214857 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1
ONE CIVIC SQUARE ASHLEY ULBRICHT
CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $480.46
CARMEL IN 46032 CHECK NUMBER: 214857
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 428 . 00 EXTERNAL TRAINING TRA
1180 4343003 33 . 72 TRAVEL & LODGING
1180 4463100 18 . 74 COMMUNICATION EQUIPME
ppp
EQUIPMENT RECEIPT
VERIZON WIRELESS
560 W Ireland Rd
South Bend IN 46614-3806
(574j299-9289
verizonwireless.com
Order Location: M7385 01 #201902
Receive Location: M7385 01
Receipt Date/Time: 10/06/2012 12:54 ET
Register: 04 colanch - ElOK2
Pmt 1 of 1
Retail Your
Price Price
-----------------------------------------
CAS LG INTIO $24.99 $18.74
LGVS950CAS
Total Taxes Fees: $0.00
Total : $18.74
Total Savings: $6.25
This Payment: $18.74
Payment Method: XXXXXXXXXXX
Signature:
Recycling Disclosure
Electronic waste should be recycled or
disposed of properly. Contact
"http://www.in.gov/recycle/" or call
800-988-7901 .
---------------------------------------------
Return Policy
New and Certified Pre-Owned merchandise
items may only be returned or exchanged
within 14 days (10/20/2012). You are
permitted to make one exchange.
See vzw.com/returnpolicy for
complete details.
Thank You!
*****No Signature Required*****
IV S N1 73 0501000201 902
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
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
Ashley M. Ulbricht
Purchase Order No.
433 Autumn Drive
Terms
Carmel, Indiana 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10-8-12 201902 Reimburse Ashley M. Ulbricht for monies she personally $18.74
expended to purchase a case for her City-Owned cell phone
per the attached receipt
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 $18.74
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ashley AA I IIbricht IN SUM OF $
433 Autumn Drive
Carmel, IN 46032
$ $1 8.74
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
440-63100 Communications Equipment
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1180 201902 $18.74 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/,7,
tore
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
High Velocity !W Marriott Indianapolis
10 S West Street
Eat , Drink , Sports , Indianapolis , Indiana 46204
(317) 860-6500 1 -317-860-5800
CHECK : 7938
:,0009 Monica TABLE : 410 / 1
- - ------------ -----
------------- SERVER : 30009--Monica
ir'L 41011 CHK 7938 GST 1 DATE : OCT25 ' 12 12 :27PM
OCT25 ' 12 12.20PM CARD TYPE : Uft
A't,0T # : xxxxxxXXxXXXpw
LXP DATE : XX/XX
1 Soup/Sal 8 . 00 AUTH CODE : 296479
ASHLEY M ULBRICHT
FOOD 8 .00
TAX 0 . 72
TOTAL DUE $ 8 . 72 SUBTOTAL : 8 . 7 2
ip -----------------a= --
otal $
Si-gnature : ----------------------
Hotel Name :
---------------------
I agree to pay the above total
ucom # :--------------.-- ------ amount according to cardholder
av eement .
------------ -----------
Print Last Name
------------------------------
Signature
JW Marriott Parking Receipt
PARKING 476747 Date: �-
RECEIPT
Amount:
Initials:
—L-
THIS FORM MUST BE RETURNED TO THE REGISTRATION DESK TO RECEIVE CLE CREDITS.
ISBA ANNUAL MEETING
OCTOBER 24-26, 2012
COURSE#158171 —SPONSOR#0000042
ATTENDEES ONLY SPEAKERS ONLY
I certify that I attended the following courses My PRESENTATION was approved for:
presented at the ISBA Annual Meeting CLE HOURS
on October 24-26,2012 OF WHICH ARE ETHICS HOURS
ATTENDEE CLE My PRESENTATION was approved for:
•TOTAL OF Q.Q CLE HOURS
OF WHICH d ARE ETHICS NLS HOURS
I also attended additional programming
ATTENDEE NLS and I am entitled to claim:
A TOTAL OF CLE HOURS
•TOTAL OF NLS HOURS OF WHICH ARE ETHICS
A TOT AAL OF NLS HOURS
Indiana Supreme Court Attorney No. ISBA No. (if known)
Name(Please Print) A 5�1��=� ,_ `b1'1 Cif
Address 01e� CLvlG S[l? (_kot_yE
City Cajr Inc( State l l�,' Zip
Phone Nj `b 71 — 3'/-7 Fax E-mail ri C ht
PLEASE RETURN YOUR COMPLETED FORM TO THE REGISTRATION DESK, OR RETURN TO:
Indiana State Bar Association, One Indiana Square, Suite 530, Indianapolis, IN 46204 or FAX to (317) 266-2588
If you have questions, please call (317)639-5465 or 800-266-2581.
THURSDAY, OCTOBER 25, 2012
10:00 AM—NOON
Finding the Borders:Advertising in Multiple Jurisdictions .........................................ETHICS 2.00 Hr CLE
Tips from the Trenches: Media Training & Public Access Laws..............................................2.00 Hr CLE2
Guardianships for Adults and Veterans...................................................................................2.00 Hr CLE
Collateral Consequences.........................................................................................................2.00 Hr CLE
2:00 PM—4:00 PM
Surviving and Thriving at Work..................................................................1.00 Hr ETHICS + 1.00 Hr NLS
MaximizeYour Time On-Line ..................................................................................................2.00 Hr CLE
2:00 PM—5:00 PM
The Future of Attorney Fees:A Summit on Alternative Fee Arrangements............................3.00 Hr CLE
FRIDAY, OCTOBER 26, 2012
10:45 AM— 11:45 AM
An Update on the Indiana Judiciary's Strategic Plan...............................................................1.00 Hr CLE
1:30 PM —3:30 PM
When and How to Appeal Under the 2012 Changes to the Indiana Rules .............................2.00 Hr CLE
Green Building & Sustainable Development: The Convergence of Construction ...................2.00 Hr CLE
Scenes of Civility: An Analysis of Real Life Conduct.................................................ETHICS 2.00 Hr CLE
Please insert total in the box on the front page.
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
Ashley M. Ulbricht
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11-14-12 Reimburse Ashley M. Ulbricht for monies she expended
to attend ISBA's Annual Meeting 10/25/12 per the
attached receipts
Total
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
Ashley M. Ulbrl6ht IN SUM OF $
$ $33.72
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430-43003 Travel &Lodging(Non Training)
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1180 ISBA $33.72 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
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
of CAN,}�,.
TQ4PT\F./yp�
CITY OF CARMEL Expense Report (required for all travel expenses)
NOIPNP
EMPLOYEE NAME: Ashley M. Ulbricht DEPARTURE DATE: 10/19/12 6:00 p.m.
DEPARTMENT: Law Department RETURN DATE: 10/24/12 TIME: 10:35 p.m.
REASON FOR TRAVEL: IMLA's 77th Annual Conference DESTINATION CITY: Austin, Texas
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
�--Transportation Gas/Tolls/
Date - Lodging Meals Misc. Total
i F_f4 Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
Oct. 19- �V t
24, 2012 $70.50 V $357.50 -L,-' $428.00
$0.00
$0.00
i $0.00
ra 2.1 ,- 7- $0.00
$0.00
$0.00
'"I $0.00
$0.00
$0.00
' $0.00
to 1.7 l S $0.00
I -
$0.00
I I I k�l $0.00
/ $0.00
/ $0.00
"1 L $0.00
$0.00
$0.00
$0.00
0.00
Total $0.001 $0.001 $70.50 $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $357.50 $0.00 !JIM
DIRECTOR'S STA7ER affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form Revision Date 11/8/2012 Page 1
STATE OF INDIANA )
) SS:
COUNTY OF HAMILTON )
AFFIDAVIT
I, Ashley M. Ulbricht, Carmel Assistant City Attorney, being first duly sworn upon my oath, state
that I while attending the International Municipal Lawyers Association's Code Enforcement Program and
77`h Annual Conference in Austin, Texas, on behalf of the City, October 19-24, 2012, I expended a total
of Twenty Dollars and Fifty Cents ($20.50) of my own monies for taxi fares with Yellow Cab of Austin
and for which I need to be reimbursed.
-�h
Dated this day of November, 2012.
4M y . Ul 'cht
Subscribed and sworn to before me, the undersigned Notary Public, this d day of November,
2012.
zlae11
A. Elaine Bass, NOT AY PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
Ocrobef 23;`201.6= {�
Icb ms—rd z\share&affidavrts\affidarrt-ulbncht-taxi doc 11IN1121
_ s-
SCIfPHVIM.CM
Thank you for your purchase!
Indianapolis,IN-IND to Austin,TX-AUS
Air
Indianapolis,IN-IND to Austin,TX
-AUS
Friday,October 19,2012-Wednesday,
October 24,2012
Air Total:$714.40
Amount Paid
$714.40
Trip Total
$714.40
FRI 10/19/12 - Austin
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
05:55 PM Arrive in Chicago(Midway), IL(MDW) #3394
Friday,October 19,2012
FRI Travel Time 5 h 40 m
-- 08:05 PM Change 7(in Chicago(Midway), Flight (1 stop,includes 1 plane change)
IL(MDW) #123
10:40PM Austin, TX(AUS)
RETURN 04:001PM Austin, TX(AUS)to Flight
ocr 2; ; 08:10 PM Arrive in Baltimore/Washington, #2792
WED MD(BWI) Wednesday,October 24,2012
Travel Time 5 h 35 m
(1 stop,includes 1 plane change)
08:55 PM Change �x in Baltimore/Washington, Flight
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 $357.20
Excellent Value
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 $714.40
this trip.Already a Member?Log in to ensure you are getting the Fare Breakdown
points you deserve.
Carry-on Items:1 bag+1 small personal item are free,see full details.
https://www-southwest.com/reservations/confirm-reservations.htmP disc=0%3A20%3Al348690243.... 1/2
FIRST COME • • FOR THIS PROGRAM TO 100.
