The URL can be used to link to this page

Home My WebLink About210280 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1 ONE CIVIC SQUARE JAMES BRAINARD CARMEL, INDIANA 46032 CHECK AMOUNT: $2,501.42 CHECK NUMBER: 210280 t.o CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 613.40 TRAVEL FEES &EXPENSE 1160 4343003 895.52 TRAVEL LODGING 1160 4343004 292.50 TRAVEL PER DIEMS 1160 4357004 700.00 EXTERNAL INSTRUCT FEE W CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A NDIANp� EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 6 10 12 TIME: 6: 15 AM PM DEPARTMENT: Mayor RETURN DATE: 6/16/12 TIME: 1: 15 AM M REASON FORTRAVEL: U.S. Conference of Mayors DESTINATION CITY: Orlando Florida Annual Meeting EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Parkin Misc. Total Air -fare Car Rental Other g g g Breakfast Lunch Dinner Snacks Per Diem 3/19/12 $700.00 $700.00 5/25/12 $285.60 $285.60 5/25/12 $327.80 $327.80 6/12/12 $65.00 $65.00 6/13/12 $65.00 $65.00 6/14/12 $65.00 $65.00 6/15/12 $65.00 $65.00 6/16/12 1 $32.50 $32.50 6/16/12 $895.52 $895.52 $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 1 $613.401 $0.001 $0.001 $0.001 $895.52 $0.00 $0.001 $0.00 $0.001 $292.50 $700.00 DIRECTOR'S STATEMEN hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: i Date: f City of Carmel Form ER06 Revision Date 6/28/2012 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 ER06 Revision Date 6/28/2012 Page 2 UNITED STATES CONFERENCE OF MAYORS For USCM Use Only 1620 EYE STREET, N.W., WASHINGTON, D.C. 20006 REGISTRATION RECEIPT PLEASE PRESENT AT REGISTRATION) IDNo: 69 3/19/2012 Fee: $700.00 Date: Paid: Yes Payment: CreditCard RegType: Member City Mayor Meeting: 80th Annual Meeting, Orlando, FL, June 13 -16, 2012 69 Jim Brainard Mayor City of Carmel One Civic Square Carmel, IN 46032 Arrival Date: 6/12/2012 Departure Date: 6/16/2012 Loews Royal Pacific Resort at Universal Orlando Original rags i ui Kibbe, Sharon From: Brainard, James C Sent: Thursday, March 15, 2012 3:59 PM To: Kibbe, Sharon Subject: Fwd: Registration Receipt for Annual Meeting in Orlando, FL For our file. Begin forwarded message: From: Amy Gorman a orman(o Date: March 15, 2012 3:05:54 PM EDT To: ibrainard(a)carmel.in. og_v Subject: Registration Receipt for Annual Meeting in Orlando, FL VIEW PROFILE Print This Profile 69 JIM BRAINARD Mayor City of Carmel One Civic Square Carmel, IN 46032 Phone: 317 571 -2401 ibrainardOcarmel.in.aov REGISTRATION INFORMATION Confirmation Number: 12Annual68716 Registration Date/Time: 3/15/2012 12:11:52 PM Registration Type: MayorMember Badge Name: Jim Newly Elected No First Time No Special Needs No Payment Amount: $700 Payment Method: CreditCard Paid Yes HOTEL REQUEST INFORMATION Loews Royal Pacific Resort at Universal Orlando Room Type Price King Bed Single $199 Yes Arrival Date: 6/12/2012 Departure Date: 6/16/2012 Card Type: ft Card Number: xxxxxxxxxxx 6 Expiration Date: 02/14 Check Number: xxxxxxxxxxx 3/15/2012 ra�c�ui� Hotel Notes: no changes Amy Gorman The U.S. Conference of Mayors 1620 1 street, NW Washington, DC 20006 202/861 -6749 202/467 -4276 (fax) <image001.png> 3/15/2012 Page 1 of 1 Transaction Date: 05252012 Fri Transaction Description: EXPEDIA INC ATLANTA GA AIRTRAN AIRWAYS, INC. From: To Carrier Class: INDIANAPOLIS ATLANTA HARTSFIELD FL M ORLANDO INTERNATIO FL M N/A YY 00 N/A YY 00 Ticket Number 33270640337211 Date of Departure: 06 /10 Passenger Name: BRAINARD /JAMES CLAUD Document Type: PASSENGER TICKET Cardmember Name: JAMES C BRAINARD Amount 