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HomeMy WebLinkAbout216951 01/30/2013 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1 ONE CIVIC SQUARE JAMES BRAINARD CARMEL, INDIANA 46032 CHECK AMOUNT: $2,904.38 CHECK NUMBER: 216951 CHECK DATE: 1/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4343001 654 . 80 TRAVEL FEES & EXPENSE 1160 4343003 1, 827 . 08 TRAVEL & LODGING 1160 4343004 422 . 50 TRAVEL PER DIEMS �fN RHO.. CITY OF CARMEL Expense Report .(required for all travel expenses) 4DIANP EXHIBIT A EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 1/16/2013 TIME: 10 : 00 AM PM DEPARTMENT: Mayor' s office RETURN DATE:-1/20' /2 0/2 013 TIME: 1 : 4 5 AM M REASON FOR TRAVEL: USCM 81st Winter Meeting DESTINATION CITY: Washington, D.C. 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 1/16/13 $446.80 $24.00 $65.00 $535.80 1/17/13 $65.00 $65.00 1/18/13 $65.00 $65.00 1/19/13 $65.00 $65.00 1/20/13 $25.00 $86.00 $1,665.28 X90 $1,841.28 $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 SV $0.00 I Total 1 $446.80 $0.001 $49.00 $86.00 $1,665.28 $0.00 $0.00 ,$0.001 $0.00 $ 00 $0.00 DIRECTOR'S STATEMENT: I h et b affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. L Director Signature: Date: L City of Carmel Form#ER06 Revision Date 1/28/2013 Page 1 Martin, Candy From: Amy Gorman [agorman @usmayors.org] Sent: Tuesday, November 27, 2012 9:59 AM To: Martin, Candy Subject: His confirmation number is 3492652792 VIEW PROFILE Print This Profile 44 JAMES BRAINARD Mayor City of Carmel 1 Civic Square Carmel, IN 46032 Phone: 317-571-2401 ibrainard(abcarmel.in.aov REGISTRATION INFORMATION Confirmation Number: 13Winter90532 Registration Date/Time: 10/22/2012 1:41:56 PM Registration Type: MayorMember 15 Badge Name: Jim �pJ� Newly Elected?: No First Time?: No �a Special Needs?: No Payment Amount: $600 Payment Method: CreditCard Paid?: Yes MOTEL REQUEST INFORMATION The Capital Hilton ;Room Type jPnce King Bed Single $363 Yes Arrival Date: 1/16/2013 Departure Date: 1/22/2013 Card Type: Card Number: xxxxxxxxxxx5003 Expiration Date: 02/15 Hotel Notes: no changes Amy Gorman Meetings Specialist U.S. Conference of Mayors 1620 I Street, NW Washington, DC 20006 202/293-7330 (main) 202/861-6749 (direct) 202/467-4276 (fax) i Page 1 of I Transaction Date: 01/07/2013 Mon Transaction Description: EXPEDIA INC ATLANTA GA US AIRWAYS INC. From To Carrier: Class: INDIANAPOLIS WASHINGTON NATIONA US L INDIANAPOLIS US L NIA YY 00 NIA YY 00 Ticket Number 03771968150285 Date of Departure:01116 Passenger Name:BRAINARD/JAMES Document Type:PASSENGER TICKET Cardmember Name: JAMES C BRAINARD Amount E: 446.80 Doing Business As: US AIRWAYS ARC SALES Merchant Address: 4000 E SKY HARBOR BLVD PHOENIX AZ 85034-0664 UNITED STATES Reference Number: 320130080453408819 Category: Travel-Airline _, a/'stmyus/print_doc.html 1/23/2013 Page 1 of 1 Washington Wed Jan/16/2013-Sun Jan/20/2013 9—Expedia- Itinerary#1533-8109- 6092 Important Information Remember to bring your itinerary and government-issued photo ID for airport check-in and security. Indianapolis(IND),Washington (DCA) COMPLETED Wed Jan/16/2013-Sun Jan/2012013, 1 round trip ticket US AirwaysACJPYE We hope you had a great trip.Thank you for choosing Expedia for your travel reservations. Price Summary Traveler Information Traveler 1:Adult $446.80 James Brainard US Airways Dividend Miles 38368VOR Ticket#0377196815028 