180315 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 357248 Page 1 of 1
ONE CIVIC SQUARE MARK WESTERMEIER
CARMEL, INDIANA 46032 12981 REGENT CIRCLE CHECK AMOUNT: $1,003.28
CARMEL IN 46032 CHECK NUMBER: 180315
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343003 REIMB 1,003.28 TRAVEL LODGING
Carmel clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
10/14/2009 Tucanos 1125 4343003 Travel Lodging 21.35 Meal NRPA Conference
10115/2009 Hatt Place 1125 4343003 Travel Lodging 12.13 Meal NRPA Conference
10/15/2009 Chima o 1125 4343003 Travel Lodging 35.81 Meal NRPA Conference
10/14/2009 Airport Parking 1125 4343003 Travel Lodging 72.00 Parking /NRPA Conference
10/16/2009 Sk box 1125 4343003 Travel Lodging 10.86 Meal NRPA Conference
10/13/2009 Delta 1125 4343003 Travel Lodging 15.00 Airport Baggage fee
10/16/2009 Delta 1125 4343003 Travel Lodging 15.00 Airport Baggage fee
10/17/2009 Hatt Place 1125 4343003 Travel Lodging 374.94 Lodging /NRPA Conference
10/15/2009 Delta 1 1125 143430031 Travel Lodging 446.19 Airfare /NRPA Conference
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $1',003.28
Employee Name (print) Mark Westermeier
Address Parks Department
Check
payable to: City, St, Zip
Signature: Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request
NRPA Please bring to BAG PICK —UP. DO
NOT Separate. Check Hotel below at
2009 which you are staying.
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10. Radisson Downtown SLC
11. Red Lion Hotel Salt Lake D'twn
NRPA
CONGRESS EXd051 TION 12. Residence Inn City Center
October 13 -16 2009 13. Royal Garden Inn SLC
1. Courtyard by Marriott D'town 14. Salt Lake City Marriott D'twn GAGE
2. Crystal Inn Downtown 15. Salt Lake City Marriott City Clr.
3. Embassy Suites Hotel 16. Salt Lake Plaza Hotel RECEIPT
4. Hampton Inn Downtown 17. Sheraton City Centre
5. Hilton Salt Lake City Ctr. 18. Shilo Inn )NS OF
6. Homewood Suites by Hilton 19. Springhill Suites by Marriott CC ET AND
7. Hotel Monaco SLC
8. Little America Hotel 20. Daher =K
9. Peery Hotel 0 16*
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CONGRESS EXPOSITION
October 13 -16, 2009
Carmel Clay Parks Recreation
Carmel, IN
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I of 1 10/ 13/2009 2:39 PM
DELTA
F SG R RECEIPT O1 EXCESS BA' GGAGE
16OCT09 0066 US
DL /WW SLC FTO
ARK /WESTERMEIER THIS TICKET
S ]FOUR RECEIPT
*NOT VALID FOR
*TRANSPORTATION* PSGR TICKET 0067703180022
FOR CONDITIONS OF
C DL IND ECJF2Z /DL CONTRACT SEE
ECE 15.00 PASSENGER TICKET AND
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iD 15.00 NOT VALID FOR TRAVEL
1
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USD15.00
A t ,DELTA
PASSENGER RECEIPT 01 EXCESS BAGGAGE
16OCT09 0066 US TICKET
DL /WW SLC FTO
]SAN /WESTERMEIER THIS IS YOUR RECEIPT
*NOT VALID FOR
*TRANSPORTATION* PSGR TICKET 0067703180023
FOR CONDITIONS OF
C DL IND ECJF2Z /DL CONTRACT SEE
ECE 15.00 PASSENGER TICKET AND
c 15.00 BAGGAGE CHECK
>D 15.00 28103 NOT VALID FOR TRAVEL
1
0 006 2511592553 1 0 006 2511592553 1
USD15.00
4
Hyatt Place Salt Lake City/ ]Downtown /The Gateway Oct 17, 2009
H YAT T PLACE 55 North 400 West 10:29 am
Salt Lake City, UT 84101
Telephone: (801)456 -6300 Fax: (801)456 -6301
nr westerneier Account 4381
1411 EAST 116TH STREET Room Number: 201
CARMEL, IN 46032 Rate: $102.00
Pay Method:
Arrival Date: Wednesday, October 14, 2009
Departure Date: Saturday, October 17, 2009
Member
Date Department Reference Voucher,, Room Debit Credit_
10/14/2009 Room Charge Auto Posted 201 $102.00
10/14/2009 State Occupancy Ta) Auto Posted 201 $6.99
10/1412009 County Occupancy T Auto Posted 201 $4.85
10/14/2009 City Innkeepers Fee Auto Posted 201 $1.02
10/14/2009 State Occupancy Ta) Auto Posted 201 $0.07
10/14/2009 County Occupancy T Auto Posted 201 $0.05
10/14/2009 Parking Auto Posted 201 $10.00
10/15/2009 Room Charge Auto Posted 201 $102.00
10/15/2009 State Occupancy Ta) Auto Posted 201 $6.99
10/15/2009 County Occupancy T Auto Posted 201 $4.85
10/15/2009 City Innkeepers Fee Auto Posted 201 $1.02
10/1512009 State Occupancy Ta) Auto Posted 201 $0.07
