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172438 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 358232 Page 1 of 1 ONE CIVIC SQUARE DARREN MAST y: CARMEL, INDIANA 46032 112 MEADOW LN CHECK AMOUNT: $1,158.07 FISHERS IN 46038 CHECK NUMBER: 172438 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE A D ESCRIPTION 1192 4343004 1,158.07 TRAVEL PER DIEMS t.(OF Cqq' 6 CITY OF CARMEL Expense Report (required for all travel expenses) N INUTAN 0' EMPLOYEE NAME: :DO 1 2 DEPARTURE DATE: Q� 2S ?.DID TIME: 'S2 Q PM DEPARTMENT: y ��Id �K� cole z e ✓Y y,* RETURN DATE: 2D ©1 TIME: D 2v AM P REASON FOR TRAVEL: Cno 4eJ6 DESTINATION CITY: Ca ev Cis EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _,Y\ TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 4/25/09 $15.00 $1.75 $65.00 $81.75 4/26/09 $65.00 $65.00 4/27/09 $65.00 $65.00 4/28/09 $65.00 $65.00 4/29/09 $15.00 $16.00 $55.00 $730.32 $65.00 $881.32 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $30.00 $0.00 $17.75 $55.00 $730.32 .001 $0.00 $0.00 $0.001 $325.001 $0.00 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: C'ty of Carmel Form ER06 Revision Date 4/30/2009 Page 1 1001 Marquette Avenue Minneapolis, MN 55403 Hilton Phone (612) 376 -1000 Fax (612) 397 -4906 Reservations Name Address Minneapolis www.hilton.com or 1 800 HILTONS MAST, DARREN Room 1843/K1 Arrival Date 4/25/2009 1:45:OOPM Departure Date 4/29/2009 11:42:OOAM I Adult/Child 1/0 Room Rate 161.00 RATE PLAN C -NPC G Z G HH# AL: BONUS AL: CAR: CONFIRMATION NUMBER: 3340056418 4/29/2009 PAGE 1 DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 4/25/2009 GUEST ROOM AOSMAN 4092594 $161.00 4/25/2009 STATE OCCUPANCY TAX AOSMAN 4092594 $10.47 ThelliltonFamily 4/25/2009 CITY OCCUPANCY TAX AOSMAN 4092594 $11.11 4/26/2009 GUEST ROOM AOSMAN 4094152 $161.00 4/26/2009 STATE OCCUPANCY TAX AOSMAN 4094152 $10.47 4/26/2009 CITY OCCUPANCY TAX AOSMAN 4094152 $11.11 Hilton 4/27/2009 GUEST ROOM AOSMAN 4095735 $161.00 4/27/2009 STATE OCCUPANCY TAX AOSMAN 4095735 $10.47 4/27/2009 CITY OCCUPANCY TAX AOSMAN 4095735 $11.11 CON RAO 4/28/2009 GUEST ROOM AOSMAN 4097364 $161.00 4/28/2009 STATE OCCUPANCY TAX AOSMAN 4097364 $10.47 I 4/28/2009 CITY OCCUPANCY TAX AOSMAN 4097364 $11.11 n 4/29/2009 DS "1633 NPU_ STAM 4098507 $730.32 DOU/LETREF BALANCE $0.00 R e Hilton Gardenlnn Hilton Grand Vacations Clutr ACCOUNT NO, DATE OF CHARGE FOLIO NO. /CHECK NO. DS '1633 /25/2009 738831 A aw HOMEILOOD SUITES aB� CARD MEMBER NAME AUTHORIZATION INITIAL MAST, DARREN 025925 ESTABLISHMENT NO. &LOCATION FSTABLISIIMRlEAGREESII I`RANSMIT MCARDHOLUIJI FORPAYMFNI' PURCHASES SERVICES THANK YOU FOR STAYING AT THE HILTON MINNEAPOLIS. IF u Xl YOU FEEL THAT YOU COULD NOT RATE YOUR STAY A "10" TAXES �C7CY PLEASE DIAL OUR GUEST HOTLINE TO REACH A TEAM Official Sponsor MEMBER READY TO ASSIST YOU. WE LOOK FORWARD TO rips misc. SERVING YOU AGAIN! TOTAL AD1OUNT MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAY DUE UPON RECEIPT LIDS -L8b (tic) WP 93TU e anew nOA NUeUl 00'5 9n0 98ueu0 00'09 :PTed H101 00'09 :gse0 00'55 as (D j IeT01 .�a SUO :aaj 9IgeTJ2A m 8uT�1Pd o O 1 :aTea vs gniv mial 8u01 eauy wUal SU01 :101 v x RECEIPT £Z# .iasuadsTO 9LSSE# 1e�10T1 NOT VALID FOR TRAVEL w SZ:ZZ 6002 /6Z /b0 :pa1TX3 c0 :01 6002 /SZ/b0 bZL£Z aagmnN uoT 1pesue �1 Lang Index Not Found (27 I 08) Q hOT# PI A110i :uaTUseO TVM11302 y LT :.jagmnN i94ndmo0 aaj Sat. 25 Apr 09 12:57PM o h W9b NI `Si IOdPUPTPUI Payment Type Cash a I Purchase: Full Local Fare r e Ct I anTla IeT,lomaw X000 uT9M 'H .100 008L N �I IJ00J1y IPUOT1ewalul S11000PTpul Quant.i ty 1 C14 0 tt a Amount; 1.,75 C= a Transaction x:0000581667 C n wa. �J Depart Arrive Date Fare Code E- Ticket Nbr: E0127529644887 Mpls /st. Paul, MN Indianapolis, iN 29APR09 Baggage Chg Issued Date: 29APR09 Name /Place Of Issue: Mpls /St. Paul, MN Retain this receipt j Total Pieces 1 USD15.00 EXBO122602676928 MAST /DARKEN Total Fare This Ticket: USD 15.00 Confirmation Nbr: 4QHFIH FARE 15.00 r Form of Payment: Endorsements /Restrictions I Card Nbr: Baggage charge F°TSCIFeY"'Nli'r: E'01 I I EXBO122602676928 Transportation subject to terms of car TOTAL USD 15.00 PASSENGER RECEIPT printed inside ticket jacket "V+ >:iVij a6e.LJ.leo Jo swual 03 1DaCgns uni:lei- iodsue.,_I_ CNN. +FE)6I5L710 i :riN ];?JDI 1. -3 aG.ley� p.n zuOtlDIL.,lsua,'SI!, ?wa;.10,?u }1 ]u: .tn min 00 1 ..II7 -IIIbU :ayN UOl 1!'tu.!I j u..: 00 ST asn :13�D 1.1 S Lyl )-I 1-2j P-1O N32i2iVU j I_`,V6d S£9£ZSZ09ZZIU�x� 00;1OSn I ,3:,C+t,l �elnl �d LaDOJ s rya u LPJa� NI 'sLLodeueipui :anssl 10 aDe,d /,umN 60adv :a7eo p; 1s ,7 6fw SZ LI 60911by, ,viy nw,j ,j /',jdW V7 Si �.n lrtni, L88hb96ZSLZ :uqN c i erRA�J3 Prescribed by State Board of Accounts City Form No. 20? (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)) 04/29/09 Darren Mast Per Diem $1,158.07 i 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 N O. WARRANT NO. ALLOWED 20 Darren Mast IN SUM OF c/o One Civic Square Carmel, IN 46032 $1,158.07 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 430.04 $1,158.07 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 onday, May 11, 2009 D ctor, DO Title Cost distribution ledger classification if claim paid motor vehicle highway fund