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Home My WebLink About226495 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1 ONE CIVIC SQUARE ASHLEY ULBRICHT CHECK AMOUNT: $612.51 CARMEL, INDIANA 46032 433 AUTUMN DRIVE CARMEL IN 46032 CHECK NUMBER: 226495 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 612 . 51 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report (required for all travel expenses) ./ry01At3P. EMPLOYEE NAME: Ashley M Ulbricht DEPARTURE DATE: 09/29/13 8:20 AM DEPARTMENT: Law Department RETURN DATE: 10/03/13 TIME: 12:30 AM REASON FOR TRAVEL: IMLA Annual Conference DESTINATION CITY: San Francicso, CA EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9/29/13- $65.00 $65.00 9/30/13 $65.00 $65.00 10/1/13 1 $65.00 $65.00 10/2/13 1 $65.00 $65.00 10/3/13 $65.00 $65.00 $0.00 10/1/13 $11.00 $11.00 10/1/13 $8.00 $8.00 10/2/13 $9.00 $9.00 10/2/13 $9.00 $9.00 bag fee $25.00 $25.00 bag fee $60.00 $60.00 bag fee $100.00 $100.00 shipping $45.51 $45.51 shipping $20.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.0 . $287.511 $0.001 $0.001 $0.00 $0.00 $0.001 $0,001 $325.00 $0.00 DIRECTOR'S A TJ ereby affirm II expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Sign ture: Date: 1111413 City of Carmel For Revision Date 11/19/2013 Page 1 Southwest Airlines - Pricing and Restrictions Page 1 of 2 Search Southwest southwestgiftcardsR I Sign Up'n Save I Help I Espanol Search Flights Select Flights Price Purchase Confirmed Indianapolis, IN to San Francisco, CA Quick Air links Check In Air Total Price: $431.60 Change Flight Check Flight Status ITINERARY Account Login Enroll Now! --..._....... ._.....---.. ...._._.._ .................. __ .... ............. _...... DEPART iq 08.20 Depart Indianapolis,IN(IND)on 7{ Flight Account Number or Username SEP 29 y AM Southwest Airlines F t #3583 SWI=r Passwm (Case Sensi6w) SUN -_ - Sunday,September 29,2013 ❑Remember Me I09:25 AM Arrive In Las Vegas,NV(LAS) a ._..... ____.... ... _............ .... .... r......... _ - Need help logging in? #° 10:40 AM Change=�7C to Southwest Airlines In Flight Travel Time 6 h 55 m H Las Vegas,NV(LAS) tt1a9a sounrucsr (1 stop,includes 1 plane change) �y t Wanna Get Away Manage Travel --/� 12:15 PM Arrive In San Francisco,CA(SFO) ? j/ t_._ ............ _ _ t -- _._..._ - -.. Shopping Cart RETURN ^03:10 PM Depart San Francisco,CA(SFO)on night I t OCT 3 Southwest Airlines #3610 lick rWVCSs THU - 91 /fir Modify I Remove i Thursday,October 3,2013 SEP znDepa t Flt 583 98 05:05 PM Arrive m Phoenix,AZ(PHX) ! i 06:15 PM Change....X to Southwest Airlines in Flight Travel lone 6 h 20 m SUN IND SFO #200 sptrxrr P%r f (1 stop,Includes 1 plane change) 8:20 AM 12:15 PM Phoenix,AZ(PHX) --- �J is 1 Wanna Get Away Adult Air fare per person 12:30 Arrive in Indianapolis,IN(IND) ? Wanna Get Away fare $280.80 AM OCT 3 Return Flt 3610/200 __..... ................ _._____ F THU! yJl i-_. ....... _--__._....., ......___ SFO IND 3:10 PM 12:30 AM What you need to know to travel. 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Excellent Value - nnsierzme-no-,.m.e.hangar aIOV.cd; o Nc.refundable - e vo Chan;;,=oes Save Flight Checkout Ye fare dfe-en,a Return SFO-PHX-IND Wanna Get Away o --1 1I 1 $150.60 Excellent Value p+or ron=tarat:k-ii—am,chanties Or—,d; e van:erund,m` Rapid Rewards Enroll in Rapid Rewards and earn at least 2328 Points per person for Subtotal $431.60 this trip.Already a Member?Log in to ensure you are getting the Fare Breakdown points you deserve. Travel Guide I You can't end this great fare on any other website. 1st and 2nd Checked Bags Fly Free. Southwest fares are only on Southwest.com. Bag Charge $0.00 Weight and size limits apply. Air Total: $431.60 Get $100 after first purchase. Purchase your shopping cart... �? to 1j i.A Modify Trip By clicking'Continue',you agree to accept the fare rules and want to continue with this purchase t1J,, D`4-, W 0 Add a Hotel We'll keep an eye on your Can for you while you shop,Products not confirmed until purchase. http://www.southwest.com/reservations/price-reservations.html?disc=sdc%3A 1376401458... 8/13/2013 Southwest Airlines - Pricing and Restrictions Page 2 of 2 Search for hotels in San Francisco(09/29/2013-10/03/2013) Close To(optional) i Center of destination L7 within 30 miles j Show Only (optional Hotel Chains ' Shop All Hotel CP Date Dropoti` htLptels 09/29/2013 I 10/03/2013 Trip Total $431.60 Shop All constitutes acceptance of our Terms and Conditions.Privacy Policy - -- ---- "--- "-- http://www.southwest.com/reservations/price-reservations.html?disc=sdc%3A 1376401458... 8/13/2013 Page 1 of 1 s Print ' Cancel 94-1hOCRE'DuIllit ,' Uc Nn'IONS' Transaction History for Current Transactions Transactions Trans Date Post Date Transaction Description Amount 09/29/13 09/30/13 DELTA AIR 0068225386521 INDIANAPOLIS IN $100.00 09/29/13 09/30/13 DELTA AIR 0068226787280INDIANAPOLIS IN $25.00 WNW CMMft 01101 0 1'/,13'X101 02/�13�;•tADY�;UbeFlTeah�iologies 866:576,1039 CA'u+�r''��.��,i�$ ' :;�"�'� "u.Y� ��$'��0 "',Y'• b 0/01/33 10102113. t, ADY Uber-Technologies 866-6761039 CA T"( come(i10/0;i/y13-"s`"L'ai0102/,13 .��ADY Uber Technologle's�666-57,63039 CQ_��,;�;.,��;y ,,,�••�x�-� '� �,�;r,;,$9��Qr �MOM 10/02/13 M r T-ecnf/313 rdDY( Z. 866-5761039 C/1 � � � g t TM`$9.00 ISM dMMOb 10/03/13 10/04/13 DELTA AIR 0068226246917SAN FRANCISCOCA $60.00 10/04/13 10/06/13 FEDEX 795845396847 800.4633339 TN $45.51 10/05/13 10/06/13 FEDEX 082097153828 800-4633339 TN $3.81 10/05/13 10/06/13 FEDEX 082097157461800-4633339 TN $20.00 glow SOMEMP Transaction hislory may not include any charges pending. l ittps://cucc.fdecs,com/eCustSei-vice/faces/xlitrnl/au th/eCS_BackEnd/accountActi vity/acc,.. 10/21/2013 g� 0 E L T A PASSENGER RECEIPT 01 EXCESS BAGGAGE 29SEP13 0066 US UL-BRICHT/ASHLEYMARIE DL/KI IND FTO TICKET "NOT VALID FOR** THIS IS YOUR RECEIF **TRANSPORTATION** PSGR TICKET 0067308071690 0' F(j FOR CONDITIONS OF 00 CPKTHZ /oL CONTRACT — SEE 00 PASSENGER TICKET AN BAGGAGE CHECK 25 . 00 16 17 0295 1 NOT VALID FOR TRAVE U 9SDZS . 00 1 006 8225787280 6 1 006 8225787280 6 µ ® E L TA J PASSENGER RECEIPT Ol EXCESS BAGGAGE 03oCT13 0066 US TICKET DL/KI SFO FTO ULBRICHT/ASHLEYMARIE THIS IS YOUR RECEIPT "*NOT VALID FOR*^ "TRANSPORTATION" TICKET 0067308071690 FOR CONDITIONS OF (WK,,,Z /M- CONTRACT — SEE s1:0 Di_ sLC 0i_ [wu PASSENGER TICKET ANC Niece 60.00 BAGGAGE CHECK eec 60.00 USD 60. 00 vr.--X�jw/0030i0 NOT VALID FOR TRAVEL 1 006 8226246917 6 1 006 8226246917 6 USD60. 00 W Lr > Uj a J < N l7 W Z 1-- > ~ � Lli OOQ Cr 00 J co Y_ O OL/) w N FedlzKOffice. )-- } � UcoO 0No V) F— Un LL Z4L t lJ H � = LLLJ 0 > O In V u- H O LU H Z V) J 1- z z S > z O CD t!1 O 333 O'FARRELL -� N SAN FRANCISCO, CA 94102 Y Ln o CL 00 N Location: SFOKS LU 00 Device ID: SFOKS-POS1 LU o m Employee: 2269357 `e`o O o `^ID fV Transaction: 82097157461 ��° H !— N c�n, w N �D LU a V O LU FEDEX HOME DELIVERY n m CD 795845396847 27.80 is (S) 45.51 <1 M J O Ce Declared Value 300 �L r� CL 0 w _J In Scheduled Delivery Date is 4 business days HndingFee 20.1-30lbs 790363227427 1 (T) 20.00 LU H % 1 w 0 Shipment subtotal : 45.51 > o LL Merchandise taxable subtotal : 20.00 U o < Tax(CA) 6.500% 0.00 Tax(County) 1.000% 0.00 �� < > a ° Tax(Countv2) 1.250% 0.00 �� zQ o g S a c> z 1 ° C Tota 1 Due: 65.51 CH l C V) m 0 _� (V) CreditCard: 65.51 W V) ** **********3617 M = 4leight entered manually S = 4leight read froo scale T = Taxable item ubiect to additional charges. See FedEx Service Guide t fedex.con for details. All merchandise sales final. 3dEx disclains all warranties, express or inplied, icluding, without linitation, the inplied warranties of ?rchantability and fitness for a particular purpose. its packaging is sold 'as is' 'with all faults.' By wing for and accepting this packaging, You agree to Tease and hold FedEx harnless for any clains, suits, sputes or causes of action relating to this packaging uell as any related incidental or consequential images incurred by You or any other party. Visit us at: fedex.com Or call 1.800.GoFPdFx Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 Ashley M. Ulbricht Purchase Order No. Terms Carmel, Indiana 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/15/13 Reimburse Ashley M. Ulbricht for monies she personally $612.51 expended for expenses during IMLA's annual conference 9/29/13- 10/3/13 in San Francisco, CA- per the attached Total 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 A-,hIPV M Ulhricht IN SUM OF $ Carmel, Indiana 46032 $ $612.51 ON ACCOUNT OF APPROPRIATION FOR Department of Law - 1180 430-43002 External Training Travel Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 1180 IMLA 43002 $547.00 bill(s) is (are) true and correct and that the Postage 65.51 materials or services itemized thereon for which charge is made were ordered and received except �6 fQ.(Vl 20 i3 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund