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212027 08/15/2012
CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1 ONE CIVIC SQUARE MIKE MCBRIDE 0 CHECK AMOUNT: $1,067.66 CARMEL, INDIANA 46032 C/O ENGINEERING •�,roh�P+ C/0 ENGINEERING CHECK NUMBER: 212027 CHECK DATE: 8/15/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 1, 067 . 66 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report (required for all travel expenses) use EXHIBIT A EMPLOYEE NAME: _Mike McBride DEPARTURE DATE: �S��( TIME: AM / PM DEPARTMENT: RETURN DATE.- TIME: AM /(2 REASON FOR TRAVEL: DESTINATION CITY: c3" EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT:)j_ TRAVEL PER DIEM sportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air are Ca Rental Other g Breakfast Lunch Dinner Snacks Per Diem 8/15/12 < $129.80 8/11-8/15 $ 6 $840.36 $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 $129.801 $0.001 $0.001 $0.00 $840.361 $0.001 $0.00 $0.00 $0.001 $0.001 $0.00 Q� 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. i�1 CT' Director Signature: \% Date: �/ 3 Z / City of Carmel Form#ER06 Revision Date 8/13/2012 Page 1 4\wQ,xTHPft y�F! . CITY OF CARMEL Expense Report (required for all travel expenses) ,!NDIANP� EXHIBIT A EMPLOYEE NAME: _Mike McBride DEPARTURE DATE: �����Z TIME: AM/ PM DEPARTMENT. v11 RETURN DATE: ��q I�Z TIME: Z AM / M REASON FOR TRAVEL: QTI�c ���yVl DESTINATION CITY: R t--k C. 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 8/8/12 $65.00 $65.00 8/9/12 $65.00 $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 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $0.001 $130.00 $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. a Director Signature: s` Date: City of Carmel Form#ER06 Revision Date 8/13/2012 Page 1 Hello MICHAEL! I Log Out My Account Feedback I Customer Support 1.888.872.8356 �® TRAVELOaTY GUARANTEE From the Price,to the gym,to the Tr_ip. C=w Home I Vacation Packages Flights �•IT Hotels I Cars/Rail I Cruises I Travel Deals I Activities Your trip details I Know Before You Go ' I i e Print this page and keep for your records . Read the olp icies. I ■ Contact us immediately if any issues arise with your reservation before or during your trip. Note We sent a confirmation message to the email address you provided(mtm6274@yahoo.com). j Your Travelocity Trip ID is:3222 0770 3167 Need to change or cancel your j , trjp7 iYour phone number for this trip 317.714 3022 We will display all rules and fees before ; I you decide i , I ® This is an e-ticket,so no paper ticket will be mailed to you.What is an e-ticket? In addition,flight schedules may be changed by the airline. II � I j Itinerary i i Primary Contact:MICHAEL MCBRIDE Travel Tools: ' j For questions about this itinerary,call 1 888.872.8356 Online flight check-in I Look uo Sight status Flight:1 One-Way Ticket Change/Cancel Fliaht All flight times are local to each city. For your boarding pass,use reference code U5BH2L for online or airport check-in. I Wed,Aug 15,2012 Atlanta Hartsfield International Airport(ATL)to Indianapolis(IND) Depart 04:15pm Atlanta,CA(ATL)to AirTran Airways Arrive:05.43pm Indianapolis,IN(IND) Flight 598 Economy Class . (on Boeing 717) Confirmation# U5BH2L Adult fare rules i I Total Travel Time 1 hr 28 mans i I Passengerr Name Frequent Flyer Information Ticket Number MICHAEL MCBRIDE You can add your frequent flyer number at the airport 3327123687273 I I ITSA Travel Information ! The TSA has determined that liquids,aerosols and gels,in limited quantities,are safe to bring aboard an aircraft.When packing,please follow these guidelines: f ■ All liquids,gels and aerosols must be in 3 4 ounce(100ml)or smaller bottles . All containers must fit in one quart-sized,clear,plastic,zip-top bag. Each passenger is allowed only one bag Each bag must be placed in its own screening bin and X-rayed separately. ■ If you are carrying on larger amounts of prescriptions liquid medications,baby formula,and/or diabetic glucose treatments,you must declare these at the security checkpoint Arrive at the airport early.Enhanced security measures may mean longer lines at security checkpoints I This new security policy applies to all domestic and international flights departing from U.S. airports.We always recommend checking the TSA Web site(www tsa.gov)for the most up-to-date information about security procedures.If you are departing from a non-U.S.airport,be sure to check that I I airportos security policies and pack accordingly. I Pricing I 1 Adult. S11900 Taxes+Airline Fees: S1080 Total: $129.80 j We charged a total of S129 80 to your Vrsar XXXX-XXXX-XXXX . I . 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Lcuadoi - France Germany Hong Kong India Ireland Italy Korea Mexico New Zealand Norway Paraguay Peru Singapore Spain Sweden United Kingdom Uruguay Venezuela Partner sites: holiday autos I IgoUgo• I Latin America I Travel Guru I Vacations.com I Window Seat Blog I World Choice Travel- I Zuji Travelocity Information: Customer Support I About Travelocity I Press Releases I Advertising I Become an Affiliate I Travelocity Business I Site Map I lobs I TV Ads ©1996-2012 Traveloaty.com LP.All rights reserved.Travelocity,the Stars Design,and The Roaming Gnome Design are trademarks of Travelocity com LP Use of this Web site constitutes acceptance of the Travelocity User Agreement and Privary Policy CSTtt 2056372-50 https://travel.travelocit)7.com/mystuf`f/My StuffRetrieveTrip.do?recordLocator=ODBQLG... 8/10/2012 Embassy Suites Downtown at Centennial Olympic Park, &Expedia. Atlanta Itinerary Sat Aug/11/2012-Wed Aug/15/2012 #149491410974 Sat Augl11/2012-Wed Aug/15/2012 4 ----_---- - - -- — - - - -- - - - Confirmed Embassy Suites Downtown at Centennial Olympic Park 267 Marietta St Nw Atlanta,30313,GA,United States of Total $920.36 z Collected by Expedia America ---- --For questions about your reservation or payment details,please contact Expedia.For special requests or questions about the property,please call the hotel directly at Room Price $920.36 Tel:1(404)223-2300,Fax.:1(404)223-0925 4 nights $179.00/night Extra Guest Fee $80.00 Taxes&Fees $124.36 Check-in Information All prices quoted in USD. ■ Minimum check-in age is 21 ----- - - --- - - ----- ---- - ■ Check-in time starts at 3 PM Additional Hotel Services ! ■ Your room will be guaranteed for late arrival I � I ' Important Hotel Information The following tees and deposits are charged by the property at time of service,check-in,or Although Expedia does not charge a fee to change or cancel your booking,Embassy Suites check-out. Downtown at Centennial Olympic Park may still charge a fee in accordance with its own rules& i regulations. ; ■ Fee for in-room high-speed Internet (wired):USD 9.95 per 24-hour period i I a Cancellations or changes made after 12:00 PM(Eastern Daylight Time(US&Canada))on 10 ; j (rates may vary) August,2012 are subject to a hotel fee equal to the first night's rate plus taxes and tees. I I ■ Fee for wireless Internet in all public areas: ■ Cancellations or changes made after check-in on 11 August,2012 are subject to a hotel fee equal to 100%of the total amount paid for the reservation. I USD 9.95 per 24-hour period(rates may i Award points and airline mileage may not be awarded when booking an Expedia Special Rate hotel. i vary) ■ Valet parking fee:USD 28 per night(in/out j privileges) Room Parkview Suite-2 Doubles-Non Smoking The above list may not be comprehensive. I Includes:Breakfast Buffet Fees and deposits may not include tax and I are subject to change. i Confirmation#: 83438298 i Reserved for Michael McBride — 2 adults,3 children i Requests Two Double Beds,non-smoking room Additional Rules&Restrictions I I All special requests(such as in-room amenities,bed type,and smoking preference)are shared with t i the hotel,but requests are not guaranteed and may incur additional charges.We recommend you confirm them directly with the hotel before travel. The list of fees presented above may not be comprehensive.Fees and deposits may not include tax j and are subject to change. � I The price above DOES NOT include any applicable hotel service fees,charges for optional incidentals (such as minibar snacks or telephone calls),or regulatory surcharges The hotel will assess these fees,charges,and surcharges upon check-out. iBase rate is for 1 guest. Guest Charges and Room Capacity j ■ Total maximum number of guests per room/unit is 6. ■ Maximum number of adults per room/unit is 6. ■ Maximum number of children per room/unit is 6. ■ Maximum number of infants per room/unit is 255. ! ■ This property considers guests aged 17 and under,at time of travel,to be children ■ Availability of accommodation in the same property for extra guests is not guaranteed. I a The fee for extra adults is$20.00 per person. i i Your credit card is charged the total cost at time of purchase Prices and room availability are not i guaranteed until full payment is received. ' i Pricing and Payment • Some hotels request that we wait to submit guest names until 7 days prior to check-in.In such a case,your hotel room is reserved,but your name is not yet on file with the hotel. • Rooms are provided by Expedia Travel,under an agency agreement with Expedia. https://www.expedia.com/itinerary-detail s?itineraryNumber=149491410974&qqry=gscr%... 8/10/2012 t Page 1 of 2 . ��i• ,il b ~"' 4 .A Corrununity'of'Transportation Professionals f tx - Your source for expertise.ImowledSe-and Mw- BOOKSTORE EMPLOYMENT CENTER TECHNICAL INFORMATION PROFESSIONAL DEVELOPMENT` ITE COMMUNITY —� Search ABOUT ITE JOIN ITE TODAYI COUNCILS DIRECTORIES MEETINGS MARKETING PAY DUES LOGIN LOGOUT •MY PROFILE •CHECK-OUT ITE 2012 Annual Meeting And Exhibit >COUNCIL MEMBERSHIP SUN,AUGUST 12,2012 through WED,AUGUST 15,2012 Step 1 of 5:Main Registration oUESTIONS FOR MR.MICHAEL T.MCBRIDE,P.E. Confirm your mailing address: One Civic Square Carmel,IN 46032 USA mmcbndeeg Carmel in.gov Moody My Address Your current member type is:M-Member Are you planning on registering for? No,of Events Tickets Price ® ❑ Accompanying Person-Name Badge 1 $5.00 ❑ Registration-Full Time Student (Includes Monday Lunch In The Exhibit Hall,I ue site y Lunch In The Exhibit Hall.Awards Lunch Hollanta Darn 1 $125.00 Nights Party.Traffic Bowl Reception) ❑] Registration-Full Meeting (Includes Monday Lunch In The Exhibit Hall.Tuesday Lunch In The Exhibit Hall.Awards Lunch.Hadanta Disco 1 nS155000 Nights Party,Tialfic Bowl Reception) ❑ Registration-One Day-Monday,Aug 13 1 $350.00 (Includes Monday Lunch in The Exhibit Hall) ❑ Registration-One Day-Tuesday,August 14 1 $350.00 (Includes Tuesday Lunch In The Exhibit Hall) ❑ Registration-One Day-Wednesday,August 15 1 $350.00 (Includes Awards Lunch.Traffic Bowl Reception) ❑ Registration-ITE Retired Life Member (Includes Monday lunch In The Exhibit Hall,Tuesday Lunch In The Exhibit Hall.Awards Lunch,Hollanta Disco 1 $250.00 Nights Party.Tralhc Bowl Reception) teentinu• Event Descriptions Accompanying Person-Name Badge Mon,Aug 13,2012 12 OOA-Wed.Aug 15,2012 12.00A Description: Registration-Full Time Student Sun,Aug 12,2012 12 ODA-Wed.Aug 15,2012 12 ODA Description:Includes admission to the technical program,the transportation products and services exhibit,lunches on Monday,Tuesday and Wednesday,the Hollanta Disco Party and the Traffic Bowl Reception Registration-Full Meeting Sun.Aug 12,2012 12 ODA-Wed,Aug'15.2012 12 ODA Description:Includes admission to the technical program,the transportation products and services exhibit,lunches on Monday,Tuesday and Wednesday,the Hollanta Disco Party and the Traffic Bowl Reception Registration-One Day-Montlay,Aug 13 Mon,Aug 13,2012 12'OOA-Mon,Aug 13,2012 12 GOA Description:Includes admission to the technical program,the transportation products and services exhibit and lunch on Monday,August 13 http://\N,xkw.ite.org/emodules/scriptcoiiteiit/events/e\lentitifo.cfii?pi-oduct_major=AM 12&... 7/16/2012 Page 2 of 2 Registration-One Day-Tuesday.August 14 Tue,Aug 14,2012 12.00A-Tue.Aug 14,2012 12.00A Description:Includes admission to the technical program and the transportation products and services exhibit and lunch on T uesday.August 14 Registration-One Day-Wednesday.August 15 Wed,Aug 15,2012 12,OOA-Wed.Aug 15,2012 12.00A Description:Includes admission to the technical program and lunch on Wednesday,August 15 Registration-ITE Retired Life Member Sun,Aug 12,2012 12:OOA-Wed,Aug 15,2012 12 OOA Description:Includes admission to the technical program,the transportation products and services exhibit.lunches on Monday.Tuesday and Wednesday,the Hotlanta Disco Party and the Traffic Bowl Reception. Institute of Transportation Engineers 1627 Eye Street,NW,Suite 6001 Washington,DC 20006 USA m• Telephone+1 202-785-0060 1 Fax +1 202-785-0609 ile_staff @le orc SECURED ITE Canon of Ethics P "er vwtsvn 0 2012 Institute of Transportation Engineers ASOM TRUST ONLINE http://%AwNJ.ite.org/emodules/scriptcontent/events/eventinfo.cfin?product major=AM 12&... 7/16/2012 Neville, Katie From: McBride, Mike T Sent: Monday, August 13, 2012 9:46 AM To: Neville, Katie Subject: Fwd: thank you, article, follow-ups, next steps Attachments: RTA-event-front-page-Aug8'12.pdf; ATT00001.htm FYI Thanks, Mike McBride Sent from my Whone Begin forwarded message: From: "Milazzo II,Joe" <Joe@letsgetmoving.org> Date:August 11, 2012 9:57:30 AM EDT To: "McBride, Mike T" <M McBride @carmel.in.gov>, "'Dunlop,James H"' <idunlop @ncdot.gov>, Bastian Schroeder<Bastian Schroeder @ncsu.edu>, 'Mark Lenters' <mlenters @ourston.com>, "round @roundabouts.cc" <round @roundabouts.cc> Cc: "Mcdiarmid, Meredith M" <mmcdiarmid @ncdot.gov>, "Griffith, Natalie" <natalie @letsgetmoving.org> Subject: RE:thank you, article,follow-ups, next steps All, I should have mentioned this previously about this week's news article in the Durham paper-it was the front-page story. See attached. Joe From: Milazzo II, Joe [mailto:JoeCcbletsgetmoving.org] Sent: Friday, August 10, 2012 11:51 AM To: Schroeder, Bastian Jonathan (bastian schroederCabncsu.edu); Mark Lenters (mlenters(a ourston.com); round(@roundabouts.cc; Michael McBride (MMcbride(&carmel.in.gov); James Dunlop Uclunlop(ancdot.goy) Cc: Meredith McDiarmid (mmcdiarmid(cncdot.gov); Griffith, Natalie Subject: thank you, article, follow-ups, next steps Gentlemen, Thank you to each of you for your great preparations and presentations for the RTA Solutions Forum on high performance roundabouts. The event was very well received by attendees. I spoke with multiple members of our RTA leadership and we are going to remain active in promoting high- performance roundabouts. Here is a news article from Wednesday's event. I had a few requests/updates for you: -Howard-can you e-mail me your final presentation-I realize that I do not have it -Jim-can you e-mail me your final presentation-I realize that I do not have it -Mark-thank you for your help-can you give me a call next week re Evans/Maynard 1 -Mike—congrats again for the awards from Keystone—some local folks may want to follow-up with you on some items; I will get you more specifics - Everyone—please see the below and suggest a response... Bastian this may be primarily your bailiwick but I would appreciate everyone's thoughts... FROM: N.C.Senator Ellie Kinnaird Natalie- I was sorry I was unable to attend the forum on High Performance Roundabouts Wed.8 August. Had I been able to attend, I would have liked to comment on why roundabouts are dangerous for bicyclists and pedestrians. The auto or other vehicle driver entering the roundabout is looking intently to his/her left so they can thread into oncoming traffic. If a bicyclist is trying to enter,or a pedestrian is trying to get across to the other side,the vehicle driver will not see them because they are looking left. Roundabouts are very dangerous and promote rapid vehicle traffic, other that bicycles. I don't think anyone who is a bicyclist or pedestrian who has tried to navigate a roundabout would think they are a good idea. We have lots of both bicyclists and pedestrians in Orange County and there are many in Durham. I am disappointed the DOT is considering these as a solution to traffic in the Triangle. Senator Ellie Kinnaird, Chapel Hill Again I appreciate your thoughts on this. And I thank you for all of your help. Joe Joe Milazzo Il, PE Executive Director Regional Transportation Alliance w 919.664-7065 m 919.389-9285 ioe@letsaetmovin_q ora www.letsaetmoving.ora 100 leading companies + 23 member chambers = One strategic, powerful, collaborative voice Business leadership for regional mobility I freeways I transit I intercity rail I RDU air service Email correspondence to and from this sender is subject to the N.C.Public Records Law and may be disclosed to third parties. 2 r arc 1 vi �r McBride, Mike T From: reservations @email-usairways.com Sent: Thursday, July 05, 2012 11:47 AM To: McBride, Mike T Subject: Your US Airways flight info 1 ( Book travel Travel tools Dividend Miles Specials US Airways Vacations I l Confirmation code: FPESFQ Date issued: Thursday,July 05,2012 ® ' New baggage policy Scan at any US Airways kiosk to check in. Passenger summary Passenger name Frequent flyer#(Airline) Ticket number Special needs I Michael T Mcbride 03724770717150 Y `{Lti` 11-SAIRWAVS s' cc ho Treat yourself to a U5 Airways(aub day pass ► Trip details Download to Outlook Depart: Indianapolis, IN (IND) 0 Raleigh/Durham, NC (RDU) Date: Wednesday,August 08,2012 Status: Active Flight#/Carrier Depart Arrive Travel time Meal Aircraft Cabin Seats J 1519 IM 07:00 AM IND 08:33 AM CLT 1 h 33m A319 Coach 13F Stop.Change plane in Charlotte,NC (CLT) ...................................................................................... 1269 0 09:35 AM CLT 10:28 AM RDU Oh 53m A320 Coach 14F Return: Raleigh/Durham, NC (RDU) 0 Indianapolis, IN (IND) Date: Thursday,August 09,2012 Status: Active 7/5/2012 ra�;cZ_ vi -r I Flight#/Carrier Depart Arrive Travel time Meal Aircraft Cabin Seats 3796 ME::'" 08:05 AM RDU 09:23 AM DCA 1h 18m CRJ Coach 6F Stop:Change plane in Washington,DC(Rea ional) (DCA) i 3401 t=''` 11:00 AM D A 12:43 PM IND 1 h 43m E170 Coach 11A I US Airways _ZW Operated by Air Wisconsin dba US Airways Express EggYX Operated by Republic Airlines dba US Airways Express Bags Pay for your checked bags when you check in online or at the airport!Read more about bags. Carry ons" Carry-on bag Personal item All flights 1h 1h Checked bags(each way/per person)' 1 st bag 2nd bag U.S./Canada/Latin America/Caribbean/Bermuda/South America (except Brazil) Is Transatlantic Im Transpacific/Brazil(except Hawaii) Is 'Carry-ons can be up to 40 Ibs and up to 45 inches and a personal item is a handbag,briefcase or laptop bag. ""1st&2nd checked bags can be up to 50 Ibs and 62 inches except Brazil where you're allowed up to 70 lbs. Europe fees apply for travel to/from Asia through Europe. Baggage fees are non-refundable. 1st,2nd and 3rd checked bag fees waived • Gold, Platinum and Chairman's Dividend Miles Preferred members • Star Alliance Gold status members 1st and 2nd checked bag fees waived 7/5/2012 r arc � vi -r r I • (Overweight/oversize fees still apply) • Confirmed First Class and Envoy passengers • Active U.S.military with ID on personal travel • Active U.S.military with ID and dependents traveling with them on orders • Unaccompanied minors(with US Airways unaccompanied minor paid assistance) 1st checked bag fees waived o (Overweight/oversize fees still apply) o Silver Preferred Dividend Miles members • Star Alliance Silver status members Other guidelines: • Overweight/oversize fees and fees for 3 or more bags apply. Read all baggage policies. • If you're traveling with an infant in lap,you're allowed 1 checked bag(max 62 in/157 cm and 50 Ibs/23 kg)for the infant—checked bag fees apply.You're also allowed 1 fully collapsible stroller or 1 child restraint device or car seat (no charge). • If one or more of your flights is on a partner airline,please check with the other airline for information ono tp ional fees. Terms & conditions • Ticket is non-transferable. • Ticket is non-refundable. • Unused tickets must be cancelled on the date of departure to retain value. • Any change to this reservation, including flights,dates,or cities, is subject to a fee per passenger(according to the rules of the original fare).The new itinerary will be priced at the lowest available published fare at the time of change,which may result in a fare increase. • Ticket expires one year from original date of issue. Unflown value expires one year from original date of issue. • Read more about all US Airways taxes and fees. • You have 24 hours to cancel your reservation for a full refund. Please call 800-428-4322 or 800-245-2966(TTY). • Checked baggage fees may apply. • Air transportation on US Airways is subject to the US Airways Contract of Carriage.View this document in PDF format. • Security regulations may require us to disclose to government agencies the data you provide to us in connection with this reservation. • Changes to the country of origin are not permitted,except for changes between the United States and U.S. territories. • Send US your compliments and/or complaints. �`":!rk��.:��.-+SC�hz+S,`r}.Kxt�.+^.�oY-',.�'+,v:'�'.Ta.1'.. rw r.4.:ry'vy3i:.i..li1'x,+. _v •.. -. i Yu}^safe.; -.r. _.._.-. _ ., .i._ .,_a�e.....-:.•- -.:.s` We are committed to protecting your privacy.Your information is kept private and confidential.For information about our privacy policy visit usairways.com.Please do not reply to this email.it is not monitored. If you'd like to contact us,please visit our website. 7/5/2012 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 Michael McBride Purchase Order No. City Engineer Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 1/0/1900 0 ITE Atlanta Reimbursement $ 9l.'rl(Q 1/0/1900 0 RTA Solutions Forum Per Diem (NC) — $ 130.00 a � Total $ 11b,Rig 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. Michael McBride ALLOWED 20 City Engineer IN SUM OF $ nlN $ 17rMrT ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or DEPT# INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4343002 -- bill(s) is (are)true and correct and that the materials or services itemized thereon for 0 0 2200-4343002 ---1-3e-- which charge is made were ordered and received except At � ,3/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund Debit inter-est Checking To CHECK CARD PURCHASE Final XXXXX9473 NV Date 08/13/2012 Amount -$920.36 Status posted 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. Pa e Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attac ed invoice(s) or bill(s)) / 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 Board Members PO#or DEPT# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or D 0.3� 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