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168128 01/21/2009 a CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 7 ONE CIVIC SQUARE DARRELL D NORRIS CARMEL, INDIANA 46032 CHECK AMOUNT: $412.40 t 101 2ND AVE SW, #2C CARMEL IN 46032 CHECK NUMBER: 168128 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 412.40 TRAVEL FEES EXPENSE d L r ��outhwest Airlines Air Booking Confirmation 3 v3 v I p­' Page 1 of 2 Home I About Southwest Help 9_ PLAN TRIP SELECT FLIGHT PRICE PURCHASE BOOKED Southwest Airlines Purchase Confirmation Thank you for using southwest.com to purchase your Tlcketless Travel Southwest Airlines Confirmation Number(s). Passenger Type Confirmation Number Passenger Account Number Disability Assistance Store travel preferences. Adult JBGMYB DARRELL NORRIS 00000416125393 None Entered purchase info and time on future bookings. Set up Air Itinerary MvSouthwestaecount Trip Date Day Stops Routing Flight Routing Details Depart Apr 19 Sun Nonstop IND -MCO 3144 Depart Indianapolis (IND) at 6:45 AM Arrive in Orlando (MCC) at 9:00 AM Return Apr 23 Thu Nonstop MCO -IND 3413 Depart Orlando (MCO) at 6:40 PM Arrive in Indianapolis (IND) at 9:10 PM Rates from Pricing 8.99 Passenger U.S. Security Type Trip Routing Type of Fare Base Fare Taxes PFC Feet Passenger(s) Total and Double Credits Depart IND -MCC Wanna Get Away $64,19 $6.41 $4.50 $2.50 1 $79.60 CLICKHERE Adult Return MCO -IND Wanna Get Away $64.19 $8.41 $4.50 $2.50 1 $79.60 Total $128.38 $16.82 $9.00 $5.00 $159.20 tidy 1 Security Fee is the government- imposed September 11th Security Fee. More Rooms. Billing Information More Choices. Credit Card Holder Name: 101 2ND DA R REL L D NORRIS f A new hotel experience has Billing Address: 101 2ND AVE SW 2C 11 v anived at southwest.com. CARMEL, IN 46032 -2027 Confirmation Number: JBGMYB Sit where :.bout Like Passenger Type: Adult Learn more Passenger Name(s): DARRELL NORRIS choosing yoseat Form of Payment: 5759.20 on Southwe Security Total Air Base Fare Taxes PFC Feet Passenger(s) Total S €gn Up �r S Res ial OHerst IND MCO $128.38 $16.82 $9.00 $5.00 1 $159.20 MCO IND CLICK T ppnnrrtt 1 Security Fee is the government- imposed September 11th Security Fee. SAVE• ®u u P M P y $dutleA.eSTamuctg$ CAPIa AC/rA•0• Enroll in our frequent flyer Please visit Travel Tools where you can subscribe to Flight Status Messag or find Policies, Travel Tips, and Program, Rapid 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- 888 -SWA -TRIP. Aooly for the Southwest Rapid s ,+vrra Snack'. Service p Rewards If your flight segment is less then 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 8 bonus credits after flights longer than 1271 miles, a (ravel 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. CHECK(N REQUIREMENTS AND REFUND INFORMATION leauC p) Southwest Airlines Ticketess Travel is nontransferable. Government- issued photo identification is required at time of checkin. T-r n Customer Checkin Requirement: Flights Operated by Southwest Airlines Customers who do not claim their reservations at the departure gate desk at least ten (i0) 'C /C 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. q 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 GRF, P.O. Box 36611, Dallas, TX 75235.1611. Refund requests must (J include a copy of this document and/or your confirmation number, date of travel and Bight number, and all credit card billing information including the amount and purchase reference numbers. CONDITIONS OF CONTRACT 7 &1 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 loss. 