285.60 Doing Business As: AIR TRAN AIRWAYS AGENCY Merchant Address: 9955 AIRTRAN BLVD ORLANDO FL 32827 -5385 UNITED STATES Reference Number: 320121470493162574 Category: Travel Amine https: online. americanexpress. com /myca/estmt/us /print_doc.html 6/27/2012 y r tivww.expedia.com /pub /agent.dll ?gscr= open &updt= l &frdr =0 &itid 46643 CU Go ogle r I I X Itinerary 146643929129 ll Trip itinerary Flight: Indianapolis Orlando $285.60 Confirmed TO TRIP Printvcrsion p arks R E -mail itinerary Booked ;Items Repeat this trip V' g� Delete itinerary Indianapolis a f' f tit GO NOW Save as appointment "r If you need a printed receipt for business purposes click here Expedia itinerary number: 146643929129 Main contact: James Claude Brainard Airline ticket numbegs): 3327064033721 Preferred phone: 1 3174317477 Ad oices Customer Support AirTran Airways oonfirmation code: MBYZ4G Itinerary EAOs Use the itinerary Traveler and cost summary assistance e-mail form James Brainard Adult Delta #9053879335 $245.58 Taxes Fees $40.02 Print a receipt Total $285.60 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. o Sun 10- Jun -12 Indianapolis (IND) to Atlanta (ATL) 432 mi M. Depart 6:15 am Arrive 7:44 am (695 km) GIr��Cran Terminal NORTH Duration_ 1hr 29mn Flight: 1615 TERMINAL Econom Class Seat assi upon check -in (_j7] More Information Boein 717. 90% on time Atlanta (ATL) to Orlando (MCO) 404 mi Depart 8:50 am Arrive 10:10 am (650 km) lfJ''6`Il Terminal NORTW Duration: 7hr 20mn Flight: 1828 TERMINAL__ Econ omylCoach Class Seat assig_nmants uPon c heck -i n j More Information Boeing 737 700�90% o time Total distance: 836 mi (1,345 km) Total duration: 2hr 49mn (3hr 55mn with connections) Airline rules regulations Tickets are nonrefundable. A fee of $75.00 per ticket will be charged for itinerary changes after the tickets are issued, provided that the booking rules were followed. „r t4ZSf,CALI.,,„EVi,R,- c.'-,,r. Page 1 of 1 Transaction Date: 05/252012 Fri Transaction Description: SW AIR DALLAS TX SOUTHWEST AIRLINES (MASTE From: To. Carrier Class. ORLANDO INTERNATIO INDIANAPOLIS WN B N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number. 5262443123770 Date of Departure- 06/16 Passenger Name: BRAINARD /JAMES Document Type: PASSENGER TICKET Cardmember Name: JAMES C BRAINARD I Amount E: 327.80 Doing Business As: SOUTHWEST AIRLINES Merchant Address: PO BOX 36611 DALLAS TX 75235 UNITED STATES Reference Number: 320121470493162575 Category: Travel Airline https: online. americanexpress. com /myca/estmt/us /print_doc.html 6/27/2012 y �v+,vw.scauthwest.com /flight /view- air- rescrvatiori.I Go jale Microsoft. Word Orlando Web Program 061112 d X Southwest Airlines Retrieve Itinerary 8 GO SO111111AlM.Co soutt!wes%ftmrd- The 5auth'rtes: Tlavd Fx- ,erience I Sign Ua'n 50 Helo r k„n:1 To.ltii [�1^ 9 Y r� t f f_ 1 Air r!•rnogc RCSCrvVion: n3c Ftr;sP iY*n idncC F4 —'.cr wazpn 4'h' Tq rr FUrds Acwd Rapp Rcwsrn5 NUrt:l7Cr Your Flight fo Saturday, J une 16, 2012 Quick Air L inks Ue-k In This is your Confirmation and ilir:crary. PteaSe print this pay Ch i C�el:k Flight Status 0 Print Share G E Hello, o ociouF Jim! SAT 06116/12 Indianapolis Rapid Rew ard- S Member chide !Details R ry escm Acrp rA t I Lnon I conce: K y At. 06unt W Orlando, FL MCA to Indianapolis, IN IND R.K. 7 1039393534 a: 06i 5/20.2 i� Confirmation 4MMA42 t s Pass-anger(s) Rapid Rewards .lAh1ES BRAINARD 0000IQ3739353 AdctEtllt C7lsablL?r .455`sY9rwe 0:tuns DEPART 11:00 AM Orlando, FL (MCO) to Flight Saturday, 3une 16, 2012 01:15PM Indianapolis, IN (IND) 02418 Travel Time 2 h 15 m J the Co mmunity SAT (Nonstop', Via,'tna Get Away ExDlrJn; new ddyt7ntitign5, shrrrr your t;&vcI stories, and Item from the pros. L I Requi real Look up using one of these options: 0 Confirmation Number i Credit Card Number Pas,r_nger First Name Pa:;:;enger LaNI Ndins I7ameP. Brainard Sign up for Aferls Say on YourWay i Departure City Departure Date txt flight uprvtcs and Oddnda, Ft. MCrS SaUtrday_Q5�1-6/,2012 V recorders tt. your prone, e_.araii Credit Caid Nurnber or PDA.. I Nuts About Southwest? Be it part of it all in the Coe- vmurFty Beeonie e Fan ',ly:� -I Foilo!v Us (,k! Tun= In q Shdm Phutcy 1 So are we, read the [loo Tell us vtiat you thine in Co 1- 0-:3 �k J 1w tter C"�F you'I'uta Hickr I1tt About Southwest Southwest Trav€rl EXPuriorteo Southwest Products Customer Service My Account xi au! 2 so Jalwg¢ Nnrr es Co- RII Wagh:s RC5MC0. Use ar 010 FOU11rrs1. WCMIOs and Carr Cc:mmnV DMonroacn am ITIIWC1v.Y' 4um rruwigmr vsna. of I. Page 1 of 1 Transaction Date: 06/16/2012 Sat Transaction Description: LOEWS HOTELS ROYAL PORLANDO FL 17156604 888716 -9738 Cardmember Name: JAMES C BRAINARD Amount 1,402.35 Doing Business As: ROYAL PACIFIC RESORT Merchant Address: 6300 HOLLYWOOD WAY ORLANDO FL 3281 &7614 UNITED STATES Reference Number: 320121720312813505 Category: Travel Lodging https: online. americanexpress. com /myca/estmt/us /print_doc.html 6/27/2012 C 1 Mayor and Mr. Jim Brainard Room Number: 3344 United States Arrival Date: 06 -10 -12 Departure Date: 06 -16 -12 INFORMATION INVOICE 06 -16 -12 Date Description Charges Credits 86 --12 m mm tb oo ccoo anon 199.00 06 -I0-1� Occ. aT x1 1 1.94 06- 1.0-1-2 -State Tax -675x/ 12.94 06-- 1-I--- I- 2__._.. Roo in Accom modatirnr 199.00 06-1 -1 -12 Occ. Tax Eocal-6 1 1.94 06= 12 State`Sales Tax -6:5�. 12.94 06- h2�1-2— -StarSeftiee Room# 3344: CHECK# 5701 06 -12 -12 Room Accommodation 199.00 06 -12 -12 Occ. Tax Local 6% 11.94 06 -12 -12 State Sales Tax 6.5% 12.94 06 -13 -12 Room Accommodation 199.00 06 -13 -12 Occ. Tax Local 6% 11.94 06 -13 -12 State Sales Tax 6.5% 12.94 06 -14 -12 Room Accommodation 199.00 06 -14 -12 Occ. Tax Local 6% 11.94 06 -14 -12 State Sales Tax 6.5% 12.94 06 -15 -12 Room Accommodation 199.00 06 -15 -12 Occ. Tax Local 6% 11.94 06 -15 -12 State Sales Tax 6.5% 12.94 06 16 12 XXXXXXXXXXX XX /XX 1,402.35 Total 1,402.35 1,402.35 Balance 0.00 6300 Hollywood Way Orlando, FL 32819 T: (407) 503 -3000 F: (407) 503 -3010 Toll -Free: (888) 430 -4999 www.loewshotels.com www.universalorlanclo.com i i i o i J 1 i Annapolis Atlanta i Denver Los Angeles Miami Beach 1 Montreal LEI 1 Nashville 1 New Orleans New York City LOEWS Orlando Philadelphia HOTELS RESORTS i Quebec City St Pete Beach San Diego Tucson �o 9� 1 loewshotels.com I VOUCHER NO. WARRANT NO. ALLOWED 20 Mayor Jim Brainard IN SUM OF One Civic Square Carmel, IN 46032 $2,501.42 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1160 Expense Report 43- 430.01 $613.40 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1160 Expense Report 43- 430.03 $895.52 materials or services itemized thereon for 1160 Expense Re ort 43- 570.04 $700.00 which charge is made were ordered and 1160 Expense Re ort 43- 430.04 $292.50 received except Thu ,96day, June 28, 2012 r Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 06/28/12 Expense Report $613.40 06/28/12 Expense Report $895.52 06/28/12 Expense Report $700.00 06/28/12 Expense Report $292.50 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