225238 10/22/2013 »,f CITY OF CARMEL, INDIANA VENDOR: 359293 Page 1 of 1
ONE CIVIC SQUARE UNITED AIRLINES
CARMEL, INDIANA 46032 ATTN:UATP DEPT CHECK AMOUNT: $1,102.52
PO BOX 301707
CHECK NUMBER: 225238
DALLAS TX 75303-1707
CHECK DATE: 10/22/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 093013 1, 102 . 52 EXTERNAL TRAINING TRA
U N I T E D F- 11J . STATEMENT SUMMARY
For Statement Period Ending September 30, 2013
PAYMENT IS DUE IN FULL BY 10126/2013
CITY OF CARMEL ACCOUNT NUMBER: 10050479300000
ATTN DIANA L CORDRAY
ONE CIVIC SQUARE
CARMEL, IN 46032
Previous Refunds/ United Other Airline
Credit Card Number Cardholder Name Balance Payments Charges Adjustments Rebate Rebate Balance Due
00004793000068 FIRE DEPARTMENT $779.04 ($779.04) $1,107.70 $0.00 $0.00 ($5.18) $1,102.52
00004793000084 POLICE DEPARTMENT $376.88 ($376.88) $0.00 $0.00 $0.00 $0.00 $0.00
PAYMENT OPTIONS Previous Balance $1,155.92
Remit Payments by Check To: Payments ($1,155.92)
United Airlines Charges $1,107.70
ATTN: UATP Department Refunds/Adjustments $0.00
P.O.Box 0201970 United Rebate $0.00
Houston, Texas 77216-1970 Other Airline Rebate ($5.18)
Wire Transfer: ACH Transfer: Balance Due $1,102.52
JP MORGAN CHASE JP MORGAN CHASE
New York, New York 11245 New York, New York 11245 Date Opened 02/1312007
Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 YTD Sales $20,622.54
F/C: United Airlines, Inc. F/C: United Airlines, Inc.
A/C: 51-67795 A/C: 51-67795 YTD United Rebate ($20.26)
ATTN: UATP Department- 10050479300000 YTD Other Airlines Rebate ($84.58)YTD Total Rebate ($104.84)
Credit Limit $11,000.00
Available Credit $9,897.48
10/4/2013 Page 1 of 1
V N 1 T E ® 1-FRIJ . U
ACCOUNT NUMBER: 10050479300000 ACCOUNT STATEMENT CREDIT CARD NUMBER: 00004793000068
CITY OF CARMEL For Statement Period Ending September 30, 2013 CARDHOLDER NAME: FIRE DEPARTMENT
Other Net
Issue Departure Routing Fare Airline Agency Charges/ United Airline Charges/
Date Date Passenger Name Ticket Number Origin To To To To Class Segment Number Credits Rebate Rebate Credits
09/10/13 CROMLICH/MARK A 89006011007281 15879323 $35.00 $0.00 $0.00 $35.00
09/10/13 09/15/13 CROMLICH/MAMR 332J75HR1 IND MCO IND BY FLFL 15879323 $802.80 $0.00 ($4.01) $798.79
09/14/13 REECER/JASON L 89006011007292 15879323 $35.00 $0.00 $0.00 $35.00
09/14/13 10/06/13 REECER/JASON L 03772693707565 DCA IND L US 15879323 $234.90 $0.00 ($1.17) $233.73
09/16/13 23782PMT ($779.04) $0.00 $0.00 ($779.04)
10/04/2013 Page 1 of 2
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CREDIT CARD NUMBER: 00004793000084
CARDHOLDER NAME: POLICE DEPARTMENT
Other Net
Issue Departure Routing Fare Airline Agency Charges/ United Airline Charges/
Date Date Passenger Name Ticket Number Origin To To To To Class Segment Number Credits Rebate Rebate Credits
09/16/13 23782PMT ($376.88) $0.00 $0.00 ($376.88)
10/04/2013 Page 2 of 2
UNITED UATP
SUMMARY STATEMENT
REMITTANCE ADVICE
For Statement Period Ending September 30, 2013
ACCOUNT NUMBER: 10050479300000 Previous Balance $1,155.92
Payments ($1,155.92)
CITY OF CARMEL Charges $1,107.70
Refunds/Adjustments $0.00
PAYMENT OPTIONS UA Rebate $0.00
OA Rebate ($5.18)
Remit Payments by Check To:
United Airlines New Balance $1,102.52
ATTN: UATP Department
P.O.Box 0201970
Houston, Texas 77216-1970 Date Opened 02/13/2007
YTD Sales $20,622.54
YTD United Rebate ($20.26)
Wire Transfer: ACH Transfer: YTD Other Airline Rebate ($84.58)
JP MORGAN CHASE JP MORGAN CHASE YTD Total Rebate ($104.84)
New York, New York 11245 New York, New York 11245
Wire Transfer ABA#021000021 ACH Transfer ABA#071000013
F/C: United Airlines, Inc. F/C: United Airlines, Inc.
A/C: 51-67795 A/C: 51-67795 Credit Limit $11,000.00
ATTN: UATP Department- 10050479300000 AvailableCredit $9,897.48
Please attach Remittance Advice to Payment
For Questions relating to your statement, contact UATP Customer Service at 1-866-324-UATP
VOUCHER NO. WARRANT NO.
ALLOWED 20
United Airlines
IN SUM OF $
P.O. Box 301707
Dallas, TX 77002
$1,102.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-430.02 I $1,102.52 1 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
OCT 21 2013
Fire Chief
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))
$1,102.52
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