169049 02/17/2009 a CITY OF CARMEL, INDIANA VENDOR: 362444 Page 1 of 1
ONE CIVIC SQUARE MATT LEBER
s b CHECK AMOUNT: $479.18
CARMEL, INDIANA 46032 768 EAST 93RD OR. APIA
INDIANAPOLIS IN 46240 CHECK NUMBER: 169049
CHECK DATE: 211712009
DEPARTMENT. A CCOUNT PO. NUMBER INV NUMBE A MOUNT DESCRI
1047 4343002 REIMB 479.18 EXTERNAL TRAINING TRA
C
Carmel o Clay
Parks &Recreation
Employee ExpenrWeimbursemvn Request OPM C'
4R�e7 of Fund Account Account
ipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
(M
IP? iot- OL
r d 1" fu j S
1010)o 4 d
�6
(CJG'- 1 Iv T I 40 7
tc a r
r No re ceipts should be attached in the same order as listed above. sales tax will be reimbursed. TOTAL: 4
Employee Name (print) 1"ir}� I r
Address
Check ff�
payable to: City, St, Zip !n i S 1 4f U
Signature: Approved by: J(��/'�
Date: t/ d Date:
CP.TV D
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative \Forms\Staff Forms\Employee Exp Reimb Request FEB I 1 2009
FBY:
a� �raa�,�r� c�oauaoNl6
Qo��r�a�rooc� ctK���a
y
o m (0)(H), 4 S U
tsGi��Jlti.s �9� o 23t ,t you
dl 0 0 XO n
t
Last Name First Name Folio 1 Page 1
LEBER MATT
S treet Room 1835
1235 CENTRAL PARK DR E Rate
115.00
Arrival 01/11/09 SUN
City I Slate Zip code
CARMEL IN 46032 De 01/14/09 WED
Bonuses Type CCARD
(419) 681 -2072 1/0
Account
XXXXXXXXXXXX7011 XX /XX
DATE DESCRIPTION CHARGE CREDIA DATE DESCRIPTION CHARGE /CREDIT
01/11 GROUP ROOM 115.00 *In a Iurry'? Please utilize our Express Self Check Out Kios
01/11 *ROOM TAX 19.26 The Express Self Check Out Kiosk are located in the front corn r
01/12 GROUP ROOM 115.00 hotel Ic bby.
01/12 *ROOM TAX 19.26
01/13 GROUT? ROOM 115.00
01113 *ROOM TAX 19.26 1
QW -4- XXXXXXXXXGX: X701 1 EXXX/ X 402 .78
Total Due .00
P EI
VISA 67040.67001()`;
No frequent traveler account has been cred ed fbi this stay.
To enroll in Gold Passport, call 1- 800 -51 YATT.
If you ave any questions or comments, please contact me directly
via teleiphone at 614 280 -3032 or email 17ri .uberroth @`hyatt.co
For bil ing inquiries contact Accounting at 14- 463 -1234 Ext 3 6
Since ely, Erik Uberroth, Executive Assi tant Manager
I agree that mry liability }or this bill is nor waived and 1 agree to be held personnQv liable in the
evert that the indicated person, cormpar>_v or association jails to pay for any part or the fidl
Signature ranorot o/ these charges.
r i nrlrwly
ao °i� f3 QISgOOQ g O LI, IS hp, Lamm Ili 'nl k ms wsti e
Y
.i
HYATT EXPRESS CHECK -fib KIOSK
The Hyatt Express Check-in Kiosk, located in the Note! lobby, allows you to check in and check out with the simple touch or
screen.
HYATT EAST BOARD TM
Make travel easier by printing your airline boarding pass in the lobby at our Fast Board terminal.
HYATT &CONCIERGE
flan spa and dinner reservations, destination activities or in -room indulgences weeks in advance online with Hyatt E- Concierge. T;
e r e r 9 e access this service, request an email confirmation when making your reservation.
o HYATT WEB CHECK -IN
JII Hyatt Gold Passport members can check -in for their next Hyatt stay in advance of arrival through the Internet, PDA or any web
H -Y-7�-� enabled device.
WEB CHECK -IN
HYATT GOLD PASSPORT'
HYATT GOLD PASSPORT' Earn free nights and enjoy exclusive membership benefits with Hyatt Gold Passport. To join our global frequent guest program,
please call 800 51 HYATT or visit goldpassport.com.
e u! H,'att Gold Pas""'! Par', 's suhln, t to rlynR ;o:d P.,str art compete teems and cond t,o ^s. Hyatt Web Check in is available at participating Hyatt Hotels Resorts in the ITS and Canada and may not be used with certain goaldiec alez
y Ter t "r.eb a' neck .n Ava•IaC h ++y Bold F.n„�ort C,uld memtbers on the day of amva: staihng at I CC pin EST and to Platinum and Diamond members at 9'.09 am EST until 11 pm EST Visit goldpasspc't com for complete details Hyatt
r, it r10 xjr',11 de .'!j lake their reservation on Hya com and provide an email adlress or request an email confirmation. Dfterings vary by location. All reServabons fm activities are sublett :n availability of al'. verue5 a^ I
A• r Fact Rcanlr �,U,Ct to the applrcatt'!e iorline's terms and conda4ons and Is available for par +lclpahng airlines only Express Check -in Kiosks availability may vary t v location HYATT name. design and related marts are trademara, aI
Ww orat'on A rights reserved
ASH 34918 (Rev OSJ011
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.
362444 Leber, Matt Terms
768 East 93rd Dr., Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/16/09 Reimb. OPRA Conference expenses 479.18
Total 479.18
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.
362444 Leber, Matt Allowed 20
768 East 93rd Dr., Apt A
Indianapolis, IN 46240
In Sum of$
479.18.
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
1
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 Reimb. 4343002 479.18 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
13 -Feb 2009
Signature
479.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund