206155 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
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Page 1 of 4
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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.
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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
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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
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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
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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
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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