage Charges Hand baggage on BA 1 piece of hand baggage (56cm x 45cm x 25cm /22in x operated flights 18in x loin) plus a briefcase, laptop or handbag (45cm x 36cm x 20cm /18in x 14in x 8in) per person. Hand baggage policy information n Payment Information D Ticket Number(s) 125 2485640876 Card Type Card Holder DR JAMES BRAINARD Card Number Payment Total USD 1159.79 Date 12 Jan 2012 Flight tickets issued by British Airways, USA IATA Number 33991134 Endorsements Pax nonrefundable restrictions apply Fare Details USD 451.00 Fare breakdown The price of your ticket includes a security and insurance surcharge and a fuel surcharge per sector levied by the carrier. All taxes, fees and charges are to be paid by the member (not British Airways). Please note that air travel is not subject to VAT therefore we do not issue VAT receipts. Where applicable, if you wish to change the date or time of your flight, or cancel your booking, the cost of doing so will generally be lower on ba.com than over the telephone or at a ticket desk. Service charges are subject to change. For further details and a list of the current charges, please visit: http: /ba.com /servicefees Taxes /fees /charges http: /mail.aol.com/35478 -111 /aol- 6 /en- us /Suite.aspx 2/7/2012 Page 3 of 4 Government, authority and airport charges Per adult Customs User Fee USA USD 5.50 Transportation Tax(Departure) USA USD 16.70 Transportation Tax(Arrival) USA USD 16.70 Animal Plant Health User Fee (Aphis) USA USD 5.00 I Immigration User Fee USA USD 7.00 Passenger Civil Aviation Security Service Fee USA USD 2.50 Air Passenger Duty United Kingdom USD 185.53 Passenger Service Charge United Kingdom USD 47.36 Passenger Facility Charge USD 4.50 Total government, authority and airport charges* USD 290.79 More information British Airways fees and surcharges Per adult Fuel Surcharge USD 418.00 Total British Airways fees and surcharges USD 418.00 i More information i Total taxes, fees and surcharges per person USD 708.79 *Government and /or airport taxes are refundable, however some countries will apply a Value Added Tax, Sales Tax or equivalent, which will only be refunded on fully flexible tickets. *In line with the fare rules, a refund of fuel surcharge can be made on fully flexible tickets only with unused flights in your itinerary. Please note that air travel is not subject to VAT therefore we do not issue VAT receipts. Yours sincerely, British Airways Customer Services British Airways may monitor email traffic data and also the content of emails, where permitted by law, for the purposes of security and staff training and in order to prevent or detect unauthorised use of the British Airways email system. British Airways Plc is a public limited company registered in England and Wales. Registered number: 1777777. Registered office: Waterside, PO Box 365, Harmondsworth, West Drayton, Middlesex, England, UB7 OGB. How to contact us Although we are unable to respond to individual replies to this email we have a comprehensive section that may help you if you have a question about your booking or travelling with British Airways. Help and contacts If you want to contact us about a problem when you travelled with us recently please complete our Customer Relations form. Customer Relations form If you require further assistance you may contact us on: 1 800 247 9297 http: /mail.aol.com/3 5478 -111 /ao1- 6 /en- us /Suite.aspx 2/7/2012 Page 1 of 1 Transaction Date: 01212012 Sat