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 timepertods In which Customers must file a claim or bring an action against Southwest. (3) Our rights to https: /www. southwest .com /egi- bin/confirmResPage �I j gouthwest Airlines Air Booking Confirmation 3 -y t 9. .e. Pagel of 2 h do Home I About Southwest I Help ,.,,ems GrfTh rfi J r'f 'f (fit r .rr. I ir2s Cl i[Y fE I �fY rfc�^7 PLAN TRIP SELECT FLIGHT PRICE PURCHASE BOOKED -4 Southwest Airlines Purchase Confirmation Thank you for using southwest.com to purchase your Tlcketless Travel Southwest Airlines Confirmation Number(s) (-sou rKwW%coM Passenger Type Confirmation Number Passenger Account Number Disability Assistance Store travel preferences, Adult J3G7VZ DARRELL NORRIS 00000416125393 None Entered purchase info and time on future bookings. Set up Air Itinerary MvSouthwest account now! Trip Date Day Stops Routing 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 Return Mar 13 Fri Nonstop LAS -IND 2101 Depart Las Vegas (LAS) at 5:50 PM i Arrive in Indianapolis (IND) at 12:35 AM Rates from Pricing $18 Passenger U.S. Security w Type Trip Routing Type of Fare Base Fare Taxes PFC Feel Passenger(s) Total and Double Credits Depart iND -LAS Wanna Get Awa $107.91 $11.69 $4.50 $2.50 1 $126.60 CLICK HERE Adult Return LAS -IND Wer Get Away $107.91 $11.69 $4.50 $2.50 1 $126.60 Total $215.82 $23.38 $9.00 $5.00 $253.20 ✓!1p 1 Security 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 an ved at southwestcom. Billing Address: 101 2ND AVE SW 2C CARMEL, IN 46032 -2027 Confirmation Number: J3G7VZ 2 �3 (f fin Sit where YouLake Passenger Type: Adult Learn more about Passenger Name(s): DARRELL Wrl choosing your seat Form of Payment: $253.20 on Southwest U.S. Security I ,t Total Air Base Fare Taxes PFC Feet Passengers) Total S.lgLLUA14LSRS IND LAS Offers! LAS IND $215.82 $23.38 $9.00 $5.00 1 $253.20 l.LtCIt A 1 Security Fee is the government- imposed September 11th Security Fee. SAYE "Y sctrrlrmrtsratptnves stir• se>.+••s Enroll in our frequent flyer Please visit Travel Tools. where you can subscribe to Flight Status Messaging or find Policies, Travel Tips, and program, Rapid 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. 888 -SWA -TRIP. A PDIV for the South I Airlin Rapid iwsi 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 8 bonus credits after flights longer than 1271 miles, 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. f CHECKIN REQUIREMENTS AND REFUND INFORMATION v`! /J r yj r 9 �/[r e J}� Southwest Airlines Ticketless Travel is nontransferable. Government- issued photo identification is required at lime of checkin. 9 7 Customer Ct in 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 /1 6 will not eligible for denied boarding compensation. 3/13 —xl f Refunds s -Any change to this itinerary may result in a fare increase. To make application for a refund of any unused air tare, 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 loss, damage to, or delayed delivery of passenger baggage, including fragile, perishable, and certain other irreplaceable and /or high -value goods or contents, as specked 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 timeperiods in which Customers must file a claim or bring an action against Southwest (3) Our rights to https: /www, southwest .com /cgi- bin/confirtnResPage 1/15/2009 Prescri� by State Board of Accounts City Form No. 201 (Rev. 1995) r ACCOUNTS PAYABLE VOUCHER 1/16/09 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)) 1/15/09 Stmt Air fare for Darrell Norris to attend conference $253.20 Renewable En ergy x to 1/15/09 Stmt Air fare for Darrell Norris to attend conference $159.20 Alternative Fuel Vehicle Tnstitute AFU Total $412.40 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. 1/16109 ALLOWED 20 Darrell Norris IN SUM OF One Civic Sq. Carmel In 46032 412-40 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4343001 Travel Fees Expenses Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or Stmt 4343001 15 .20 bill(s) is (are) true and correct and that the Stmt 4343001 253.20 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund