HomeMy WebLinkAbout225338 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366912 Page 1 of 1
ONE CIVIC SQUARE ROB DEROCKER
CHECK AMOUNT: $751.15
CARMEL, INDIANA 46032 a WARNER LANE
TARRYTOWN NY 10591 CHECK NUMBER: 225338
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4340401 25255 751 . 15 CONSULTING FEES
ROB DEROCKER
EXPENSE REPORT
STAFF NAME: Rob DeRocker DATE : 10103113
DC Media Appointments with Mayor
Sept. 18-19,2013
SUMMARY OF EXPENSES FINANCE USE ONLY
VOUCHER#
TOTAL CREDIT CARD
TOTAL CASH
TOTAL - $751.15
EXPENSE CREDIT CASH
ACTIVITY DATE EXPENSE DESCRIPTION ACCOUNT# EXPENSE EXPENSE
9/18/13 Train fare to/from DC 360.00
9/19/13 Hotel in DC 325.80
9/18/13 train fare to/from NYC 26.00
9/19/13 lunch on Amtrak 12.50
9/18/13 dinner in DC 19.90
9/19/13 snack in New York upon arrival 6.95
$751.15
$0.00
R®B DER®CKER
3 WARNER LANE
TARRYTOWN, NY 10591
917-658-4653
INVOICE
Date: Oct. 1, 2013
Client: City of Carmel
For: Public Relations Services, Sept. 1-30, 2013
Professional Fees: $9,150.00
C\wm
Out of Pocket Expenses: 751.15
TOTAL: $99865.15
Rob DeRocker
From: eTickets @amtrak.com
Sent: Wednesday, September 11, 2013 4:57 PM
To: Rob DeRocker
Subject: Amtrak: eTicket and Receipt for Your 09/18/2013 Trip
Attachments: ROB_ROBDEROCKER_COM_201309111657194263.pdf
SALES RECEIPT
Purchased: 09/11/2013 1:57 PM PTThank you for your purchase.
1. Retain this receipt for your records.
2. Print the attached eTicket and carry during your trip.
Merchant ID 0105060 Massachusetts AvenueWashington, DC 20002800-USA-
RAILAmtrak.com
Reservation Number - B87FD3NEW YORK PENN, NY -
WASHINGTON, DC (Round-Trop)SEPTEMBER 11, 2013
Billing Information
ROBERT DEROCKER3 WARNER L.ANETARRYTOWN, NY 10591
Visa ending in 9503 (Purchase)Authorization Code 02265D
Total $36
Purchase Summary - Ticket Number 2541050608513
Train 2109: NEW YORK (PENN STATION), NY - WASHINGTON, DCDepart 8:00
AM, Wednesday, September 18, 2013
1 ACELA EXPRESS BUSINESS CL SEAT
$180.00
Ticket Terms & ConditionsACELA EXPRESS SERVICE, NO PARTIAL REFUND IF USED ON OTHER
SERVICE
Subtotal
$180.00
Train 2166: WASHINGTON, DC - NEW YORK (PENN STATION), NYDepart 1:00
PM, Thursday, September 19, 2013
1
1 ACELA EXPRESS BUSINESS CL SEAT
$180.00
Ticket Terms & ConditionsACELA EXPRESS SERVICE, NO PARTIAL REFUND IF USED ON OTHER
SERVICE
Subtotal
$180.00
Total Charged by Amtrak
$360.00
Passengers: Robert Derocker
Important Information
Tickets are non-transferrable.
Changes to your itinerary may affect your fare.
Refund and exchange restrictions and penalties for failure to cancel unwanted travel may
apply. If your travel plans change and you do not modify your reservation before
departure and then do not board your train, your entire reservation from that point will be
canceled. See the refund/exchange policy at Amtrak.com/refund.
Summary of Conditions of Contract: Ticket valid for carriage or refund (subject to the
refund rules of the fare purchased) for twelve months after date of issue unless otherwise
specified. Amtrak tickets may only be sold or issued by Amtrak or an authorized travel
agent/tour operator. Tickets sold or issued by an unauthorized third party will be voided
by Amtrak. This ticket is a contract of carriage between Amtrak and the ticket holder,
which is subject to specific terms and conditions, which are available for inspection at
Amtrak ticket counters, on the Amtrak website at Amtrak.com/conditionsofcontract, or by
calling 1-800-USA-RAIL. Tickets sold for non-Amtrak service are subject to the tariffs of
the providing carrier.
• Questions? Contact us online at Amtrak.com/contact or call 1-800-USA-RAIL (1-800-872-
7245) or TDD/TTY (1-800-523-6590).
2
Priceline.com- Printer Friendly Receipt http://www.priceline.com/hotels/acceptReceipt.do?jsk=504a200a544a...
0 0
roceflo nll.com- grip receipt
»Print Receipt »Back to Previous Page
The Embassy Row Hotel
2015 Massachusetts Avenue Northwest,Washington,DC 20036 1202-265-1600
Check-In: Wed,Sep 18,2013/After 03:00 PM
Check-Out: Thu,Sep 19, 2013 112:00 PM
Rooms: 1 room
Confirmation#: 178929196
Priceline Trip#: 345-405-763-60
Summary of Charges
Room 1 : Robert Derocker,Confirmation#:178929196
Billing Name: Robert Derocker
Payment Method:
Offer Price: $275.00
avg.per room,per night
Rooms: 1
Nights: 1
Room Subtotal: $275.00
Taxes: $39.48
Fees: $11.32
Total Charged to Card: $325.80
Prices are in US dollars.
Important Information
Remember,your Priceline hotel reservation is non-refundable,non-transferable and non-changeable. If you have any questions or require
further assistance,please visit our Help Section.You may also contact our Customer Service Department toll-free at 1-800-657-9168(when
calling from United States/Canada),+1 212 444 0022(when calling from anywhere else).Please have your priceline trip number
(345-405-763-60)and the phone number you used when you placed your request(917-658-4653)ready when you call.
i
All rooms will accommodate 2 people. Bed type requests(King,Queen,2 Doubles,etc.)or other special requests such as a non-smoking or
smoking room should be requested through your confirmed hotel,can not be guaranteed and are based on availability.
Reservation is guaranteed for arrival on the confirmed check-in date only.If you do not check-in on the first day of your reservation and
you do not alert the hotel in advance,the remaining portion of your reservation will be canceled and you will not be entitled to a refund.
When you check-in,please present the confirmation number(s)printed above(one for each room)and your photo ID at the Front Desk.In
addition,the hotel will require a major credit card to guarantee incidental charges(phone calls,room service,parking,resort fees,energy
charges,etc.)that you may incur while staying at the hotel.Should you have a special request,please contact your hotel directly at the
number listed above to coordinate your arrangements.
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SIGNATURE
Guest copy
VOUCHER NO. WARRANT NO.
HALLOWED 20
Rob DeRocker
IN SUM OF $
3 Warner Lane ='
Tarrytown, NY 10591 -�
$751.15
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25255 I Expense Report I 43-404.01 I $751.15 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
Sunday, October 20,2013
Director, C , munity 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))
10/03/13 Expense Report $751.15
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