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Home My WebLink About214857 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