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HomeMy WebLinkAbout214322 11/07/2012 I CITY'C�r CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 0 ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT $2,801.91 CARMEL, INDIANA 46032 CHECK NUMBER: 214322 CHECK DATE. 1117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 1, 598 50 AUSTIN 1203 4343003 95 91 AUSTIN 1203 4343004 357 50 AUSTIN 1203 4359000 750 00 AUSTIN O��r or cgq,H6 CITY OF CARMEL Expense Report (required for all travel expenses) /NDIANA EXHIBIT A EMPLOYEE NAME Nancy Heck DEPARTURE DATE 10/19/2012 TIME. 6 : 00 AM PM DEPARTMENT Community Relations RETURN DATE 10/24/2012 TIME 10 35 AM PM REASON FOR TRAVEL. IMLA Conference/Code DESTINATION CITY Austin Texas Enforcement Program EXPENSES ARE FOR(check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 10/19/12 $15 60 , $3250 $4810 10/19/12 $18 32 $18.32 10/20/12 / $6500 $75000,/ $815.00 10/21/12 $6 84 ✓ $6500 $71.84 10/22/12 $6500 $65.00 10/23/12 $6500 $65.00 10/24/12 $600 $6500 $71 00 10/24/12 $12.73 $12.73 10/24/12 $970 / $970 10/24/12 $8 40 / $1,598 50'0/ $1,606.90 10/24/12 $18 32 $18.32 $000 $000 $00 0 $000 $0 00 $000 $000 $000 $000 vy/l $000 Total $0001 $0001 $95.91 $0 00 $1,598.50 $0001 $0001 $0001 $0.00 $357501 $750 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. Director Signature: 0 Z IQ12 fi— Date �d Z 9 Z City of Carmel Form#ER06 Revision Date 10/29/2012 Page 1 Affidavit Taxi Cab I certify that I personally paid for the following taxi cab fare while in Austin, Texas for the IMLA Conference/Code Enforcement Program Date Location Amount Reason for Travel 10/21/12 Austin, Texas $1273 Conference / / Nancy H Director of Community Relations October 29, 2012 Date Fare Receipt YELLOW (512) 452-9999 �CAB YellowCabAustin.com Date 1017'11 Received of the Sum of from to Independent Contractor Dri r• n _ No. 11_L C�— Name N°�/ �e r-,bur5e� Y1�)r ec� SuperShuttle Call (512) 258-3826 Option 3, at least one day in advance for return reservations PASSENGER RECEIPT 11 6,IF,e, ,te i 1 10/19/2012 11 02 08PM r8 (2 i512)47�-1;2 wVP L.trm ------------------------ SALE CONF# 7625623 ADULT 2 3 j 2 iW?4/20!'- --r AM CDT .x.xxxxK xxxhl 143 CHILD 0 Autr 300 7 Ref 80232309 ------ ------------------� ) k Nancy ton Austin utal $6 00 tin j� G,,2 078701 nn ------------ ,L7(�{�' �1------- 1 Agree t,r,mc y p t r, FARE $ 24 00 Cardholder?areement ERVICE CHARGE $ 2 40 NANCY S riE:,lt DRIVER FEES $ 0 00 COMPANY FEES $ 0 00 DISCOUNT $ 0 00 TIP $ 4 80 OMP/GIFT CERT $ 0 00 TOTAL DUE $-7777- --------------------------------- PAYMENT TYPE PREPAID / TOTAL PAID $ 31 20 A.,.i \1,. rah CHANGE DUE $ 0 00 �."`sti , v°'Ic''' Cup 10630 Joseph Clayton VyV dns A "`''D Joseph Clayton D I d,a A Austin, TX 78753 u�3.� --------------------------------- Austin. TX 78753 512-452-9999 THIS IS A RECEIPT 512-452-9999 Cab# 00234 NOT VALID FOR TRANSPORTATION Cab# 00127 Driver# 63786 )riier# 66191 Ha, 1# 1424133 DRIVER GRATUITY NOT TMrrl " tail# 1422883 F,c;n 102 rom 101 24-Oct-12 12 29 24-Oct-12 11 19 To 101 'ard # ?6043 24-Oct-12 12 35 j Type VISA Ca-.l # ?6043 tus Approved Card Type VISA ,:nsaction # 320201949 r,tt us Approved Auihorization 024485 transaction # 320243610 Captured On 20121024112627 Author ization 024853 taGtured $9.70 "tr-wred On 20121024123624 Fare $9.70 Capp ured $8.40 ,s =t $8.40 *** Customer Copy *** 24-Oct-12 11 2.6 r—V WwW e1 mbwc5q-) r)anc\A LONE STAR CAB 208 PUWLLL i.tq I1N, Ih k,—) bs6-49UU n1 L 1 /40-A 21 U9 11 kup Flay Trip L r opu -;lilt lv LoNM 1 .11 e $5 /U lip $1 14 m AL $6 64 . .t 1 ail# u043 1 1 "01 L(Ji\W-20123t) 208 5, 1,1 1 4 lbllu/44 mu i ng KIM (-ardholde1 ,41 1 1 Nay car 1l -issuer the above amount L,ursuant to (_ai dho'lder Agreement "hank you' H lVe a great play lbHILTON AUSTIN 500 East 4th Street I Austin,Texas 1 78701 Hilt®n T 512 482 8000 F 512 469 0078 AUSTIN W hilton.com NAME AND ADDRESS. HECK,NANCY Room: 1042/Q2 1326 COOL CREEK DR. Arrival Date- 10/19/2012 11 43-OOPM Departure Date, 10/24/2012 CARMEL,IN 46033 Adult/Child 1/0 US Room Rate: 332.00 RATE PLAN L-G2 HH# AL. BONUS AL. CAR: CONFIRMATION NUMBER 3490493696 10/24/2012 PAGE 1 DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE U HILTON 10/19/2012GUEST ROOM GWENE 7263001 $332.00 HHONORS 10/19/2012CITY OCCUPANCY TAX GWENE 7263001 $29.88 10/19/2012STATE OCCUPANCY TAX GWENE 7263001 $1992 10/20/2012GUEST ROOM AGAL 7265554 $332.00 % 10/20/2012CITY OCCUPANCY TAX AGAL 7265554 $29.88 WA DORF AFT, 10/20/2012STATE OCCUPANCY TAX AGAL 7265554 $1992 10/21/2012GUEST ROOM AGAL 7267885 $242.00 10/21/2012CITY OCCUPANCY TAX AGAL 7267885 $21 78 CON RAD 10/21/2012STATE OCCUPANCY TAX AGAL 7267885 $1452 10/22/2012GUEST ROOM AGAL 7269720 $242.00 10/22/2012CITY OCCUPANCY TAX AGAL 7269720 $21 78 10/22/2012STATE OCCUPANCY TAX AGAL 7269720 $14.52 Hilton 10/23/2012GUEST ROOM GWENE 7271819 $242.00 10/23/2012CITY OCCUPANCY TAX GWENE 7271819 $21 78 10/23/2012STATE OCCUPANCY TAX GWENE 7271819 $14.52 10/24/2012VS*6043 SBEY 7273843 $1 598.50 BALANCE $000 DOUREFTREF. �f��nL;nhm Jla%%w+^R ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. VS '6043 10/19/2012 1178509 A a Gal- HCri1EWOOD CARD MEMBER NAME AUTHORIZATION INITIAL wLrzs HECK, NANCY 019832 ESTABLISHMENT NO.&LOCATION ESTAIJSH.ENT AGREES TO TRANSW TOCARO HOMER FORPAYMENT PURCHASES&SERVICES THANK YOU FOR CHOOSING THE HILTON AUSTIN HOME® Taxes TIPS&MISC. Hilton CARD MEMBER'S SIGNATURE TOTAL AMOUNT Grand Vacatiom MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT AMERICAIS - EUROPE MIDOLEEAST AFRICA ASIA AUSTRALASIA m�Jur S� f�a vv -v\ "16--15c, 0U -rc, -(of C o nkrc rc e-� am ow 61043 -16/ 10 06/-1 3 ''QQ � NANCY S HECK Y � ( 'I-) QTY. CLASS. M PRICE, AM9 I a O U $w v ' r CH rn Lu AUTHORIZATION SUB y O TOTAL y R FER N SERVE TAX' v I ID-FOLKYCHECK NO.H.IC.NO.STATE REOJDEPT CLERK TIP i I SIGN HERE ® misc. ' " x`-'7(�1,�y f '� 'ter 5 0 K 813 C i f The faeuer of the card' tlfled on this Item Is authorized to pay the amount atavm as TOTAL upon proper presen min. I promise to pay such TOTAL(together y with any other charges due CUSTOMER RETAIN THIS COPY FOR YOUR RECORDS thereon)auDlscl b end N accordarw;e wIN the aprwment goveminp the uw d such card TRANSMISSION VERIFICATION REPORT TIME 09/26/2012 12 46 NAME CARMEL LAW DEPARTMET FAX 3175712484 TEL 3175712472 SER # 000G7J321026 DATE,TIME 09/26 12 45 FAX NO /NAME 912027850152 DURATION 00 01 01 PAGE(S) 03 RESULT OK MODE STANDARD ECM CITY OF CARMEL DEPARTMENT QP LAS' One Civic Square Carmel, Indiana 46032 Phone. (317) 5712472 Fax (317) 571-2484 FACSIMILE TRANSMISSION FORM TO International Municipal Lawyers Association FAX NUMBED, 202-785-0152 DATE, September 26, 2012 FROM: Elaine Bass, Executive/Legal Secretary MATTER: IMLA Seminar Registrations—,Austin., Texas (Code Enforcement Program, October 2021, 2012 77`x'Annual Conference, October 21-24, 2012) Number of pages (including cover sheet): 3 COMMENTS. Attached is the completed Reg)stration Forms for Cannel Community Relations Director Nancy Heck's attendance to IMLA's Code Enforcement Program Seminar, including the Mobile Land Use Tour, to be . . — +_- -- n, ..n,n _._J TTI XT n 1- 17141 A f� 1%P liAIA lnr4nkar 71-')A 9017 l-srtrii 5a I M LA's Code Enforcement Program ` Austin Hilton Hotel October 20-21, 2012 twit FIRST COME FIRST SERVED ENROLLMENT FOR THIS PROGRAM IS LIMITED TO 100 REGISTRATION INFORMATION For program updates&to register online visit our website,http://www imla.org Name Nancy Heck Title Community Relations Director Badge Name Nancy Heck Local Government Entity City of Carmel, Indiana Address One Civic Square City Carmel State Indiana Zip 46032 Phone 317-571-2474 Fax 317-571-2278 E-mail nheck@carmel.in.gov Please indicate your registration type and options listed below(check all that apply) NEW-Mobile Land Use Tour requires registration. By checking box fl$25 per seat,please sign me up for 1 seat(s) ©CLE Credits$25 each state,please specify state(s) Indiana Your Bar Nos. 19106-49 Registration Fees include: Admission to Code sessions, electronic documents and welcome reception. Cancellation / Refund Policy- Cancellations must be received in writing by September24,2012 to qualify for a refund.All cancellations are subject to a$50 00 administrative processing fee.After September 24,2012 those not attending will receive the event electronic documents in full consideration of registration fees paid.Replacements are always welcomed. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Attrition Fees: To help defray attrition expenses from the contracted hotel, an additional $100 will be added to your registration fees if you do not stay at the Code meeting hotel (daily/drive in registrations excluded) Register online at www.imla.org MyIMLA HARD COPY POLICY Registration fees include electronic documents.These materials will be available for registrants from IMLAs web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional$120 to your registration fee and check here.❑ Early Bird Super Saver After FOUR EASY WAYS TO REGISTER! Registration Until 8/15/12 8/15/12 MAIL. IMLA, 7910 Woodmont Avenue Suite 1440 Type 7/16/12 Bethesda,IviD 20814 Code Enforcement $250 $300 $350 PHONE. 202-466-5424 FAX. 202-785-0152 Program Only Oct.20th and Octt.21st E-MAIL.info @imta.org Code Enforcement $150 $200 $250 Program&IMLA Annual Con-ference(register REGISTRATION PAYMENT INFORMATION for IMLA conference separately) ®Bill Me ❑Check Enclosed ❑Visa ❑Master Card Make all checks payable to IMLA, U S currency only Oct.20th Saturday only $150 $200 $250 Code Enforcement Amount$ 300 00 Program Oct.21st Sunday only $125 $175 $225 Name City of Carmel, Indiana Code Enforcement Program Card No. (M)CLE Processing Fee $25 $25 $25 (per state) Exp.Date Mobile Land Use Tour $25 $25 $25 Signature Austin, TX I1 IMLA's 77th Annual Conference of Austin Hilton Hotel October 21®24, 2012 Mimi REGISTRATION INFORMATION For program updates &to register online visit our website,http://www.imla.org Name Nancy Heck Title Community Relations Director Badge Name Nancy Heck Local Government Entity City of Carmel, Indiana Address One Civic Square City Carmel State Indiana Zip 46032 Phone 317-571-2474 pax317-571-2278 E-mail nheck @carmel in gov Guest Name Guest Badge Name (Complete only if registering Guest)Badges are required for all functions. Please indicate your registration type and options listed below(check all that apply) O Guest Registrant(see below) O Luncheon Ticket(s)$75 00 each,No.of ticket(s) (only guest need to purchase) O CLE Credits,please specify state(s) Indiana Your Bar No's. 19106-49 O INSTITUTE FOR LOCAL GOVERNMENT LAWYERS(1LGL)$100 to register. For more information visit www.imla.org O DRAMATIC DISCOUNT OFFER FIRST TIME ATTENDEE or NEW ATTORNEY in practice for 15 years. $200 to register. Registration Fees include:Admission to all sessions,conference materials,IMLA social functions,Monday and Tuesday luncheons and all coffee breaks(not applicable to guest).Guest Fees include:Attendance at the social events. Cancellation/Refund Policy Cancellations must be received in writing by September 24,2012 to qualify for a refund.All cancellations are subject to a $50.00 administrative processing fee.After September 24,2012 those not attending will receive the event materials in full consideration of registration fees paid.Replacements are always welcomed.Guest Cancellations are subject to a$25 00 administrative processing fee.All refunds will be remitted 90 days after the event.Send all cancellations in writing to the IMLA Events Department. Discounted Registration Fees-Expire 15 Days After Rate Ends,If Payment Is Not Received,Next Rate Will Apply.The discounted registration fees below are available for those staying in IMLA Conference Hotel,otherwise$100 will be added to your registration fee to help defray IMLA Conference expenses(local attendees exempt from$100).Conference payment must be received within 15 days. HARD COPY POLICY Registration fees include USB of speaker's materials.These materials will also be available for registrants from IMLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional$250 to your registration fee and check here.❑ Early Bird Regular Rate THREE EASY WAYS TO REGISTER! ate Registration Rate Ends R Erids After MAIL.IMLA, 7910 Woodmont Avenue Suite 1440 Type 8/15/12 10/01/1ZJ 10/01/12 Bethesda, MD 20814 First Member $650 $700 $800 PHONE. 202-466-5424 FAX. 202 785-0152 Addt'l.Member $575 $600 $650 E-MAIL. info @imla.org My1MLA Online:www.imla.org 3 or More from REGISTRATION PAYMENT INFORMATION Same Office ®Bill Me ❑Check Enclosed ❑Visa ❑Master Card Each person $475 $500 $550 Make all checks payable to IMLA, U S currency only Judicial $355 $355 $355 Amount$ 500 00 Nonmember $1374 $1,500 $1,600 Name City of Carmel, Indiana Guest of ❑Full Guest Registration$125.00 includes the below Card No. Event ❑Reception Only$75.00 Registrant ❑Hospitality Suite$25.00 each❑Monday's❑Tuesday's Exp.Date Check only if purchasing Signature 8 IMLA f( ahc.u� �t c,k s °ESr. Thank you for your purchase! Indianapolis,IN-IND to Austin,TX-AUS Air Confirmation#GT66GX Indianapolis,IN-IND to Austin,TX -AUS Friday October 19,2012 Wednesday October 24 2012 Air Total:$714.40 Amount Paid $71440 Trip Total $71440 OR 19 FRI 10/19/12 - Austin ---I AIR Indianapolis,IN-IND to Austin,TX-AUS 10/19/2012 10/24/2012 Confirmation#GT66GX Adult Passenger(s) Rapid Rewards# NANCY HECK 00000460207333 ASHLEY ULBRICHT 00020123945575 Subscribe to Flight Status Messaging DEPART 06:OOPM Indianapolis, IN(IND)to Flight OR 19 05 55 PM Arrive in Chicago(Midway), IL(MDW) #3394 Friday,October 19,2012 FRI Travel Time S h 40 m 08 05 PM Change XX in Chicago(Midway) Flight 1 stop,P.includes 1 plane change) IL(MDW) #123 10:40PM Austin, TX(AUS) RETURN 04:OOPM Austin, TX(AUS)to Flight oR 24 08.10 PM Arrive in Baltimore/Washington, #2792 WED I MD(BWI) Wednesday,October 24,2012 Travel Time 5 h 35 m i 08 55 PM Change XX in Baltimore/Washington, Flight (1 stop,includes 1 plane change) MD(BWI) #1758 10:35PM Indianapolis, IN(IND) PRICE ADULT Trip Routing Fare Type I View Fare Rules Fare Details Quantity Total Depart IND-MDW AUS Wanna Get Away 2 Excellent Value $357.20 Return AUS-BWI IND Wanna Get Away 2 $357.20 Excellent Value Enroll in Rapid Rewards and earn at least 1883 Points per person for Subtotal $71440 this trip.Already a Member?Log in to ensure you are getting the pare Breakdown points you deserve. Carry-on Items 1 bag+1 small personal item are tree,see full details httPS://www.southwest.COM/reservations/confirm-reservatons.htmPdisc=0b/03A20%3A1348690243. 1/2 Checked Items first and second bags are free,size and weight limits apply Bag Charge $0 00 Air Total: $71440 Gov't taxes&fees now included Purchaser Name Nancy Heck Billing Address 1326 Cool Creek Drive Carmel,IN Us 46033 Form of Payment Amount Applied Visa XXXXXXXXXXXX-6043 $714.40 Amount Paid $71440 Trip Total $71440 https://www.southwest.com/reservations/confirm-reservations.htmPdisc=0%3A20%3Al348690243 2/2 p p p� General Form No.101(1955) CLAIM TO Nancy Heck DR On Account of Appropriation No for :Z READING* NATURE OF BUSINESS AUTO MILES MILEAGE @$0 . 555 Finish TRAVELED PER MILE 33 18 32 33 $18 32 TOTALS 66 36 1 64 ,d by fixed mileage or official highway map is just and correct, that the amount claimed is legally due, after �'�c�, A Prescribed by State Board of Accounts MILEAGE City of Carmel , Indiana Governmental nit) Community Relations (Office,Board Department or Institution) DATE FROM TO ODOMETEI 20 12 Point Point Start 10/19/12 Home in Carmel , Indiana Indpls. International 10/24/12 Ind ls. International Home in Carmel Indiana —t - Auto License No SPEEDOMETER READING columns; are to be used only when distance between points cannot be determir Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing accoun allowing all just credits, and that no part of the same has been paid Date October 29 , 2 012 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)) 10/20/12 Receipt $75000 10/29/12 Expense Report $1,59850 10/29/12 Expense Report $9591 10/29/12 Expense Report $35750 t 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 VOUCHER NO WARRANT NO ALLOWED 20 Nancy Heck IN SUM OF $ 1326 Cool Creek Drive Carmel, IN 46033 $2,80191 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO ACCT#lrITLE AMOUNT Board Members 1203 Receipt 43-59000 $75000 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1203 Expense Report 43-43001 $1,598 50 materials or services itemized thereon for 1203 Expense Re or' 43-430 03 $9591 which charge is made were ordered and 1203 Expense Re ort 43-430 04 $35750 received except Monday, November 05, 2012 ,Vi4 �� Community Relations L Title Cost distribution ledger classification if claim paid motor vehicle highway fund