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Home My WebLink About212141 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