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HomeMy WebLinkAbout179046 11/05/2009 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1 ONE CIVIC SQUARE CINDY SHEEKS CARMEL, INDIANA 46032 13791 LAREDO DRIVE CHECK AMOUNT: $1,523.62 CARMEL IN 46032 CHECK NUMBER: 179046 r CHECK DATE: 11/5/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP 1701 4343004 36.30 MILEAGE 1701 4343004 1,487.32 TRAVEL PER DIEMS The Hershey Lodge Convention Center West Chocolate Avenue University Drive P.D. Box 446 Hershey, Pennsylvania 17033 Phone: 717- 533 -3311 Reservations: 500 -533 -3131 Visit us on the web at www.HersheyPA.com BELCHER JEAN Arrival 11/01/09 SUNGARD PENTAMATION, INC Departure 11/04/09 No. in Party 1 Rate 152.00 Account 2 9 0 8 2 8 0 Room Number 1442 A- GUEST FOLIO Date Description Amount 1 11/01/09 ROOM 1442 160 $152.00 2 11/01/09 OCCUPANCY TAX 1442 161 $9.12 3 ii /01/09 COUNTY OCCUPANCY TAX .1442 162 $7.60 4 11/02/09 ROOM 1442 189 $152.00 5 11/02/09 OCCUPANCY TAX 1442 190 $9.12 6 11/02/09 COUNTY OCCUPANCY TAX 1442 191 $7.60 7 11/03/09 ROOM 1442 196 $152.00 8 11/03/09 OCCUPANCY TAX 1442 197 $9.12 9 11/03/09 COUNTY OCCUPANCY TAX 1442 198 $7.60 BALANCE DUE 506.16 BELCHER, J Room Number 1442 Approved by' Company 1 agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated Person, company or association fails to pay for any part or Street the full amount of these charges. Signature Subject to Late Payment Charge of 1.5% per month. City /State Postal Our records indicate that you are scheduled to depart today. As a convenience to you, we have E�� SM printed a copy of your statement as of 4 AM i 1 today [91 111 I C71 1 �1 [91 Uri (�i 1 ITII' IJI Presents. tl ilf�l gi', 1� 11'.IC�1 4 I!1;,1 This receipt is for your records. For charges incurred after 4 AM, payment can be made at the Front Desk, or at your request we will mail you an updated bill within 24 hours of your departure, Experience this summer's biggest sp l ash! The i�E.Xpress C Boardwalk at Hersheyparko has expanded with The s h ore, a fun filled 378,000 gallon wave Telephone Check -Out: pool, and Zntercoastal Waterway, a lazy river r I. Review t statement of your charges. stretching over 1,300 feet! The expanded x 2. Call ext, 7414 to notify us that you are in c lude s 1 attractions Boar now inc a es 9 water- vacating he room. g and features a new restaurant, locker room, and 3. Keep the printed statement as a receipt. premium waterfront cabanas! The Boardwalk 4. You ma tape y our key carols with you as is inclu in your one -price admission to souvenirs. Hersbeypark©. Thank you for heing our guest at Herskeypark delights the entire family with r T l 11 world -class roller coasters, over 20 kiddie R r- YL rides, entertainment, games, food, and our We rope you en o ec� your stay 11 -acre ZooAmerica©. The Zoo is home to more fir, and we �ook orward to da lx welcommg you back soon. than 200 animals from five regions of North America and prides itself on following a mission in. Hershey, The ,sweetest E of education and conservation. 2ool�merica is Pace On �arf�r ®1 included in your one -price admission to Il Hersheyparh when entered from within the Park West Chocolate Avenue University Drive or as a separate attraction through the ROOM Hershey, Pennsylvania 17033 year -round entrance on Route 243, 717 -533- 331,1. Fax: 717- 533 -9642 m2009 Hershey Enlertt +lhmonr6 Resorts Compeny. All warns, tlesl— phrases appeenng with Iha symbol $M, or TM era Irademansa used under license er wilb permis5�on. b9HLTM,intltl� U L` t e-11 AM s j The Hershey Lodge R Convention Center west Avenue University Drive P.O. Box 446 Hershey. Pennsylvania 17033 Phone: 717- 533 -3311 Reservations: 800 -533 -3131 Visit us on the web at www.HersheyPA.com SHEEKS CINDY Arrival 11/01/09 SUNGARD PENTAMATION, INC Departure 11/04/09 No. In Party 1 Rate 152.00 Account 2908279 Room Number 1440 A- GUEST FOLIO #i Date Description Amount 1 11/01/09 ROOM 1440 154 $152.00 2 11/01/09 OCCUPANCY TAX 1440 155 $9.12 3 11/01/09 COUNTY OCCUPANCY TAX 1440 156 $7.6C 4 11/02/09 ROOM 1440 183 $152.00 5 11/02/09 OCCUPANCY TAX 1440 184 $9.12 6 11/02/09 COUNTY OCCUPANCY TAX 1440 185 $7.60 7 11/03/09 ROOM 1440 190 $152.00 8 11/03/09 OCCUPANCY TAX 1440 191 $9.12 9 11/03/09 COUNTY OCCUPANCY TAX 1440 192 $7.60 BALANCE DUE $506.16 SHEEKS, C Room Number 1440 Approved by: Company I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person. company or association fails to pay for any part or the full amount of these charges. Street Signature Subject to Late Payment Charge of 1.5% per month. City /State Postal m Out records indicate that you are scheduled to y depart today. As a convenience to you, we have E sM printed a copy of your statement as of 4 AM 19 ET`1 C®1 1 1 i t l 6_1 ul ®1 [MI 9. a today. Presents This receipt is for your records. For charges incurred after 4 AM, payment can be niade at the Front Desk, or at your request we will mail 2 you an updated bill within 24 hours of your F �i�A J11di departure. Experience this summer's biggest splash! 7 Boardwalk at Hersheyparleo has expanded with The S h o re fu fill d 378 000 gallo f e ore, a n- e a on wave Telephone Check -Ont: pool, and fntercoastal W aterway, a lazy river 1. Review the statement of your charges. stretchin over 1 300 f t� Th 1 d S a r g ee e expanc e I I I 2. Ca ext. 7414 to notify us that you are Boardwalk now includes 9 water -play attractions Y vacating the room, d 3 an features anew restaurant, locker room, and 3. Keep the printed statement as a receipt. premium waterfront cabanas! T h e Boar dwalk 4. You may take your kev cards with you as is included in your one price admission to souvenirs. Hersheyparks. T h a nk you for being our guest at Hershoypark delights the entire family with T T y Cxt; z world -class roller coasters, over 20 kiddie r r rides, entertainment, games, food, and our J W dope you en 'o e your stay, 11 -acre Z ooAmeY OL The Zoo is home to more and we loorwar to �d welcoming you bac soon. than 200 animals from five regions of North ID Ainerica and prides itself on following a mission in Hershey, The ,sweetest HE D SH E Y o f education and conservation. ZooAmerica is Place On Eart included in your one -price admission to FC Hersheypark when entered from within the Park 1 A U ROOM Chow ate venue U n iversity Drive or as a separate attraction through the Hershey, Pennsylvania 17033 year -rolled entrance on R out e 143. 71.7- 533 331.1 Fax: 717-533-9642 07009 Homhey IryNea nmaN 8 Resorts Company. All wertls, dons, and phial¢, Ip anng with the symbol SM, a, TM aye I.d—m used I-- a with o is,ion. 05K74q_indd y Ch ec k o ut 7LWp6 F CAq�. CITY OF CARMEL Expense Report (required for all travel expenses) /NOIANP EXHIBIT A EMPLOYEE NAME: DEPARTURE DATE: TIME: I AM PM DEPARTMENT: RETURN DATE: TIME: Uv AM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all t t apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/T Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 11/1/09 $40.00 $20.00 $20.00 $65.00 $145.00 11/2/09 $20.00 $65.00 $5.00 $90.00 11/3/09 $20.00 1 $65.00 $5.00 $90.00 11/4/09 $40.00 $25.00 $20.00 $506.16 $65.00 $656.16 $0.00 $U.00 11!4/09 Belcher $506.16 $506.16 $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 $80.00 $0.001 $45.00 $80.00 $1,012.32 $0.00 $0.00 $0.00 $0.00 $260.00 $10.00 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: City of Carmel Form ER06 Revision Date 11/5/2009 Page 1 0 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary or car rental agreement, if applicable 3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $65 for out -of -state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $32.50 for out -of -state travel For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $32.50 for out -of -state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $65 for out -of -state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to'repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk- Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: City of Carmel Form ER06 Revision Date 11!5!2009 Page 2 Itinerary 129021491892 Page 1 of 2 Harrisburg, PA EXpedia Booked items Although this itinerary doesn't qualify for ThankYou Points, you can still earn points if you add a hotel booking today or any time before you travel. 1 Thank You Rr wJr(N Net'anf.. Learn more about how to earn points for future bookings. Flight: Indianapolis to Harrisburg back to top Expedia itinerary number: 129021491892 Main contact: CYNTHIA SHEEKS Airline ticket number(s): Check back in 24 hours E -mail: csheeks @carmel.in.gov Delta confirmation code: 31SWSE Home phone: (317) 844 -2349 Work phone: (317) 571 -2428 Z J'ra.Vnlgr an.d_CnSt_Sllt7lmary /,j CYNTHIA SHEEKS Adult Delta #2526157371 $117.99 Update Frequent Flyer number(s) JEAN BELCHER Adult Add Frequent Flyer number(s) $117.99 Taxes Fees $78.82 Total (Visa) $314.80 Change this flight Request seat changes Print a receipt View cancellation information Flight summary Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior for flights to Hawaii and international destinations). You may check your flight status and departure gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special meals are not available on many flights. :Sun 1- Nov -09 Indianapolis (IND) to Cincinnati (CVG) 99 mi A. D E L TA Depart 12:36 pm Arrive 1:26 pm (159 km) Flight: 6192 Duration: Ohr 50mn Operated by: FREEDOM AIRLINES Economy /Coach Class Seat assignments upon check -in lij More Information Embraer RJ145 �O Please check in with Freedom Airlines. If checking in at a kiosk, use your name rather than confirmation number. O' O O' D D D O O O D M Cincinnati (C VG) to HarrisDurg 1qz ml 'h Ivy, ��'oi, I -r ,g "n a,:oe., 1 .n;�, ivq '1 1 J1'l' ,'P" IPJPIy, '1 "II d VI I "Il. 11 11 1 I nIIP u.•,, dal III'I�o ''I d. I,t IIIdl1 ,I. U,.io, i�', ,II 111' 1 111 689,km 111.1110 j;l" 1 1 I 1 11. U', ,,I,VI J..t 1,,11, I De art 2.25,. m 11,�I l I Arrive 3.55 m I II(• ICI II,II I ,111111,1. 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I�, Il lib I�,I`,,P ,,YI „I, IL,•,�I.,. 1,,.1:11 111.,1111 i' ,.I.»a11U':..�I4�II11',,� III �.�.....��IIp1 �I,...,1 11 `�I II�II�V�� II•� �I �I�,��.JI�'lVlll }al ...,_..���,',v. ..:n �,ulr ;,.ti Vlu+ �_..�r1�10i,11Vlli 111�4�J1,11pllliu,i 1 Il I,!�, Economy /Coach Class Seat assignments upon check in_ [xJ More Information Embraer RJ145 11&s 527 s (848) Ra Total:duuration: 2hr 20mn (3hr 19mn with connections) 1' I�i '''4, No �9 IIII`��� II 1I IIII���`11 l` IIIIIII�I 11�I`�i111Rglljll';I !II��I�� 1 1 1 �1 1 I 1g G� l 1!'11 I ,1,I 111 111 IIII IIIIIdIP IIIIIII,6 V 1 11,1 I ll IIII��L111111 Ill I �`I�1 II I 11) I II �Iillti 1,�I Harrtsburgll(MDT)I 1�l�to �Cinctnnati (CVG)� I� 4281rn11 ,Idl D E LTA uo. m1e1u, Ip Iu„ 4 01�1111� ll'dlllu,�1111111 naaupie nql 1111111111Q� k101rn �IJ 1�11111111'1� Depart 2: 05 pm Arrive 3:50 pm Flight: 6103 Duration 1hr 45mn Operated by: FREEDOM AIRLINES Economy /coach Class 1. 18G), Embraer RJ145 Please check in with Freedom Airlines."If "checking in at a kiosk, use your name rather than confirmation number. t;�'�' „1;'I 1 91�''ir,�,,. fl`li�ii� d1jiVll•�Illllllilyp,. 1 11111111 ;,l` II�Ir. ,111�'?I14 �IIIIIHIIP I'111't11N1'U'llliilhw, 111111111111 1�11111° ''1�ildll�dpgill111, 1 'll.� Cincmn il ,atill(CVG) Illll 1 'tond+anapolis (Ilvp) DELTA I, "I'�PIII 'I!lllli� I II� IIVIIII!IIJiIIIP 1 1111'lll����' j�IIlIG,1uo1�1� 1 u� 'i'�III�IIi IIIIIII�II�III'IIIIIIN �III��11111 1����(�1 km) �illll�y111i111� http: /www.expedia.com/pub /agent.dll ?gscr open &itid 290214918 &vwtp =4 10/26/2009 Itinerary 129021491892 Page 2 of 2 Depart 4:50 pm Arrive 5:41 pm Duration: Ohr 51mn Flight: 6127 Operated by: FREEDOM A IRLIN ES Economy /Coach Class 1713, 17C Embraer RJ145 Total distance: 527 mi (848 km) Total duration: 2hr 36mn (3hr 36mn with connections) M Additional airline fees may apply at check -in Fees may be charged by airlines for services such as preferred seat selection and baggage handling. Please note that fees are determined by the airline you check in with and may change at anytime. Se fees. Airline rules regulations Ticket changes may incur penalties and /or increased fares. Tickets are nontransferable and name changes are not allowed. Please read important information regarding airline liability limitations Prices do not include baggage fees or other fees charged directly by the airline. Other penalties may apply. See an overview of all the rules and restrictions applicable for this fare. View the complete penalty rules for changes and cancellations associated with this fare. Customer Support Itinerary number: 129021491892 If you have questions about your reservation, fill out our itinerary assistance form We'll respond within 24 hours: For immediate assistance call Expedia at 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 -728- 8787 and have the itinerary number ready. �p I i, I .I 1� I 11 L I I l,l, "'I I I, 11 I I,III I II 11, �j. ,111,1 ,h, I I ,.la'•,.;,, I�I L ,I III a I• I II� 1 II I II I I I I I l �I III lul I'I �I 1 111 III a V,,„j o ,111 1, 1 1, ,8.,. �I,;�•,,, 1 I,h �I, I� I ,I I I I. 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'�I�'I'illl I��I` +IIJIIh ti�illllll�� 11A IhiIN1111�1111 Ill�llll�� ��1�`�`lllu�}i,�ll I�II� Ill�l�llillil�l http: /www.expedia.com/pub /agent.dll ?gscr open &itid 290214918 &vwtp =4 10/26/2009 Prescribed by State Board of Accounts General Form No. 101 1955) A�'n IA' MILEAGE CLAIM V" TO �v� DR. ove M: On Account of Appropriation No. 4 3� for (Offrce, Board, Department or Institution) DATE FROM TO ODOMETER READING" NATURE OF BUSINESS AUTO MILES MILEAGE 20 Point Point Start Finish TRAVELED PER MILE 771 V' l Auto License No. TOTALS 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, 1 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 f Prescribed by State Board of Accounts City Form No. 201 (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)) ev CZ Total 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR tb ffbV Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �j 6b 1 4 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 20 Signaf Cost distribution ledger classification if Title claim paid motor vehicle highway fund