209736 06/13/2012 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
1 t` ONE CIVIC SQUARE CINDY SHEEKS
CARMEL, INDIANA 46032 CHECK AMOUNT: $976.06
CHECK NUMBER: 209736
CHECK DATE: 6/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1701 4343004 976.06 GFOA CONFERENCE
.guaranteed are subject to cancellation.
i
Cancellation Policy Attendee /Exhibitor ROH
:Reservations must be cancelled at least 72 hours prior to the day of arrival in order to avoid I
.loss of deposit.
.Changes Policy
If you need to make any changes or cancellations to your reservation on or before 06/05/2012,
:make your changes online or call (800) 947 -7358. Changes or cancellations to your reservation
.after this date must be made directly with Hilton Chicago, In -House Group Reservation 1
!Department, at 312- 922 -4400. All changes are based on availability.
:Current Rooms
ATTENDANCE ID NAME STAY IROOM TYPE IDEPOSIT
1 9067498 DIANA CORDRAY 06/10 06/13 Double Occupancy S243.28
06/10 06/11 06/12 Total
$209.00. $209.00 $209.00 $627.00
;2 9067497 CINDY SHEEKS 06/10 06/13 Double Occupancy $243.28
O6 /10 O6/ I 1 T j 06/12 Total
1 $209.001$209.00 1 $209.001$627.00 1^ 4
Payments_- Summary
.VISA Ending in 1962) NAME: Cynthia L. Sheets
;Hilton Chicago
NAME ARRIVE DEPART DEPOSIT REFUNDED CANCELFEE TOTAL
Cordray. Diana 06/10 06/13 243.28" n/a n/a 243.28"
Sheeks, Cindy 06/10 06/13 243.28" n/a nia 243.28"
:TOTALS FOR VISA Ending in 1962) DEPOSIT REFUNDED CANCEL FEE TOTAL
486.56'" n/a n/a 486.56"
indicates credit card will be charged by hotel at a late date.
Government Finance Officers Association 106th Annual Conference
c/o onPeak
350 N Clark St.
Ste 200
Chicago,.IL 60654
Tel. (800) 947 -7358
Fax (312) 329 -9513
gfoa onpeakevents.com
2
Sheeks, Cindy L
From: gfoa @onpeakevents.com
Sent: Wednesday, January 25, 2012 1:27 PM
To: Sheeks, Cindy L
Subject: CONFIRMATION
A
GFOA
t
106th Annual Conference.
01/25/2012
Group ID 477295
CITY OF CARMEL
Attn: CINDY SHEEKS
city of ca
1 Civic Square
Carmel, IN 46032
This letter is acknowledgement for group hotel accommodations for Government Finance Officers
Association 106th Annual Conference taking place Jun 10 Jun 13, 2012. If you have any questions about
your reservation, please call (800) 947 -7358 or email gfoa onpeakevents.com and refer to Group ID:
477295.
CLICK HERE to access your reservation summary (password required)!
:HOTEL INFORMATION
PLEASE NOTE!
Lname redit card is being used as a guarantee only at this time. If you want to pay the required deposit by check, the check must be received no
an 05/01/2012.
idual names must be provided to Group blocks by 05/01/2012. Any reservations without an assigned
will be subject to cancellation on 0510112012.
____._.._..,,...v
HILTON CHICAGO
720 S Michigan Ave
Chicago, IL 60605
i
.Shuttle service between the hotel and the event is provided.
A ttendee/ Exhibitor ROH
Deposit Policy Attendee /Exhibitor ROH
Please provide a valid credit card to hold your reservation. Credit card MUST expire after the
date of the event. Approximately 30 days prior to start of event, the HOTEL, NOT ONPEAK will i
,charge your credit card a deposit equal to one night's room charge plus tax. First night's room
and tax is also payable by check Please make checks payable to onPeak Reservation(s) not
Government Finance Officers Association Invoice No. 2699236
203 North LaSalle Street, Suite 2700
Chicago, IL 60601 -1210
(312) 977 -9700 Tax ID 36- 2167796 INVOICE
1 V E
Remit to: 3076 Eagle Way Chicago, IL 60678 -1030
Sold Ms. Cindy Sheeks Ship r Ms. Cindy Sheeks
To: Deputy Clerk Treasurer To: Deputy Clerk Treasurer
City of Carmel City of Carmel
1 Civic Square 1 Civic Square
Carmel, IN 46032 Carmel, IN 46032
UNITED STATES United States
Account No. I Purchase Order No. Order Date Order Number `Terms Invoice Date Orr er Type
300032457 06/04/2012 353632 06/04/2012
Qty Qty Back- Item Code Unit Price Extended
Ordered Shipped Ordered Description Price
2 2 TUES12 40.00 80.00
GFOA's Taste of Chicago (Adult)
Tickets for GF0,4 's Taste of Chicago can be
Picked up onsite at the G1 Registration desk
during official hours. No refunds will be issued
for this event after Wednesday, June 6, 2012
Line Item Total Freight Handling Restocking/
g g Cancellation Fee Tax Subtotal Amount Received Amo
80.00 80.00 80.00 0.00
Patent #5,580,6401 367969
GFOA RETURN POLICIES
Return ]Policies.
GFOA permits the return of books under certain conditions. If these conditions are met, the price
of the book less an $8 handling charge per book ordered, will be refunded to the purchaser when
books are returned in perfect, resalable condition (i.e., book carton, cover, corners, and spine must not
be damaged). Also:
Books must be received by GFOA within 60 days of original shipment.
No refund can be given without a GFOA invoice number.
All refund requests must be submitted in writing before the books are returned.
Customers must-pay all return shipping charges.
Invoice number and I.D. number must be included.
Bookstore ]Policies.
Bookstores are eligible for the student price.
All orders from bookstores must be prepaid or accompanied by a valid purchase order. No excep-
tions.
Bookstores must request and receive written permission from GFOA before shipping returns. The
GFOA authorization to return must accompany the book return. The request for return must be
postmarked within three months of original shipping date from GFOA and must include the
GFOA invoice number.
Invoice number and I.D. number must be included with all book returns.
Books will not be sold to bookstores with an outstanding balance.
Z CITY OF CARMEL Expense Report (required for all travel expenses)
NO�AHa EXHIBIT A
EMPLOYEE NAME: DEPARTURE DATE: ,D TIME: A PM_
DEPARTMENT: 2 RETURN DATE: TIME: AM QM
REASON FOR TRAVEL: C DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
1 110 $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
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $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.
g
Director Signature: Date:
City of Carmel Form ER06 Revision Date 6/13/2012 Page 1
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 ERO6 Revision Date 6/13/2012 Page 2
720 South Michigan Avenue Chicago, IL 60605
Phone (312) Fax(312)922 -5240
Hilton Billing Inquiries: (312) 431 -6961
Name Address Chicago Reservations: www.hilton.com or 1 800 HILTONS
SHEEKS, CINDY Room 11621D2
Arrival Date 6/10/2012 2:52:OOPM
Departure Date 6/13/2012
Adult/Child 2/0
Room Rate 209.00
RATE PLAN C -GFO
HH#
AL
BONUS AL CAR
Confirmation Number: 3468086006
6/13/2012 PAGE 1
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
6/1/2012 AX 1044 ARIOS 13081086 $243.28
6/10/2012 'SNAX LINTR 13116213 $8.00
6/10/2012 GUEST ROOM SBART 13116858 $209.00
6/10/2012 HOTEL CITY TAX SBART 13116858 $9.41
6/10/2012 HOTEL STATE TAX SBART 13116858 $24.87
6/11/2012 GUEST ROOM SBART 13120593 $209.00
6/11/2012 HOTEL CITY TAX SBART 13120593 $9.41
6/11/2012 HOTEL STATE TAX SBART 13120593 $24.87
6/12/2012 GUEST ROOM SBART 13124075 $209.00
6/12/2012 HOTEL CITY TAX SBART 13124075 $9.41
6/12/2012 HOTEL STATE TAX SBART 13124075 $24.87
WILL BE SETTLED TO VS *6E 01 $494.56
EFFECTIVE BALANCE OF $0.00
DATE OF CHARGE FOLIO NO. /CHECK NO.
Zip -Out Check -Outer 2092E18 A
Good Morning! We hope you enjoyed your stay. With Zip -Out Check -Out AUTHORIZATION INITIAL
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:
TAXES
pay at the time of purchase.
charge purchases to your account, then stop by the Front Desk for an
updated statement. TIPS MISC.
or request an updated statement be mailed to you within two business days.
Simply dial 4794 and tell us when you are ready to depart.
TOTAL AMOUNT
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.
iM
Hilton
Chicago
Good Morning,
On behalf of the entire Hilton Chicago staff, we sincerely hope that you experienced our Grand
Tradition during your visit. Check -out time is 12:00 pm. Late check -outs can be granted based
upon availability at an additional charge. Please contact our Bell Captain at extension 56 to
request luggage assistance. Luggage storage is available at our 8 th Street lobby for $2.00 per
bag.
There are several options available to make your departure quick and efficient:
Zip -Out Check -Out: Simply call extension 4794. A dial tone will signify you've been
successfully checked out.
Video Check -Out: Press the "Menu" function on the television remote control,
select the "Service" icon and review your account balance and check -out.
Key Drop -Off: Place your room keys into the "Key Drop" box, located at the Front
Desk Registration area. On the opposite side of this letter is a copy of your bill.
Printing Receipt Online: Being our valued Hilton HHonors member, you can view
and print a copy of your final bill from your home or office. For more details,
please visit www.hhonors.com
Boarding Pass Printing: Complimentary printing of your boarding pass is available
at our Boarding Pass Kiosk, located next to the front desk.
Thank you for choosing Hilton Chicago! Have a safe trip home and we look forward to seeing
you during your next visit to the Windy City.
Sincerely,
John G. Wells
General Manager
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total J
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
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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Claim No. warrant No. I have examined the within claim and
hereby certify as follows:
I FAVOR OF
7 That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statut authority;
That it is apparently orrect
incorrect
On Account of Appropriation No. for
Disbursing Officer
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TAXI RECEIPT
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VISA PHONE: 312- 326 -2221 TOLL FREE: 877 -547 -TAXI =n
ONLINE RESERVATIONS FOR LOCAL NATIONWIDE SERVICE: www.chicagocarriagecab.com
We appreciate your business!
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312- 326 -2221
Thank you for riding with us!
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