Adult Flight $395.35 Taxes&Airline Fees $51.45 'Seat assignments,special meals,frequent Oyer point awards and special assistance requests should be confirmed directly with the airline. Total:$446.80 Wed Jan/16/2013-Departure Nonstop Total travel time:1 h 36 in All prices quoted in US dollars. Indianapolis Washington IND 11:20am DCA 12:56pm 1 h 36 m US Airways 3344 Additional Flight Services Economy/Coach(L)i Confirm seats with the airline' • The airline may charge additional fees for Sun Jan/20/2013-Return Nonstop Total travel time:1 h 57 in checked baggage or other optional services. Washington Indianapolis DCA 11:00am IND 12:57pm 1 h 57 in US Airways 3701 Economy/Coach(L)I Confirm seats with the airline' Airline Rules&Regulations We understand that sometimes plans change.We do not charge a cancel or change fee.When the airline charges such fees in accordance with its own policies,the cost will be passed on to you. Tickets are nonrefundable,nontransferable and name changes are not allowed. Please read the complete penalty rules for changes and canceilations applicable to this fare. • Please read important information regarding airline liability limitations. Call us at 1-800-EXPEDIA(1-800-397-3342)or 1-404-728-8787 For faster service,mention itinerary#1533-8109-6092 https://www.expedia.com/itinerary-details?rfrr=-543 99&itineraryNumber=1533 81096092... 1/23/2013 Kibbe, Sharon From: James Brainard <Brainardjc @aol.com> Sent: Wednesday, January 16, 2013 2:34 PM To: Kibbe, Sharon Subject: Fwd: Uber Ride Receipt Sent from my iPad Begin forwarded message: From: supportdcQuber.com Date: January 16, 2013 1:08:29 PM EST To: Brainardjc@aol.com Subject: Uber Ride Receipt ® UBER Receipt DRIVER Thanks for riding Uber! BILLED TO ahsan James Brainard - Georgetown `� , 5" (Brainardica-aol.com) t 'K - 1 TRIP REQUEST DATER �• wal ington Stantoi �• Patti: January 16, 2013 at hY PA 12: --� 46pm art Myer DROPOFF LOCATION `1 ' Eentago Southwest.' I "Helipud �Washin�tori �^,J 1020 16th Street Northwest, p , Washington, DC j H ghlands CREDIT CARD /Arlington R, 1 Ridge � t AFFl��77l Personal American Express - r ^`'�'` �i5� MapA a21 13Google} 5003 BILLED TO CARD $24.00 Fare Breakdown Trip Statistics CHARGES DISTANCE Base Fare $7.00 4.32 miles DURATION Distance $13.17 13 minutes, 40 seconds Time $4.20 AVERAGE SPEED Charge subtotal $24.37 18.97 mph DISCOUNTS Rounding Down ($0.37) Discount subtotal ($0.37) TOTALS Total Fare $24.00 Billed to Card ($24.00) Outstanding $0.00 Balance Uber Technologies, Inc. Support: supportdc(a-b-uber.com 182 Howard St #8 San Francisco, CA 94102 View this trip online z Kibbe, Sharon From: Brainard,James C Sent: Sunday, January 20, 2013 9:S9 AM To: Kibbe, Sharon Subject: Fwd: Uber Ride Receipt Sent from my iPhone Begin forwarded message: From: supportdc@uber.com Date: January 20, 2013, 9:20:54 AM EST To: Brainardic(a)aol.com Subject: Uber Ride Receipt ® UBER Receipt DRIVER Thanks for riding Uber! Shakeeb BILLED TO James Brainard , a (Brainard ic(c-D-aol.com) s Georgeo�wn;. ` 1jjIC� t k z,� TRIP REQUEST DATEY K gYri.. m 1 January 0 2013 at Rosal`,F vVa ington`� stantoi ry , --i, lady Btrd;, 08:53am y; John9ot`i Par*'-, DROPOFF LOCATION ui RA } P_entagon' Southwest 2401 South Smith - "Hefload ',Washington Boulevard, Arlington, VA I ' -� Aurora C CREDIT CARD Highlands p jJ A rE9ton t Personal American Express - Of loge �L• Map data©20131Google 5003 ! BILLED TO CARD $25.00 Fare Breakdown Trip Statistics CHARGES DISTANCE Base Fare $7.00 5.36 miles DURATION Distance $16.78 13 minutes, 39 seconds Time $2.20 AVERAGE SPEED Charge subtotal $25.98 23.58 mph DISCOUNTS Rounding Down ($0.98) Discount subtotal ($0.98) TOTALS Total Fare $25.00 Billed to Card ($25.00) Outstanding $0.00 Balance Uber Technologies, Inc. Support: supportdc(a-)-uber.com 182 Howard St #8 San Francisco, CA 94102 View this trip online i z --------- - - Page ] of] .uvl nl.<alv�io: - hl0\,JAN ZI CAPfG\I.HILI'O\'9)10 WASHINGTON DC JAMES C 13RAI,NARD 1.701.77 DOING BUSINESS AS THE CAPITAL HILTON MERCHANTADDRESS 16TH 8 K ST NW,WASHINGTON,DC 20036 UNITED STATES ADDITIONAL INFORMATION 0001703946(202_)393-1000 REFERENCE NUMBER 320130210116078389 CATEGORY TRAVEL-LODGING ARRIVAL DATE 01/16113 DEPARTURE DATE 01120113 NUMBER OF NIGHTS (202)393-1000 DISPUTE/INQUIRE ABOUT THIS CHARGE i I I https://onl ine.americanexpress.comimyca/acctmgmt/us/en/en_US/summary/AcctMgmtRO... 1/23/2013 --------------------- --------- CAPITAL HILTON Capital Hilton 100116th Street Washington,DC 20036 T: 202 393 1000 F: 202 639 5784 NAME AND ADDRESS: W:capital.hilton.com BRAINARD,JAMES Room: 703/K 1 D Arrival Date: 1/16/2013 1:11:OOPM Departure Date: 1/20/2013 Adult/Child: 1/0 Room Rate: 363.00 RATE PLAN C-USCM HH# AL Confirmation Number: 3492652792 BONUS AL CAR 1/20/2013 PAGE 1 DATE DESCRIPTION ID REF.NO CHARGES 1/16/2013 EXT-#703 L 659-2229 0001 LINTR 5928365 CREDITS $1.0o BALANCE 16:30 e?ccl•ae e. ►-J 1/16/2013 EXT#703 L 607-9234 0001 LINTR 5928366 HILTON 16:31 $1.00 Cxc��► HHONORS 1/16/2013 GUEST ROOM AJSCOTT 5928934 1/16/2013 ROOM TAX $$52.00 AJ 1/17/2013 GUEST ROOM SCOTT 5928934 $52.64 XBOUBEE 5930268 $363.00 1/17/2013 ROOM TAX XBOUBEE 5930268 WALDORF 1/18/2013 GUEST ROOM $52.64 -2=14 XBOUBEE 5931604 $363.00 1/18/2013 ROOM TAX XBOUBEE 5931604 1/19/2013 LODGENET MOVIES $52.64 1/19/2013 TAXES LINTR 5932368 $16.99 exc\ude LINTR CONRAD 1/19/2013 THE STALER LOUNGE LINTR 5932368 $2.72 5932553 $17.30 eXc\kL 1/19/2013 EXT-#703 877-879-1872 LINTR dc 5932581 0062 21:23 $0.20 e)C.C\%X e. 1/19/2013 GUEST ROOM XBOUBEE 5933019 `rn" 1/19/2013 ROOM TAX XBOUBEE 5933019 $52$$52.00 Hilton .64 WILL BE SETTLED TO $1,701.77PItrnFE EFFECTIVE BALANCE OF $0.00 �furden Inn' DATE OF CHARGE Jl°^wm'D FOLIO NO./CHECK NO. ' Zip-Out Check-Out® 997055 A Good Morning ! We hope you enjoyed your stay. With Zip-Out Check-Out® AUTHORIZATION there is no need to stop at the Front Desk to check out. INITIAL �D • Please review this statement. It is a record of your charges as of late last wTES evening. PURCHASES&SERVICES • For any charges after your account was prepared,you may: •pay at the time of purchase. TAXES •charge purchases to your account,then stop by the Front Desk for an HOME® updated statement. rips&MISC. +or request an updated statement be mailed to you within two business days. If the statement meets with your approval, simply press the Zip-Out Check-Out TOTAL AMOUNT button on your guest room telephone.Your account will be automatically checked a out and you may use this statement as your receipt.Feel free to leave your key(s) PAYMENT DUE UPON RECEIPT c—dVi tlons in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. Page l of 1 I):,T T. 01'1.RIPIW" (ARD\tl N1RFR ANO I.NI SUN-JAN 20 INDIANAPOLIS AIRPORTINDIANAPOLIS IN JA,NIES C BRAINARD .96.00 DOING BUSINESS AS INDIANAPOLIS AIRPORT AUTH MERCHANT ADDRESS 7800 COL H WEIR COOK MEM,STE 38,INDIANAPOLIS,IN 46241-8004 UNITED STATES ADDITIONAL INFORMATION 000015190 3174875015 REFERENCE NUMBER 320130210116078390 CATEGORY TRANSPORTATION-PARKING CHARGES 3174875015 DISPUTE I INQUIRE ABOUT THIS CHARGE A.99mmt4l ,52 Indianapolis International Airport indianapol isairport.com RECEIPT Toledo Ticket Co.,Toledo,OH IRAN IN TIME OUT TIME FEE CC# I`} .4, 1'ts; Lf 7. https://online.wnericanexpress.com/myca/acctmgmt/us/en/en_US/summary/AcctMgmtRO... 1/23/2013 \1r OF C'w1�, �S�pf.1lRii^F! �u. J CITY OF CARMEL Expense Report (required for all travel expenses) _ �. ..5.1n EXHIBIT A EMPLOYEE NAME: Jim Brainard DEPARTURE DATE: 1/10/2013 TIME: 7 : 00 AM PM DEPARTMENT: Mayor ' s Office RETURN DATE: 1/11/2013 TIME: 5 : 0 0 AM PM REASON FOR TRAVEL: City Promotional DESTINATION CITY: Chicago, IL 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 1/10/13 $103.96 $57.00 $65.00 $225.96 1/10/13 $16.00 $16.00 1/11/13 1 $103.96 $161.80 $65.00 $330.76 $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 $0.00 $0.00 $223.92 $57.00 $161.80 $0.00 $0.00 $0.001 $0.001 $130.001 $0.00 DIRECTOR'S STATEMENT: I h reby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: u� City of Carmel Form#ER06 Revision Date 1/28/2013 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 $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: hereby acknowledge receipt of$ , 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#ER06 Revision Date 1/28/2013 Page 2 ----------------------- ---------------------- ------------------- --------------------- i Kibbe, Sharon From: James Brainard <Brainardjc @aol.com> Sent: Thursday,January 10 2013 To: �' 4.45 PM Kibbe, Sharon Subject: Fwd: Uber Ride Receipt i Sent from my iPad Begin forwarded message: I From: Su1111po.rtchica o uber.com Date: January 10, 2013 11:53:59 AM CST To: Brainardic@ of com Subject: Uber Ride Receipt D U B E R Recei t Thanks for riding Uber! 1 DRIVER BILLED TO LQ`I Ivan James Brainard (Brainardic(a aol com) z TRIP REQUEST DATE � :- ut Ontario St i - - River North E Ohio St January 10 2013 at W GtandAec o E ' w iGtui^Si agniricent,. 11:34am 1 Kinzie St DROPOFF LOCATION 323 g West Monroe Street, k Chicago, IL west i° © o _oop,Gate� Loop CREDIT CARD Q o � W,1.9adiwn St p OPersonal American Express - �� A r a) 5003 — VV Adr�PFaaWr-ai 3lGoogle BILLED TO CARD $16.00 Fare Breakdown CHARGES Trip Statistics Es p DISTANCE Base Fare $7.00 1.53 miles Distance DURATION 1 $3.95 g minutes, 1 second i ----------------- Time $5.28 AVERAGE SPEED Charge subtotal $16.23 10.16 mph DISCOUNTS Rounding Down ($0.23) Discount subtotal ($0.23) TOTALS Total Fare $16.00 Billed to Card ($16.00) Outstanding Balance $0.00 Uber Technologies, Inc. 182 Howard St #8 Support: San Francisco, CA 94102 suMortchicago(c�uber com View this trip online 2 i -------------------- -------------- -------------- -------------- ---------------- INTERCONTINENTAL. HOTELS 8 RESORTS James Brainard 12662 Royce Court Folio No. 01/10/13 Carmel In A/R Number Cashier No. ; 28 Usa 46033 Group Code Room No. 2208 I Company Arrival 01/10/13 Membership No. Departure 01/11/13 Conf. No. 63533600 i Invoice No. Rate Code GCR Date I Page No. 1 of 1 01110113 Parking Description I01/10/13 -Accommodation 88-721 Charges I Credits 01/10/13 City Hotel Room Tax 57.00 01/10/13 State Hotel Room Tax 13900 01/10/13 6.26 16.54 218.80 Total 218.80 218.80 Balance Guest Signature: 0.00 I have received the goods and/"or"s" or services in the amount shown heron. I agree that m li Personally liable in the event that the indicated person, company a credit card charge, I further agree to Y ablity for this bill is not waived and agree to be held perform the obligations set forth the caardholderr''s agreement with the issuer. Y part or the full amount of these charges. If InterContinental Chicago 505 North Michigan Avenue Chicago,(l_60611-3807, USA Zelephone'. X312)944-4100 Fax'. W2)944-132D nI R'RTT.4lT�11 3 N .adfbv wwi -------------- ------------- ----------- -------------- ---------------- ------------------- ------------- ----------- P.RESS C14ECIK-OUT INTERCONTINENTAL• C H I CA GO Dear Guest: you have enjoyed your stay with us. ou thus far, and we hope } y g advantage of It has been a pleasure sen ing Y in line to checkout b tarn ou may bypass the front Desk and avoid NvattIng Y tionS: one er the three following op llows� you to reviewyour bill 111 real time• jY�z�9 ress �) Video Check-out-1 and press "Select" on TV remote press the `1VIen�,i" button. Scroll up to "Guest Services a� c��oll to or�ir le f t by using the direction buttons the terjyls. RevZewyour Select . S joy our Finall preSs "Select" to ex-It. `Account Review". Please press "Select'��-out gain �' bill a�ad press the ��� button to she Alai] Check-out— Dial e�ti°tension 3000eCt, simply d�°op off 2) nick Voice 1Vl j f your z�aal invoice zs 3) _ x ress Check Out BOX— �� , the Front Desk. ,our kY in our EXPress Check Out box � J�,t,, htyuld>ou Leyuire lug.a ge assistance, plea. p t2 „ . L"ggage storagc You have extension # 8_. W e do Continental Chicago. Please take a moment to verify Y 'Thank you for staying i iclud including any items left in the safe before departing the room. 11 our belongings, safe trip home we look forward to welcoming you back. a Y have a appreciate your feedback. ® 4 Room Number: Late check-out between 12:00 PM— 6:00 PM: 7Email 50% 0 115e re»ailirr nail ra6e Fax Number: Late check-out af 6:00 PA•1A- te'r dress' __ 100% o the rewilin :Extension e---- *Please contact our Instant Servic for our of Address: Company: 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)) 01/11/13 Expense Report $130.00 01/11/13 Expense Report $161.80 01/11/13 Expense Report $57.00 01/11/13 Expense Report $223.92 01/20/13 Expense Report $325.00 01/20/13 Expense Report $1,665.28 01/20/13 Expense Report $86.00 01/20/13 Expense Report $49.00 01/20/13 Expense Report $446.80 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 J VOUCHER NO, WARRANT NO. ALLOWED 20 Mayor Jim Brainard IN SUM OF $ One Civic Square Carmel, IN 46032 I ON ACCOUNT OF APPROPRIATION FOR ,,Mayor's Office PO#/Dept. IN OIC O. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1160 Expense Report 43-430.04 $130.00 bill(s) is(are)true and correct and that the 1160 Expense Report 43-430.03 $161.80 materials or services itemized thereon for 1160 Expense Rep ort 43-430.01 $57.00 (� bV which charge is made were ordered and 1160 Expense Report 43-430.01 ]S� - 2-� received except 1160 Expense Report 43-430.04 0 1160 Expense Report. 43-430.03 $1,665.28 i 1160 Expense Report 43-430.01 $86.00 Monday, anuary 28, 2013 1160 Expense Report 43-430.01 $49.00 I r � 1160 Expense Report 43-430.01 $446.80 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund i