HomeMy WebLinkAbout224916 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
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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)
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$ 00
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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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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
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T: 415 7711400 1 F: 415 7716807
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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
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8/13/2013 VS*6043 CDEGUZM 17372830 $319.22 --00 -
9/29/2013 GUEST ROOM YUNAK 17602216 $275.00
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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
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UPGRADE TO ECONOMY COMFORT"
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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
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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•
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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
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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
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09/15/2013 FACESK'UM4T65N4P2 www.fb.me/cc CA $38.44
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4]11967079086043000029271]000001259400000073009
NANCY SHECK
1826 COOL CREEK DR
Make check payable to: CARMEL IN 46033-2315
PNC BANK
PO BOX 858177
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431 5000 0088 1967070086043 001
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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