10/15/2009 County Occupancy T Auto Posted 201 $0.05
10/1512009 Parking Auto Posted 201 $10.00
10/1612009 Room Charge Auto Posted 201 $102.00
10/16/2009 State Occupancy Ta) Auto Posted 201 $6.99
10/16/2009 County Occupancy T Auto Posted 201 $4.85
10/16/2009 City Innkeepers Fee Auto Posted 201 $1.02
10116/2009 State Occupancy Ta) Auto Posted 201 $0.07
10/16/2009 County Occupancy T Auto Posted 201 $0.05
10/16/2009 Parking Auto Posted 201 $10.00
10/17/2009 American Express CHECKED -OUT 201 1 $374.94
I agree that my liability for all charges is not waived. Your privacy is important to us. Balance: 00
Please visit us at www.hyattplace.com to review our privacy policy. i accept delivery of The
Wall Street Journal M -F (Gold Passport and VIP rooms only). If refused, a refund of $1 will be
provided.
Signature
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21 Print this pa ge and keep for your records.
0 Read the policies.
`a Contact us Im if any issues arise with your reservation before or during your trip.
Note: We sent a confirmation message to the email address you provided (mwestermeier @yahoo.com).
Your American Express Travel Trip ID is: 2925 0327 8594
Your phone number for this trip: 317 289 -4282
This is an a ticket, so no paper ticket will be mailed to you. What is an a ticket?
Please note: Seat requests are not guaranteed and may be changed by the airline-Please note: Your seat numbers will be assigned at
check -in and printed on your boarding pass. You may return to My Trar> (.Account at a later time and check for any updates to your
seating assignments.
I In addition, flight schedules may be changed by the airline.
Itinerary
Primary Contact: MARK WESTERMEIER Travel Tools:
For questions about this itinerary, call 800 297 -2977 Online flight check -in Look up flight status
Flight: 2 Round -Trip Tickets Change /Cancel Flight
All flight times are local to each city.
For your boarding pass, use reference code ECJF2Z for online or airport check -in.
Wed, Oct 14, 2009 Indianapolis (IND) to Salt Lake City (SLC)
Depart: 08:05am Indianapolis, IN (IND) to Delta Air Lines
Arrive: 09:52am Salt Lake City, UT (SLC) Flight 1123 (on McDonnell Douglas
MD90)
Confirmation ECJF2Z
Adult fare rules
Requested Seats 19E, 190
Total Travel Time: 3 hrs 47 mins
For your boarding pass, use reference code ECJF2Z for online or airport check -in.
Sat, Oct 17, 2009 Salt Lake City (SLC) to Indianapolis (IND)
Depart: 05:10pm Sall Lake City, UT (SLC) to A Delta Air Lines
Arrive: 10:31pm Indianapolis, IN (IND) F;ighf 1634 (on Boeing 737 800)
Confirmation* ECJF2Z
Adult fare rules
Requested Seats: 14F. 14E
Total Travel Time: 3 hrs 21 mins
Passenger Name Frequent Flyer Information Ticket Number
MARK WESTERMEIER You can add your frequent flyer number at the airport. 0067703180022
Ticket Number
SUSAN WESTERMEIER You can add your frequent flyer number at the airport. 0067703180023
Travel Alert:!
The TSA has adjusted its ban on liquids, aerosols, and gels, so you can now carry the following items on board your flight:
m Travel -size toiletries (3 ounces or less) that fit comfortably in a quart-size, clear plastic zip -top bag. One zip -top bag is permitted per
passenger. Beverages and other items purchased in the secure boarding area.
At the security checkpoint, place the zip -top bag of liquids in a bin or on the conveyor belt for inspection-
0 Passengers carrying on larger amounts of prescription liquid medications, baby formula, and diabetic glucose treatments must declare
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these at the security checkpoint for additional screening.
Arrive at the airport early. Enhanced security measures may mean longer lines at security checkpoints.
This new security policy applies to all domestic and international flights departing from U.S. airports. We always recommend checking
the TSA Web site www.tsa.gov for the most up -to -date information about security procedures. If you are departing from a non -U.S. airport, be
sure to check that airport's security policies and pack accordingly.
Please review your itinerary immediately. If any issues arise before or during your trip you must call us right away. Why? We work with our
suppliers to resolve your concerns, so the only opportunity we have to help you is before your trip ends. If you wait until you return, it's too
late.
There are times when we are unable to confirm a reservation. In the rare event that this occurs, we will attempt to reach you by phone and
email so that we can reaccommodate you. You must call us back within 48 hours or we may not be able to honor your original booking price.
If you experience an issue during your trip, you must call us immediately so that we can assist you in resolving your problem. Any portion of
your trip that has been used is non- refundable. We are not responsible for any modifications you make to your trip without our assistance.
Both amenities and bedding type are subject to hotel availability and are not guaranteed.
Schedule changes -The airline may change your flight itinerary at any time. If we are notified of an itinerary change, we will contact you by
email and /or phone. If the airline has not provided you with an acceptable alternative itinerary, our agents will try to reaccommodate you
according to the airline's policy and availability.
Pricing
2 Adults. $836.00 $418.00 per person
Taxes Fees $56.38 y
Total $892.3. Lk tc
We charged a total of $89
American Express Travel Fees and airline charges will be shown as separate line items on your credit card statements.
Your credit card statement may show separate airline charges for each passenger, as listed below: MARK WESTERMEIER $439.20,
SUSAN WESTERMEIER $439.20
Membership Rewards® Points
Redeemed 44,600 Membership Rewards® points
Credit to appear on your Card statement (from Membership Rewards® points) $446.00
Charge to your Card $892.38
Final cost after credit $446.38
Your remaining Membership Rewards0 points balance is: 117,134
Travel Checklist
Printed itinerary—As you will not receive a paper ticket, we suggest you print this page to take along with you on your trip.
Photo ID —Every passenger must have a valid government issued photo ID (such as a drivers license or passport). Please note that the name
on the photo ID must match the passenger name in the reservation.
a TSA Secure Flight Information —Any information you provided has been added to your reservation. If you did not provide Secure Flig
information for all travelers, be sure to contact the airline and glue them this information before traveling.
Special Services /Meal Requests Please confirm your special request or meal request with the airline.
Terminallgate information —Check with the airline for updated terminalfgate information the day of your travel. Also please note, you can verify
the flight status online. Due to increased security measures you should plan to arrive at the airport two hours prior to departure.
What to expect at the airport—The airline will issue your boarding pass upon check -in. Some airlines allow you to pre -print your boarding
pass with an online chec k-in feature.
Schedule Changes —The airline may change your flight itinerary at any time. If we are notified of an itinerary change, we will contact you by
email and /or phone. If the airline has not provided you with an acceptable alternative itinerary, our agents will try to reaccommodate you
according to the airfinets policy and availability.
Baggage guidelines —Be sure to review your airline's baggage allowance guidelines. Airline rules for checked baggage allowances +nary. Many
carriers allow passengers two checked bags and one carry -on while some only permit two checked bags. All carry-on baggage will be subject to
search. Review the Tran Sec un _Ad for baggage.
Instructions and Policies
General Policies
0 Once the ticket has been issued the name on the ticket cannot be changed.
v Ticket is non refundable.
Ticket changes may incur penalties and /or increased fares.
2 of 10/13/2009 10:08 AM
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There are times when we are unable to confirm a reservation. In the rare event that this occurs, we will attempt to reach you by phone and
email so that we can reaccommodate you. You must call us back within 48 hours or we may not be able to honor your original booking price.
Please review your itinerary immediately. If any issues arise before or during your trip you must call us right away. Why? We work with
our suppliers to resolve your concerns, so the only opportunity we have to help you is before your trip ends. If you wait until you return, it's too
late.
This price includes a nonrefundable $13.98 service fee, which may be charged separately to my credit card.
Redeeming Membership Rewards points for travel purchases online is subject to the following Terms and Conditions.
Change Policies
Cancellation Policies
Domestic Flight Notice
International Flight (Warsaw Convention) Notice
Help
Online Support: Search or browse our FAQs
Please refer to Trip ID 2925 0327 8594 when calling American Express Travel's Customer Service Center.
Note: There may be a penalty and /or charges for reservation changes.
In the US 1- 800 297 -2977 24 hours a day, 7 days a week
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3 of 3 10/13/2009 10:08 AM
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Westermeier, Mark Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1211109 Reimb NRPA conference expenses 1,003.28
Total 1,003.28
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.
Westermeier, Mark Allowed 20
In Sum of
1,003.28
ON ACCOUNT OF APPROPRIATION FOR
101 Genera! Fund
PO# or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept
1125 Reimb 4343003 1,003.28 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Dec 2009
4�A��
Signature
1,003.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund