Elizabeth Wheaton December 2013 Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100) 3 n
LAST NAME--FIRST NAME MIDDLE NAME: NAME OF AGENCY* 35
Wheaton, Elizabeth S.
City of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive,4th Floor Public Works Environmental Resources Manager
CITY: ZIP: COUNTY.- FOR QUARTER ENDING(CHECK ONE): YEAR
Miami Beach 33139 Dade ❑MARCH ❑JUNE ❑SEPTEMBER @DECEMBER 2013
PART A STATEMENT OF GIFTS
Please list below each gift,the value of which you believe to exceed$100,accepted by you during the calendar quarter for which this statement is
being filed.You are required to describe the gift and state the monetary value of the gift,the name and address of the person making the gift,and the
date(s)the gift was received. If any of these facts,other than the gift description,are unknown or not applicable,you should so state on the form.As
explained more fully in the instructions on the reverse side of the form,you are not required to disclose gifts from relatives or certain other gifts.You
are not required to file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
September 21,2013 Airfare to the Netherlands $1,363.30 Consulate General of the 701 Brickell Ave,Suite
Kingdom of the Netherlan 500 Miami FL 33131
September 22-23 Hotel Stay(Netherlands) $452.89 Consulate General of the 701 Brickell Ave,Suite
9/22-9/23 Kingdom of the Netherlan 500 Miami FL 33131
September 24-25 Hotel Stay(Netherlands) $181.32 Consulate General of the 701 Brickell Ave,Suite
9/24-9/25 Kingdom of the Netherlan 500 Miami FL 33131
September 25-26 Hotel Stay(Netherlands) $226.47 Consulate General of the 701 Brickell Ave,Suite
9/25-9/26 Kingdom of the Netherlan 500 Miami FL 33131
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B—RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by the person making the gift,you are required to attach a copy of that receipt to this
form.You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt.
0 CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PART C—OATH
1,the person whose name appears at the beginning of this form,do STATE OF FLORID
COUNTY 0.
depose.on oath or affirmation and say that the information disclosed Sworn to(or affirmed)..and s cri0ed bfore me this
10) day
herein and on any attachments made by me constitutes a true accurate, 20
and total listing of all gifts required to be reported by Section 112.3148,
Florid Statutes.
atur' # of u R eR, 0
My Commission EE1 36328
C;—P
(Print,Type or Stamp
SIGNATURE OF REPORTING OFFICIAL Personally KNwn 0 roduced Identification
Type of Identifica ed
PART D FILING INSTRUCTIONS
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-5709;physi-
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the calendar quarter
that follows the calendar quarter for which this form is filed(For example,if a gift is received in March,it should be disclosed by June 30.)
CE FORM 9-EFF 1/2007 (See reverse side for instructions)
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.Two.Thousand Two:HUndred Twenty-Three and_981100 DOLLAF I.
CITY OF MIAMI BEACH '_ . .1.
AT.TN ELIZABETH VVHEATON von Fr�RSO DAYS`t,I.
1700'CONVENTION CENTER -.
MIAMI=BEACH, FL-33139
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0000001 Elizabeth Wheaton, Environmental Resources Manager Page 1 of 1
Elizabeth Wheaton, Environmental Resources Manager INVOICE
C/O City of Miami Beach, Public Works
1700 Convention Center Drive
Miami Beach, FL 33139
Consulate General of the Kingdom of the Netherlands Invoice # 0000001
C/O Esther van Geloven
701 Brickell Avenue,Suite 500
Miami; Florida 33131 Invoice Date 10/22/2013
Due Date 11/22/2013
Item Description Unit Price Quantity Amount
Airfare 1363.30 1.00 1,363.30
Hotel Stay: 9.22.2013-9.23.2013 452.89 1.00 452.89
Hotel Stay: 9.24.2013-9.25.2013 181.32 1.00 181.32
Hotel Stay: 9.25.2013-9.26.2013 226.47 1.00 226.47
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NOTES: Miami Beach Water Study Trip to the Netherlands- Septemeber 23-26.
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Subtotal 2,223.98
Total 21223.98
Amount Paid 0.00
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Balance Due (USD) $2,223.98
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http://www.aynax.com/printInvoice.php 10/22/2013
Doc�g ,
CITY OF MIAMI BEACH `�:, ,, -�-= �d3�°
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TRAVEL EXPENSE REPORT fi;_.:.:._:,: ;: z..._:r oil
EMPLOYEE: F 1)24 bs► IJ 14a,74 m DATE:
TITLE: S1>Jy-U s DEPT 1'7 dU i't- I&)IYZ-LS
DESTINATION: a.t ia( �k� BUDGET ACCT: l-0430-0003(a3
TRAVEL DATES:FROM: G�-Z) Z&i-3 TO: 9
PRIVATE VEHICLE MILEAGE: @$0.20=
DATE f< �� `� ?.�0 9l Z� �f�21 Vag
TOTAL
DAY Mon. Tue. Wed. Thu. Fri. Sat. Sun.
REGISTRATION
AIR FARE 3 0
MILEAGE CHARGE
TAXI/LIMO/OTHER /0• f S,i ,13I �'�, 57
HOTEL/MOTEL jy j, 3 2/ a210,Lf-9v f�{.I a 34 1,oyr, SS
BREAKFAST
LUNCH
DINNER
CAR RENTAL
COMMUNICATION
PARKING/TOLLS
OTHER -T
TOTAL EXPENSES
LESS: TOTAL OF ADVANCES PAID ON TRAVEL REQUEST: t � $
NET OWED TO EMPLOYEE OR (REFUNDED)
TO
I hereby certify that the above is a true and correct statement of travel expenses incurred in the conduct of City Business.
EMPLOYEE: t 3
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — T ir—— — - - - - - - --- --
DEPT. DIRECTOR APPROVAL.
a
MANAGEMENT AND BUDGET APPROVAL:
CITY MANAGER APPROVAL:
FOR FINANCE USE ONLY:
DP Request No. Check No. Date Amount: $
Refund MCR No. V Date Amount: $
WHITE •ACCOUNTING
YELLOW. TRAVELER
Hampton by Hilton Amsterdam Airport Schiphol tel:+31 23 820 0940
Neptunusstraat 1,2132 JA Hoofddorp,The Netherlands fax:+31 23 820 0941
WHEATON,ELIZABETH ROOM NUMBER 206/NVR
ARRIVAL DATE 26/09/2013 19:27:00
NETHERLANDS DEPARTURE DATE 27/09/2013 08:47:00
ADULT/CHILD 1/0
ROOM RATE €129.00
RATE PLAN LV1
AL:
Hhonors#
INVOICE 6512
CONFIRMATION NUMBER: 85831543 VAT#
FOLIO NO./CHE 43190 A
27/09/2013 PAGE 1 TAX DATE: 27/09/2013
DATE DESCRIPTION ID- REF NO GUEST CHARGES CREDIT BALANCE
26/09/2013 GUEST ROOM ESVA 71161 129.00
26/09/2013 CITY TAX 6% ESVA 71161 7.30
27/09/2013 AX*1007 BODE 71399 136.30
BALANCE 0.(
ESTIMATED CURRENCY TOTAL EUR 0.(
VAT AMOUNT INCL.VAT
DECUCTABLE VAT AT 21% 0.00 0.00
NON DEDUCTABLE VAT AT 21% 0.00 0.00
DEDUCTABLE VAT AT 21% 0.00 0.00
DEDUCTABLE VAT AT 6% 0.00 0.00
NON DEDUCTABLE VAT AT 6% 0.00 0.00
DEDUCATBLE TAX AT 6% 7.30 129.00
VAT AT 0% . 0.00 0.00
NO VAT INCLUDED 0.00
CITY TAX 7.30
TOTAL 136.30
CREDIT CARD DETAIL
APPR. CODE: MERCHANT ID:
CARD NUMBER: AX*1007 EXP DATE: 11/2014
TRANSACTION ID: 71399 TRANS TYPE: SALE
Guest Signature:
Please debit my account by the amount indicated above.
THANK YOU FOR CHOOSING HAMPTON BY HILTON AMSTERDAM AIRPORT SCHIPHOL. LOOK OUT FOR
SPECIAL OFFERS ON OUR WEBSITE WWW.HAMPTON BYHILTON.COM.WE LOVE HAVING YOU HERE.
TVHG Budget Schiphol II BV hodn Hampton by Hilton Amsterdam Airport Schiphol Bank Rabobank 37.77.22.588 IBAN NL23RAB0O377722588 BIC RABONL2U,K.v.K.no.53074041
Amsterdam,VAT no.NL850734368.B.01 All agreements we enter into are subject to the UVH conditions(Uniform Conditions for the Hotel and Catering Industry),
as deposited with the District Court of The Hague and the Chamber of Commerce of The Hague
American Expr ress° Gold Card P 319
Fv'V7cRICr=+fl
E-(PRESS
- ELIZABETH S WHEATON Account Ending 8-51007
Closing Date 10/13/13
New Charges
Summary
Pay In Full Pay Over Time ® Total
Total New Charges
0-denotes Pay Over Timeactiviy
Detail
For more information,visit
americanexpress.com/payovertimeinfo
ELIZABETH 5 WHEATON
Card Ending 8-51007 Foreign
Spend Amount
wmw
1-866-617-1893
Description
41bu
CREDITREPORT
SEE ISIV:
lip I
136,30 $184.90 S
pg/27/13 HAMPTON BY HILTON AMHOOFDDORP NL European U ion
LODGING
MERCHANDISE
To: Carrier. Class:
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w 0rintelhotels.nl
Nieuwulidskolk 191012 PV Amsterdam
The Netherlands
Mrs. Elizabeth Weathon T+31(0)20 530 18 18
F+31(0)20 422 19 19
infoamsterdamQrintelhotels.nl
United States
Room No. : 5566
No. of person(s) : 1
Arrival : 25-09-13
Departure : 26-09-13
INVOICE : 247816 Reservation No. : 39540593
Cashier No. : 10 / FAKK
Inntel Hotels Amsterdam Centre, 26-09-13 08:04 Page No. : 1 of 1
b'
D:ae_:� D� It:-€.- C-
rid it-.€
25-09-13 Citytax 7.26
25-09-13 Accommodation 157.50
26-09-13 American Express 164.76
Su � ,
i Balance Due: 0.00
Total incl. VAT 164.76
Net VAT Total
Deductable Low 132.08 7.92 140.00
I Non Deductable Low 16.51 0.99 17.50
i Deductable Hiqh 0.00 0.00 0.00
Non Deductable Hlqh 0.00 0.00 0.00
l
No VAT includ ed
0.00 0.00 0.00
City Tax 7.26 7.26
i 0.00
Thank you for choosing Inntel Hotels Amsterdam Centre
Inntel celt lbrates its 30th birthday
Signature; Merchant ID Credit Card# XXXXXXXXXXXIO07
Transaction ID 38419326 Credit Card Expiry XX/XX
t Approval Code A61 Capture Method Manual
Approval Amount 164.76 Transaction Amount 164.76
NMI
1
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i Amsterdam Centre.
www.innielhotels.nl
Nieuwdidskolk 191012 PV Amsterdam
The Netherlands
' T+31(0)20 530 18 18
Mrs. Elizabeth Wheaton FAA(0)20 422 19 19
FL 33140 MIAMI BEACH infoamsterdam @inntelhoteis.ni
United States
Room No. : 5572
No. of person(s) : 1
Arrival : 22-09-13
Departu re : 24-09-13
INVOICE Reservation No. : 39534130
Cashier No. / SKAAN,NL
Inntel Hotels Amsterdam Centre, 24-09-13 07:43 Page No. : 1 of i
FD ate DesGriy� ion -. �.:; °:Debit>€..;%' Cre`d(t`€' _-
22-09-13 Citytax 7.26
22-09-13 Accommodation 157.50
23-09-13 Citytax 7.26
i
23-09-13 Accommodation 157.50
Subtotal
Balance Due: 329.52
i
Total Incl. VAT 329.52
i
Net VAT Total
I Deductable Low 264.15 15.85 280.00
Non Deductable Low 33,02 1.98 35.00
I' Deductable High 0,00 0.00 0.00
I Non Deductable Hiqh 0.00 0.00 0.00
No VA7 included 0100 0.00 0.00
City Tax 14,52 14.52
0.00
i Thank you for choosing Inntel Hotels Amsterdam Centre
fInntel celebrates its 30th birthday
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Hampshire
HOTEL—DELFT CENTRE
MRS ELIZABETH WHEATON Bill 2013010829
3900 N MERIDIAN AVE #3 Date 25/09/2013
MIAMI BEACH CA 33140 Room 709 Bob Dylan
VERENIGDE STATEN Arrival 24/09/2013
Departure 25/09/2013
Hampshire Hotel, Delft Centre
i
Date Description Supplement Qty, Price Amount in
24/09 Grouprate 1 129.50 129.50
i 24/09 Citytax 1 2.35 2.35
25/09 American Express 371716XXXXX1007 11-14 -131,85
I
Total 131,85
Paid -131,85
To be paid € 0.00
e
Gross Vat Net
Tax Free 2.35 2.35
VAT 6% 129.50 7.33 122.17
We thank you for your reservation.
I
KvK: 27194734 VAT: NL809395678BOI Bank: 154848182 IRAN: NL03RABOO154848182 BIC: RABONL2U
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Koepoortplaats 3, 2612 RR Delft
I Tot ,21 (M 1 S 1)1 1)1)1 1)5 1;.,_, .a 1 IAN I[ 11 1).1 1 1 C
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To: Wheaton, Elizabeth
Subject: eTicket Itinerary and Receipt for Confirmation D52P4V
UNITED A eTAR ALLIANOE MEM®ER��• Confirmation:
D 52P4V
Check-In>
Issue Date: September 04,2013
Traveler eTicket Number Frequent Flyer Seats
WHEATON/ELIZABETHSMS 0162378944696, 32F/28B/28B/4C
FLIGHT INFORMATION
Day, Date Flight ClassDeparure City and Time Arrival City and Time Aircraft Meal
Sat, UA283 K MIAMI,FL NEWARK,NT A-320 Purchase
21 SEP 13 (MIA) 12:30 PM (EWR- LIBERTY) 3:36 PM
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_._.�i`L':��,L..�w f'a•.��-a..-L^�`-..ry.1:'.4��i....�'���:r._..r:r_�.i' -....r•'4.._.... .� ._.. .'..�_'�.__..•�.�., ;n ..♦ _+._�.r_'.�° ..-w+�-.: �-�°�,-' -, -�
_ -J:t_..:c- Wit.�.' ..L� .i 'T':. .7 s_'•.n.T'_``�'::. � _._..t.
Fri, UA947 K AMSTERDAM, 767.300 Limch
27SEP13 NETHERLANDS WASHINGTON,DC
(AMS) 11:15 AM (IAD-DULLES)2:10 PM
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FARE INFORMATION
Fare Breakdown Form of Payment:
Airfare: 433.00USD MASTERCARD
U.S. Customs User Fee: 5.50 Last Four Digits 5347
j U.S.Immigration User Fee: 7.00
U.S:APHIS User Fee: 5.00
i
i U.S.Federal Transportation Tax: 34.40
September 11th Security Fee: 7.50
Netherlands Airport Security Fee: 17.10
Netherlands Passenger Service Charge: 20.60
Netherlands Noise Isolation Charge: 2.70
International Surcharge: 536.00
U.S.Passenger Facility Charge: 13.50
Per Person Total: 1,082.30USD
eTicket Total 1082:30USD
The airfare you paid on this itinerary totals: 433,00 USD
The taxes, fees, and surcharges paid total: 649.30 USD
Fare Rules: Additional charges may apply for changes in addition to any fare rules listed.
NONREF/OVALUAFTDPT/CHGFEE
Cancel reservations before the scheduled departure time.or TICKET HAS NO VALUE.
2
Additional Wed., Sep. 4,2013/MasterCard 5347 was charged_129' USD for the following:Economy
Charges: Plus Seat/EDD 01629242135603
Wed., Sep. 4,2013/MasterCard 5347 was charged1=14.`00 USD for the following Economy
Plus Seat/EDD 01629242135592
Wed., Sep. 4,2013/iMasterCard 5347 was charged 38.OQ USD for the following:Economy
Plus Seat/EDD 01629242135581
Baggage allowance and charges for this itinerary.
Baggage fees are per traveler
Origin and destination for checked baggage 1St bag 2nd bag Max wt/dim per piece
9/21/2013 Miami, FL(MIA)to.Amsterdam, 0.00 100.00 50.Olbs(23.Okg)-62.0in
Netherlands(AMS) USD USD (157.Ocm)
9/27/2013 Amsterdam, Netherlands (AMS) to Miami, 0.00 100.00 50.Olbs(23.Okg)-62.0in
FL(MIA) USD USD (157.Ocm)
Additional Baggage Information
Carry-on baggage information
United accepts one carry-on item of no more than 45 linear inches or 114 linear centimeters in the aircraft
cabin.,along with one personal item(such as a shoulder or laptop bag).
Due to FAA regulations, operating carriers may have different carry-on requirements. Please check with the
operating carrier for
more information or go to united.com.
General Baggage Information
First and second bag service charges do not apply to active-duty members of the U.S. military and their
accompanying dependents. For additional information regarding baggage charges
allowances, weight/size restrictions,exceptions or embargoes,or charges for overweight, oversized,excess,
odd-sized baggage, special items
or sporting equipment, visit united.com/baggage.
International eTicket Reminders
s Check-in Requirement-Bags must be checked and boarding passes obtained at least 60 minutes prior to
scheduled departure.Baggage will not be accepted and advance seat assignments may be canceled if this
condition is not met.
& Boarding Requirement-Passengers must be prepared to board at the departure gate with their boarding
pass at least 30 minutes prior to scheduled departure.
s Failure to meet the Boarding Requirements may result in cancellation of reservations, denied boarding,
removal of checked baggage from the aircraft and loss of eligibility for denied boarding compensation.
* Bring this eTicket Receipt along with photo identification,proof of citizenship,passport and/or visa to the
ticket lobby for check-in.
The FAA now restricts carry-on baggage to one bag plus one personal item (purse,briefcase,laptop
computer, etc.) per passenger.
3