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Home My WebLink About170511 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 Cc/ ei c CZ Sustainable Sites February 18, 2009 v Name: i �lCfl Amount J°�l�' Grp e+•c� C'�.iitr�r*l., aAV o 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 00 11f /t y v th'�r ome l Southwest o I Hel rfrT,: z rR rr r rh:: In 21 10 a J .111: 1A!.Ri115 C.x:halll:IlM1 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 o rr w SL in Q. x Allowed 19 m o a in the sum of a CD a tr M Q rn ca fD m N o p, a n tr 0 n (Board or Commission) H a (D Pi w n P. a FILED o (o rA M (Official Title) H CD W tr C m rt A.E. BOYCE CO., INC. MUNCIE, IN 01136 to f1 a E 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