Transaction Description: HEATHROW EXPRESS OPELONDON GB AH32 00175 LOCAL TRANSPORTATION 5.30 UNITED KINGDOM POUND STERLING CONVER LOCAL TRANSPORTATION RAIL TICKETS $5.30 Cardmember Name: JAMES C BRAINARD Amount 8.21 Foreign Spend Amount: 5.30 UNITED KINGDOM POUND STERLING Doing Business As: HEATHROW EXPRESS OPERATING LIMITED Merchant Address: 8TH FLOOR 50 EASTBOURNE TERRACE PADDINGTON LONDON W2 8LX UNITED KINGDOM Reference Number: 320120210435782182 Category: Transportation Rail Services https:H online. americanexpress. com /myca /estmt/us /docs /print_doc.html 2/3/2012 We PO a OOg Den UK ago 000 All Sized Leaflets *Business Cards Letterheads Received with thanks #Compliment Slips Posters *A boards From Folded Menus *Distribution PVC Banners 013 �2SROK MIE MW TO (OF C MOV001 Date '95 ,Zo1Z Time �aice%�CeO�. �'c�X Receipt Car IVo f�------- Z'O^ r harolds�cars�btconnect.com VAT.Nn 4a 5760 -95 1 0300 303 4000 orn., Amo A> S .z ww�o.Xe Gew, /�.rct. l .qq w u�w. X e Loar+ ol CI *1012- Chiltern Railways HADDENHAM THAME PARKWAY 01 SQS (NCH) Haddenham T !ly London Terminals 99984 25/01/12 £18.10 TOTAL £18.10 Cash £20.00 CHANGE £1.90 VAT £0.00 VAT Date 25/01 3053 ww\.O. )ce Cow /u(- L Page 1 of 1 Transaction Date: 0125/2012 Wed Transaction Description: L/rRANSPORT (AMEX )-KLONDON GOVERNMENT SERVICE 4.30 UNITED KINGDOM POUND STERLING CONVER GOVERNMENT SERVICE RAIL TICKETS 54.30 Cardmember Name: JAMES C BRAINARD Amount S: 6.71 Foreign Spend Amount: 4.30 UNITED KINGDOM POUND STERLING Doing Business As: L/TRANSPORT (AMEX) -KINGS CROSS (M) Merchant Address: EUSTON ROAD LONDON N19AL UNITED KINGDOM Reference Number: 3 201 2025047 992 81 64 Category: Other Government Sernces https: online. americanexpress. com /myca /estmt/us /docs /print_doc.html 2/3/2012 Page 1 of 1 Transaction Date: 01262012 Thu Transaction Description: HEATHROW EXPRESS OPELONDON GS AHSO00341 LOCAL TRANSPORTATION 19.00 UNITED KINGDOM POUND STERLING CONVE LOCAL TRANSPORTATION RAIL TICKETS $19.00 Cardmember Name: JAMES C BRAINARD Amount 29.87 Foreign Spend Amount: 19.00 UNITED KINGDOM POUND STERLING Doing Business As: HEATHROW EXPRESS OPERATING LIMITED Merchant Address: 6TH FLOOR 50 EASTBOURNE TERRACE PADDINGTON LONDON W2 6LXA UNITED KINGDOM Reference Number: 320120270003001719 Category: Transportation Rail Services NOT F OR TR AVEL COF0 .5Y 5ri 25086706 rvi 26-IN-1 1 C—ft .s.f onfwa ita kr I-"— not for resale https: online. americanexpress. com /myca /estmt /us /docs /print_doc.html 2/3/2012 Page 1 of 1 Transaction Date: 01126/2012 Thu Transaction Description: HEATHROW EXPRESS OPELONDON GB AH33 D0041 LOCAL TRANSPORTATION 8.50 UNITED KINGDOM POUND STERLING CONVER LOCAL TRANSPORTATION RAIL TICKETS 58.50 Cardmember Name: JAMES C BRAINARD Amount 13.36 Foreign Spend Amount: 8.50 UNITED KINGDOM POUND STERLING Doing Business As: HEATHROW EXPRESS OPERATING LIMITED Merchant Address: 6TH FLOOR 50 EASTBOURNE TERRACE PADDINGTON LONDON W2 6LX UNITED KINGDOM Reference Number- 320120270003001720 Category: Transportation Rail Services https:// online.americanexpress.com/myca /estmt/us /docs /print doc.html 2/3/2012 Page 1 of 1 Transaction Date: 012612012 Thu Transaction Description: LITRANSPORT (AMEX)-KLONDON GOVERNMENT SERVICE 10.60 UNITED KINGDOM POUND STERLING CONVE GOVERNMENT SERVICE RAIL TICKETS $10.80 Cardmember Name: JAMES C BRAINARD Amount 16.55 foreign Spend Amount: 10.60 UNITED KINGDOM POUND STERLING Doing Business As: LfTRANSPORT (AMEX) -KINGS CROSS (T) Merchant Address: EUSTON ROAD LONDON N19AL UNITED KINGDOM Reference Number: 920120260491258343 Category: Other Gowmment Services https: /online.americanexpress .corn /myca/estmt /us /docs /Print doc.html 2/3/2012 Page 1 of 1 Transaction Date: 012712012 Fn Transaction Description: ST PANCRAS RENAISSANLONDON GB 03322717221 LODGING 1,440.00 UNITED KINGDOM POUND STERLING CO LODGING MERCHANDISE Cardmember Name: JAMES C BRAINARD Amount 2,204.55 Foreign Spend Amount: 1,440.00 UNITED KINGDOM POUND STERLING Doing Business As: ST PANCRAS RENAISSANCE HOTEL LONDON Merchant Address: EUSTON ROAD LONDON NW1 2AR UNITED KINGDOM Reference Number: 320120300037750433 Category: Travel Lodging https: online. americanexpress. com /myca/estmt/us /does /print_doc.html 2/3/2012 St Pancras Renaissance Hotel, Euston Road, London NW1 2AR TELEPHONE: +44 (0)20 7 FAX: +44 (0)20 7 EMAIL: stpancras .hotela@renaissaneehotels.com stpancrasrenaissance.co.uk EST -1873 S T P A N C R A S RENAISSANCE® HOTEL LONDON Mr Mayor James Brainard Room No. 172 12662 Royal Court Arrival 21.01.12 Carmel Departure 27.01.12 Carmel IN 46032 Page No. I of 2 United States User ID ALENK644LONPR VAT No. 936549290 INVOICE. Conf. No. 82875669 Date 27.01.12 Foiio 1 0 M, Date Text Charges GBP Credits GBP 21.01.12 Accommdation 200.00 21.01.12 Tax VAT a 20% 40.00 22.01.12 Accommdation 200.00 22.01.12 Tax VAT 20% 40.00 23.01.12 Accommdation 200.00 23.01.12 Tax VAT n 20% 40.00 24.01.12 Accommdation 200.00 24.01.12 Tax VAT 20% 40.00 25.01.12 Accommdation 200.00 25.01.12 Tax VAT 20% 40.00 26.01.12 Accommdation 200.00 26.01.12 Tax VAT m 20% 40.00 27.01.12 1,440.00 Total: 1,440.00 1,440.00 Balance 0.00 GBP NET VAT GROSS Tax VAT n(7 20% 1,200.00 240.00 1,44 GBP Totals 1,200.00 240.00 1,440.00 GBP Manhattan Loft St Pancras Hotel Ltd. VAT REGISTRATION No. GB 936 5492 9O COMPANY REGISTRATION NO. 05550376 REGISTERED IN ENGLAND. REGISTERED OFFICE: 12 Q ueen Anne Street, London WIG 9AU St Pancras Renaissance Hotel, Euston Road, London NWl 2AR TELEPHONE: +44 (0)20 7 FAX: 44 (0)20 78413579 EMAIL: stpancras .hotel @renaissancehotels.com stpancrasrenaissance.co.uk EST. 1873 S! PA►N C RA►S RENAISSANCE® HOTEL LONDON Nir Mayor James Brainard Room No. 172 12662 Royal Court Arrival 21.01.12 Carmel Departure 27.01.12 Carmel IN 46032 Page No. 2 of 2 United States User ID ALENK644LONPIZ VAT No. 936549290 INVOICE Conf. No. 82875669 Date 27.01.12 E'clio No. 83830 Date Text Charges GBP Credits GBP Merchant 1D: Credit Card Exl. XXXXXXXXXX. XX /XX Transaction ID Amount: 18341 121 1440.00 Capture Method Manual App. Code Amount: All 1440.00 Manhattan Loft St Pancras Hotel Ltd. VAT REGISTRATION No. GR 936 5492 90 COMPANY REGISTRATION NO. 05550376 REGISTERED IN ENGLAND. REGISTERED OFFICE: 12 Queen Anne Street, London WIG 9AU Page l of 1 Transaction Date: 01/2712012 Fri Transaction Description: HEATHROW EXPRESS OPELONDON GB AA22 00176 LOCAL TRANSPORTATION 19.00 UNITED KINGDOM POUND STERLING CONVE LOCAL TRANSPORTATION RAIL TICKETS S19.00 Cardmember Name: JAMES C BRAINARD Amount S: 29.87 Foreign Spend Amount: 19.00 UNITED KINGDOM POUND STERLING Doing Business As: HEATHROW EXPRESS OPERATING LIMITED Merchant Address: 6TH FLOOR 50 EASTBOURNE TERRACE PADDINGTON LONDON W2 6LX UNITED KINGDOM Reference Number: 320120270007539372 Category: Transportation Rail Services BLACK London Taxi Receipt CABS Amount Use BLACK CABS App for your ne journey FREE APP! Download NOW (see overleaf for info) https: online. americanexpress. com /myca /estmt/us /docs /print_doc.html 2/3/2012 CITY OF CARMEL Expense Report (required for all travel expenses) r /NDIANp EXHIBIT A EMPLOYEE NAME: �j1rv\7R)rA%raLc DEPARTURE DATE: �--1�- a ova TIME: AM PM DEPARTMENT: Yl-IO nr 0'�-1ce RETURN DATE: a1 a oNP, TIME: AM PM r' REASON FOR TRAVEL: U S Cof4eccrct- o� W)ONDY DESTINATION CITY: 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 11/17/11 $600.00 $600.00 1/17/12 $32.50 V $32.50 1/17/12 $25.00 $25.00 1/17/12 $662.60 $662.60 1/17/12 $65.00 V $65.00 1/18/12 $65.00 $65.00 1/18/12 $15.19 $15.1 1/19/12 $65.00 $65.00 1/20/12 $65.00 $65.00 1/20/12 $834.72 $834.72 1/20/12 $65.00 $65.00 1/27/12 $60.00 $60.00 1/27/12 $662.60 $662.60 11/27/12 70.00 70.00 Total $1,410.20 $0.00 $800.00 $0.00 $834.72 $0.00 $0.001 $0.001 $0.001 $227.501 $15.19 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: �4;6,c Date: tic' /L For advance payments, claim form must be submitted ten (10) business days in advance of travel. City of Carmel Form ER06 Revision Date 2/7/2012 Page 1 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 $32.50 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 $32.50 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 2/7/2012 Page 2 U.S. Conference of Mayors 80 Winter Meeting .January 18 -20, 2012 Capital Hilton Hotel Washington, DC REGISTRATION FORM Name Jim Brainard Title: Mayor Preferred Name on Badge (First Only) Jim Organization City of Carmel Street Address One Civic Sc{uare City Carme 1 State IN Zip 46032 Telephone 17 571 -2401 Fax 317 844 -3498 Email 7brainard d carmel in. Qov Please make sure that this is a valid email account. Your receipt for payment and hotel request will be sent here. *lfyou would like a second confirmation sent to a different email address. please list second email address below: Gender Male O Female Attendee(s) has special needs: O Yes V No (If yes, USCM will contact.) Newly Elected: 0 Yes No First Time Attendee: O Yes No Name of Accompanying Spouse /Partner (First) (Last) (There is no additional registration fee for spouses /partners.) CONFERENCE REGISTRATION INFORMATION (No registrations will be processed without accompanying payment) Rea istrrrtion Fees: BER NON- NIEMBER. Early Registration Fee: $600 $1050 (Payable by December 30. 201 1) Advance/On-Site Registration Fee: $800 $1300 (After December 30. 201 1) Chccks or purchase orders for payment of registration fees should be made payable to: The United States Conference of Mayors. Refunds will be made for cancellations received in writing by December 30 (less a $100.00 service fee). NO REFUNDS will be made for cancellations received after December 30, 2011. CRI�`IDIT CARD AUTI- 101ZIGATION: Please note by submitting your card information. you are aulhorizi::g USCM Meetings Department to use the card below to pay your registration fee. Please circle Credit Card Type: VISA MC Other (Specify) Credit Card No. Exp. Date 02/14 Signature PLEASE RETURN THIS FORM WITH YOUR REGISTRATION PAYMENT TO: The United States Conference of Mayors Attention: Carol Edwards 1620 Eye Street, NW Washington, DC 20006 Telephone(202)293 -7330 Fax(202)467 -4276 Page 1 of 1 Transaction Date: 11/1712011 Thu Tmnsaction Description: US CONF OF MAYORS OOWASHINGTON DC 202 -203 -7330 Description CONTRIBUTIONS/ Cardmember Name: JAMES C BRAINARD Amount 600.D0 Doing Business As: U S CONFERENCE OF MAYORS Merchant Address: 15201 ST NW WASHINGTON DC 20005 -40(15 UNITED STATES Reference Number: 3201 1 322 011845 5256 Category: Other- Charities https:// online. americanexpress .com /myca/estmt/us /docs /print doc.html 2/7/2012 UNITED STATES CONFERENCE OF MAYORS For USCM Use Only 1620 EYE STREET, N.W., WASHINGTON, D.C. 20006 REGISTRATION RECEIPT (PLEASE PRESENT AT REGISTRATION) IDNo: 189 11118!2011 Fee: $600.00 Date: Paid: Yes Payment: CreditCard RegType: MayorMember Meeting: 80th Winter Meeting, Washington, DC, January 18 -20, 2012 Spouse /Partner: 189 James Brainard Mayor City of Carmel One Civic Square Carmel, IN 46032 Arrival Date: 1/16/2012 Depart Date: 1/20/2012 The Capital Hilton Original THE UNITED STATES CONFERENCE OF MAYORS 80 i Winter Meeting January 18 -20, 2012 Capital Hilton Hotel Washington, DC Title Sponsor: SIEMENS DRAFT AGENDA (As of October 19, 2011) TUESDAY, JANUARY 17 12:30 p.m. 5:00 p.m. PRE CONFERENCE SESSION (All Mayors Welcome) Job Creation and the Employability Crisis: Preparing the Future Workforce as a Competitive City Strategy America stands on the brink of an employability crisis with an over- supply of available workers and an under supply of qualified talent. During this working session, Mayors, CEOs, Small Business Leaders and Workforce Development Professionals will share best practices and strategies on developing the workforce of tomorrow. WEDNESDAY, JANUARY 18 8:00 a.m. 9:00 a.m. Orientation for New Mayors and First Time Attendees 9:00 a.m. 10:00 a.m. Women Mayors 10:00 a.m. 11:00 a.m. Task Force Meetings 11:00 a.m. 12:00 noon STANDING COMMITTEES Community Development and Housing Energy Jobs, Education and the Workforce Metro Economies 12:30 p.m. 2:00 p.m. LUNCHEON: 1" Annual Childhood Obesity Prevention Awards 2:30 p.m. 3:30 p.m. Task Force Meetings/Workshops 3:30 p.m. 5:00 p.m. OPENING PLENARY SESSION 6:00 p.m. 8:00 p.m.. OPENING RECEPTION (Capital Hilton Hotel) (Over) _r. THURSDAY, JANUARY 19 7:30 a.m. 9:00 a.m. PLENARY BREAKFAST: Honoring Leadership in the Arts 9:30 a.m. -11:00 a.m. PLENARY SESSION 11:30 a.m. 12:30 pm STANDING COMMITTEES Children, Health and Hwnan Services Criminal and Social Justice Environment Transportation and Communications 12:30 p.m. 2:00 p.m. LUNCHEON 2:30 p.m. 3:30 p.m. WORKSHOPS 2:30 p.m. 3:30 p.m. USCM Executive Committee (Closed) 4:00 p.rn. 5:00 p.m. STANDING COMMITTEES International Affairs Tourism, Arts, Parks, Entertainment and Sports Membership 5:00 p.m. 6:00 p.m. National Conference of Democratic Mayors (Closed) 5:00 p.m. 6:00 p.m. Republican Mayors and Local Officials (Closed) 6:30 p.m. 9:30 p.m. 80 WINTER MEETING GALA National Building Museum (All registered attendees are invited to this event) FRIDAY, JANUARY 20 8:00 a.m. 9:30 a.m. PLENARY BREAKFAST: Mayors and Business Leaders (The USCM Excellence in PubliclPrivate Partnership Awards will he presented daring this session.) 10:00 a.m. .1, L30 a.m. PLENARY SESSION 12:00 noon 1:30 p.m. CLOSING LUNCHEON Adjourn U-S AIRWAYS U•S AIRWAYS B6Q38R /US 1.73AN1.2 BF28D83K E— TICKET RECEIPT BRAINARD/JAMES ARRIVAL F{OM TO 1000A EXCESS BAG EBC Us 9957 Y 17JAN 1130A FEE FEE E B C FEE i i FP tXXXXXXxqwwx,XXX /1271.75 /FC BAGGAGE FEE x(1.8) 01. 00 ?5 (2R) 00 1 I 0000 (3R) 00 0000 (4B) 00 0000 (OW) 00 0000 (0 7) 60 0000( SE) 00 OOOQ (C 0) 00 0000 usD TL 025.00FND 03787357] 43267. 01. 201.121201201173088ND.nCA.DCA .(FR8095) i FARE USD '25.00 DOCUMENT NUMBER (:)372457$46039 TAX US 0.00 TAX NO CA7ll VALUr_ TI`F.XNK YOU FOR !=1_Y =NG TOTALUSD L 00 US A VIRW'AYS Page l of l Transaction Date: 0 111 Z'2012 Thu Transaction Description: EXPEDIA ING ATLANTA GA US AIRWAYS INC. From T. Canner. Class: INDIANAPOLIS WASHINGTON NATIONA US N INDIANAPOLIS US L N/A YY 00 NIA YY 00 Ticket Number: 03787357543261 Date of DepaAure 01117 Passenger Name: BRAINARD /JAMES Document Type: PASSENGER TICKET Cardmamber Name: JAMES C BRAINARD Amount S: 862.80 Doing Business As: US AIRWAYS ARC SALES Merchant Addmss: 4000 E. SKY HARBOR BLVD, PHOENIX AZ 85034 UNITED STATES Reference Number: 320120130341679337 Category: Travel Airline https online. americanexpress.com /myca/estmt/us /docs /print doc.html 2 /7/2012 TAMCAB RECEIPT Time: 1 Q %A Date: Origin of trip DL%Ae..S Destination: CCko Fare: 40S-00 Sign: AXICAB RE/ JPT Fill Time: Date: Origin of trip: C-C)PACA �V L Destjnation: Ae-5 Fare: Sign: Customer Receipt Keep This For Your Records Yotir charges are based on the activated time on per inin to basis,. Prices may vary. Terminal ID Hilton Capital [Washington, DC] 'Description PC 3 [5] Date 01/18/12 Time 8:34 PM Account Name JC BRAINARD Account Number XXXXXXXXXXX Expiration Date XXXX Total Time 31 minutes $0.49 /minute Amount Due $15.19 Thank you for using Business Automation Center. The Premier Provider for 24 -hours automated business services. For a complete list of our locations visit us at WWW .BUSINESSAUTOMATIONCENTER.COM ATTENTION ATTENTION ATTENTION ATTENTION YOUR ACCOUNT HAS BEEN APPROVED! IF YOU EXPERIENCE ANY DIFFICULTIES WITH ANY DEVICE, YOU MUST NOTIFY US WITHIN 24 HOURS AT (800) :364 -4254 SO THE APPROPRIATE ADJUSTMENT CAN BE MADE TO YOUR ACCOUNT. ATTENTION ATTENTION ATTENTION ATTENTION BUSINESS AUTOMATION CENTER HOTEL CREDIT POLICY Credit request submitted within 48 hours, will be reviewed on a per call per issue basis. Please call 1 -800- 564 -4254 for adjustments. Credit request made after 48 Hours,must be disputed wish your Credit Card company. lb 1001 16th Street Washington, DC 20036 Capital Hilton Phone (202) 393 -1000 Fax (203) 639 -5784 i Vll Reservations Name Address www.hilton.com or 1 800 HILTONS BRAINARD, JAMES Room 781 /Q2RRV CITY OF CARMEL Arrival Date 1/17/2012 6:43:OOPM 12662 ROYCE CT Departure Date 1/20/2012 CARMEL, IN 46033 -2477 Adult/Child 1/0 US Room Rate 243.00 RATE PLAN C -UCM HH# 928398206 SILVER AL DL #070913146 BONUS AL CAR Confirmation Number: 3445172527 1120/2012 PAGE 1 DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 1/17/2012 GUEST ROOM AJSCOTT 5461257 $243.00 1/17/2012 ROOM TAX AJSCOTT 5461257 $35.24 1/18/2012 GUEST ROOM AJSCOTT 5462588 $243.00 1/1812012 ROOM TAX AJSCOTT 5462588 $35.24 1/19/2012 GUEST ROOM AJSCOTT 5463860 $243.00 1/19/2012 ROOM TAX AJSCOTT 5463860 $35.24 WILL BE SETTLED TO f0 a ft $834.72 EFFECTIVE BALANCE OF $0.00 i Hilton HHonors(R) stays r e ';posted within 72 h ours of checkout. To ch ck your earnings for this or aj iy other stay e t more thar 3, 000 Hilton Famil hotels worldwide, please t isit HiltonHHo iors. corn. Thank you for choosing H ton! Book YoL r next stay at hiltoh.com and to e advantage of our internet- my Advance urchase F ates and limited -tim special offers! DATE OF CHARGE FOLIO NO./CHECK N0. 