210314 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 360074 Page 1 of 1
ONE CIVIC SQUARE SUE COY
CHECK AMOUNT: $1,389.16
CARMEL, INDIANA 46032 C/0 HUMAN RESOURCES
ONE CIVIC SO CHECK NUMBER: 210314
CARMEL IN 46032
CHECK DATE: 715/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 373.00 EXTERNAL TRAINING TRA
1201 R4343002 25876 1,016.16 HOUSING FOR CONFERENC
ii 64
J CITY OF CARMEL Expense Report (required for all travel expenses)
\`NOIPN%
EMPLOYEE NAME: Susan Coy DEPARTURE DATE: 6/23/2012 TIME: 2:10 PM
DEPARTMENT: Human Resources RETURN DATE: 27 -Jun TIME: 8:24 PM
REASON FOR TRAVEL: HR Conference DESTINATION CITY: Atlanta, GA
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6/23/12 $33.00 $254.04 $30.00 $25.00 $342.04
6/24/12 $254.04 $65.00 $319.04
6/25/12 $254.04 $65.00 $319.04
6/26/12 $254.04 $65.00 $319.04
6/27/12 $65.00 $25.00 $90.00
$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 $33.00 $0.00 $1,016.16 $0.00 $0.00 $0.00 $0.00 $290.00 $50.00 $1,389.16
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 6/28/2012 Page 1
Conference At A Glance I SHRM 2012 ANNUAL CONFERENCE EXPOSITION Page 1 of 2
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FORM
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Conference At A Glance
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SATURDAY, SUNDAY, MONDAY, TUESDAY, WEDNESDAY,
JUNE 23 JUNE 24 JUNE 25 JUNE 26 JUNE 27
EARLY MORNING Registration Registration Registration SHRMStore Registration SHRMStore
SHRMStore SHRMStore Registration
Concurrent Sessions /sessions) SHRMStore Closing General Session
Student One- and Two- featuring Tom Brokaw
Conference Part Workshops General Session featuring Concurrent (http: /annual.shrm,org /speaker /1061)
/session- Malcolm Gladwell Sessions
SHRM Seminar type /Preconference- http:// annual.shrm.org /speakers/malwlm
Series (/session- -gladwell) General Session
Workshops) featuring Jim
type /Seminar) Collins
SHRM Seminar /speaker /1551)
Series /sassion-
type/Seminar)
Manufacturing
Summit in
Partnership with
the U.S.
Department of
Labor /manufacturing
summit)
MID MORNING Conference SHRM Exposition Open SHRM Exposition Masters Series featuring Ted
Orientation /exposition) Open /exposition) C. Fishman (/session
type /Masters- Series)
Concurrent Sessions /sessions) Concurrent
Sessions (/sessions) Concurrent Sessions (/sessions)
LUNCH One- and Two- Super Sunday Lunch in the SHRM Exposition Lunch in the Concurrent Sessions /sessions)
Part Workshops Sessions /session- /exposition) SHRM Exposition
/session- type /Super- Sunday- /exposition) Conference Concludes
type /Preconference- Session)
Workshops) Grand Prize
Drawing in the
SHRM Exposition
/exposition)
MID- Opening General Masters Series featuring Teresa Masters Series
AFTERNOON Session featuring Amabile featuring
Condoleezza Patrick Lencioni
Rice( /speaker /1051) /session- type/Masters- Series)
Interviewed by (/session- type /Masters-
Soledad O'Brien SHRM Seminar Series /session- Series)
type /seminar)
SHRM Seminar
Series (/session
type/Seminar)
LATE SHRM Exposition
AFTERNOON Grand Opening
Reception
/exposition)
EVENING Free Evening! Free Evening! Enjoy Atlanta! Tuesday Night
Enjoy Atlanta! /visa (/visit- auanta) Show featuring
atianre) Jerry Seinfeld
/tuesdey- night -show)
http: /annual.shrrn.org /conference glance 6/22/2012
SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN32979 DATE: MAY 18 2012
ACCOUNT J3079U PAGE: 01
FOR:
COY /SUSAN E
TO: CITY OF CARMEL CITY OF CARMEL HUMAN RESOURCES
ONE CIVIC SQUARE 3RD FLOOR ATTN:SUE COY
CARMEL IN 46032 ONE CIVIC SQUARE
CARMEL IN 46032
23 JUN 12 SATURDAY MILES- 432 ELAPSED TIME- 1:38
AIR LV INDIANAPOLIS 210P DELTA FLT:5375 ECONOMY CONFIRMED
AR ATLANTA 348P NONSTOP
RESERVED SEATS 16A
AIRLINE CONFIRMATION:DL GD5A26
27 JUN 12 WEDNESDAY MILES 432 EI.,APSED TIME- 1:40
AIR LV ATLANTA 644P DELTA FLT: 569 COACH CLASS CONFIRMED
AR INDIANAPOLIS 824P NONSTOP
RESERVED SEATS 19A
AIRLINE CONFIRMATION= GD5A26
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHE'K IN WITH AIRLINE CONF. TICKET IS COMPLETELY
NONREFUNDx:,BL� IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL
TRAVEL DATE. FEES WILL APPLY.
