212141 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1
ONE CIVIC SQUARE JAMES BRAINARD
CARMEL, INDIANA 46032 CHECK AMOUNT: $548.60
CHECK NUMBER: 212141
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 ITE CONF 483 . 60 TRAVEL FEES & EXPENSE
1160 4343004 ITE CONF 65 . 00 TRAVEL PER DIEMS
of CA
CITY OF CARMEL Expense Report (required for all travel expenses)
\�UTANP� EXHIBIT A
EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 8/15/12 TIME: 7 : 00 AM PM
DEPARTMENT: Mayor RETURN DATE: 8/15/12 TIME: 6 : 30 AM PM
REASON FOR TRAVEL: ITE 2012 Awards Lunch DESTINATION CITY: Atlanta GA
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
8/15/12 $465.60 $18.00 $65.00 $548.60
$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 $465.601 $0.00 $0.00 $18.00 $0.001 $0.001 $0.00 $0.00 $0.00 $65.00 $0.00 • : •t
DIRECTOR'S STATEMENT: I b affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: i Date: 4-9 o2-7, >0 I
City of Carmel Form#ER06 Revision Date 8/24/2012 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 8/24/2012 Page 2
ITE 2012 Awards Lunch
Wednesday August 15, 2012
12:00 p.m. - 2:00 p.m.
Peachtree Ballroom
Westin Peachtree Plaza Hotel, Atlanta, GA
FYI—This is the Confirmation from the ITE award ceremony on Aug. 15tH
V&fltad 7. W&OV-de
City Engineer
City of Carmel,Indiana
From: Scott, Lisa M
Sent: Tuesday, July 10, 2012 12:37 PM
To: McBride, Mike T
Subject: FW: ITE 2012 Awards Lunch Response Form
FYI
From: Carol A. MacDougall [mailto:cmacdougall(&ite.org]
Sent: Tuesday, July 10, 2012 11:46 AM
To: Scott, Lisa M
Subject: Re: ITE 2012 Awards Lunch Response Form
I have made the change. Lynn McBride no longer will be attending the awards lunch. She has been
replaced by Mayor James Brainard.
Please confirm that the Mayor is the Mayor of the City of Carmel, IN. Thank you. -CM
Carol A. MacDougall
Meetings Senior Director&
Executive Assistant to the Executive Director
Institute of Transportation Engineers
1627 Eye Street, NW, Suite 600
Washington, DC 20006
email: cmacdouaallCcbite.org
Phone. 202-785-0060 ext. 134
Fax: 202-785-0609
www.it e.or
h i s Jn Afflatus®
lain iTE for training and more at the
rTE Annual Meeting and Exhibit
August 12-1 S,201 2
M.' :fl,.r�lx.ize.or /annualmee€Ing
ITE 2012 Annual Meeting and Exhibit
Atlanta, GA*August 12-15
Attend* Exhibit*Sponsor
From: "Scott, Lisa M"<LScottCcDcarmel.in.gov>
Date:Tue, 10 Jul 2012 15:29:55+0000
To:Carol MacDougall <cmacdoueall@ite.orp
Subject: ITE 2012 Awards Lunch Response Form
Good Afternoon.
Mike McBride, City of Carmel Engineer, responded to this stating he would be attending the
lunch on August 15th. He had listed Lynn McBride as his guest he would like to change his guest
to Mayor James Brainard.
Please let me know what I need to do to make that the Mayor is included.
Thank you,
Lisa Scott
City of Carmel
Engineering Dept.
317-571-2441
A Please consider the environment before printing this e-mail
Page 1 of 1
Transaction Date: 08 103/2012 Fri
Transaction Description: EXPEDIA INC ATLANTA GA
DELTA AIR LINES INC
From: To. Camer Class
INDIANAPOLIS ATLANTA HARTSFIELD DL T
INDIANAPOLIS DL H
N/A YY 00
N/A YY 00
Ticket Number 00671227836090 Date of Departure:08/15
Passenger Name:BRAINARD/JAMES C
Document Type:PASSENGER TICKET
Cardmember Name: JAMES C BRAINARD
Amount$: 465.60
1 ;
j Doing Business As: DELTA AIR LINES
Merchant Address: ATLANTA AIRPORT
i ATLANTA
GA
30320
UNITED STATES
Reference Number: 320122170390292004
Category: Travel-Airline
https:H online.americanexpress.com/myca/estmt/us/Print_doc.html 8/24/2012
Atlanta .Expedia°
Booked items
Flight: Indianapolis to Atlanta back to top
Expedia itinerary number: 149260992146 Main contact: James C Brainard
Airline ticket number(s): In process Q_ Preferred phone: 1 3174317477
Delta confirmation code: F8SGJ8
Traveler and cost summary
James Brainard Adult $413.03
Taxes& Fees $52.57
Total $465.60
Change this flight View cancellation information
Flight summary
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.
W- Wed 15-Aug-12
Indianapolis (IND) to Atlanta (ATL) 434 mi A, D E LTA
Depart 7:00 am Arrive 8:39 am (698 km) Flight: 1575
Terminal SOUTH Duration: 1 hr 39mn
TERMINAL
Economy/Coach Class(Seat assignments upon check-in (1) More Information), MDC MD90, 80%on time
Total distance:434 mi(698 km) Total duration: 1 hr 39mn
Wed 15-Aug-12
Atlanta (ATL) to Indianapolis (IND) 434 mi A. D E LTA
Depart 4:47 pm Arrive 6:30 pm (698 km) Flight: 2281
Terminal SOUTH Duration: 1 hr 43mn
TERMINAL
Economy/Coach Class(Seat assignments upon check-in a) More Information), BOEING(DOUGLAS)MD-88,
80%on time
Total distance:434 mi(698 km) Total duration: 1 hr 43mn
Airline rules & regulations
• Ticket changes may incur penalties and/or increased fares.
• Tickets are nontransferable and name changes are not allowed.
• Please read important information regarding airline liability limitations.
• Prices do not include baggage fees or other fees charged directly by the airline.
• Other penalties may apply.
• See an overview of all the rules and restrictions applicable for this fare.
• View the complete penalty rules for changes and cancellations associated with this fare.
Customer Support
Itinerary number: 149260992146
If you have questions about your reservation, fill out our itinerary assistance form. We'll respond within
24 hours: For immediate assistance call Expedia at 1-800-EXPEDIA (1-800-397-3342) or 1-404-728-
8787 and have the itinerary number ready.
Page 1 of 1
Transaction Date: 08/15/2012 Wed
Transaction Description: INDIANAPOLIS AIRPORTINDIANAPOLIS IN
3174875015
Description
Price
PARKING $18.00
Cardmember Name: JAMES C BRAINARD
Amount$: 1800
Doing Business As: INDIANAPOLIS AIRPORT AUTH
Merchant Address: 7800 COL H WEIR COOK MEM
STE 38
INDIANAPOLIS
IN
46241-8004
UNITED STATES
Reference Number: 320122290043643700
Category: - _--- i Transportation-Parking Charges __— --- --------- - _-
Indianapolis International Airport
indianapolissairport.com
RECEIPT
Toledo Ticket Co.,Toledo,OH
IRAN IN TIME OUT TIME FEE CC#
79-41 08/1.5 '05: 19 08/15 18:5( $15 .00 5003
https://online.americanexpress.com/myca/esttnt/us/print_doc.html 8/24/2012
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mayor Jim Brainard
IN SUM OF $
One Civic Square
Carmel, IN 46032
$548.60
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Expense Report 43-430.04 $65.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1160 Expense Report 43-430.01 $483.60
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, August 24, 2012
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))
08/15/12 Expense Report $65.00
08/15/12 Expense Report $483.60
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