7%7 904381 A Zip -Out Check -Out Good Morning We hope you enjoyed your stay. With Zip -Out Check -Out® AUTHORIZATION INITIAL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of laic last PURCHASES SERVICFS evening. For any charges after your account was prepared, you may TAXES 0 pay at the time of purchase. charge purchases to your account, then stop by the Front Desk for an TIPS vIlsc. updated statement. or request an updated statement be mailed to you within two business days. Simply call extension 5610 from your room and tell us when you are ready to TOTAI. AMOUNT depart. Your account will be automatically checked out and you may use this statement as your receipt. Feel free to leave your key(s) in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions ahout your account. ru Cap ital Hilton Dear Valued Guest: Thank you for selecting the Capital Hilton. We wish you a safe and pleasant journey to your next destination. When you return home, you may receive a Hilton Hotels survey requesting feedback on your stay. If you were pleased with your visit we would like to encourage you to participate, as your comments are helpful in recognizing Capital Hilton team members who exemplify our commitment to providing the finest service. Additionally, please feel free to post these comments on the trip advisor website www.tripadvisor.com. Our intention is for every aspect of your stay at the Capital Hilton to be of the highest quality. If for any reason you feel we have opportunity to improve in any area, let a Front Office Manager know. We have found this type of immediate feedback to be helpful and I hope that you will provide us with this feedback. If the receipt you received this morning is correct, you can dial our ZIP- OUT extension 19866. By dialing this extension you have informed the hotel staff that you have checked out. You may leave your keys in your room or place the keys within the front office Key Drop. As a reminder, our checkout time is 12 NOON. Complimentary luggage storage is available at our Bell Desk located on the lobby level next to the Front Desk. Please dial 77 or press the Bell Captain button located on your guestroom phone should you require luggage assistance. Thank you again for choosing the Capital Hilton, and we very much look forward to being of service again in the near future. At Your Service, Ga,Yrett�u.+rk.�,Y Director of Front Office Operations Page 1 of 1 Transaction Date: 0112712012 Fri Transaction Description: US AIRWAYS WASHINGTON DC 03724589298 800-428 -4322 US AIRWAYS From To Camer Class NIA NIA YY NIA YY NIA YY NIA YY Ticket Number: 0372458929807 Date of Departure. 1231 Passenger Name BRAINARD /JAMES Document Type: SPD1AtR FREIGHT Cardmember Name: JAMES C BRAINARD 1 Amount 60.00 Doing Business As: US AIRWAYS DIRECT SALES Merchant Address: ATTNBRENDA HOLMES RWE -STX 4000 E SKY HARBOR BLVD PHOENIX AZ 85034 UNITED STATES Reference Number. 320120280015369171 Category: Trawl Airline U- S AIRWAYS u s Az SWAYS F67VH6 I.)S 27.)AN12 RF-on[;5Y4 E TICKET RECEIPT BRATNARD /JAMES ARRIVAL_ F,' OM TO 1000A PXC_f:_ S fins; PItC U 99;7 Y 27 [AN L130A 1 =6E FI.I. I EBC FEE I I ba�e FP ("xxxxxxxxX��xxxx! %IC FEE (l.¢) Ol 0025 (25) 01 0035 (,m) 00 0000 (4fi) 00 1)[100 (01v) 00 0000 (07) 00 00 00( SF) 00 0000 (C u) 00 0000 usnrrl_ u6O.00M) of 787357947; 6201_ 2Q112 2201201273431.DCA.rNO.TND (FR8UE }5) s I 4 r USD 60:.00 DOCUMFNT NUMBER 0372458929807 TAX US 0.00 TAX NO c_A'Ai VAI.uF THrr1NK YOU FOR FLYING TOTALUSC 0D. ni' US AIRWAYS https: online. americanexpress. com /myca/estrnt /us /docs /print_doc.html 2/3/201.2 Itinerary 142310652201 Page 1 of 2 Washington, ®C Expedi®° Booked items Flight: Washington to Indianapolis back to top Expedia itinerary number: 142310652201 Main contact: James Brainard Airline ticket number(s): 0378735794326 E -mail: brainardjc@aol.com US Airways confirmation code: FR8095 Cell phone: 1 3178478425 Preferred phone: 1 3175739929 Alternate phone: 1 3175712401 Traveler and cost summary James Brainard Adult Delta #2016335578 $596.28 Taxes Fees $66.32 Total I.W) $662.60 Change this flight Print a receipt View cancellation information Flight summary Seat assignments, meal preferences, and special requests must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special meals are not available on many flights. Traveling to Indianapolis W Fri 27 -Jan -12 Washington (DCA) to Indianapolis (IND) 487 mi Depart 6:30 pm Arrive 8:17 pm (784 km) Flight: 3431 Terminal C Duration: 1 hr 47mn Operated by: US AIRWAYS EXPRESS REPUBLIC AIRLINES EconomylCoach Class 16F EMBRAER 170, 70% on time Total distance: 487 mi (784 km) Total duration: 1 h 47mn Airline rules regulations Please note that the most restrictive set of rules applies to your entire itinerary. Indianapolis, IN (IND- Indianapolis Intl.) to Washington, DC (WAS -All Airports) Tickets are nonrefundable. A fee of $150.00 per ticket will be charged for itinerary changes after the tickets are issued, provided that the booking rules were followed. Washington, DC (WAS -All Airports) to Indianapolis, IN (IND Indianapolis Intl.) Tickets are nonrefundable. A fee of $150.00 per ticket will be charged for itinerary changes after the tickets are issued, provided that the booking rules were followed. Tickets are nontransferable and name changes are not allowed. Please read important information regarding airline liability limitations Prices do not include baggage fees or other fees charged directly by the airline. Other penalties may apply. See an overview of all the rules and restrictions applicable for this fare. View the complete penalty rules for changes and cancellations associated with this fare. Special requests We will forward your requests to the travel vendor, but as these are subject to availability we can not guarantee that they will be honored. Some special requests (e.g., ski racks, rollaway beds) may incur additional charges from the vendor. Free and special meals are not available on many flights. Flight: Washington to Indianapolis h4: /www.expedia.com /pub /agent.dli ?gscr= open &itld 423106522 &vwtp =4 2/7/2012 *-41 DULLES AIRPORT TAXI INC. PART OF WASHINGTON FLYER CAB #088 Date 01/27/2012 FROM: 15:27 TO: 16:03 TRIP 7040 DIST 28.86 mi FARE 62.00 TOTAL 62.00 Thank You for using us 703- 661 -8230 S�'f�Z3y -3b3K lKa�sr� VOUCHER NO. WARRANT NO. ALLOWED 20 Mayor Jim Brainard IN SUM OF One Civic Square Carmel, IN 46032 $7,335.09 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# l Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 1160 Report Washin 43- 430.03 $834.72 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1160 erase Re rot Lon 43- 430.03 $2,264.66 7fl materials or services itemized thereon for 1160 Report Washin 43 -430.01 $2 3.9rL- which charge is made were ordered and 1160 sense Report -Lon 43- 430.01 $1,327.82 received except 1160 Expense Report 43- 430.04 $227.50 1160 Expense Report 43- 430.04 $455.00 Monday, February 13, 2012 /6t Mayor 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)) 02/08/12 Report Washing $834.72 02/08/12 )ense Reprot Lon $2,264.66 02/08/12 Report Washing $2,225.39 02/08/12 )ense Report -Lon $1,327.82 02/08/12 Expense Report $227.50 02/08/12 Expense Report $455.00 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