DELTA CON7,GD5A26
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS CHANGES. AFTER
HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373
CODE A09- $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON
TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL
FOR TERMS AND CONDITIONS AIRLINE LUGGAGE POLICES AND
OTHER SERVICES OFFERED.
THANK YOU. DEBBIE TUNSTILL 317 805 5762
PROCESSING FEE 35.00
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Select Bags Page 1 of 2
D E L T lei
Purchase Summary
The following charges have been billed to the listed credit card(s).
Your Flight Information
Fri 22 Jun 2012 Confirmation Number #:GD5A26
DL5375 Indianapolis, IN Atlanta -Intl, GA
Your Passenger Information
Description Flight Reference Payment: Total:
SUSANE COY (Ticket Number #:0067020163753)
Baggage Fee All 0068272330803 $25.00
Flights (USD)
Paid Fri 22 Jun 2012 (USD)
(USD)
Ticketing Details
:Place of Issue Issue Date Agent ID:
WEB 22Jun12 DL/WW
Conditions of Carriage
Air transportation on Delta and the Del Connectior, carne; T is subject to Deltas onditions of carria e. They in lode terns
governing, for example:
Limits on our liab il� for personal injury or death of passengers, and for loss, damage or delay of goods and baggage.
Claim restrictions, including time periods within which you must file a claim or bring an action against us
Our right to change terms of the contract
Check -in requirements and other rules establishing when we may refuse carriage
Our rights and limits of our liability for delay or failure to perform service, including schedule changes, substitution of
alternative air carriers or air craft, and rerouting
Our policy on over bookin flights and your rights it we deny you boarding due to an oversold flight
These terms are incorporated by reference into our contact with you. You may view these conditions of carriage on delta.com, or by
requesting a copy from Delta.
L-i j Feedback
https: /www. delta. com/ PCCOciWeb /purchaseSummary.action 6/22/2012
Select Bags 6/26/12 7:SS PM
.DELTA
Purchase Summary
The following charges have been billed to the listed credit card(s).
Your Flight Information
Wed 27 Jun 2012 Confirmation Number #:GD5A26
DL0569 Atlanta -Intl, GA Indianapolis, IN
Your Passenger Information
Description Flight Reference Payment: Total:
SUSANE COY (Ticket Number #:0067020163753)
Baggage Fee All Flights 0068273408129 $25.00 (USD)
Paid Wed 27 Jun 2012 $25.00 (USD)
Ticketing Details
Place of Issue Issue Date Agent ID:
WEB 273un12 DL/WW
Conditions of Carriage
Air transportation on Delta and the Delta Connection carrier(R) is subject to Delta's conditions of carriage They include terms
goveming, for example:
Limits on our liability for personal injury or death of passengers, and for loss, damage or delay of goods and baggage.
Claim restrictions, including time periods within which you must file a claim or bring an action against us
Our right to change terms of the contract
Check -in requirements and other rules establishing when we may refuse carriage
Our rights and limits of our liability for delay or failure to perform service, including schedule changes, substitution of
alternative air carriers or air craft, and rerouting
Our policy on overbooking flights, and your rights if we deny you boarding due to an oversold Flight
These terms are incorporated by reference into our contact with you. You may view these conditions of carriage on delta.com, or by
requesting a copy from Delta. 1
+I Feedback
https: /www. delta. com/ PCCOciWeb /purchaseSummary.action Page 1 of 1
W Atlanta Midtown
188 14th Street NE
Atlanta, GA 30361
United States
Tel: 404 892 -6000 Fax: 404 892 -7943
Ms. Susan Coy Page Number 1 Invoice Nbr: 149645
Guest Number: 366636 Arrive Date:.23- JUN -12 17:12
GA Folio ID EX -A Depart Date: 27- JUN 12.14:00
No. Of Guest 1
Email: Will Not Give Email Room Number 501
Address Room Rate 219.00
SHF20A SHRM Annual Conferenc Club Account: SPG A42852887030
Information Invoice
Tax ID:
W Atlanta Midtown 27- JUN -12 01:42 REGIMID
Date Reference Description Charges Credits
23- JUN -12 3922 In Room Dining 29.65
23- JUN -12 RT501 Room Charge 219.00
23- JUN -12 RT501 State Tax 17.52
23- JUN -12 RT501 Occupancy /Tourism 17.52
24- JUN -12 RT501 Room Charge 219.00
24- JUN -12 RT501 State Tax 17.52
24- JUN -12 RT501 Occupancy /Tourism 17.52
25- JUN -12 000001 Munchie Bar 31.38
25- JUN -12 RT501 Room Charge 219.00
25- JUN -12 RT501 State Tax 17.52
25- JUN -12 RT501 Occupancy /Tourism 17.52
26- JUN -12 3216 In Room Dining 25.69
26- JUN -12 1 Wired Business Center 9.02
26- JUN -12 RT501 Room Charge 219.00
26- JUN -12 RT501 State Tax 17.52
26- JUN -12 RT501 Occupancy /Tourism 17.52
27- JUN -12 857.86
Continued on the next page
;l
W Atlanta Midtown
188 14th Street NE
Atlanta, GA 30361
United States
Tel: 404 892 -6000 Fax: 404 892 -7943
Ms. Susan Coy Page Number 2 Invoice Nbr: 149645
Guest Number: 366636 Arrive Date: 23- JUN -12 17:12
GA Folio ID EX -A Depart Date: 27- JUN -12 14:00
No. Of Guest: 1
Email: Will Not Give Email Room Number 501
Address Room Rate 219.00
SHF20A SHRM Annual Conferenc Club Account: SPG A42852887030
Total 1111.90 1111.90
Balance 0.00
For your convenience, this is a zero balance folio indicating a $0 balance on
your account. Please be advised that any charges not reflected on this folio
will be charged to the credit card on file.. While this folio reflects a $0,
balance, you may not be charged until after you depart. You are ultimately
responsible for paying all of your charges. No need to stop by the Welcome
Desk, simply check out print your boarding pass via the Farewell Kiosk
located by the lifts!
As a Starwood Preferred Guest you have earned at least 1925 Starpoints for
this visit A42852887030
EXPENSE SUMMARY REPORT
Date Room Tax Food Bev Telecom Laundry Other Total
23- JUN -12 254.04 29.65 0.00 0.00 254.04 29.65
24- JUN -12 254.04 0.00 0.00 0.00 0.00 254.04
25- JUN -12 254.04 31.38 0.00 0.00 0.00 285.42
26- JUN -12 254.04 25.69 0.00 0.00 9.02 288.75
Continued on the next page
W Atlanta Midtown
188 14th Street NE
Atlanta, GA 30361
United States
Tel: 404 892 -6000 Fax: 404 892 -7943
Ms. Susan Coy Page Number 3 Invoice Nbr: 149645
Guest Number: 366636 Arrive Date: 23- JUN -12 17:12
GA Folio ID EX -A Depart Date: 27- JUN -12 14:00
No. Of Guest: 1
Email: Will Not Give Email Room Number 501
Address Room Rate 219.00
SHF20A SHRM Annual Conferenc Club Account: SPG A42852887030
Total 1016.16 86.72 0.00 0.00 245.02 857.86
Date Payment
23- JUN -12 0.00
24- JUN -12 0.00
25- JUN -12 0.00
26- JUN -12 0.00
Total 0.00
Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coy, Sue
IN SUM OF
Employee
$1,389.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year r I hereby certify that the attached invoice(s), or
1201 I I 43- 430.02
25876 149645 43- 430.02 $1,016.16
bill(s) is (are) true and correct and that the
I I
materials or services itemized thereon for
1201 I I 43- 430.02 I $373.00 which charge is made were ordered and
received except
Friday, June 29, 2012
Director, HR
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))
I I
06/23/12 I 149645 I I $1,016.16
06/23/12 I I I $373.00
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