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211931 08/14/2012
CITY OF CARMEL, INDIANA VENDOR: 360472 Page 1 of 1 ONE CIVIC SQUARE LYNN RUSSELL CHECK AMOUNT: $1,097.70 CARMEL, INDIANA 46032 829 DESERT WIND COURT CARMEL IN 46032 CHECK NUMBER: 211931 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 1, 097 . 70 TRAVEL FEES & EXPENSE Carmel ® Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 6/27/2012 Mariott 1125 444990- ravel Fees and Expenses-)$ 691.55 Hotel SHRM Conf. 6/27/2012 Orbitz/Airtran Airways 1125 —4-3496- Travel Fees and Expenses $ 360.60 Airfare SHRM Conf. 6/24/2012 Dantanna's 1125 0- Travel Fees and Expenses $ 22.00 Dinner/SHRM Conf 6/24/2012 Ted's Montana Grill 1125 434 i9� Travel Fees and Expenses $ 20.05 Lunch/SHRM Conf 6/24/2012 MARTA/Subway 1125 4a4lS9U Travel Fees and Expenses $ 3.50 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $1,097.70 Employee Name(print) Lynn Russell C_ �v'� auG o � zol2 Address 1411 E 116th Street Check payable to: City, St, Zip /� C, mel, IN 46032 BY r Signature: , % Approved by. { U Date: ` / �� Date: 1I Z--' Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request ,Aarnotta GUEST FOLIO HOTELS & RESORTS ATLANTA MARRIOTT DOWNTOWN 304 RUSSELL/LYNN 195.00 06/27/12 12:00 3428 9394 Room Name Rate Depart Time ACCT# GROUP NKNG SHRM 06/24/12 18:22 Type Arrive Time 41 MRW#: Room Payment Clerk Address DATE REFERENCE CHARGES CREDITS. BALANCEDLIE 06/24 ROOM 304, 1 195.00 06/24 STATE TX 304, 1 15.60 06/24 OCC TAX 304, 1 15.60 06/25 HSIA INTERNET 12 .95 06/25 ROOM 304, 1 195.00 06/25 STATE TX 304, 1 15.60 06/25 OCC TAX 304, 1 15.60 06/26 ROOM 304, 1 195.00 06/26 STATE TX 304, 1 15.60 06/26 OCC TAX 304, 1 15.60 06/27 $691 .55 TO BE SETTLED TO: % CURRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. WANT YOUR FINAL HOTEL BILL BY EMAIL? JUST ASK THE FRONT DESK! SEE " INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM ATLANTA MARRIOTT DOWNTOWN 160 SPRING STREET NW ATLANTA,//��G//AQQQQ3003(0��/3� [/�y 'Q / Q C This statement is your only receiptFS'6d!+N 6gree%QP3�/In�:}a r by�AQQ per, flX,§Z Sdt,o1U�to cUJ� ,Or credit card for all amounts charged to you.The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above (The credit card company will bill in the usual manner.)If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 15%per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees. Signature X Q Contains 30%postconsumer fibers To secure your next stay,go to Marriott.com I BE REWARDED FOR YOUR TRAVEL PERFORMANCE. I Earn valuable points toward free vacations or airline miles every time you stay with the Marriott'family of hotels.With more than 2,700 locations REWARDS. worldwide,you're bound to rack up the Rewards quickly.Stop by the front desk,call guest services at 1.800.249.0800 or log on to MarriottRewards.com to enroll. L s5 C�IJ,-,,--,,-�UJ WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY. Follow these simple steps to streamline the checkout process: 0 Call the front desk to inform us you'll be using Express Checkout. 2O Leave your key in the room or in one of the drop boxes at the front desk. O3 Keep the attached receipt for your records. It includes charges as of 2 a.m.today.(For charges incurred after 2 a.m.,you can pay at the point of sale,the front desk or,at your request,we'll mail you an updated bill within 24 hours of your departure.) Thank you for choosing Marriott.We hope your stay was as comfortable as it was productive. MAXIMIZE YOUR REWARDS WITH A MARRIOTT REWARDS VISA CARD. With the Marriott Rewards'Visa Signature'Card you'll earn: I f >A FREE night e-certificate upon account opening r r ^20,000 bonus points after you make your first card purchase ^3 Marriott Rewards points for every$1 spent at over 2,700 Marriott locations it \ ^1 Marriott Rewards point for every$1 spent on purchases elsewhere •Automatic Silver Elite status in Marriott Rewards No annual fee for the first year,then a low annual fee applies Log on to MarriottRewards.com/visa to apply or to learn about the benefits of other ' Marriott Rewards Visa cards. Accounts subject to credit approval. �» Restrictions and limitations apply. P i D Sa The Marriott Rewards Visa Signature credit card is issued by Chase Bank USA,N.A. and may be serviced by its affiliates. I 0 7 See MarriottRewards.com/visa for pricing ,. _ and rewards details.The Marriott Rewards = Visa Signature credit card is available `— — -- _--- -- __ _ to U.S.residents only. Rev.04/11 Traveler names, loyalty programs, and ticket type Conditions Traveler 1 LYNN RUSSELL Your current trip cost Airline Ticket Number: 332WOQMT00001 Ticketless Flight Primary phone number: 3172136864 Meal(if available): Standard Adult: 1 $315.35 Airfare taxes and fees $45.25 Flight'Itinerary Total due at booking $360.60 m Price Assurance Orbitz record locator: PBORB1934150114 To make changes to your trip, go to Additional baggage fees may Trip details Terms and conditions apply. This reservation was made on Mon, Jun 11, 2012 12:06 PM CDT. ;,,Leave Sun,Jun 24 1 h 29min Total time- Billing information Depart Indianapolis,Indiana AirTran Airways Card holder's name: 102 Lynn Russell 10:47 AM Indianapolis Airport(IND) Economy I Card type: Boeing 717 Discover Arrive Atlanta,Georgia 434 mi 1hr 12:16 PM Hartsfeld-Jackson Airport(ATL) 29min Card number: ...,:........ I Terminal N Billing Address: 829 Desert Wind Court Return Wed,Jun 27 1hr 32min Total time Carmel, IN 46032 us ' Depart Atlanta,Georgia AirTran Airways 52 Air policies and additional 4:45 PM Hartsfield-Jackson Airport Economy (ATL)I Terminal N Boeing 717 billing information Arrive Indianapolis, Indiana 434 mi 1 hr Changes to this ticket will incur 32min change fees. 6:17 PM Indianapolis Airport(IND) On-time performance:80% Orbitz Travel Alerts AirTran Airways record locator: RB7YWZ The following alerts have been setup for this trip. Security update:Airports and airlines now require that you obtain a Lynn Russell boarding pass before entering the security checkpoint. Review the 3172136864(a)txt.att.net latest airport security rules. ; (Text message) Receiving:Departure Alerts Wake-up call:For flights Hotel Information departing early in the morning,you will start No hotel selected receiving alerts_in the middle of night. ® Add'a hotel in: Atlanta Chance location,dates; more add alerts for[6]more people The Highland Inn Nightly rates from Manage alerts I Learn more Reviewer score 3.1 out of 5 S r514Z . . 644 N. Highland Avenue„Atlanta, GA 30306 2.5 miles East from the center of Atlanta ° 2 USAA/My Accounts /Account Summary Page 1 of 1 INN.,N.- USAA' TransWAIMY�i(tynancial Comm unitiesConnect. i ke,wM F tM.:w w h,d Go mobile with share stories and get advice Facebook on Twitter from USAA apps and more Account Number Merchant Name MARTA ATLANTA 00000018 ATLANTA GA Merchant Phone Number 404-848-5000 Merchant Description Services-Local Transportation Trans.Date Jun 24.2012 Posted Date Jun 24,2012 Amount ($3.50) https://www.usaa.com/inet/gas_bank/BkAccounts?target=AccountSummary¤taccou... 7/31/2012 Discover Card: Printable Statement Page 1 of 3 Have a question about this page? LYNN M RUSSELL I Acct. DISC': VEK Cardmember since 2001 829 DESERT WIND CT,CARMEL,IN 46032-1209 CARD (317)569-0776 Opening Date: May 27, 2012 - Closing Date: Jun 26, 2012 Discover Card Account Summary Payment Information New Balance $ Cardmember since 2001 Account number ending in 4694 Minimum Payment Due Previous Balance $ Payment Due Date Jul 21, 2012 Payments and Credits -$ Purchases +$ Late Payment Warning: If we do not receive your Balance Transfers +$ 0.00 minimum payment by the date listed above,you Cash Advances +$ 0.00 may have to pay a late fee of up to$35.00 and your purchase and balance transfer APRs for new Fees Charged +$ 0.00 transactions may be increased up to the Penalty Interest Charged +$ 0.00 APR of 27.99%variable.� New Balance =$ See Interest Charge Calculation section following transactions for detailed APR information. Credit Line $ Credit Line Available $ Cash Advance Credit Line $ Cash Advance Credit Line Available $ You may be able to avoid Interest Charges, see Additional Important Information for details. Cashback Bonus Summary Anniversary Month:April Opening Cashback Bonus Balance $ Cashback Bonus Balance =$ Pay online at www.Discover.com or make check Create a Plan to Reduce Your Balance payable to Discover. Phone and internet payments For more options on paying down your balance, use must be made by 5:00pm ET for same day posting. the Paydown Planner online tool at Payment Address Discover.com/paydown Discover Financial Services P.O. Box 6103 Carol Stream, IL 60197-6103 Transactions Category Trans. Date Post Date Description Amount Payments and Credits 06/01/12 06/01/12 INTERNET PAYMENT-THANK YOU $ 06/18/12 06/18/12 INTERNET PAYMENT- THANK YOU $ - https://www.discovercard.com/cardmembersvcs/statements/app/stmt?date=20120626&prin... 7/31/2012 Discover Card: Printable Statement Page 2 of 3 Transactions Category Trans. Date Post Date Description Amount Interest Charge Calculation Your Annual Percentage Rate(APR) is the annual interest rate on your account. https://www.discovercard.com/cardmembersvcs/statements/app/stmt?date=20120626&prin... 7/31/2012 Discover Card: Printable Statement Page 2 of 2 Transactions Category Trans. Date Post Date Description Amount Payments and Credits Interest Charge Calculation Your Annual Percentage Rate(APR) is the annual interest rate on your account. Current Billing Period: 30 Days Annual Balance Percentage Subject to Interest Type of Balance _ _ Rate(APR) Interest Rate Charge Purchases 22.99% V $ 1,294.17 $24.45 Cash Advances 23.99% V $0.00 $0.00 V=Variable Rate ©2012 Discover Bank, Member FDIC. Have a question about this page? https://www.discovercard.com/cardmembersvcs/statements/app/stmt?date=20120726&prin... 7/31/2012 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 360472 Russell, Lynn Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 7/31/12 Reimb. Travel expenses for SHRM Conference $ 1,097.70 Total $ 1,097.70 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 5-11-10-1.6 120 Clerk-Treasurer i Voucher No. Warrant No. 360472 Russell, Lynn Allowed 20 In Sum of$ $ 1,097.70 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# 1125 Reimb. 4343000 $ 1,097.70 1 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 2012 Signature $ 1,097.70 _ Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund