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224916 10/08/2013 ,qyf CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $1,956.70 CARMEL, INDIANA 46032 CHECK NUMBER: 224916 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343001 270 . 00 TRAVEL FEES & EXPENSE 1203 4343003 957 . 66 TRAVEL & LODGING 1203 4343004 325 . 00 TRAVEL PER DIEMS 1203 4346500 100 . 00 CITY PROMOTION ADVERT 1203 4355300 149 . 29 ORGANIZATION & MEMBER 1203 4359300 154 . 75 ECONOMIC DEVELOPMENT CITY OF CARMEL. Expense Report (required for all travel expenses) NOIPNP. EXHIBIT A EMPLOYEE NAME: Nancy Heck DEPARTURE DATE: 9/29/2013 TIME: 7 : 00 AM PM DEPARTMENT: Community Relations & Economic RETURN DATE: 10/3/2013 TIME: 10 : 13 AM�P M Conference Development San Francisco CA REASON FOR TRAVEL: DESTINATION CITY: 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 $0.00 9/29/13 $78.00 $65.00 $143.00 $0.00 9/30/13 $19.00 $65.00 $84.00 $0.00 10/1/13 $49.00 $65.00 $114.00 $0.00 10/2/13 $65.00 $65.00 $0.00 10/3/13 $124.05 $957.66 $65.00 $1,146.66 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total $0.00 $0.001 $270.001 $0.001 $957.661 $0.00 $0.00 $0.001 10.00 $325.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy/and are within my department's appropriated budget. Director Signature: Date. (�J /3 v City of Carmel Form#ER06 Revision Date 10/7/2013 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 $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$ , 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#ERO6 Revision Date 10/7/2013 Page 2 q1ov- X5� 0 V/ vp 1� ,ov t.21 9!28!13 Purchase Summary CHECK-IN RECEIPT Thank You For Choosing Delta. The following purchases have been processed. 29 SEP 2013 IND > SFO AgentlD:iW/AY1 Confirmation:GPKTHZ Indianapolis,IN to San Francisco,CA Place of Issue: Issued Date22 Sep 2013 Nancysue Heck Flight Number: Reference Number: Payment Total: TICKET: 006 73080 716 86 $ 00 Baggage Fee i Multiple 0068225182694 VI'°6043 25 (USD) t ! s $ 00 (U5D) Paid Saturday September 28, 2013 Conditions Of Carriage Air transportation on Delta and the Delta connection carrier® is subject to Delta's condition of carriage.They include terms governing,for example: • Limits on our liability for personal injury or death of passengers,and for loss,damage or delay of goods and baggage. Claim restrictions including time periods within which you must file a claim or bring an action against us • Our right to change terms of contract • Check-in requirements and other rules establishing when we may refuse carriage • Our rights and limits of our liability for delay or failure to perform service,including schedule changes,substitution of alternate air carriers or aircraft,and rerouting • Our policy on overbooking flights,and your rights if we deny you boarding due to an oversold flight • Purchased seats and Paid Upgrades are nonrefundable These terms are incorporated by reference into our contract with you.You may view these conditions of carriage on delta.com,or by requesting a copy from Delta. 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For example: ,66:addifidrial" -P an- Total revolving credit line Total revolving line available Total available cash line Days in billing cycle 30 Only the 9-- minimum Years payment 3 Years If you would like information about credit counseling services,call 1-866-214-0934. mro wm 001 , 12 ,mm`o o mms,mo `v em 960 4058 mm170Co --__-___-_-_-_--_-_--__--_-_-_-__--_----__-_----_---_--_-__---_-_-_---_---_'---_--__--__-_-------_--___------_--___---_-_-_ | ""l"PNICBANK Account# XXXXXXXX Po BOX aw2o New balance | PITTSBURGH PA 15230'3429 Minimum revolving payment Check here n address,phone,,e-mail Due date PAYMENT ENCLOSED 1014/13 changes are indicated""reverse side 43119L707908L0430000300849000004L4790000 NANCY SHECK 1326 COOL CREEK DR Make check payable to: CARMEL IN 46033-2315 PNC8ANK P0 BOX 856177 ----------- LOUISVILLE KY4O2B5'O177 U"UUoU"UUnU"U"UU8UUU"oU"UUUUUUU"UnU"nUK"UU"UUUUUvUUUnU.UonUnUUnuU UUUUUoUonKUnoUUUUUUUUoU8UUUUUUUUUnUUUnKUUUUUUUUUoUUn.UnUUUUUUnoU" 431 5000 0080 1967079086043 001 _ _ 1017/13 PNC Online Banking QPNC Online Banking Account Activity Monday,October 07,2013 Everyday Rewards Visa Signature XXXXXXXX eO4 Balance: Minimum Payment Due: $0.00 Payment Due Date: 10114/2013 Posted Transactions Date Description Amount 10/03/2013 ADY'Uber Technologies 866-5761039 CA $64.00 10/03/2013 DELTAAIR0068226246911 SAN FRANCISCO CA $60.00 10/0112013 ADY'UberTechnologies 866-5761039 CA $31.00 10/01/2013 ADY`UberTechnologies 866-5761039 CA $14.00 10/012013 ADY Uber Technologies 866-5761039 CA $4.00 09130/2013 ADY`UberTechnologies 866-5761039 CA $19.00 TO ► A L OF 09/28/2013 DELTAAIR 0068225182694INDIANAPOLIS IN $25.00 0e14-�- Rt Ce,Yn (A4+6-4—�) https://wow✓.onlinebanl4ng.pnc.com/alser\Aet/CreditCardAcb\it er\Aet?account=/U/3200856/68/75/32,CCA,071&printPage=creditCardAcb\it filter=4&currentVi... 1/2 tom%;W\-buY-� e c(�- 5b8bb31 ;.�A1 y�# N�,Lr{F,"F� � f :`.:I.«'•t. ;ntg-.•{`.�}'.}�..r. •.i N. _ ', AMOUNT PRICE DESCRIPTION PRICE N. CLASS DATE - AUTHORIZATION SUB t REFERENCE NO. REOroI:Pf• TAX SERVER CLERK CLERK esI '•fOUOICHECK NO. id 0 .PURC S R G HERE SALES SLOP x IMPORTANT.RETAIN THIS COPY FOR YO Cardholder aeknowledore I o o a dlor services In the amount Ipw hter otdlpalo. set forth the Col a as ant with the leeu /�. D E LTA PT 01 EXCESS BAGGAGE 030CT13 0066 US TICKET DL/KI SFO FTO HECK/NANCYSUE THIS IS YOUR RE( *NOT VALID FOR** *TRANSPORTATION** PSGR TICKET 0067308071686 FOR CONDITIONS 31 SLC DL IND GI'KIIIL /DI_ CONTRACT -- SEE E 60.00_ PASSENGER TICKET 60.00 BAGGAGE CHECK 3D 60 . 00 Vi>o�6041/003897 NOT VALID FOR TI a 1 006 8226246911 2 1 006` 822624691: USD60 . 00 2e, bu Nckv" ALAL 5-3 aL 40 4-y"M �- 6 C::� acc W 3q-6001 /� ` UD HILTON SAN FRANCISCO UNION SQUARE Hilton 333 O'Farrell Street I San Francisco,CA 94102 T: 415 7711400 1 F: 415 7716807 SAN FRANCISCO UNION SQUARE W:hilton.com NAME AND ADDRESS: HECK, NANCY Room: 21114/D2 1326 COOL CREEK DR Arrival Date: 9/29/2013 12:19:OOPM Departure Date: 10/3/2013 10:39:OOAM I CARMEL, IN 46033 Adult/Child: 1/0 US Room Rate: 275.00 RATE PLAN C-IML AL: AL: Ep \• CONFIRMATION NUMBER: 3537036412 BONUS AL: CAR: � v LTON�` NO g` . 