HomeMy WebLinkAbout224463 09/25/2013 - CITY OF CARMEL, INDIANA VENDOR: 366912 Page 1 of 1
f ONE CIVIC SQUARE ROB DEROCKER
<. CHECK AMOUNT: $2,393.36
CARMEL, INDIANA 46032 3 WARNER LANE
TARRYTOWN NY 10591 CHECK NUMBER: 224463
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4340401 25255 2, 393 . 36 CONSULTING FEES
ROB DEROCKER
EXPENSE REPORT
STAFF NAME: Rob DeRocker DATE : 09/03/13
Travel to Chicago for site consultant appointments
Aug. 13-14, 2013
SUMMARY OF EXPENSES FINANCE USE ONLY
VOUCHER#
TOTAL CREDIT CARD
TOTAL CASH
TOTAL $1,268.44
EXPENSE CREDIT CASH
ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE
8/13/13 Flight to/from Chicago 395.80
8/14/13 hotel in Chicago for Rob and Mayor 691.80
8/14/13 cab from LaGuardia 33.39
8/14/13 breakfast in Chicago 26.25
8/31/13 cab to LaGuardia 33.39
8/29/13 train fare to/from NYC 19.50
8/14/13 lunch in Chicago with Mayor 52.55
8/13/13 dinner in Chicago 15.76
$1,268.44
$0.00
Rob DeRocker
From: American Airlines @aa.com <notify @aa.globalnotifications.com>
Sent: Thursday, August 08, 2013 9:59 AM
To: Rob DeRocker
Subject: E-Ticket Confirmation-AAYBXM 13AUG
]E]Ticket Issued:Aug 7, 2013
Robert E ®erocker,
Thank you for choosing American Airlines/American Eagle,a member of the oneworld®
Alliance. Below are your itinerary and receipt for the ticket(s) purchased. Please print and retain this
document for use throughout your trip.
You may check in and obtain your boarding pass for U.S.domestic electronic tickets within 24 hours of
your flight time online at AA.com by using www.aa.com/checkin or at a Self-Service Check-In machine 0 `
at the airport. Check-in options may be found at www.aa.com/options. For information regarding
American Airlines checked baggage policies, please visit www.aa.com/baggageinfo.
For faster check-in at the airport,scan the barcode below at any AA Self-Service machine. -
li
You must present a government-issued photo ID and either your boarding pass or a priority verification
card at the security screening checkpoint. -
1
t ,
• w
Record Locator
A A tt B 6+`is
0
x :
CCarrier Flight# Departing Arriving Fare Code
I � -
NEW YORK LGA CHICAGO OHARE
N- 329 TUE 13AUG TUE 13AUG N
American 12:10 PM 1:50 PM
aRobert Derocker Seat 20E Economy FF#: C2C5382 PLT Food For Purchase
r =
_ CHICAGO OHARE NEW YORK LGA
344 WED 14AUG WED 14AUG N
American 7:40 PM 10:50 PM
aRobert Derocker Seat 15A Economy FF#: C2C5382 PLT Food For Purchase
Lix -
a
aPassenger Ticket# Fare-USD Taxes and Carrier- Ticket Total
Imposed Fees
J ° 0012325729491 347.90 47.90 395.80
Robert Derocker
a � $395.80
a
Baggage Information
Baggage charges for your itinerary will be governed by American Airlines BAG ALLOWANCE-LGAORD-02 Pieces/American Airlines/UP TO
50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM BAG ALLOWANCE-ORDLGA-02 Pieces/American Airlines/UP TO 50 LW23 KG
AND UP TO 62 LINEAR IN/158 LINEAR CM 1 STCHECKED BAG FEE-LGAORD-USD0.00/American Airlines/UP TO 50 LB/23 KG AND UP
TO 62 LINEAR IN/158 LINEAR CM 1 STCHECKED BAG FEE-ORDLGA-USD0.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62
LINEAR IN/158 LINEAR CM 2NDCHECKED BAG FEE-LGAORD-USD0.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62 LINEAR
IN/158 LINEAR CM 2NDCHECKED BAG FEE-ORDLGA-USD0.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158
LINEAR CM ADDITIONAL ALLOWANCES AND/OR DISCOUNTS MAY APPLY
You have purchased a NON-REFUNDABLE fare.The itinerary must be canceled before the ticketed departure time of the first unused coupon
or the ticket has no value.If the fare allows changes.a fee may be assessed for changes and restrictions may apply.
aElectronic tickets are NOT TRANSFERABLE. Tickets with nonrestrictive fares are valid for one year from original date of issue. If you have
questions regarding our refund policy,please visit www.aa.com/refunds.
To change your reservation,please call 1-800-433-7300 and refer to your record locator.
Check-in times will vary by departure location. In order to determine the time you need to check-in at the airport,please visit
www.aa.com/airportexpectabons.
AA CARRY-ON BAGGAGE
American Airlines does not impose Carry-On bag fees however,restrictions do apply. To view carry-on baggage restrictions for American
Airlines or American Eagle,please visit,Carry-On luggage.Passengers who originate flights on other than American Airlines/American Eagle
and need to determine applicable carry-on fees or restrictions specific to other air carriers in your itinerary,please visit INTERLINE PARTNER
BAG CHARGES.
AA CHECKED BAGGAGE CHARGES
2
Print Boardiiig,Pass(es) till ps:Hwww.aa.coiiVresenation/printBoardingPass.do?selectedlds=...
..........................................................................................................................................................................................................................................................
DEROCKER
American Pas�, Record Locator AAYBXM ROBERT
Record Locator AAYBXM
DEROCKER/ROBERT Seat:6B
Frequent Flyer Number:C2C5382 AAdvantage@ Platinum-oneworldg)Sapphire
EGA OR D
New York to Chicago Tuesday,August 13,2013 94
Gate Flight Seat Boarding Time(EDT)
--- AA329 6B 11:40 AID
Departing at12:10PM(EDT),
..............
tir .N
Priority Access More Flight Details 2h 40m
First Class
Nriving at 1:50PM(CDT)
inflightServices:
Ticket 0012325729491
Forgatees and flight status,please check with Us ataa.com/gatesorcali:i-600.433-7306::
....................................................................... ..............
............................................... ........................................................... ......................-........
.................. .. .......... ...... ........ .................. ........
........
.... ......... ..
EXTENDED WEATHER FORECAST for Chicago
Tue,Aug 13 Wed,Aug 14 Thu,Aug 15
......... ....... ...... .....
. ..... ...........
............. .......
. ..... . .......
............. .........
73°F 59°F 76°F 60°F
71°F 162°F
3 Precip. 17%
Precip.4% Precip. %
.............................. ...............................................-....................................... SAILVE 2.010/0* ON
RESTAURANTS in Chicago
AIRPORT PARKING
312.337.6070
1729 N Halsted, Chicag6, IL 60614
Chez Joel 312.226.6479
..
1119W Taylor St, Chicago, IL 60607 ...... ...
X.6
Ai
Sai Cafe 773.472.8080
2010 N Sheffield Ave,Chicago, IL 60614 ...
Sola 773.327.3868 ........
3868 N Lincoln Ave, Chicago, IL 60613 �Jlft i�
....... ...
a
..................... .....
ATTRACTIONS in Chicago
:........... .
X X.F.
John Hancock Center 888.875.8439
875 N Michigan Ave, Chicago, IL 60611
d'-.lis GSju'Dvft 11uWd it:
Lincoln Park Conservatory 312.742.7
2391 N Stockton Dr,Chicago,IL 60614
Willis Tower Skydeck 312.875.9447
233 S Wacker Dr, Chicago, IL 60606
Pot I1$moioo imft mfe
Millennium Park 312.742.1168 g(fiowwl w h eft rkl'ng Spul.coin
201 E Randolph St, Chicago, IL 60602
..........
............... -----
Do you have comments or suggestions?Visit Sojern on the web at wAw.sojern.com/feedback
1 of 1 ,y. 8/13/2013 7:53 AM*
Hyatt Regency Chicago
�I�
151 East Wacker Drive
3 _ H YAT T Chicago, IL 60601
�.
REGENCY' Tel: 312.565.1234
Fax: 312.239.4414
www.chicagoregency.hyatt.com
INVOICE
Payee Mr Rob Derocker Room No. 0710
Arrival 08-13-13
Departure 08-14-13
Page No. 1 of 1
Confirmation No. 2730744801 Folio Window 1
Group Name Folio No. 1083572
Date Description Charges Credits
08-13-13 Minibar Food INF Room#0710 : CHECK#74089 5.32
Pringles Potato Chip
08-13-13 Guest Room 259.00
08-13-13 Occupancy Tax 42.45
08-14-13 Valet Parking 59.00
08-14-13 XXXXXXXXXXX6026 XX/XX 365.77
Total 365.77 365.77
Guest Signature Balance 0.00
I agree that my liability for this bill is not waived and I agree
to be held personally liable in the event that the indicated
person,company or association fails to pay for any part or Thank you for choosing the Hyatt Regency Chicago.
the full amount of these charges. Our goal is to provide every guest with an exceptional stay and we are interested in your
feedback regarding your visit.
Hyatt Gold Passport Summary Comments are welcome to Hyatt at aualitychirc()hyatt.com or 888-565-5586.
Membership: 519849237P
Bonus Codes: For inquiries concerning your bill please call 855-869-0846 or email
Qualifying Nights: 1 NA C@
CustomerServiceHyatt.com
Eligible Spend: 318.00 Please remit payment to:
Redemption Eligible: 106.77 Hyatt Regency Chicago
Lockbox 301588
Summary Invoice, please see front desk Dallas,TX 75303-1588
for eligibility details. FEIN#94-1.649123
C�i7GQ r�oC�_�
i
HYATT EXPRESS CHECK-IN KIOSK
r� The Hyatt Express Check-in Kiosk, located in the hotel lobby, allows you to check in and check out
with the simple touch of a screen.
HYATT FAST BOARD"
Make travel easier by printing your airline boarding pass in the lobby at our Fast Board terminal.
HYATT E-CONCIERGE
H--Y-/-\T,T
e c o n c,e r g e Plan spa and dinner reservations, destination activities or in-room indulgences weeks in advance online
with Hyatt E-Concierge. To access this service, request an email confirmation when making your reservation.
QD HYATT WEB CHECK-IN
Hyatt Gold Passport members can check in for their next Hyatt stay in advance of arrival through the Internet,
WEBCHEC_T PDA or any web-enabled device.
H—Y-AJ T` HYATT GOLD PASSPORT'
GOLD PASSPORT We Invite you to join and start enjoying exclusive benefits and free nights. Join today at go Id passport.com
THE HYATT CARD
'(gS�lGo
Receive TWO NIGHTS at any Hyatt anywhere in the world after making your first purchase with the card.
Learn more: Call 1-866-800-5844 or visit online at HyattCard.com/Hotel.
't,e ea,n,,,g and redemption of Hyatt Gold Passport Poritl 11 sublect to Hyatt Gold Passport complete terms and conditions Hyatt Web Check-m is available at participating Hyatt Hotels S Resorts u t,S a°o c
and may not be used with cer'aiq ouahf,,•d.a'-or r,,,, -,ng „.o ,�t,��P,-k in Ava,at,;(,to Hyatt Gold Passport members or the day of arrival starting at 5.00 am local hotel time.Hyatt E-Converge is a.a a:-
at participating hotels woridv.ide to Rur:.r r.-t^),,kr 1 r i:_• t,,r• , �° .v r,,.a .::•-s, •+.:.•:a ar cm,,: ,-firmat�o, A,ihne check in using Fast Board-is sublect to the applicable airline's
Terms and cond4toss and is a,wiable for participating au;,ne�only Express Cneck•, Kiosk's a-viabiinv n,,, .j ;,t H, t.e,l to c,ed!approval Restrictions and limitations apply Hyatt Card
credit cards are issued by Chase Bank USA,N.A.Awards are valid for any available standard room at any ri�att;.r-; .: .,s..a• Set HyahCard com Ho!el for pn;in¢and e.vard,7•t:,
Hyatt Hotels 2 Resorts,R encompasses hotels managed,franchised or leased by subsidiaries and affiliates of Hyatt Hotels Cotporatio^ Tbc tradema,ks Hyatt .H,att Hotels&Resorts ,Park Hyatt .Andaz .Gta,i„H+ T'
Hyatt Regency ,Hyatt Gold Passport`,and related marks ate trademarks of Hyatt Corporation. c 2011 Hyatt Corporation All rights reserved
1
Hyatt Regency Chicago
151 East Wacker Drive
H i ATT Chicago, IL 60601
REGENCY' Tel: 312.565.1234
Fax: 312.239.4414
www.chicagoreciency.hyatt.com
INVOICE
Payee Mr Rob Derocker Room No. 0474
Arrival 08-13-13
Departure 08-14-13
Page No. 1 of 1
Confirmation No. 2730744802 Folio Window 1
Group Name Folio No. 1083569
Date Description Charges Credits
08-13-13 Minibar Food INF Room#0474 : CHECK#73780 Kit 3.99
Kat Chocolate Ba
08-13-13 Minibar Food INF Room#0474 : CHECK#73784 Clif 5.32
Energy Bar 2.4
08-13-13 Guest Room Internet 17:47 Room#0474 : CHECK# 1 [1] 9.95
08-13-13 Minibar Food INF Room#0474 : CHECK#73802 5.32
Famous Amos Chocolat
08-13-13 Guest Room 259.00
08-13-13 Occupancy Tax 42.45
08-14-13 XXXXXXXXXXX6026 XX/XX 326.03
Total 326.03 326.03
Guest Signature Balance 0.00
I agree that my liability for this bill is not waived and I agree
to be held personally liable in the event that the indicated
person,company or association fails to pay for any part or Thank you for choosing the Hyatt Regency Chicago.
the full amount of these charges. Our goal is to provide every guest with an exceptional stay and we are interested in your
feedback regarding your visit.
Hyatt Gold Passport Summary Comments are welcome to Hyatt at qualitychirc(cDhyatt.com or 888-565-5586.
Membership: 519849237P
Bonus Codes: For inquiries concerning your bill please call 855-869-0846 or email
Qualifying Nights: 1 NA.CustomerService@Hyatt.com
Eligible Spend: 268.95 Please remit payment to:
Redemption Eligible: 67.03 Hyatt Regency Chicago
Lockbox 301588
Summary Invoice, please see front desk Dallas,TX 75303-1588
for eligibility details. FEIN#94-1649123
M HAM
VIM hALCM m MW- W no
HYATT EXPRESS CHECK-IN KIOSK
The Hyatt Express Check-in Kiosk, located in the hotel lobby, allows you to check in and check out
with the simple touch of a screen.
HYATT FAST BOARD'"
Make travel easier by printing your airline boarding pass in the lobby at our Fast Board terminal.
HYATT E-CONCIERGE
H,Y-AT,T
efge Plan spa and dinner reservations, destination activities or in-room indulgences weeks in advance online
with Hyatt E-Concierge. To access this service, request an email confirmation when making your reservation.
HYATT WEB CHECK-IN
Hyatt Gold Passport" members can check in for their next Hyatt stay in advance of arrival through the Internet,
H_YAZT PDA or any web-enabled device.
WEB CHECK-IN
H-Y-AZT HYATT GOLD PASSPORP
GOLD PASSPORT We invite you to loin and start enjoying exclusive benefits and free nights. _loin today at gold passport.com.
THE HYATT CARD
Receive TWO NIGHTS at any Hyatt anywhere in the world after making your first purchase with the card.
Learn more: Call 1-866-800-5844 or visit online at HyattCard.com/Hotel.
`nr ea,, p a•"!'e,errphc W Hvntt G,�d Passpw'n ^'s�s s.,b,e t to Hyatt Gold Passport complete,terms and conditions.Hyatt Web Check-in is available at participating Hyatt He tr., d Re�ors�r:r• S ,
a^d"3v^o'.r"Iel:aa•. "a T,a • :�3•. a' , •, , r, A,a gable to Hyatt Gold Passport members on the day of arrival starting at 5.00 am local hotel time Hyatt E-Conc,erg� ..
a' ash p to g,w,�, ,.-, a,^ra cress or request an ernal confirmation.Airline check-it)using Fast Board°is subject to the apph—b:t a ,
and:o. o-is and s available for participating airlines only Express Cheek in Kiosk s t, a w Hyatt Card accounts subject to credit approval.Restrictions and limitations apply Hutt Card
,a•d,a,e ssued by Chase Bank USA,N.A Awalds are valid for any ava❑able standard 100111 at any Hyatt f,.,j.c.;, ��r,,, ,`al r••,m e3ir`of Issuance See HyattCard.com;Hotel for pricing and rewa,ds de'a
H,, Hot,,,.Resorts^ encompasses hotels managed,franchised or leased by subsidiaries and affiliates of Hyatt Hotels Corpolation.The tfdoernon,s Hyatt Hyatt Hotels&Resorts .Park Hyatt ,Andaz ,Grand Hyatt
lf,an Regrn . .H,•air Gad Passport ,and related marks are trademarks of Hyatt Corporation c 2011 Hyatt Corporation All rights reserved
ROB DEROCKER
EXPENSE REPORT
STAFF NAME: Rob DeRocker DATE : 09/03/13
Travel to Carmel for ASH Announcement
August 29-31, 2013
SUMMARY OF EXPENSES FINANCE USE ONLY
VOUCHER#
TOTAL CREDIT CARD "
TOTAL CASH
TOTAL $1,124.92
EXPENSE CREDIT CASH
ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE
8/29/13 Flight to Indianapolis 169.80
8/31/13 hotel in Carmel 326.05
8/31/13 Avis Rental Car 115.57
8/31/13 cab from LaGuardia 28.63
8/31/13 flight from Indy to LGA 398.80
8/29/13 cab to LaGuardia 31.63
8131/13 train fare to/from NYC 19.50
8/29/13 lunch in Indy 9.79
8/31/13 snacks for flight 7.15
8/31/13 breakfast 18.00
$1,124.92
$0.00
e�
Rb'5 Rocker
a ,
From: American Airlines @aa.com <notify @aa.globalnotifications.com>
Sent: Wednesday, August 21, 2013 2:30 AM
To: Rob DeRocker
Subject: E-Ticket Confirmation-OPXSVA 31AUG
19- 19- 19!
�F1
F: Ticket Issued:Aug 21, 2013 r
Robert E ®erocker, D =
Thank you for choosing American Airlines/American Eagle,a member of the oneworld@ i
Alliance. Below are your itinerary and receipt for the ticket(s)purchased. Please print and retain this
document for use throughout your trip. _
You may check in and obtain your boarding pass for U.S. domestic electronic tickets within 24 hours of �I
your flight time online at AA.com by using www.aa.com/checkin or at a Self-Service Check-In machine r~
at the airport. Check-in options may be found at www.aa.com/options. For information regarding
American Airlines checked baggage policies, please visit www.aa.com/baggageinfo. '
For faster check-in at the airport,scan the barcode below at any AA Self-Service machine.
You must present a government-issued photo ID and either your boarding pass or a priority verification F-1 _
card at the security screening checkpoint.
LJ J -'
1
e P, _ ps/� ICI
- Record Locator ®PXS�/A J
- o
i x -
Carrier Flight# Departing Arriving Fare Code
x -
INDIANAPOLIS CHICAGO OHARE
Fi 5349 SAT 31 AUG SAT 31 AUG V
American Airlines 9:20 AM 9:25 AM
Operated By Chautauqua As American Connection
Robert Derocker Seat 11 B Economy FF#: C2C5382 PLT Food For
Purchase
F -
J CHICAGO OHARE NEW YORK LGA
380 SAT 31 AUG SAT 31 AUG V
American 10:30 AM 1:40 PM
0 Robert Derocker Seat 8B Economy FF#: C2C5382 PLT Food For
Purchase
I
nx
J
a -
aPassenger Ticket# Fare-USD Taxes and Carrier- Ticket Total
Imposed Fees
J -= 0012326247110 350.69 48.11 398.80
Robert Derocker
, $398.80
Baggage Information
Baggage charges for your itinerary will be governed by American Airlines BAG ALLOWANCE-INDLGA-02 Pieces/American Airlines/UP TO
50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM 1STCHECKED BAG FEE-INDLGA-USD0.00/American Airlines/UP TO 50 LB/23
KG AND UP TO 62 LINEAR IN/158 LINEAR CM 2NDCHECKED BAG FEE-INDLGA-USD0.00/American Airlines/UP TO 50 LB/23 KG AND
UP TO 62 LINEAR IN/158 LINEAR CM ADDITIONAL ALLOWANCES AND/OR DISCOUNTS MAY APPLY
You have purchased a NON-REFUNDABLE fare.The itinerary must be canceled before the ticketed departure time of the first unused coupon
or the ticket has no value.If the fare allows changes,a fee may be assessed for changes and restrictions may apply:
Electronic tickets are NOT TRANSFERABLE. Tickets with nonrestrictive fares are valid for one year from original date of issue. If you have
questions regarding our refund policy,please visit www.aa.com/refunds.
To change your reservation,please call 1-800-433-7300 and refer to your record locator.
Check-in times will vary by departure location. In order to determine the time you need to check-in at the airport,please visit
www.aa.com/airportexpectations.
AA CARRY-ON BAGGAGE
American Airlines does not impose Carry-On bag fees however,restrictions do apply. To view carry-on baggage restrictions for American
Airlines or American Eagle,please visit,Carry-On luggage.Passengers who originate flights on other than American Airlines/American Eagle
and need to determine applicable carry-on fees or restrictions specific to other air carriers in your itinerary,please visit INTERLINE PARTNER
BAG CHARGES.
AA CHECKED BAGGAGE CHARGES
2
Boarding Pass https:Hcheckin.usairways.com/boardingpass/printpasses?id=PrintPasses
U-S A I ft.W AYs
CARD NENBER
DEROCKE R BERT DEROCKER/ROBERT
US FLIGHT: 2179 2 AA G cDDr FWRCKE/US ZONE 1
FFD: 310D4T0
SEAT: 4 F NEW YORK LAGUARDIA
NEW YORK LA QUAR IA WASHINGTON-DCA
WASHING DCA _"�
FWRCKE/U$ Fhght Departs Date
2179 120ON 29AUG
E-TICKET SE° 2 GATE BOARDINGTIME SEAT
C42 1130A 4F
ZONE 1
AT THE AIRPORT in Ronald Reagan Washington National
Sam Adams Brewhouse Concourse Entrance � �
4 ^5, ..` ` _
Tidewater Landing 15
a'»� a"k,-aft•' j ,ar _ �:..My- � •I
Mayorga Coffee Roasters 16
Einstein Bros.Bagels 16 ,r-
National Airport Grill Connector
~, I
Fabulously Fresh Concourse Entrance
Jerry's Subs&Pizza Concourse Entrance
Einstein Bros.Bagels Concourse Entrance •� ,��„�. -"= "�:,r.� '��>' ���"�^..
TEL1E :�T+rf H74_E P Ht+
��
� - Valid lu rle I t hr u Auou.,t 31.2013
lI ti A 112WA'I'S U13 to �l' ,00 I bonus n»dlas v.,ith � SUPERSHUTTLE.COPAE30YEAttS
v0uf qualifying transactions,
1 of 3 8/28/2013 1:12 PM
ROB DEROCKER
' EXPENSE REPORT
STAFF NAME: Rob DeRocker DATE : 09/03/13
Travel to Carmel for ASH Announcement
August 29-31, 2013
S11
SUMMARY%
4
2".
RE
7
-T
TAL $1,124.92
EXPENSE CREDIT CASH
ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE
8129/13 Flight to Indianapolis 169.80
8/31/13 hotel in Carmel 326.05
8/31/13 Avis Rental Car 115.57
8/31/13 cab from LaGuardia 28.63
8/31/13 flight from Indy to LGA 398.80
8/29/13 cab to LaGuardia 31.63
8/31113 train fare to/from NYC 19.50
8/29/13 lunch in Indy 9.79
8/31/13 snacks for flight 7.15
8/31/13 breakfast 18.00
,124.92
$0.001
ROB DEROCKER
EXPENSE REPORT
STAFF NAME: Rob DeRocker DATE : 09/03/13
Travel to Chicago for site consultant appointments
Aug. 13-14, 2013
SUMMARY OF�EXPEIdSES
VOUCHER'#; _
TOTAL;CREDIT-CARD"',
ITOTAL,CASH',
TOTAL $1,268.44
EXPENSE CREDIT CASH
ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE
8/13/13 Flight to/from Chicago 395.80
8/14/13 hotel in Chicago for Rob and Mayor 691.80
8/14/13 cab from LaGuardia 33.39
8/14/13 breakfast in Chicago 26.25
8/31/13 cab to LaGuardia 33.39
8/29/13 train fare to/from NYC 19.50
8/14/13 lunch in Chicago with Mayor 52.55
8/13/13 dinner in Chicago 15.76
$1,268.44
$0.00
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))
09/03/13 Receipts $1,268.44
09/03/13 Receipts $1,124.92
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rob DeRocker
IN SUM OF $
3 Warner Lane
Tarrytown, NY 10591
$2,393.36
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25255 Receipts 43-404.01 $1,268.44 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25255 Receipts 43-404.01 $1,124.92
materials or services itemized thereon for
which charge is made were ordered and
received except
Sunday, September 22, 2013
i
Director, CoMmunity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund