214501 11/14/2012 CITY OF CARMEL, INDIANA VENDOR: 359293 Page 1 of 1
ONE CIVIC SQUARE CONTINENTAL AIRLINES CHECK AMOUNT: $1,070.94
®ia CARMEL, INDIANA 46032 ATTN UATP DEPT
PO BOX 0201970 CHECK NUMBER: 214501
HOUSTON TX 77216-1970
CHECK DATE: 11114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 1, 070 . 94 TRAINING SEMINARS
U N I T E D � ,�� STATEMENT SUMMARY U"P
® For Statement Period Ending October 31, 2012
PAYMENT IS DUE IN FULL BY 11/26/2012
CITY OF CARMEL ACCOUNT NUMBER: 10050479300000
ATTN DIANA L CORDRAY
ONE CIVIC SQUARE
CARMEL, IN 46032
Previous Refunds/ Continental Other Airline
Credit Card Number Cardholder Name Balance Payments Charges Adjustments Rebate Rebate Balance Due
00004793000027 HUMAN RESOURCES $404.74 ($404.74) $0.00 $0.00 $0.00 $0.00 $0.00
00004793000068 FIRE DEPARTMENT $1,782.31 ($1,782.31) $0.00 $0.00 $0.00 $0.00 $0.00
00004793000084 POLICE DEPARTMENT $0.00 $0.00 $1,075.80 $0.00 $0.00 ($4.86) $1,070.94
PAYMENT OPTIONS Previous Balance $2,187.05
Remit Payments by Check To: Payments ($2,187.05)
Continental Airlines Charges $1,075.80
ATTN: UATP Department Refunds/Adjustments $0.00
P.O.Box 0201970 Continental Rebate $0.00
Houston, Texas 77216-1970 Other Airline Rebate ($4.86)
Wire or ACH Transfer: Balance Due $1,070.94
JP MORGAN CHASE
New York, New York 11245 Date Opened 02/13/2007
Wire Transfer ABA#021000021 YTD Sales $16,298.48
F/C: Continental Airlines, Inc.
A/C: 910-2-499291 YTD Continental Rebate $0.00
ATTN: UATP Department- 10050479300000 YTD Other Airlines Rebate ($70.13)
YTD Total Rebate ($70.13)
Credit Limit $11,000.00
Available Credit $9,929.06
11/6/2012
Page 1 of 1
UN I T E D ;)J��
®
UATV
ACCOUNT NUMBER: 10050479300000 ACCOUNT STATEMENT CREDIT CARD NUMBER: 00004793000027
CITY OF CARMEL For Statement Period Ending October 31, 2012 CARDHOLDER NAME: HUMAN RESOURCES
Other Net
Issue Departure Routing Fare Airline Agency Charges/Continental Airline Charges/
Date Date Passenger Name Ticket Number Origin To To To To Class Segment Number Credits Rebate Rebate Credits
10/15/12 13716PMT ($404.74) $0.00 $0.00 ($404.74)
11/06/2012 Page 1 of 3
U I T E D
uAlrp
CREDIT CARD NUMBER: 00004793000068
CARDHOLDER NAME: FIRE DEPARTMENT
Other Net
Issue Departure Routing Fare Airline Agency Charges/Continental Airline Charges/
Date Date Passenger Name Ticket Number Origin To To To To Class Segment Number Credits Rebate Rebate Credits
10/15/12 13416PMT ($1,439.66) $0.00 $0.00 ($1,439.66)
10/15/12 1949PMT ($342.65) $0.00 $0.00 ($342.65)
11/06/2012
Page 2 of 3
UN ITED UA1�p
CREDIT CARD NUMBER: 00004793000084
CARDHOLDER NAME: POLICE DEPARTMENT
Other Net
Issue Departure Routing Fare Airline Agency Charges/Continental Airline Charges/
Date Date Passenger Name Ticket Number Origin To To To To Class .Segment Number Credits Rebate Rebate Credits,
10/12/12 11/08/12 BOWMAN/GARY A 5262473960999 IND PHX IND SR WNWN 79200010 $291.60 $0.00 ($1.46) $290.14
10/13/12 BOWMAN/GARY A 89005591918552 15879323 $35.00 $0.00 $0.00 $35.00
10/23/12 JELLISON/RYAN D 89005591918585 15879323 $35.00 $0.00 $0.00 $35.00
10/23/12 01/14/13 JELLISON/RYAN D 5262476013056 IND LAS IND 00 WNWN 79200010 $339.60 $0.00 ($1.70) $337.90
10/23112 01/14/13 MYERS/BRADY R 5262476015136 IND LAS IND 00 WNWN 79200010 $339.60 $0.00 ($1.70) $337.90
10/24/12 MYERS/BRADY 89005591918596 15879323 $35.00 $0.00 $0.00 $35.00
11/06/2012 Page 3 of 3
V N I T E D UATP
SUMMARY STATEMENT
REMITTANCE ADVICE
For Statement Period Ending October 31, 2012
ACCOUNT NUMBER: 10050479300000 Previous Balance $2,187.05
CITY OF CARMEL Payments ($2,187.05)
Charges $1,075.80
Refunds/Adjustments $0.00
PAYMENT OPTIONS CO Rebate $0.00
OA Rebate ($4.86)
Remit Payments by Check To:
Continental Airlines New Balance $1,070.94
ATTN: UATP Department
P.O.Box 0201970
Houston,Texas 77216-1970 Date Opened 02/13/2007
YTD Sales $16,298.48
YTD Continental Rebate $0.00
Wire or ACH Transfer: YTD Other Airline Rebate ($70.13)
JP MORGAN CHASE YTD Total Rebate ($70.13)
New York, New York 11245
Wire Transfer ABA#021000021
F/C: Continental Airlines, Inc.
A/C: 910-2-499291 Credit Limit $11,000.00
ATTN: UATP Department- 10050479300000 AvailableCredit $9,929.06
Please attach Remittance Advice to Payment
For Questions relating to your statement, contact UATP Customer Service at 1-866-324-UATP
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10-x.
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
� e IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I I hereby certify that the attached invoice(s), or
1 b 31 12 r,�0.�� 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund