217423 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352832 Page 1 of 1
ONE CIVIC SQUARE FIFTH THIRD BANK
CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK AMOUNT: $1,213.40
!?� PO BOX 740523
o„ CHECK NUMBER: 217423
CINCINNATI OH 45274-0523
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 163 . 80 TRAVEL FEES & EXPENSE
1091 4355200 2798 123 . 70 SUBSCRIPTIONS
1125 4342100 2798 38 . 50 POSTAGE
1125 4343000 2798 117 . 30 TRAVEL FEES & EXPENSE
1125 R4343000 29275 2798 770 . 10 P—CARD CHARGES
Fifth Third Bank
ACCOUNT NUMBERKXXX XXXX XXXX 2798
FIFTH THIRD BANK
PO BOX 740523 PAYMENT DUE DATE 02-25-13
CINCINNATI OH 45274-0523
AMOUNT DUE $1,213.40
CURRENT BALANCE $1,213.40
FIFTH THIRD BANK
PO BOX 740523
CINCINNATI OH 45274-0523 AMOUNT
ENCLOSED $
CARMEL CLAY PARKS & RECR r000asso
CORPORATE BILLING ACCT
C/O AUDREY KOSTRZEWA
1411 E 116TH ST
CARMEL IN 46032-3455
5569260004422798 0001213404 0001213404
Please tear payment coupon at perforation.
STATEMENT MESSAGES
CORPORATE ACCOUNT SUMMARY
CORPORATE ACCOUNT NUMBER
XXXXXXXXXXXX2798
CLOSING DATE 01-31-13 PREVIOUS BALANCE 6046.00
PAYMENT DUE DATE 02-25-13 PURCHASES AND OTHER CHARGES 1,213.40
CREDIT LIMIT 40,000 CASH ADVANCES .00
AVAILABLE CREDIT 38,787 CREDITS .00
PAYMENTS 6,046.00-
FOR CUSTOMER SERVICE CALL: LATE PAYMENT CHARGES .00
1-800-375-1747
CASH ADVANCE FEE .00
SEND BILLING INQUIRIES TO: FINANCE CHARGES .00
FIFTH THIRD BANK NEW BALANCE 1,213.40
P.O.BOX 630781
CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 1,213.40
DISPUTED AMOUNT .00
Page 1 of 2
ACCT. NUMBER: XXXX XXXX XXXX 2798
CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00
CURRENT BALANCE 1,213.40 MINIMUM PAYMENT DUE 1,213.40
AVAILABLE CREDIT 38,786.60 PAYMENT DUE DATE 02-25-13
CORPORATE ACCOUNT ACTIVITY
CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY
XXXX-XXXX-XXXX-2798 $6,046.00 CR
Post Trans '-
Date Dale Reference Number Transaction Description Amount
01.16 01-16 75569263016000000000456 PAYMENT RECEIVED-THANK YOU 6,046.00 PY
INDIVIDUAL CARDHOLDER ACTIVITY
DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX-XXXX-XXXX-2814 $0.00 $123.70 $0.00 $123.70
Post Trans
Date Date Reference Number Transaction Description VCN Amount
01-03 01-02 55309593003206279600767 NATL NOTARY ASSN PHONE 08008766827 CA 123.70 ✓
PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX4XXX-XXXX-9873 $0.00 $38.50 $0.00 $38.50
Post Trans
Date Date Reference Number Transaction Description VCN Amount
01-28 01-25 05410193025418177184323 USPS 17127608130911713 CARMEL IN 38.50 ✓
MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX-XXXX-XXXX-2421 $0.00 $1,051.20 $0.00 $1,051.20
Post Trans
Date Dale Reference Number Transaction Description VCN Amount
01-04 01-02 55432863003000848443602 SOUTHWES 5262488591843800-435-9792 TX 811.20
KLITZINGlMICHAEL W Departure Date 01.03.13 --
IND WN Y HOU WN Y DEN WN Y IND
01-07 01-05 05436843006100175316080 WENDY'S 9653 HOUSTON TX 7.01✓
01-07 01-03 55432863004000060097960 IND CAMDEN FOOD INDIANAPOLIS IN 10.40✓
01-07 01-05 25536063007101037010037 DNC TRAVEL-DENVE DENVER CO 16.79✓
01-07 01-03 55432863004000068409381 NEXUS LIMO 317.777-1868 IN 42.00
01-07 01-06 85180133006050200021658 HILTON HOTEL AMERICAS HOUSTON TX 163.80 t/
0002682090 ARRIVAL:01-03.13
Page 2 of 2
Fifth Third Vendor I Fund 101 1 (Fund 109
Travel Subscripti
_ expenses Postage ons
1125 1125 1091 _
V# 3542961 1 1 43430001 4342100 I 43552001
$ 770 10 on po+4"1 11-_'2012'=''CT ,04 29275
12/14/12 SouthweStAirlme ' $ 811.20
�}
NPRA Program Committee Meeting Airfare M Klitzmg,
12/14/12 Hilton $ 163 8,0 - 20,fz6t PO i;2 9277 ..
NPRA
Tog Committee Meetin Lod m M Klitzin
01/02/131National Notary ��_ �� $ 123.70 1 Notary fee for Adm. Asst. J.Pottridge
01/03/13 Nexus Limo $ 42.00 __nn�_ NRPA Program Committee Meeting -Taxi to airport- M.Klitzing
01/05/13 Wendy's �_ NRPA Program Committee Meeting - Lunch M.Klitzing
01/05/13 Front Range Grille $ 16.79 NRPA Program Committee Meeting - Dinner M.Klitzing
_01/03/13 Camden Foods _� $ 10.40 i _� NRPA Program Committee Meeting - meal M.Klitzing
01/25/13ICarmel P.O. { �— $ 38.50
_ $1,051.20 { $ 38.50 $ 123.70 $ 1,213.40
Fund 101 Fund 109
Travel Subscripti (�
expenses Postage ons
1125 1125 09,
4343000 4342100 4355200-
Dawn Koepper
From: Jeanine Pottridge
Sent: Wednesday, January 02, 2013 2:39 PM
To: Dawn Koepper
Subject: FW: National Notary Order 5212287
Hi Dawn H
From: dsottilare@)nationainotary.org [mailto:dsottilare @nationalnotary.org]
Sent: Wednesday, January 02, 2013 12:08 PM
To: Jeanine Pottridge
Subject: National Notary Order 5212287
Order CCP: Diana Sales Rep
5212287 Sottilare Id: 212
Bill To: Ship To: Payment Information:
Jeanine Pottridge JEANINE POTTRIDGE Payment Type:Master Card
1235 Central Park or E 1235 Central Park or E Card Ending Number:XXXX-XXXX-XXXX-2814
Carmel,IN 46032 Carmel,IN 46032
317-573-5235 317-573-5235 Remit payment to:
ipottridge @carmelclavparks.com
National Notary Association-Individual
Shipping Method:UPS P.0.13ox 749991
Los Angeles,CA 90074-9991
..........
For all Fedex,UPS,certified mail&overnight
delivery:
National Notary Association
Attn:PO BOXtt 749991
Ground Level
1000 W.Temple Street
Los Angeles,CA 90012
Source Coder A15616 - INTERNET ORDERS-NEW 11/98
Order Details (Member Pricing Applied):
ggpm
- tixaSx�.dk' xri I xr ` 'hs .a La.2 F .
92340960005000 Bond-IN-Merchants $45.00 (MBR) 1 $45.00
1511012 One Year Package Membership $10.00 (MBR) 1 $10.00
05402 Seal-SI Stamp $16.95 (MBR) 1 $16.95 (Y) (Y)
Self-Inking Stamp
05350 Softcover Journal $11.95 (MBR) 1 $11.95
25936 Individual Acknowledgement $9.95 (MBR) 1 $9.95
8 1/2 X 11 New Format
07320 Notary Privacy Guard $9.95 (MBR) 1 $9.95
1
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25924 Jurat with Affiant Statement $9.95 (MBR) 1 $9.95
New Format
Subtotal: $113.75
Shipping(UPS): $9.95
Tax(0): $0.00
Total: $123.70
Diana Sottilare
Customer Care Professional
Toll Free: 1.800.US Notary(1.800.876.6827)
818.739.4000 Ext.42121 dsottilare dC nationalnotary.org
www.nationainotary.org
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MastE!rCard $38.50
Account 1k; XXX0XXXXXXX9873
Approval 4: 014311
Transact-ion #; 11:32
22,903091 1 l 1
BRIGHTEN SOMECiNE'S MAILEOX. Greeting
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Customer Copy
Southwest Airlines-Purchase Confirmation https://www.southwest.com/reservations/confirm-reservations.htmI?di.
soumwFSr.conn, � I
Thank you for your purchase!
Indianapolis,IN-IND to Houston(Hobby),TX-HOU
Air
Confirmation#G6X8ON
Indianapolis,IN-IND to Houston
(Hobby),TX-HOU
Thursday,January 3,2013-Saturday,
January 5,2013
Air Total: $811.20
Jqt—N � � 213 Amount Paid
$811.20
"— - Trip Total
$811.20 0
]AN
. ....HU 01/03/13 - Houston
AIR
Indianapolis,IN-IND to Houston(Hobby),TX-HOU
01/03/2013 - 01/05/2013
Confirmation#G6XSON /
Adult Passenger(s) Rapid Rewards#
MICHAEL KLITIING I
Subscribe to Flight Status Messaging 'll
_..
DEPART 04:10PM Indianapolis, IN(IND)to Flight
_...JAN 3._.I 05:55PM Houston(Hobby), TX(HOU) #1100 Thursday,January 3,2013 O
THU Travel Time 2 h 45 m
(Nonstop)
_...._
RETURN
02:40 PM Houston(Hobby) TX(HOU)to Flight ✓1
3AN 5 04:15 PM Arrive in Denver CO(DEN) #1750
Saturday,January 5,2013
V
SAT 1
Travel Time 6 h 20 m `
05:40 PM Change ? in Denver, CO(DEN) Flight (1 stop,includes 1 plane change)
30:OOPM Indianapolis, IN(IND) #2976
Trip Routing Fare Type I View Fare Rules Fare Details
Quantity Total
Depart IND-HOU AnWme • Fully Refundable
Grant Fbcbty Same-Day Changes 1 $400.90
• No Change Fees
Return HOU-DEN-IND A • Fully
Great ReNndade
e bbd�y Same-Day Changes
dt F� No Change Fees 1 $410.30
Enroll in Rapid Rewards and earn at least 7800 Points per person for
this trip.Already a Member?Log in to ensure you are getting the Subtotal $811.20
points you deserve, Fare Breakdown
Carry-on Items:1 bag+1 small personal item are free,see full details.
Checked Items:First and second bags are free,she and weight limits apply. Bag Charge $0.00
Air Total:
$811.20
! Gov't taxes&fees now included
Purchaser Name Michael Klitzing Billing Address 1411 E.116th Street
Carmel,IN US 46032
,f 2
tn.A nom.
2013 NRPA Congress Program Committee
Houston, TX January 4-5, 201
Winter Meeting Agenda
Thursday,January 3,2013
• Set Up Slot Scheduling, Allocations Record, Computer System, AV
o Gail and Danielle R�&QU,
6:00 pm—6:30 pm l�1.. l 4"_
• At-Large Process Overview YL
o Gail, Chris, Detrick, Lucky, Shane, Rita, Pat, Timia, Ann Marie, Darin
Fridav,January 4,2013
7:15-8:00 am
• Breakfast provided by NRPA
8:00 am- 12:00 pm
• Brief Orientation of agenda and process-TBD
• Acknowledgements & Introductions—Gail Elder White
• Historical Data PowerPoint—Chris Stice
• Welcome from Houston Local Host Committee/Special Events— Debra Lathan
• Goals of Committee—Detrick Stanford
• Introduction of At-Large Members & Their Roles
• Quality Control—Coordinator Lucky D'Ascanio, Assistants Shake Mize, Rita Shue
• Allocations Record --Coordinator Pat Armstrong; Assistant Darin Budak
• Slot Scheduling—Coordinator Timia Thompson, Assistant Ann Marie Heiser
• Review of Session Justification Process—Detrick Stanford
• Discuss,Select and Assign Top 30 Program Committee Slots—Gail Elder White
• Round I Discussion,Selection and Session Assignment Process—Gail Elder White
o Order of Rounds for Session Selection
■ Topical Areas(repeat three times)
■ At-Large Members
12:00— 1:00 pm
• Lunch provided by NRPA
1:00—6:00 pin
• Continue and Finish Discussion, Selection and Session Assignment Process—Gail Elder White
3:30—4:00 pin
• Break with snack provided by NRPA
6:00-6:15 pm
• Schedule Reconciliation—Gail Elder White, Chris Stice, Detrick Stanford, Danielle Price, At-Large
Members
6:30—9:00 pm
• Dinner hosted by 1-1-IC at Armadillo Palace(BBQ is their specialty)
• Please be in the lobby by 6:30pm for shuttle pickup
Saturdav,January 5, 2013
7:15—8:OO am
• Breakfast provided by NRPA
8:00—8:15 a in
• Program Committee Photograph
8:15 am— 12:00 pm
• Assign sessions to PC members—Gail Elder White
• Oversight Recommendations—Gail Elder White
• Small Group Discussion: Streamlining the Winter Meeting Process—Detrick Stanford
o Proposal Recruitment Discussion
• Review and balance PC member assignments
• Review assignments and responsibilities after meeting
• Thank you acknowledgements
2013 NRPA Congress Program Committee
Houston, TX January 4-5, 2013
Winter Meeting Agenda
• Clean Up
• Final Programs to be posted on online Committee page
11:00 am- 11:30 am
• Break with snack provided byNR13A
• Lunch and Dinner on your own
• Afternoon/Evening Entertainment Options—
• Option# 1: Calleria Shopping and Dinner- 3:00 pm—8:00 pin
• Option# 2: Museum District Tour and Dinner-3:00 pm —8:00 pm
• Option#3: Bowling at Lucky Strikes and Dinner-3:00 pin —8:00 pm
Pdeasc note that entertai��mer�t and dinner Trill he on yozn•o1i�n. The l HC ii�i11 reserve vans' cued provide
drivers for each of these eniertaininew destinations.
National Recreation
and Park Association
2013 Congress Program Committee
At Large
ARAI Allocations Record Assistant-]
"Perm 1:11(1: Darin Budak CPRE& CSFM
October 201S Assistant Director
Cite of Bakersfield
1600 Truxtun Ave. Phone 661 326-3138 Fax
Bakersfield California 93301 dbudak a bakersfieldcity.us
ARC Allocations Record Coordinator
"Perm End: Patricia Armstrong
October 2013 Director of Recreation Yarmouth Recreation Division
Yarmouth Recreation Department
424 Route 28 Phone 508-790-9133 Fax 508-790-9152
West Yarmouth Massachusetts 02673 parmstrong n yarmouth.ma.us
CCHAIR Current Chair
'Perm End: Gail Elder-White CPRP
October 201.5 Director
Salisbury Parks and Recreation
P.O. Box 4053 Phone 704-638-5291 Fax 704-638-8557
Salisbury North Carolina 28145-4053 gwbitusalisburynCgov
CLHC Current Local Host Committee
"Perm End: Debra Lathan
October 2013 Assistant Director
City of Houston Recreation and Wellness Division
6200 Wheeler; Building#3 Phone 832-395-7269 Fax 832-395-7148
1-101-Iston Texas 77023 debra.lathan n houstonts.gov
FLHC Future Local Host Committee
'Perm End: Lola Massad
October 20 1.5 Division Director
Mecklenburg County Park and Recreation
Conununity and Recreation Center Services Division 5841 Phone 704-336-8460 Fax
Charlotte North Carolina 28216 Lola.Massad ci MecklenburgCountyNC.gov
(CHAIR Incoming Chair
"Perm End: Detrick Stanford
October 2013 Director
Clayton County Parks and Recreation
2300 Hwy 138 S.E. Phone 770-477-3769 Fax 770-477-1696
Jonesboro Georgia 30236-2732 Detrick.Stanford a co.clayton.ga.us
Wednesday,December 05.2012 Page I of 5
At Large
PCHAIR Past Chair
"berm End: Chris Stice
October 2014 Deputy Director
Hamilton County Parks and Recreation
15513 South Union St. Phone 317-770-4402 Fax 317-896-3528
Carmel Indiana 46033 chris.stice a hamiltoncounty.in.gov
QCAI Quality Control Assistant 1
"berm End: Shane Mize
October 2014 Recreation Superintendent
Missouri Cite
1522 Texas Parkway Phone 281-403-8634 Fax
Missouri City Texas 77489 Sill izecJmissouricitVts.gov
QCC Quality Control Coordinator
Term End: Alexis D'Ascanio CPRP
October 2013 Director
Falmouth Community Programs
271 Falmouth Road Phone 207-781-5253 Fax 207-347-3176
Falmouth Maine 04105 Iclascanio n to\mn.falmouth.me.us
SSAI Slot Scheduling Assistant 1
"I crm End: Ann Marie Heiser CPRP,M13A
October 2015 Deputy Director
Herndon Parks and Recreation Department
P.O. Box 427 Phone 703-435-6800 ext21 Fax 703-965-5535
Herndon Virginia 20170 ann.heiser n herndon-va.gov
SSC Slot Scheduling Coordinator
Term End: Timia Thompson
October 2015
North Carolina State UniversitN
Box 8004,, Biltmore Hall Parks, Recreation&"Tourism Mgmt Phone 803-603-6899 Fax 919-515-3687
Raleigh North Carolina 27695-8004 thompson cr alunuii.ufl.edu
TopicalAreas
AITR Accessibility/lnclusion/Therapeutic Recreation
"Perm End: Sherril York CAPE
October 2014 Executive Director
National Center on Accessibility
501 N. Morton Street, Suite 109 Phone 812-856-4422 Fax
Bloomington Indiana 47404 shyork@ indiana.edu
ALHL Active Living/Healthy Lifestyles
"Perm End: Nancy McShea CPRE, CPSI,CPO
October 2015 Park and Recreation Director
"Town of Sudbury/Town of Wayland
41 Cochituate Road Phone 508-358-3662 Fax
Wayland Massachusetts 1778 nmcsheaawayland.ma.us
Wednesday,December 05,2012 Page 2 of 5
TopicalAreas
AMO Administration, Management & Operations
Term End: Dirk Richwine CPRE
October 2015 Recreation Superintendent
City of Henderson
240 Water Street Phone 702-267-4007 Fax 702-267-4001
Henderson Nevada 89052 Dirk.Richwine«cityofhenderson.com
Aq Aquatics
Term End: Karen Creasey
October 2015 Aquatic Manager- Palm Desert Aquatic Center
Family YMCA of the Desert
43-930 San Pablo Ave. Phone 760-341-9622 Fax
Palm Desert California 92260 kci-ease),@desei-gIiiica.org
CBLA Citizen Boards/Legislative Advocacy
'I'CI-111 1:11(1: Chuck Haddaway
October 2014 Executive Director
Kentucky Recreation& Park Society
PO Box 58069 Phone 502.696.9834 Fax 502.696.9815
Pleasure Ridge Park Kentucky 40268-0069 chuck«kyrec.org
CHRMAC Cultural & Historic Resource Management/Arts & Cultural Services
"berm End: Lynda Sperazza CPRP
October 2014 Assistant Professor
The College at Brockport; State Univ of New York
Recreation and Leisure Studies Dept 350 New Campus Drive Phone 585-395-5490 Fax 585-395-5246
Brockport New York 14420 Isperazza«brockport.edu
ESNRMT Environmental Stewardship/Natural Resource Management/Trails & Greenways
'Perm F.nd: Allan Mills
October 2013 Associate Professor
VCU's Wilder School ol'Governmentand Public Affairs
1015 West Main Street P.O. Box 842020 Phone 804-827-9346 Fax 804-828-1946
Richmond Virginia 23284-2020 asmills«vcu.edu
FRM Financial Resource Management
Term End: Peter Finn
October 2014 President
Park Resources LLC
159 Glass Lake Rd Phone 518-929-5327 Fax
Averill Park New York 12018 pete«parkresources.net
MPRMR Marketing/Public Relations/Market Research
Term End: .lodee Vaseleck
October 2013 Regional Child& Youth Program Director
Naval Dist. Wash. Anacostic Annex
Bldg 414 Phone 202-433-6505 Fax 202-433-9720
Washington DC 20373 navy.mil
Wednesday,December 05,2012 Page 3 o1'5
TopicalAreas
PFDPA Park & Facility Design, Planning, & Acquisition
"term End: Michael Klitzing CPRE
October 2015 Assistant Director
Carmel Clay Parks& Recreation
1411 E. 1 16th Street Phone 3 17-573-401 8 Fax
Carmel Indiana 46032 mklitzing a carmelclayparks.com
PSDET Professional & Student Development, Education, & Training
Term End: Karla Henderson CPRP
October 2013 Professor
North Carolina State University
CB 8004 Phone 919-513-0352 Fax
Raleigh North Carolina 2769 -8004 karla_henderson a ncsu.edu
PVMS Personnel &Volunteer Management & Supervision
"Perm End: Dawn Grosdidier CPRP
October 2015 Assistant Director
Lenexa(KS)Parks and Recreatio n
13420 Oak Street Phone 913-477-71 1 1 Fax 913-477-7150
Lenexa Kansas 66214 dgrosdidieralenexa.com
QCA2 Quality Control Assistant 2
"Perm Isnd: Rita Shue
October 2015
120 Alcosta Ct. Phone 925-548-9513 Fax
San Ramon California 94583 rshuel 0a ginai1.com
SA Sports & Athletics
Tcrm End: Atuya Cornwell
October 2013 Facility Manager
Wheaton Ice Arena
Montgomery Parks 11717 Orebaugh AVCnUe Phone 301-905-3002 Fax 301-649-2424
Wheaton Maryland 20902 Atuya.Cornwell cr YlontgomeryParks.org
SP Special Populations (Senior Citizens, Diversity, Youth, Wounded Warriors, etc
Term End: Samuel Roberson
October 2014 Program Specialist-411 Youth Development
Priarie View A&M University
P.O. Box 519 Ivlailstop 2001;Cooperative Extension Program Phone 936-261-5131 Fax
Priarie View Texas 77446 sgroberson a pvamu.edu
TSEM Tourism/Special Event Management
Term End: Wanda Ramos
October 2013 Division Chief'
M-NCPPC
301 Watkins Park Drive Phone 301-218-6717 Fax 301-218-6767
Upper Marlboro Maryland 20774 wanda.ramos n pgparks.com
Wednesday,December 05,2012 Page 4 of 5
Staff
Term Find: Danielle Price
Education and Accreditation Manager
National Recreation and Park Association
22377 Belmont Ridge Road Phone 703-858-2195 Fax 703-858-0794
Ashburn Virginia 20148 dpricc@nrpa.org
nrpa.org
Term End: Beth Wickline
Director of'Education and Accreditation
National Recreation and Park Association
22377 Belmont Ridge Road Phone 703-858-2148 Fax 703-858-0794
Ashburn Virginia 20148 bxvickline@m-pa.org
nrpa.org
I
Wednesday,December 05,2012 Page 5 of 5
After completing the survey,write the
validation code in the blank below.Return the
receipt with validation code to this Wendy's
to redeem the coupon.Offer valid for
14 days after survey completion.
Good at participating restaurants only.
Validation Code:
Guests can redeem only one coupon in a 30 day period.
This offer is not valid with any other coupons or discounts
and cannot be used for combos or value items.
Wendy's employees and families are not eligible.
Thanks for visiting Wendy's!
®2010 Oldemark,LLC
Teff us about this visit
and you can take
off any large
01/16/2013 04:16 FAX 31.72410452 SSPA
IM 0001/0001.
SSP Amern a•78W Col.
FI.Welr Cook Memorial Drive SSP America-78 Cd.N.Weir Cook Memorial Drive
Irda+r Wis,IN 46241 In anapolis,iN 46241
Check Detail
ChecycOpened*eMinutes:. Guests:1' Refererice..lnfo LocaLon
4123 1/3/20133:54PMj 0.27 p
IND-Indianapolis TYLER PARKS
1/3 3:54 PM 1 20z Aquafina
2.:'5 IND CAMDEN TYLER PARKS
1/3 3:54 PM 1 CF HAM&SWISS 7.29 IND CAMDEN TYLER PARKS
1/3 3:54 PM Master Card 10�0 IND CAMDEN
1/3 3:54 PM TYLER PARKS
xxxx-2421 IND CAMDEN TYLER PARKS
Sub Total 9.51
Tax 0.86
Service Charge 0.00
Check Total 10 Oil
.<..`..'..{. TAX BREAKDOWN <•••••••• ,<
Food Tax 0.67
Food Tax
0.19
'SP America
Camden Foods
Indianar,olis Intl Airport
Indianapolis, IN 46241
(:317) 241-0435
Date: Jan03' 13 03:54PM
Card Type: Blaster Card
Acct #: XXXXXXXXXXXX2421
Card Entry,: -i!'JSPED
Trans Type: PURCHASE
Trans Key: CIC007155689206
Auth Code: 051548
Check: 4123
Server: 301 TYLER P
Total 10 . 40
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Please call us 1 877 325 8777
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1/16/2013 1:55 PM
I
-----------
Michael Klitzing
From: Nexus Limousine and Shuttle Services LLC [info @nexuslimos.com]
Sent: Thursday, January 03, 2013 9:28 AM
To: Michael Klitzing
Subject: Payment Receipt[For Conf# 100101
Nexus Limousine and Shuttle Services LLC
5555 N.Tacoma Ave. Suite 211 Indianapolis, IN 46220-3512 Payment Receipt
United States of America
Tel: (31.7) 257-5610 Fax: (31.7) 257-5612 [COPY)
Email: Lfo@nexusiimos.com
For Confirmation #10010 Timestamp:01/03/201309:26 AM
Method: MC" 2421.
Type: AUTH_CAPTURE
Transaction Amount: $42.00
Reference/Trans. ID:
Passenger: Michael Klitzing
Trip Confirmation# 10010
Trip Date&Time: 01/03/2013 @ 03:00 PM
Routing Information: Pick-up Location: Residence, 1550 Redsunset Drive Brownsburg, IN 46167
Charges&Fees Flat Rate
$35.00
Std Grat 20.00% $7.00
Reservation Total: $42.00
Payments/Deposits: $42.00
Authorizations: $0.00
Total Due: $0.00
1
Michael Klitzing
From: Nexus Limousine and Shuttle Services LLC [info @nexuslimos.com]
Sent: Thursday, January 03, 2013 9:18 AM
To: Michael Klitzing
Subject: Conf# 10010 For Michael Klitzing [01/03/2013 - 03:00 PM]
Nexus Limousine and Shuttle Services LLC
5555 N. Tacoma Ave. Suite 211 Indianapolis, IN 46220-3512
us Confirmation
Tel: (317) 257-5610 Fax: (317) 257-5612
Email: info@)nexuslimos.com
Reservation Confirmation #10010 Last Modified On: 01/03/2013 09:17 AM
Pick-up Date: 01/03/2013 -Thursday
Pick-up Time: 03:00 PM
Estimated Drop-off Time: 03:30 PM
ServiceType: To Airport
Passenger: Michael Klitzing
Phone Number: (317)450-1250
No.of Pass: 1
Vehicle Type: Sedan Towncar
Primary/Billing Contact: Michael
Booking Contact: Michael Klitzing
Payment Method: Not Specified
Trip Routing Information: PU: -- : Residence 1550 Redsunset Drive Brownsburg, IN 46167 Ph: 3174501250
Notes:Pick-up from residence and transport to IND Airport.Time Changed to 03:00 PM
Charges&Fees Flat Rate $35.00
Std Grat 20.00% $7.00
Reservation Total: $42.00
Payments/Deposits: $0.00
Authorizations: $0.00
Total Due: $42.00
Terms&Conditions/ All deposits are NON refundable. Company is not liable in the event of mechanical breakdown while on charter
Reservation Agreement: and will only be responsible for making up lost time at a mutually agreed date.The client assumes full financial
liability for any damage to the limousine caused during the duration of the rental by them or any members of
their party. A fee of 100.00 for each carpet or seat burn. Sanitation fee is 250.00. Alcohol Consumption and
drug use is prohibited by law. Any fines will be paid for by the customer.The driver has the right to terminate
run without refund (if there is blatant indiscretion on the part of the client(s)). It is illegal to stand through_ the
sunroof. Smoking is not permitted in some of our limousines and this is left to the discretion of the driver.
Overtime pay will apply after the first 15 minutes of prearranged time described on the run sheet. Not
responsible for delays or the termination in winter caused by unsafe road conditions(ie. not salted, accidents,
etc.). Not responsible for articles left in the limousine. Balances to be paid to the driver on the run date before
the beginning of the run. Vehicles cannot be loaded beyond seating capacity.
1
HILTON AMERICAS-HOUSTON
Hilton 1600Lamar I Houston,Texas � 77010
T: 713 739 8000 1 F: 713 739 8007
AMERICAS-HOUSTON W:hilton.com
NAME AND ADDRESS:
KLITZING,MICHAEL Room: 15043/K1
1411 E. 116TH STREET Arrival Date: 1/3/2013 7:26:OOPM
Departure Date: 1/5/2013
CARMEL, IN 46032 Adult/Child: 1/0
US Room Rate: 140.00
RATE PLAN C-1 NR
HH#
AL:
BONUS AL: CAR:
CONFIRMATION NUMBER: 3494561334
1/5/2013 PAGE 1
DATE DESCRIPTION ID REF.NO CHARGES CREDITS BALANCE U
HILTON
12/14/2012MC*2421 SBIC 8907139 $163.80 HHONORS
1/3/2013 GUEST ROOM EVEIT 8934968 $140.00
1/3/2013 STATE TAX 6.0% EVEIT 8934968 $8.40
1/3/2013 SPORTS AUTHORITY TAX EVEIT 8934968 $2.80 %
2.0% WALDORF
1/3/2013 CITY TAX 9.0% EVEIT 8934968 $12.60
1/4/2013 GUEST ROOM MSAY 8936259 $140.00
1/4/2013 STATE TAX 6.0% MSAY 8936259 $8.40
1/4/2013 SPORTS AUTHORITY TAX MSAY 8936259 $2.80 CONRAD
2.0%
1/4/2013 CITY TAX 9.0% MSAY 8936259 $12.60
1/5/2013 MC*2421 MMALI 8936733 $163.80 n
BALANCE $0.00 Hilton
LxwxLr:I'Rrr.
��Uivlrn Inn
(JI°^O1mU
ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO.
MC '2421 01/03/2013 1397453 A
FoHLw000
CARD MEMBER NAME AUTHORIZATION INITIAL wiASEs
KLITZING,MICHAEL 030803
ESTABLISHMENT NO.&LOCATION ESTAEUS-AENT AGREES TO r Sw TO CARD HOLDER FOR PAYMEN PURCHASES&SERVICES
TAXES HOME®
TIPS&MISC.
CARD MEMBER'S SIGNATURE TOTAL AMOUNT lfiIIon
Grand Vacations
MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR ACASH REFUND. PAYMENT DUE UPON RECEIPT
AMERICAS - EUROPE - MIDDLE EAST AFRICA ASIA AUSTRALASIA
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00352832 Fifth Third Bank Terms
P.O. Box 740523
Cincinnati, OH 45274-0523
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1131/13 2798 Air fare for NPRA Program Committee Meeting 29275 $ 770.10
1/31/13 2798 Air fare for NPRA Program Committee Meeting $ 41.10
1/31/13 2798 Lodging for NPRA Program Committee Meeting 29277 $ 163.80
1/31/13 2798 Notary fee for Adm. Asst. J.Pottridge $ 123.70
1/31/13 2798 Travel expenses for NPRA Program Comm Mtg $ 76.20
1/31/13 2798 Postage $ 38.50
Total $ 1,213.40
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
I
Voucher No. Warrant No.
00352832 Fifth Third Bank Allowed 20
P.O. Box 740523
Cincinnati, OH 45274-0523
In Sum of$
$ 1,213.40
i
ON ACCOUNT OF APPROPRIATION FOR
101 General / 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
29275 F 2798 4343000 $ 770.10 1 hereby certify that the attached invoice(s), or
2798 4343000 $ 41.10 bill(s) is (are)true and correct and that the
9277 F 2798 4343000 $ 163.80 materials or services itemized thereon for
91 2798 4355200 $ 123.70 which charge is made were ordered and
1125 2798 4343000 $ 76.20 received except
1125 2798 4342100 $ 38.50
7-Feb 2013
Signature
$ 1,213.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund