170511 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS CHECK AMOUNT: $590.77
CARMEL, INDIANA 46032 101 2141) AVE SW, a2C
+AS CARMEL IN 45032 CHECK NUMBER: 170511
CHECK DATE: 411(2009
DEP ARTMENT T ACCOUNT PO NU INVOIC NUMBE AMO DESC RIPTION T
1160 4343001 402.50 TRAVEL FEES EXPENSE
1160 4343004 153.27 'TRAVEL PER DIEMS
1160, 4355100 35.00 PROMOTIONAL FUNDS
r
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Darrell D. Norris, being duly sworn upon my oath, state that I personally expended the
following sum of money, in cash via my checking account debit card, at the RIO Suites
Hotel, in Las Vegas, Nevada, to pay fees required to access email from the Business
Center of the hotel, so that I could check City of Carmel e- messages, and respond to
such, while away on business at the Renewable Energy World 2009 Expo and
convention, during March 9, 2009 through March 13, 2009: and for which I need to be
reimbursed:
March 13, 2009 12 minutes) 6.00 Note, the dates shown reflect the dates
March 16, 2009 12 minutes) 6.00 that the charges were posted on my
March 17, 2009 12 minutes) 6.00 checking account. Actual use dates were
March 17, 2009 18 minutes 9.00 March 10, 11, 12, and 13, 2009
TOTAL: 27.00
Dated this 23 day of March, 2009.
Darrell D. Norris
Subscribed and sworn to before me, a Notary Public, this �L) day of /'�e
2009.
Notaroublic
Printed Name
Resident of L County, Indiana
My Commission Expires:
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
1, Darrell D. Norris, being duly sworn upon my oath, state that I personally expended the
following sums of money, in cash, for Shuttle Bus transportation, from the Las Vegas
airport, to the RIO Suites Hotel, in Las Vegas, Nevada; and to return to the airport; to pay
the respective transportation fees, while away on business at the Renewable Energy
World 2009 Expo and convention, during March 9, 2009 through March 13, 2009: and
for which I need to be reimbursed:
March 09, 2009 Gray Line Shuttle One Way to RIO Suites Hotel 7.00
March 13, 2009 Showtime Shuttle One Way to Las Vegas Airport 8.50
TOTAL: 15.50
Dated this 23 RD day of March, 2009.
i
Darrell D. Norris
Subscribed and sworn to before me, a Notary Public, this 3 day of
2009.
NQ#y Pub 'c
Printed Name
Resident of County, Indiana
My Commission Expires: Q��z
Untitled Page Page 1 of 1
i
LJ I J Fishers, Indiana
2009 Outlook Luncheon
Event Date(s): 2/24/2009
Event Time: 11.30 AM to 1:00 PM
Return to Homepa4e
Your sign up information has been processed.
Please print this information to keep for your records. If paying by credit card, your registration
is not complete until your credit card has been charged.
Thank You.
Your Contact Info:
CITY OF CARMEL
DARRELL NORRIS 61/7-L0Z6C C C �;v ZLl7.tr 6'
ONE CIVIC SQUARE re
CARMEL, IN 46032
Phone: 317.571.2488 Ext:
Email: dnorris @carmel.in.gov
1 Outlook Luncheon Pay in A vance 20.00
TOTAL: 20.00
Your Card Info:
Credit Card Type: I
Card Number:
Expiration Date:
0 This process uses the latest SSL security encryption.
If you'd rather place your order by telephone, please call 317.578.0700
or fax your registration along with your credit card information to 317.578.1097.
https:Hwcws.weblinkconnect. coin/ WC_ eCommerce/ EventReg /Event_Registration.aspx ?E... 2/17/2009
Page 1 of 1
Norris, Darrell D
From: jbanks @fisherschamber.com
Sent: Tuesday, February 17, 2009 4:07 PM
To: Norris, Darrell D
Subject: 2009 Outlook Luncheon -Event Sign Up Notification
2009 Outlook Luncheon
The following registration for CI OF CARMEL D RRELL NORRIS has been received:
Outlook Luncheon Pay in Adva ce (1) $20.00
2/17/2009
Receipt
CHAPTER
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Sustainable Sites February 18, 2009
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Name:
i �lCfl Amount
J°�l�' Grp e+•c� C'�.iitr�r*l.,
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057
CITY OF CARMEL Expense Report (required for all travel expenses)
EXHIBIT A
�HOIANp
EMPLOYEE NAME: �/2� a f DEPARTURE DATE: TIME:`) M PM
DEPARTMENT: D %G RETURN DATE: TIME: I PM
/S� yO
REASON FOR TRAVEL: f-4�N(W, PLF DESTINATION CITY: fJf�
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gasrrolls/ Lodging Meals -Mxr� Total
Taxi Tips Luggage Parking Breakfast Lunch Dinner Snacks Per Diem
160 r $0.00
$0.00
$0.00
$0.00
4d 411710-0 $0.00
$0.00
$0.00
$0.00
�v $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.05
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 MEM
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 3123/2009 Pagel
Southwest Airlines Air Booking Confirmation �Cl 7-0 Page 1 of 2
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PLAN TRIP SELECT FLIGHT PRICE PURCHASE BOOK
Southwest Airlines Purchase Confirmation
Thank you for using s west:Cbm to puiJsay fTlc des Travel
Southwest Airl' es Confirmation Num s) srouluvaESCSw�
Passenger Typ Confirmation No er Pass nger Account Number Disability Assistance Store travel preferences,
Adult J3G7VZ D BELL NORRIS 00000416125393 None Entered purchase info and time on
future bookings. Setup
Air Itinerary MvSouthwest account now!
Trip Date Day Stops Flight Routing Details
Depart Mar 09 Mon Nonstop IND -LAS 100 Depart Indianapolis (IND) at 8:20 AM
Arrive in Las Vegas (LAS) at 9:30 AM �►ir tttli.�iv'
Return Mar 13 Fri Nonstop LAS -IND 2101 Depart Las Vegas (LAS) at 5:50 PM
Arrive in Indianapolis (IND) at 12:35 AM
RateS..from-
Pricing $1
Passenger U.S. Security
Type Trip Routing Type of Fare Base Fare Taxes PFC Feel Passengers) Total and Double Credits
Adult Depart ND -LAS Warne Get Away $107.91 $11.69 $4.50 $2.50 1 $126.60 CLICKHERE
Return LAS -IND Wanna Gel Away $107.91 $11.69 $4.50 $2.50 1 $126.60
Total $215.82 $23.38 $9.00 $5.00 $25310 Ntly
1 Secunty Fee is the government- imposed September 11th Security Fee.
More Rooms.
Billing Information More Choices.
Credit Card Holder Name: DARRELL D NORRIS A new hotel experience has
amved at southwest.com.
Sluing Address: 01 2ND AVE SW 2C
CARMEL, IN 46032 -2027
Confirmation Number: J3G7VZ M Sit Where you Like
Passenlio Typo: Adult Lear, more about
Passenger Name(s): DARRELL NORRIS choosing your seat
Form of Payment: $25320 on Southwest,
U.S. Security
Total Air Base Fare Taxes PFC Feet Passenger(s) Total Sign Up for Special Offers!
IND LAS $215.82 $23.38 $9.00 $S.OQ 1 $253.20
LAS IND CLICK 'N
1 Security Fee is the government- imposed September 11th Security Fee. SAVE'
Z g�7 STAMUNES
r frequent flyer
Please visit Travel Tools. where you can subscribe to F� Status Messag or find Policies, Travel Tips, and apld Rewards.
other Tools to manage your reservation. For your convenience, you are now able to check flight Information using
our automated phone service by calling 1- 688 -SWA -TRIP.
Apply for the
Southwest
Airlines
Snack Service Rewards
If your flight segment is less than 600 miles in length, you will be served peanuts /pretzels. On nonstop flight segments Visa Signature card and
that are 601 to 1270 miles long, you will be served a packaged snack appropriate to the time of day for your travel. On receive 6 bonus credits after
flights longer than 1271 mites, a travel snack box will be served. Southwest Airlines does not serve sandwiches or meals; your first purchase and
however, you may bring something to eat onboard. Double Reward Dollars on all
Southwest Airlines purchases.
CHECKIN REQUIREMENTS AND REFUND INFORMATION
Southwest Airlines Tickedess Travel is nontransferable. Government- issued photo identification is required at time of dheckin.
Customer Checkln Requirement:
Flights Operated by Southwest Airlines Customers who do not claim their reservations at the departure gate desk at least ten (10)
minutes before scheduled departure time for flights operated by Southwest Airlines will have their reserved space cancelled and
will not be eligible for denied boarding compensation.
Refunds Any change to this itinerary may result in a fare increase. To make application for a refund of any unused air fare,
please write Southwest Airlines Refunds Department- 6RF, P.O. Box 36611, Dallas, TX 75235.1611. Refund requests must
include a copy of this document and /or your confirmation number, date of travel and flight number, and all credit card billing
information including the amount and purchase reference numbers.
CONDITIONS OF CONTRACT
Southwest Airlines Co. Notice of Incorporated Terms Air transportation operated by Southwest Airlines is subject. to Southwest
Airlines' Passenger Contract of Carriage the terms of which are incorporated by reference. incorporated terms include but are not limited
to: (1) Limits on liability for toss, damage to, or delayed delivery of passenger baggage, including fragile, perishable, and certain other
Irreplaceable and/or high -value goods or contents, as specified in Article 75 of the Contract of Carriage. Baggage liability for covered items
(except disability assistive devices) Is limited to $3,000 per fare paying Customer unless excess valuation coverage is purchased. (2)
Claims restrictions, including timeperlods in which Customers must file a claim or bring an action against Southwest (3) Our rights to
https: /www. southwest .com /cgi- bin/confirmResPage 1/15/2009
Pagel of 2
Norris, Darrell D
From: registration confirmation @pennwellregistration.com
Sent: Tuesday, December 30, 2008 11:16 AM
To: Norris, Darrell D
Subject: Renewable Energy World 2009 Confirmation
Renewable Energ orld 2 009 Conferences and Exhibitions Registration
�y P.O. Box 973059
Mar 9 -12 2009 Dallas, TX 75397 -3059
Rio Hotel Casino (888) 299 -8016 or (918) 831 -9160
Las Vegas, NV, Fax: (888) 299 -8057 or (918) 831 -9161
Confirmation 281285277
Registration Information Fast Track I Express Check -In
DARRELL NORRIS Scan at the Fast Track/ Express Check
CITY OF CARMEL In Counter
PUBLIC POLICY R'SRCH ANALY
ONE CIVIC SQUARE
CITY HALL, 3RD FLOOR I� IlI�III�I lll��l��l IIIIII �II� II I I
CARMEL, IN 46032
UNITED STATES
Phone: 317 5712488 x
Fax: 317 8443498 x
Email: DNORRIS @CARMEL.IN.GOV
Confirmation 281285277
Registration: 275.00 Government Agency Full Conference
Events: 1 $60.00: 60.00 Hoover Dam Special Hard Hat Tour
Subtotal: 335.00
Tax: 0 0.00
Total Due 335.00
Payment(s): Approved 335.00 Check on 12/2008
Total Paid: 335.00
Balance Due: 0.00
FAST TRACK I EXPRESS CHECK -IN
To expedite your check -in process, bring this confirmation with you to the Fast Track I Express Check -In
counters and scan the barcode above to receive your badges and event materials.
BADGES
This is what your badge will look like.
12/30/2008
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NO. 101 (1986)
MILEAGE CLAIM
Cz T°
A/W 'e� ERN NT UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEP TMENT OR INSTITUTION)
O WU7 SPEEDOMETER
DATE FROM READING
POINT POI NATURE OF BUSINESS MILES AUTO MILEAGE
NT START FINISH TRAVELED PER MILE
-3
E i T ✓c, S
Q Q'
W10 Cj o
4 WhA4 r
7
AUTO LICENSE NO. TOTALS E3
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority
That it is apparently I correct
1 incorrect
Disbursing Officer
On Account of Appropriation No. for
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/30/09 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
Darrell Norris Purchase Order No.
One Civic sq Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
M ileage to Mileage $153.27
1/9-v it/09 Per Diem meals Renewable Energy Conf Las Vegas, NV $325.00
2/24/09 Receipt Fishers Chamber of Commerce luncheon $20.00
2/18/09 REcei t US Green Bldg Council Meeting 15.00
3/ 14/09 Receipt Parkin Renewable Energy Conf $35.00
3/23/09 Affidavit Telephone charges Renewable Energy Conf $27.00
3/ 23/09 Affidavit Shuttle Renewable Energy Conf $15.50
Total $590.77
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
VOUCHER NO. WARRANT NO.
_.3/30/09 ALLOWED 20
Darrell Norris IN SUM OF
One Civic sq
Carmel IN 46032
590.77
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4343004, 4343001, 43551
Travel per diem, Travel fees expenses
Promotional Funds Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Mileage log 4343004 $153.27 bill(s) is (are) true and correct and that the
Receipt 4355100 $20.00 materials or services itemized thereon for
Receipt 4355100 $15.00 which charge is made were ordered and
received except
Per Diem 4343001 $325.00
Receipt 4343001 $35.00
Affidavit 4343001 $27.00
Affidavit 4343001 $15.50
2007
ignature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund