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218335 03/20/2013
CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 I; ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $1,558.60 CARMEL,INDIANA 46032 11843 STONEY BAY CIRCLE CARMEL IN 46033-9501 CHECK NUMBER: 218335 CHECK DATE: 3/2012013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 1, 558 . 60 WASHINGTON DC c\10 OF CANI, CITY OF CARMEL Expense Report (required for all travel expenses) EXHIBIT A !NOIAN?- c�1 f G � DEPARTURE DATE: - is TIME: J AM P EMPLOYEE NAME: ,., DEPARTMENT: �� RETURN DATE: 13,1I3 TIME: d2 A REASON FOR TRAVEL: X)LA6 CI7P.P DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM V ;rn,6 Transportation Gas/Tolls/ Meals Date Misc. Total ski Tips Luggage Pkin Lodging Breakfast Lunch Dinner Snacks pP l c2 ® o•-6 71j� &G-- 4, , r a Total /" °G2S C DIRECTOR'S STATEMENT• I hereby affirm th all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: G Date: —7— City of Carmel Form#ER06 Revision Date 3/18/2009 Page 1 For questions regarding this folio,please call Marriott Business Services toll-free 1-866-435-7627. �a�'rl®tt. GUEST FOLIO WARDMAN PARK HOTEL 2660 Woodley Road NW,Washington,DC 20008•202.328.2000• Marriott.com/WASDT 1054 CORDRAY/DIANA 256.00 03/13/13 12:00 5798 28551 Room Name Rate Depart Time ACCT# GROUP GfNSK CITY OF CARMEL 03109/13 11 : 25 ype Arriv Time 75 Room Payment MRW#: XXXXX8578 Clerk Address NCE 03/09 ROOM 1054, 1 256.00 03/09 ROOM TAX 1054, 1 37. 12 03/10 ROOM 1054, 1 256 .00 03/10 ROOM TAX 1054, 1 37 . 12 03/11 ROOM 1054, 1 256.00 03/11 ROOM TAX 1054, 1 37. 12 03/12 ROOM 1054, 1 256.00 03/12 ROOM TAX 1054, 1 37 . 12 03/13 VS CARD $1172.48 PAYMENT RECEIVED BY: CURRENT BALANCE .00 GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE " INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM - Your Rewards points/miles earned on your el-i-gible--earnings will be credited to your account. Check your Rewards Account Statement for updated activity. This statement is your only receipt.You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you.The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above.(The credit card company will bill in the usual manner.)If for any reason the credit card company does not make payment on this account,you will owe us such amount.If you are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5% per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees. Signature X 0 Contains 30%post consumer fibers To secure your next stay,go to Marriott.com BE REWARDED FOR YOUR TRAVEL PERFORMANCE. AaTTOOff Earn valuable points toward free vacations or airline miles every time REWARD S. you stay with the Marriott®family of hotels.With more than 2,700 locations worldwide,you're bound to rack up the Rewards quickly.Stop by the front desk,call guest services at 1.800.249.0800 or log on to MarriottRewards.com to enroll. WE KNOW YOU LIKE TO WRAP THINGS UP NEATLY. S�rfJ0 Follow these simple steps to streamline the check-out process: 0 Call the front desk to inform us you'll be using Express Checkout. Leave your key in the room or in one of the drop boxes at the front desk. OKeep the attached receipt for your records.It includes charges as of 2 a.m.today.(For charges incurred after 2 a.m.,you can pay at the m point of sale,the front desk or,at your request,we'll mail you an ,a updated bill within 24 hours of your departure.) Thank you for choosing Marriott.We hope your stay was as comfortable as - it was productive. MAXIMIZE YOUR REWARDS WITH A MARRIOTT REWARDS VISA CARD. With the Marriott Rewards®Visa Signature®Card you'll earn: •A FREE night e-certificate upon account opening •20,000 bonus points after you make your first card purchase a •3 Marriott Rewards points for every$1 spent at over 2,700 Marriott locations A - •1 Marriott Rewards point for every$1 spent on purchases elsewhere •Automatic Silver Elite status in Marriott Rewards •No annual fee for the first year,then a low annual fee applies T > Log on to MarriottRewards.com/visa to apply or to learn about the benefits of other Marriott Rewards Visa cards. ® ' k Accounts subject to credit approval. Restrictions and limitations apply. RE\N A RD S. F � The Marriott Rewards Visa Signature credit _�� card is issued by Chase Bank USA,N.A. ©6�Qr0l and may be serviced by its affiliates. - See MarriottRewards.com/visa for pricing fA and rewards details.The Marriott Rewardsr R Y o Visa Signature credit card is available 4 to U.S.residents only. © p \?, El 1V 5-2955c Rev.06/08 Cordray, Diana L From: Carey Indiana Limousines [indyres @carey.com] Sent: Tuesday, February 26, 2013 8:34 AM To: CORDRAY @plsmr01 .fdk.ecarey.com; Cordray, Diana L Subject: Reservation number(s): 852028 852024 Thank you for using Carey Indiana Limousines. PLEASE DO NOT REPLY TO THIS MESSAGE. Responses from this address are not checked on a daily basis. May incur cancellation fees or other fees if response is made from this address.lf you would like to update your reservation, please contact a Customer Care Representative at (317) 241-7100. This email contains your reservation confirmation. Below is your scheduled roundtrip service. Please review it carefully and call us immediately at the number listed if there are any corrections that need to be made. FOR SHARE-A-RIDE AIRPORT ARRIVALS: UPON COLLECTING YOUR LUGGAGE, PLEASE PROCEED TO THE GROUND TRANSPORTATION CENTER AND CHECK IN AT THE CAREY INDIANA BOOTH DIRECTLY ACROSS FROM AVIS RENTAL CAR. UPON CHECKING IN, YOUR VEHICLE WILL BE ASSIGNED TO YOU. WAIT TIMES VARY FROM DAY-TO-DAY DEPENDING ON RESERVATION VOLUME. PLEASE NOTE THAT LUGGAGE IS LIMITED TO TWO BAGS AND ONE CARRY ON PER PERSON. ITEMS SUCH AS GOLF CLUBS, SKIS, AND OVERSIZED BAGGAGE MUST BE BOOKED AS A PRIVATE RESERVATION. FOR SHARE-A-RIDE PICK-UPS: THERE IS A 10-MINUTE WINDOW FOR ALL PICK-UPS (I.E. IF A PASSENGER HAS A PICK-UP SCHEDULED FOR 9:00 AM, THE PICK-UP MAY BE AS EARLY AS 8:50 AM, OR AS LATE AS 9:10 AM). Service Leg 1: We will be picking up CORDRAY, DIANA, party of 1 on Friday, March 08, 2013 at 10:00 AM. The pickup will be from 11843 STONEY BAY CIR. Carmel for a trip to Indianapolis International Airport. The requested service type is NoPref-Shared. The fare for this trip is 47.12 and will be paid by Credit card. The reservation number for the first leg of your trip is: 852024. We will be picking up ORDRAY, DIANA, party of on Wednesd y, March 13, 2013 at 06:03 PM. The pisku�vv�lJ be om Indianapolas/lnternational A p for a tri to11843 STONEY BAY CIR. Carmel. The requesteds rvice type is NoPre�f-Shared. The fare f�/this tri�is $47.12 an�wl be paid by red card. Your res rVatio\ m for your second leg of e trip is 52028. ,,% �„_. The total roundtrip fare is $94.24. Call Us With Any Corrections If you feel that there are any errors in the above reservation(s), please contact our reservation center immediately at (317) 241-7100. _ "° AFFIDAVIT FOR EXPENSES I, Diana L. Cordray, incurred expenses while traveling to the National League of Cities in Washington, D.C. I incurred a $10.00 tip for Carey Limo for transportation to the Indpls airport. Diana L. Cordray Clerk Treasurer March 14, 2013 Co.*:gressional City Conference Page 1 of 3 NATIONAL 9 +r a iE. x�r€ sb> rt;* z srs p� ip r d� Y t �`• 'f "'t S r r�Y�. J� ,y�mi 2013 C LEAGUE ongressional of CITIES City Confer .,I! xr,ret,M ,, lr y.,"w�+F, 'ffa"! 0 (� '?FxmK _ •,, .. a-.,,n:Y,p�. _ ��,n, +,,4�`i.i-rt'm" �_ „wc�»` .;. � a F x•� � ' g. x� '+`�FFy'�Y x x p;�,e< Y,x.YmyS`y� i'k' �".'. �.s�, Hotel Reservation Confirmation Please print this page for your records. Diana Cordray 1 Civic Sq Carmel Carmel,IN 46032 (317)571-2414 (3 17)571-2410-fax dcordray @carmel.in.gov dcordray @carmel.in.gov-additional email Your 4 night stay has been confirmed. Your confirmation number is 401176. Washington Marriott Wardman Park Check-In: 3/9/2013 Check-Out: 3/13/2013 Room Rate/Type: $256.00 Single (1 person/1 bed) Smoking Room: No Special Request(s): King Bed Guaranteed to: VISA Card Number: 4************2183 Exp. Date: 10115 Card Name: Diana L. Cordray Please Note: Room types are not guaranteed. Room rates are per night and do not include taxes and fees which are subject to change. Add to MS Outlook Calendar: https://show.jspargo.com/ccc13/housing/hou70end.asp 12/18/2012 Co.oigressional City Conference . Page 2 of 3 If you set up an Outlook appointment for your hotel reservation,you must manually update it with any revisions that may have been made online. Change/Cancellation Policy Thank you for reserving your hotel room in advance. If you have any changes or you need to cancel your reservation, you may do so on-line by visiting www.nlc.org. If you prefer, you may send your requested change via email to nlcregandhousing�,i�go corn or via fax to 703-631-6288 no later than Wednesday, February 20, 2013. If you do not receive an acknowledgment reflecting the change or cancellation within three (3) business days, contact us to ensure we received your request. Cancellation notices received less than 72 hours prior to your scheduled arrival date will be charged a one (1) night's room and tax fee by the hotel. After Wednesday, February 20, 2013, you must contact your assigned hotel directly for all changes and cancellations. Please Note: Room types are not guaranteed. Rates quoted_ are for single and/or double occupancy. Hotel may charge an additional fee for more than two (2) occupants per room or special request(s) such as rollaway bed or crib. Room rates are per night and do not include taxes and fees which are subject to change. Some hotels charge for one (1) night's guarantee (deposit) immediately upon Hotel's receipt of the reservation. Please verify that your check-in and check-out dates are correct as some hotels charge an early departure fee and all hotels will charge a no-show fee if you do not check-in on your scheduled check-in date. Would you like to: • Add additional registrations and/or housing reservations • Make_changes to an existing registration and/or housing reservation • Contact the NLC Registration and Housing Center center via e-mail • Return to nlc.org ©2013 NLC CCC Registration and Housing Center "i� 11208 Waples Mill Road Suite 112 1 Fairfax, VA 220301 Phone: (888) 319- https:H show.jspargo.com/ccc13/housing/hou70end.asp 12/18/2012 Cordray, Diana L From: Marianne Van Herk [MarianneV @thetravelagentinc.com] Sent: Thursday, January 24, 2013 12:04 PM To: Cordray, Diana L Subject: Confirmed Ticket/March 8-DC ) I ITINERARY/INVOICE NO. ITIN DATE:JAN 24 2013 ACCOUNT CPD PGCVD6 PAGE: 01 Q �� FOR: �� ✓ �� CORDRAY/DIANA L TO: CITY OF CARMEL CITY OF CARMEL-TREASURE DEPT ` ONE CIVIC SQUARE -3RD FLOOR ONE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 ----------------------------------------------------------------------- 08 MAR 13 - FRIDAY MILES- 432 ELAPSED TIME- 1:32 AIR LV INDIANAPOLIS 1225P DELTA FLT:1127 ECONOMY CONFIRMED AR ATLANTA 157P NONSTOP RESERVED SEATS 19D FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL-GZ79F2 MILES- 547 ELAPSED TIME- 1:57 AIR LV ATLANTA 320P DELTA FLT: 414 ECONOMY CONFIRMED AR WASH/REAGAN 517P NONSTOP RESERVED SEATS 20C FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL-GZ79F2 13 MAR 13-WEDNESDAY MILES- 547 ELAPSED TIME- 1:52 AIR LV WASH/REAGAN 1259P DELTA FLT:1439 COACH CLASS CONFIRMED AR ATLANTA 251P NONSTOP RESERVED SEATS 22C FREQ FLYER DL 2249570876 AIRLINE CONFIRMATION:DL-GZ79F2 MILES- 432 ELAPSED TIME- 1:38 AIR LV ATLANTA 425P DELTA FLT:2281 COACH CLASS CONFIRMED AR INDIANAPOLIS 603P NONSTOP RESERVED SEATS 17D FREQ FLYER DL 2249570876 AIRLINE CONFIRMATIOWDL-GZ79F2 "VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES AFTER HRS.EMERGENCIES ON THIS ITIN CALL 877 645 6373 CODEA09 $15/CALL A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/ AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING THIS SEE WWW.TZELL411.COM THE TRAVEL AGENT THANKS YOU-317 846 9619..MARIANNE VAN HERK 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)) J Total i dle 0 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 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 4 -TatvM �� Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 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 2 , i ature" X Title Cost distribution ledger classification if claim paid motor vehicle highway fund