10/312013 PAGE 1 Q` DATE DESCRIPTION ID REF.NO CHARGES CREDITS B CE 8/13/2013 VS*6043 CDEGUZM 17372830 $319.22 --00 - 9/29/2013 GUEST ROOM YUNAK 17602216 $275.00 9/29/2013 CALIFORNIA TOURISM TAX YUNAK;®,:17602216 .. $0.22 9/29/2013 CITY OCCUPANCY TAX YUNAK';"Y:"•':17 221'6 $38.50 9/29/2013 SF BUSINESS DISTRICT YUNAK °;i:;;;17602216 $5.50 ASSESSMNT 9/30/2013 GUEST ROOM YUNAK '{ c'=;17606825;, ` $275.00 T._. , 9/30/2013 CALIFORNIA TOURISM TAX YUNAK;�o, ! 1,76W825 :,, $0.22 \I 9/30/2013 CITY OCCUPANCY TAX YUNAK-^ :',,' 17606825. $38':50 9/30/2013 SF BUSINESS DISTRICT YUNAK'.•;;;? E` 17606825 $5.50`°, ASSESSMNT 10/1/2013 GUEST ROOM YUNAK"'';'r:'. •1176'12,11 $275.00 10/1/2013 CALIFORNIA TOURISM TAX YUNAK-" ',' 17612110; $0.22 10/1/2013 CITY OCCUPANCY TAX YUNAIe, 1761:2)1;0': $38.50 10/1/2013 SF BUSINESS DISTRICT YUNi4K?:-• 17612110, $5.50 ASSESSMNT 'a 10/2/2013 GUEST ROOM YUNt ``w'<=7,76�h74.19 $275.00 10/2/2013 CALIFORNIA TOURISM TAX YUNAK' .;`'; 1761741,9` $0.22 10/2/2013 CITY OCCUPANCY TAX YUNAI4.: 1761:2419': _$38:50 10/2/2013 SF BUSINESS DISTRICT Y 17617419 $5.5p: ,:;:; 'T ASSESSMNT, ' 10/3/2013 620031r ; •;;1 $ BALANCE,-,& -_ ;• ;+::;fig? $0.00 cv- ACCOUNT NO. DATE OF&ARGE FOLIO N0./CHECK NO. 3047909 A CARD MEMBER NAME AUTHORIZATION INITIAL ESTABLISHMENT NO.&LOCATION ESTABIESNMENT AGREE5 TO TRANSMIT TO fJ,RD HOLDER FOR PAYMENT PURCHASES&SERVICES TAXES ctil•..c TIPS&MISC. CARD MEMBER'S SIGNATURE TOTAL AMOUNT MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT FEE n. as oLl Y -5_d' re,rwour 5ed Hello NANCY! I Log Out , or My Account I Feedback I Customer tl.866.207.148 UPGRADE TO ECONOMY COMFORT" g FOR AS LOW AS$9. Home I vacation Packages i Flkhts I Hotels I Cars/Rail I Cruises I Travel Deals I Activities Your trip details Know Before You Go rr Print he pow and keep for your records * Read the pohm. * Contact us immediately if any issues arise with your reservation before or during your trip. Note:We sent a confirmation message to the email address you provided(nhock@camel.in.gov) Your Travelocity Trip ID is:1312 1104 2759 Need 10 change or cancel you Your phone number for this trip.317 431.5393 !�k2 We will display all rules and fees before you decide This is an e-ticket,so no paper ticket will be mailed to you.nqHftjj_Ln 23jgk&Q Please note:Your original 1181111 nXBRAM could not be accomodated.Also,note that seat requests are not guaranteed and may be changed by the aidine.Please note:Your seat numbers will be assigned at check-in and printed on your boarding pass.You may return to My at a later time and check for anu any updates to your seating assignments In addition,flight aChaftles may be changed by the airline Thb 0*91ding Quallilficia; f"$20 CW6 eacw Click HoW. IC) Itinerary Primary Contact NANCY SUE HECK Travel Tools: For questions about this itinerary,call 1.888 872 8356 Cinkner ft ft dMcIi I Look Lop flight Mfus Flight-2 Round-Trip Tickets QhWWCwjW FfiM All flight times are local to each city, V,• For your boarding pass,use reference code GPKTHZ for online or airport check-in Sun,Sep 29,2013 Indianapolis(IND)to San Francisco International Airport(SFO) Depart:01:00arn Indianapolis,IN(IND)to Delta Air Lines Arrive 08,35am Los Angeles.CA(LAX) Flight 877 Economy Class (on Airbus A320-1001200) �_qwjeY5 Assoc, Confirmation# GPKTHZ Requested Seats:9A.9B 1 Stop—change planes in Los Angeles,CA(LAX) n L Connection Time: fir 25 mins CL Depart:10:00am Los Angeles,CA(LAX)to Delta Air Lines CIDn Arrive:11.23am San Francisco.CA(SFO) Flight 5836 operated by COMPASS DBA DELTA CONNECTION Economy Class (on Embraer EMS 175 Jet) Confirmation# GPKTHZ Requested Seats:178,17A Total Travel Time:7 firs 23 mins Oct For your boarding pass,use reference code GPKTHZ for online or airport check-in Depart 0 3,-15pm 2013 San Francisco International Airport(SFO)to Indianapolis(IND) C> Thu, 1 San Francisco,CA(SFO)to j6 Delta Air Lines Arrive:04.08pm Salt Lake City,UT(SLC) Flight 2375 Economy Class (on Airbus A320-100/200) yth 5e Confirmation# GPKTHZ Requested Seats:9A,9B 1 Stop—Change planes in Salt Lake City,LIT]SLC) Connection Time,52 mins CA S DD Depart.05:00pm Salt Lake City.LIT(SLC)to a Delta Air Lines Arrive:10:13PM Indianapolis.IN(IND) Flight 1228 Economy Class (on Airbus A320-100/200) Confirmation#:GPKTHZ Requested Seats:14B.14A Total Travel Time:5 firs 58 mins https://travel.travelocity.com/mystuf`f/MyStuffRetrieveTrip.do?recordLocator--MJXNDF&... 8/13/2013 For hotel reservations,program updates and to register online visit our web site:hffp://wWw.imla.org - Click on conference page to access hotel room block I LA's 78t" Annual Conference San Francisco Hilton Hotel September 29 - October 2, 2013 - - Save the Date! REGISTRATION INFORMATION Name Title re f--- J 118 (W,1 I �S Badge Name Local Government Entity Q r K1'7 Address he CAI( re— city l f^� � ,VN�I;` State d V Zip `'1�Q off• Phone! / " i�7 I- N 7 Fax E-mail 14keC, cj!�irrrwl.ln, p�/ Guest Name Guest Badge Name (Complete onl registenng Guest)Badges are required for all functions. Please indicate your registration type and options listed below(check all that apply) ❑ Guest Registrant(sea below) ❑Luncheon Ticket(s)$75.00 each,No.of ticket(s)_ (only guest needs to purchase) 1KCLE Credits,please specify state(s)-- ►V Your Bar No(s) _ It?/(7 C — 419 ❑INSTITUTE FOR LOCAL GOVERNMENT LAWYERS(ILGL)$150 to register.For more information visit www.imla.org STATE/PROVINCE Breakfast$10 Monday❑ WONK Breakfast$10 Tuesday o 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 August 24, 2013 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After August 24, 2013 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. Full participation required to qualify for discounted rates(see below). 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$350 to your registration fee and check here. FIVE EASY WAYS TO REGISTER! Early MAIL:IMLA,7910 Woodmont Avenue Suite 1440 Bethesda.MD 20814 Bird Rate Regular PHONE:202-466-5424 FAX:202-785-0152 1 E-MAIL:info @imia.org Registration Ends Rate Ends Rate After MyIMLA Online:www.imla.org Type 7/31/13 8/30/13 8/16/13 First Member $700 $775 $850 REGISTRATION PAYMENT INFORMAT7Card Add 9 $625 $700 $775 Bill Me ❑ Check Enclosed ❑ Visa ❑ or More From Make all checks payable to IMLA; U.S.currency only. Same Office Each person* $525 $600 $675 ember-First Time Amount $ At Attorney 1-5 yrs. $350 $400 $450 Name Judicial $250 $355 $355 Nonmember $950 $1,200 $1,600 Card No. Guest of D Full Guest Registration$170.00 includes the below Event ❑Reception Only$125.00 Exp.Date Registrant Hospitality Suite$35.00 each❑Monday❑Tuesday Signature Check only if purchasing J� vt Bub's Burgers & Ice Cream Bub's &,urgers ice Cream raww.bubsburger sand icecream.cone ,�a,,r.bubsb�;rgersandicecream.com 210 W. Main St. 210 IN, Main St. Carmel, IN 46032 Carmel . IN 46032 317--706-2827 317-106-2827 Kelley 09/24;201; 09,24/2(PM 05/24/21( 26/1 8:10 PI Sery Kelley 'sB:141( P 6 � ac}gc� Table 26/1 # Type: ORDER SALE 4.3! =ttle for Less Ugly 5.9E Magnotic card present: HECK NANCY S an 5( Card Entry Method: S Dello Mushroom Burgr 9! Approval : 0245137 Sweet Potato Waffle (2 :42.67) ,.3e attle for Less Ugly (2 045.99) 11 .9E Amount: $ 69 of so Ugly Elk 14.3' Coke 2.(`` + Tip: �S�DD .rry Syrup 0.!,( Fries i .;!: -• Total : � � y - ete Subtotal 63,-, I agree to pay the above al 63.1( total amount according to the G r: J•7,'+ card issuer ag,eeme 69.4 x 3t-1ce: FJt-.1e 69 . 44 ******Guest's COPY****4:* Shop Bub's Online HAVE A BUBTASTIC DAY! czcc4-7� y3 5 366 C�{� rneef- W t-�� n(c l,h S-iw/ Evmp� *61( �VrJ+s A.�A.) ( AO,vt a�f Fri ur � -� -(-l�acv� �r Woodys Library Restaurant , 40 E Main Street Carmel, IN 46032 317-573-4444 www.woodyscarmel.com .�erver: Ginger 002938", i. able: Main Dining 29 fibrury REstuarant :41:35 PM 9/25/20 Woodys Library Restaurant iECK/NANCY S Vil 40 E Main Street *********** Exp ** Camlel,IN 46032 317-573-4444 routD: Guth: 5994 ww�v.woodyscarmel.com ver: Ginger amount $ 58.E ble: Main Dining 29 3:40 PM 9/25/20 Jratuity (20%): $ 11.i m Pric_ Addtl Tip $ _ IET CODE 2.5 U'_vIMUS WRAP 11.4 'Total $ f �_ J` Z1ME RIB QUESADILLA 12.9 EARED TILAPIA 15.9 18%=10.55 20%=11.72 22%=12. PRITE 2.5 [ATE R 0.0, Customer Copy ,'OODYS COMBO � =! Subtotal: Tax: �.S Total: Total: 58.51 Cn-atuity (20%): 11. Balance Owed: 70 i Tck#: 04 TraI1,50: 00293899 ei►�b��� : �Gti1 �('C�- Lund �J� ���U� Co,`dYY`I VPVWVPVIIe�tI Gi I sa =W14KIc"1- 7ftw� J�� 9/17/13 PNC Online Banlbng ..PNC Online Banking Account Activity Tuesday,September 17,2013 Everyday Rewards Balance: Minimum Payment Due: $0.00 Payment Due Date: 09/14/2013 Posted Transactions Date Description Amount 09/15/2013 FACESK'UM4T65N4P2 www.fb.me/cc CA $38.44 09/14/2013 FACEBK'SW6N65N4P2 www.fb.me/cc CA $61.56 �0 o'0C) Jt' 12,o - L3 y 5'Z'0 �II f I i https://wAw.cdir*banWng.pnc.corn/alser\AettCreditCar d Act titySerAet?account=////3200856/68/75/32,CCA,071&printPage=creditCardAcb\it filter=4&currentVi... 1/2 / ' ��` ��U���� 0�&��U���� ��U � � � U � � ��� �� " " � �~ =�" mv �m -� � x �xx �& n � �xvv � vu� Account# XXXXXXXXXXXXOO43 Statement closing date 0019/13 Questions? pno.onm �_v/_\ /��\ � //_� �� 1'8OO~558�47z 24 houma day . 7dayva�ook ��� V [��� V | \��VV�� | \ J�� �- ~/ - .~`~/ . . �~ . . `-. . `-. �^ Y out p. 6ntjfif&`--dti8iri, IM Previous balance New balance lh1a|payments received'thank you Minimum revolving payment Pumh0000 Due date u9/14/13 Credits Late Payment Warning: If we do not mooivo Cash advances $0.00 your minimum payment by the above date,you | Fees charged $OOO may have to pay up0oa*35 late fee and your | Interest charged $0.00 APRs may be innmonnd up to the Penalty APR of New balance 28.99%. Minimum Payment Warning: |f you make only the minimum payment each period,you will Minimum r evolving payment Pay more in interest and it will take you longer n� Due date 08/14/13 to pay off your balance. For example: ar Total revolving credit line Total revolving line available Total available cash line U. D de ays in billing cycle 31 Only the 9 minimum Years payment 3 Years |f you would like information about credit counseling services,call 1'866-214'0934. 5170 om 001 7 ,, 130819 o PAGE`°/3 ,o 5624 yono ^000 OA5170Co �__--_____________________________________________________--__---___-__-____ ��^�o�J�~ A«««unt# )000(X>0X)0< ��� . . ~~_�w�,�n� pn BOX awon New balance PITTSBURGH PA 15230'3*29 Minimum revolving payment Due date O9/14/13 � c�" ���"m""".»���"="o PAYMENT ENCLOSED changes are indicated=reverse side 4]11967079086043000029271]000001259400000073009 NANCY SHECK 1826 COOL CREEK DR Make check payable to: CARMEL IN 46033-2315 PNC BANK PO BOX 858177 q LOUISVILLE KY4U285'G177 1'|"i"|UUU'|U|U^"UUiyiU"U'UUliUUUH Jill i|"||N|�'|"N�U�tUUU�^ 431 5000 0088 1967070086043 001 _ _ appealsderkliNigov Annual Indiana Attorney Registration Payment Receipt Thank you for submitting your payment! Please print this page for your records. Confirmation #:24022447 Billing Information Payment submitted:9/30/2013 11:44:31 PM Nancy Heck nhecklaw @aol.com (317) 571-2494LiYr� 1326 Cool Creek Drive Carmel, IN 46033 United States PeLtj Om Payment Method Nancy Heck clt't" 9/2014 ,G Invoice Summary Nancy Heck (19106-49) Annual Fee .............................................. $145.00 Subtotal: $145.00 Credit Card Processing Fee: $4.29 Grand Total: $149.29 VOUCHER NO. WARRANT NO. ALLOWED 20 Nancy Heck IN SUM OF $ 1326 Cool Creek Drive Carmel, IN 46033 $1,956.70 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#lrITI-E AMOUNT Board Members hereby certify that the attached invoice(s), or 1203 Receipt 43-465.00 $61.56 �ill(s) is (are)true and correct and that the 1203 Receipt 43-465.00 $38.44 materials or services itemized thereon for 1203 Receipt 43-593.00 $84.44 which charge is made were ordered and 1203 Receipt 43-593.00 $70.31 received except 1203 Receipt 43-553.00 $149.29 1203 Expense Report 43-430.04 $325.00 1203 Expense Report 43-430.03 $957.66 . / Monday, October 07, 2013 1203 Expense Report 43-430.01 $270.00 7L�l A6� Director, Community Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 09/14/13 Receipt $61.56 09/15/13 Receipt $38.44 09/24/13 Receipt $84.44 09/25/13 Receipt $70.31 09/30/13 Receipt $149.29 10/07/13 Expense Report $325.00 10/07/13 Expense Report $957.66 10/07/13 Expense Report $270.00 i 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