For program,program updates and to register
online go to:http•//www.imla.org
IMLA's Code Enforcement Program ,c
Registration Form — October 2021, 2012 =
Hilton Austin Hotel
REGISTRATION INFORMATION
Nam ef75 Ip'j t r1 `1A(1GI'+ Title t 0, n-e //A]
Badge Name 5� I Local Government Entity
Address O n g (!I V I< SG 1)a(-e
City 0_c4(M&l State Itj Zp G{0003/a}
Phone;30- `�71' 0y7o2 Fax.317-57)-,),q � E-mail 'Q L) 61 IG�'lt69- G(w) (o . 61
�
Please indicate your registration type and options listed below(check all that apply) `!
NEW-Mobile Land Use Tour requires registration: By checking box;6$25 per seat,please sign me up for ' seaks)
I.CLE Credits$25 each state,please specify state(s) I N Your Bar No's. )to 9 3 0 —a�
Registration Fees include. Admission to Code sessions, electronic documents and welcome reception. 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 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 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$120 to your registration fee and check here. ❑
FOUR EASY WAYS TO REGISTER! MAIL:IMLA,7910 Woodmont Avenue Suite 1440 Bethesda,MD20814
PHONE:202-466-5424 FAX:202-785-0152 E-MAIL:info @imla.org
Super Early
Saver Bird
Until Until After REGISTRATION PAYMENT INFORMATION
Registration Type 7116/12 8/15112 8/15/12 Po-
Code Enforcement Program Only
Oct.20" and Oct.21" $250 $300 $350 g Bill Me ❑ Qheekr Enclosed ❑ Visa ❑ MasterCard
Code Enforcement Program& Make all checks payable to IMLA;U.S.currency only.
IMLA Annual Conference b
(register forlMLA conference Amount$
separately) $150 $200 $250 C' EL
Name T &E
Oct.20"'—Saturday Only
Code Enforcement Program $150 $200 $250 CardNo.
Oct.21"—Sunday Only Exp.Date
$125 $175 $225
(M)CLE Processing Fee Signature
(per state) 25 25 25
Mobile Land Use Tour $25 $25 $25
Aw
1�
For program updates&to register online Save the w DatJe! ,
visit our web site: http://ww.imia.org
_;t
– l
IMLA's 77t" Annual Conference -
Austin Hilton Hotel I October 21-24, 2012
6
REGISTRATION INFORMATION \
Name ASHLEY M. ULBRICHT Title Assistant Cites Attorney
Badge Name Ashley Local Government Entity City of Carmel, Dept. of Law
Address One Civic Square
City Carmel State Indiana Zip 46032
Phone 317-571-2472 Fax 317-571-2484 E-mailaulbricht @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)
❑ Guest Registrant(see below) ❑ Luncheon Ticket(s)$75.00 each, No.of ticket(s)) (only guest need to purchase)
)<CLE Credits,please specify state(s)T_✓0/#A /f' Your Bar No's. c2 C Q30 —,11)
❑INSTITUTE FOR LOCAL GOVERNMENT LAWYERS(ILGL)$100 to register.For more information visit www.imia.org
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 events selected below.
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 speaker's materials, available electronically. 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. ❑
FIVE EASY WAYS TO REGISTER! MAIL:IMLA,7910 Woodmont Avenue Suite 1440 Bethesda,MD 20814
PHONE:202-466-5424 1 FAX:202-785-0152 1 MyIMLA Online:www.imla.org I E-MAIL:info @imla.org
j
Super Early REGISTRATION PAYMENT INFORMATION
Saver Rate Bird Rate Regular Rate P•,O' --ff-.26 W17
Registration Ends Ends Rate Ends After Bill Me ❑ -Gheek Enclosed ❑ Visa ❑ Master Card
Type 6/01/12 8/15/12 10/01/12 10/01/12 Make all checks payable to IMLA; U.S.currency only.
First Member $600 $650 $700 $800 �^
Addt'I.Member $550 $575 $600 $650 Amount $,Tj 0, /• 0 0�
3 or More From Name M6?,
Same Office
Each person $450 $47S $S00 $S50
Card No.
Judicial $35S $355 $355 $355
Nonmember $1,322 $1374 $1,500 $1,600 Exp.Date
Guest of ❑Full Guest Registration$125.00 includes the below
Event ❑Reception Only$75.00 Signature
Registrant Hospitality Suite$25.00 each❑Monday's❑Tuesday's
Check only if purchasing
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
Ashley M. Ulbricht
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11-8-12 Reimburse Ashley M. Ulbricht for monies she expended $428.00
to attend IMLA's Code Enforcement Program and the
77th Annual Conference in Austin, Texas, October 19-24,2012
per the attached Expense Report, receipt and Aff idavit
Total
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
Ashley _lj11,rinh+ IN SUM OF $
$ $428.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430-43002 External Training & Travel
Board Members
DEPT v# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 IVILAConference $428.00 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
u re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund