176026 08/13/2009 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS
CHECK AMOUNT: $1,492.72
CARMEL, INDIANA 46032 13791 LAREDO DRIVE
CARMEL IN 46032 CHECK NUMBER: 176026
CHECK DATE: 8/13/2009
D ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1701 4343004 342.40 LTI CONFERENCE
1701 4343004 1,150.32 LTI CONFERENCE
Flight Details Pagel of 3
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Summary Total price for this trope: $342.40
1 Ticket/ Roundtrip I have a coupon. ox a coupon?
IND Indianapolis to
SAV Savannah
Leave: Wed 19 -Aug j Your flight could cost $242 instead of $342! Get up to $100 off when you're approved.
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Return: Sun 23 -Aug
1 adult $307.01
Taxes Fees $35.39 1 Review the flight details
Total $342.40 Wed 19- Aug -09
Indianapolis (IND) to Charlotte (CLT) 429 mi
Depart 9:00 am Arrive 10:31 am (590 km) Flight: 3263
Duration: 1hr 31mn Operated by: US AIRWAYS
EXPRESS REPUBLIC AIRLINES
Q U E S T I O N S
Economy/Coach Class, E75
Can I ueea credit card,
Q with a billing address Charlotte (CLT) to Savannah (SAV) 214 mi
out the U.S.? Depart 11:19 am Arrive 12:21 pm (344 km) Flight: 3263
rte, Is_t safe to b_u_ y Duration: 1 hr 2mn Operated by: US AIRWAYS
online? EXPRESS REPUBLIC AIRLINES
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Total distance: 643 mi (1,035 km) Total duration: 2hr 33mn (3hr 21mn with connectic
Q Other FAQs Sun 23- Aug -09
Savannah (SAV) to New York (LGA) 716 mi
Depart 12:45 pm Arrive 2:50 pm (1 ,152 km) Flight: 3474
Terminal USAIRWAYS Duration: 2hr 5mn Operated by: US AIRWAYS
LA GUARDIA TERM EXPRESS REPUBLIC AIRLINES
Economy/Coach Class, EMBRAER 170
New York (LGA) to Indianapolis (IND) 655 mi
Depart 4:35 pm- Arrive -7:07 pm (-1,054 km)• Flight:
Terminal USAIRWAYS Duration: 2hr 32mn Operated by: US AIRWAYS
LA GUARDIA TERM EXPRESS CHAUTAUQUA
AIRLINES
Economy/Coach Class, Embraer EMB -145
Total distance: 1,371 mi (2,206 km) Total duration: 4hr 37mn (6hr 22mn with connectic
Tip: Flight terminals may change. Please confirm the terminal with the airline before leaving for the
airport.
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Booked separately: $891 Booked separately: $104
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Total Price: $797 Total Price $1156 Total Price: $99
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x
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
f YI.CX TO Vv DR.
v en a Unit) On Account of Appropriation No. `'c for 1
(Office, Board, Department or Institution)
DATE FROM TO ODOMETER READMG* NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
AA
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
Claim No. Warrant No. 1 have examined the within claim and
hereby certify as follows:
I FAV F
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
LA O That it is apparently f
On Account of Appropriation No. /�U for
Disbursing Officer
O N
Allowed 20 D 0 o
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in the sum of o
O O
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(Board or Comrnission) n
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FILED m
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(Official Title)
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I
Tapping the Power of the "AND"
to Navigate Competing Interests
T rainet(s):
Margaret Seidler
1260 Winchester Drive
Charleston, SC 29407
843.573.3485 Phone
843.763.3650 Fax
Email: margaret @margaretseidler.com
National League of Cities Leadership Training Institute
CITY OF CARMEL Expense Report (required for all travel expenses)
�H EXHIBIT A
EMPLOYEE NAME: DEPARTURE DATE: g1l TIME: t D PM
DEPARTMENT: RETURN DATE: TIME: AM I
REASON FOR TRAVEL: t �V Yt n DESTINATION CITY: l 5
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT V TRAVEL PER DIEM
Transportation Gas/Tolls! Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
811!09 $65.00 $65.00
816109 $65.00 $65.00
8/7/09 $65.00 $65.00
818109 $65.00 $65.00
819109 $65.00 $65.00
8/4/09 $9.95 $9.95
8!6109 $271.79 $271.79
817109 $271.79 $271.79
818109 $271.79 $271.79
$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 $0.00 $0.00 $0,00 $0.00 $815.37 $0.00 $0.00 $0.00 $0.00 $325.00 $9.95 1
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 8/13/2009 Page 1
0 0 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 $60 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 $30 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 $30 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 $60 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 8/13/2009 Page 2
Recent Transactions Page 1 of l
HOME I HELP FAQS I CONTACT US I PRIVACY SECURITY I GM SITES
GM Card Earnings Cynthia Sheeks
csheeks@carmel.in.gov
Recent Transactions Last Statement Historical Statements I Change Statement Delivery Edit Email Address
Recent Transactions
Account Ending In: 3361
STATUS
View Activity: Valued Cardmember Since 20
Credit Limit $10,
FAC4s
Download Transactions Offers and Discounts
Select One Ga. Get 1.45% APY on
with HSBC Direct. 1`
ACTIVITY SINCE LAST STATEMENT No minimums. FDIC
rr+�nrr, Start saving.
Click the TRANSACTION DESCRIPTION to view a detail of the transaction.
I rn The economy is unt
SORT BY: v SORT BY. SORT BY: v SORT BY: I but your credit does
TRAN DATE DATE POSTED TRANSACTION DESCRIPTION AMOUNT be. Review your _reF
a
08/01/2009 08/03/2009 CRACKER BARREL 47 SPARTANBURG SC $39.87
08/02/2009 08103/2009 THE WRECK OF SALTY DOG HILTON HD ISL SC $57.13
08/03/2009 08105/2009 THE KINGFISHER HILTON HEAD I SC $71.00 USEFUL TOOLS
08/06/2009 08/07/2009 HILTON HOTELS RESORT HILTON HEAD I SC $64.27 Search. Transact
08/0712009 08/10/2009 THE WATERFRONT CAFE HILTON HD ESL SC $62.59 Print _This -Page
08/
10/2009 08/11/2009 HILTON HOTELS RESORT HILTON HEAD I SC $885.74
To dispute a transaction click on the TRANSACTION DESCRIPTION.
HOME 1 PRIVACY &_SECURITYI WFBSiTE TERMS CONDITIONSI SUPPORTED BROVVSERSI SIl E.MAP
Copyright HSBC Finance Corporation. 2009. All rights reserved
0
https:// www. hsbccreditcard .com/ecare /show_recenttrans? &locale =en_US &brand= GM_100_320 8/13/2009
Hilton
[23 Ocean Lane Hilton Head Island, SC 29928
JFllllon one (843) 842 -8000 Fax (843) 341 -8033
Reservations Name Address Oceanfront Resort Hilton Hcad island ww.hiltonheadhilton.com or 1 800 tilL'CONS
Room 103 /02D
SHEEKS, CINDY Arrival Date 8/5/2009 7:42:OOAM
1 CIVIC SQUARE Departure Date 8/912009
CARMEL, IN 46032 Adult/Child 2/ /V
Room Rate 239.00
US
RATE PLAN C -MUN
HH# 229882016 BLUE
AL BONUS AL CAR
Confirmation Number: 3344833562
81912009 PAGE 1 JJJJ
DATE DESCRIPTION
ID REF. NO CHAR BALANCE
8/512009 *PALMETTO CAFE LINTR 2464'189
8/6/2009 *RECREATION LINTR 2466353
8/6/2009 HHI CHAMBER FEE* [RTD F CJHARD 2466707
HHI CHAMBER FEE
816/2009 PARKING CJHARD 2467079 8/6/2009 GUEST ROOM CJHARD 2467080 8/612009 STATE TAX CJHARD 2467080 8/6/2009 OCCUPANCY TAX CJHARD 2467080 8/7/2009 *PALMETTO CAFE LINTR 2468297
817/2009 *GIFT SHOP LINTR 2468327 $10.70
8/7/2009 HHI CHAMBER FEE* [RTD F SEMAIP 2468702 $0.50
HHI CHAMBER FEE
8/712009 PARKING CJHARD 2469028 $6.00
81712009 GUEST ROOM CJHARD 2469029 $239.00
8/7/2009 STATE TAX CJHARD 2469C29 $19.12
8/7/2009 OCCUPANCY TAX CJHARD 2469029 $7.17
8/8/2009 *PALMETTO CAFE LINTR 2470092 $17.71
8/8/2009 *RECREATION LINTR 2470152
8/8/2009 HHI CHAMBER FEE* [RTD FF JARROD 2470549 $0.50
HHI CHAMBER FEE
8/8/2009 PARKING SEMAIP 2470908 $6.00
8/8/2009 GUEST ROOM SEMAIP 2470909 $239.00
8/8/2009 STATE TAX SEMAIP 2470909 $19.12
8/8/2009 OCCUPANCY TAX SEMAIP 2470909 $7.17
WILL BE SETTLED TO $885.74
DATE OF CHARGE FOLIO NO. /CHECK NO.
247724 A
Zip -Out Check -Out
Good Morning! We hope you cRjoyed your stay. With Zip -Out Check -Out AUTHORIZATION INITIAI-
there is no need to stop at the Front Desk to check out.
Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES
evening.
For any charges after your account was prepared, you may:
•rnxrs
pay at the time of purchase.
charge purchases to your account, then stop by the Front Desk for an
"fIPS MISC.
updated statement.
or request an updated statement be mailed to you within two business days.
Simply call the Front Desk from your room and tell us when you are ready to TOTAL AMOUNT
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s) in the room.
Please call the Front Desk if you wish to extend your stay or if you have any
questions about your account.
23 Ocean bane Hilton Head Island, SC 29928
Hilton Phone (843) 842 -8000 •Fax (843) 341 -8033
Rcscrvauons
Name Address Oceanfront Resort Hilton Head island w,titiv.hihonheadhihon.com or 1 800 HILTO \S
Room 103/02D
SHEEKS, CINDY Arrival Date 8/5/2009 7:42:OOAM
1 CIVIC SQUARE Departure Date 819/2009
CARMEL, IN 46032 Adult/Child 2/0
Room Rate 239.00
US
RATE PLAN C -MUN
HH# 229882016 BLUE
AL
BONUS AL CAR
Confirmation Number: 3344833562 In
81912009 PAGE 2
ID REF. NO CHARGES CREDITS BALANCE
DATE DESCRIPTION $0.00
EFFECTIVE BALANCE OF
Hilton HHonors(R) stays e posted within 72 hour of checkout. To ch ck
your earnings for this or a y other stay more tha 3,000 Hilton Famil
hotels worldwide, please isit HiltonHHo ors.com.
Thank you for choosing H ton! Book yo r next stay at hilton. com and to e
advantage of our internet- my Advance urchase ates and limited -tim
special offers!
v 1
DATE OF CHARGE FOLIO No'"' K NO.
247724 A
Zip -Out Ch
Good Ni lorning We hope you enjoyed yourrstay. With Zip -Out Chcck -Out® AUTHORIZATION INITIAL
there is no need to stop at the Front Desk to check out.tH�
Please review this statement. It is a record of your charges as of late last 1> CHASES seRVICES
evening.
For any charges after your account was prepared, you may: g TAXES
pay at the time of purchase.
charge purchases to your account, then stop by the front Desk f'or an
•rH>s Nose.
updated statement.
or request an updated statement be mailed to you within two business days.
Simply call the Front Desk from your room and tell us when you are ready to TOTAL AMOUNT
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s) in the room.
Please call the Front Desk if you wish to extend your stay or if you have any
questions about your account.
23 Ocean Lane Hilton Head Island, SC 29928
Milton Phone (843) 842 -8000 Fax (843) 341 -8033
Reservations
Name Address Oceanfront Resort Hilton Head island waw.hiltonheadhilton.com or] 800 HH,TONS
SHEEKS, CINDY Room 103/Q2D
13791 LAREDO DRIVE Arrival Date 8/2/2009 2:03:OOPM
Departure Date 8/5/2009
CARMEL, IN 46032 Adult/Child 2/2
US Room Rate
RATE PLAN L -AH J G
HH# 229882016 BLUE
AL:
BONUS AL: CAR:
CONFIRMATION NUMBER: 3353419919
8/4/2009 PAGE 1
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
8/2/2009 'BUOY BAR GRILL LINTR 2458357 $46.33
8/2/2009 HHI CHAMBER FEE" [RTD F CJHARD 2458631 $0.50 TheHilLon
HHI CHAMBER FEE
8/3/2009 'RECREATION LINTR 2460143 $6.49
8/3/2009 HHI CHAMBER FEE' [RTD FF GREZ86 2460703 50
HHI CHAMBER FEE
8/4/2009 HIGH SPEED INTERNET LINTR 2462252 $9.95 Hilton
ACCESS
8/4/2009 HHI CHAMBER FEE' [RTD FF SEMAIP 2462664 .50 `t
HHI CHAMBER FEE
BALANCE $64.27 CON RAD'
DounLFTREe
Hilton HHonors(R) stay are posted within 72 ho i rs of checkout. To theck
your earnings for this o any other sta y at more t 7an 3, 000 Hilton Far 7ily
hotels worldwide, plea a visit HiltonH onors. cor, 7.
Thank you for choosin Hilton! Book iour next s ay at hilton. com and take
advantage of our inter et -only Advan e Purchas 9 Rates and limited ime
special offers!
�a Milton
Garden lncr
Hilton
Grand Vacations Clutr
ACCOUNT NO. DATE OF CHARGE FOLIO NO. /CIIECK NO,
248722 A air-
HOME%0W
surrEs
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO. &LOCATION ESTABLISHMENT AGREES TO TRANSMIT TO CARD HOLDER FOR PAYMENT PURCHASES SERVICES
THANK YOU FOR STAYING AT THE HILTON OCEANFRONT V SA
RESORT. WE LOOK FORWARD TO SERVING YOU AGAIN SOON. TAXES `W.
Official Sponsor
TIPS MISC.
TOTAL AMOUNT
MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE. UPON RECEIPT
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
Of 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 bi11(s))
50 0 1
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.
n ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund