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Jay J. Fink December 2013 QUARTERLY GIFT DISCLOSUR8,'E_ (GIFTS OVER $100) LAST'NAME FIRST NAME—MIDDLE NAME: NAME OF AGENCY- Jay J. City of Miami Beach MAILING ADDRESS: OFFICE OR'POSITION•HELD-. 1700 Convention Center Drive,4th Floor Public Works Assistant Public Works Director CITY: zip: COUNTY: FOR QUARTER ENDING(CHECK ONE)- YEAR Miami Beach 33139 Dade ❑MARCH ❑JUNE ❑SEPTEMBER 0 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) $18132 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 OF depose on oath or affirmation and say that the information disclosed Sworn 4o(or affirmed)and sul'scr scribed b .&ere22is 0 day of herein and on any attachments made by me constitutes a true accurate, —1-D_ I 20_L�_ and total listing of all gifts required to be reported by Section 112.3148, by Florida Statutes. hatu o Ljio,��11 R i,i I:lir_-State of Florida) P& w<. Notary Public State of Florida SIGNATURE TU 0 �Print, ype,or Stam 0 , ilL-SiV SIGNATURE OFF-' NG OFFICIAL -Pb��nally Known d;a�,,�PERIRA§-:FvW�o I EE136328 Type of Identificatio -Pro AL 15 PART D—FILING INSTR� MO 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) � Accl # #. m, OF MIAMI BEACH U - TRAVEL EXPENSE REPORT % � $ EMPLOYEE: �• dY1t�. DATE: I l C I3 f TITLE: N-S [ U-) O DEPT. (L DESTINATION: BUDGET ACCT: Ott X10- 000 3 TRAVEL DATES:FROM: G( - Z ( - t 3 TO: Of -2� - (3 PRIVATE VEHICLE MILEAGE: @$0.20= �UfpoS�: �Cc� �un�tnb' sSt�ly t �tSC-. DATE q 1,23 �IZ q�Zv "t[2 �` 2� a l2 42z, TOTAL DAY Mon. Tue. Wed. Thu. Fri. Sat. Sun. REGISTRATION AIR FARE 13(DS. 30 MILEAGE CHARGE d / TAXI/LIMO/OTHER 10• 433,W 6 -(3 �qq •Jr 6 HOTEL/MOTEL 22-(D-q5 �6 1.32 '22(0'4 i ' !�( 2 -� ��So BREAKFAST LUNCH DINNER CAR RENTAL COMMUNICATION PARKING/TOLLS OTHER TOTAL EXPENSES s-2'463-4� LESS: TOTAL OF ADVANCES PAID ON TRAVEL REQUEST: $ ' NET OWED TO EMPLOYEE OR (REFUNDED) TO CITY. $ ; - t-UnT ur 1 I hereby certify that the above is a true and correct tatem t of ve expenses incurre n e uct of C. usin �} ', 3 EMPLOYEE: 223 - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - UN CJq ACC x1 - DEPT. DIRECTOR APPROVAL: MANAGEMENT AND BUDGET APPROVAL: CITY MANAGER APPROVAL: FOR FINANCE USE ONLY. DP Request No. Check No. Date -Amount: $ Refund MCR No. Date Amount: $ I ;t WHITE ACCOUNTING I YELLOW- TRAVELER 53 � 7 Cf PINK DEPARTMENT � - tr =G 36.3 rat. CITY OF MJAMI BEACH Repay TRAVEL EXPENSE REPORT EMPLOYEE: ) , n DATE: p TITLE: i l�) \V.,eL+Dy DEPT.- _ l b�1'G �b S DESTINATION: s r a(Yl I UAICtS BUDGETACCT.- I l'b8�0 Ooo TRAVEL DA TES:F M: q -Z t, 2.0 3 TO: PRIVATE VEHICLE SAGE: @$0.2: = DATE DAY Mo Tue. Wed. Thu. Fri. Sat. Sun. TOTAL REGISTRATION AIR FARE MILEAGE CHARGE TAXI/L/M0/OTHER , 4f gy HOTEL/MOTEL BREAKFAST LUNCH DINNER CAR RENTAL COMMUNICATION PARKING/TOLLS OTHER TOTAL EXPENSES $ LESS: TOTAL OF ADVANCES PAID ON TRAVEL REQUES $ Q' NET ED TO EMPLOYEE O REFUNDED) TO CITY: ry .fie. kv I hereby certify that the above is a true and correct statement of travel expenses in ur a con al f City Business. EMPLOYEE: - - - - - - - - - - - - - - - - - - - - - - - - - - - DEPT. DIRECTOR APPROVAL: MANAGEMENT AND BUDGET APPROVAL: (J CITY MANAGER APPROVAL: FOR FINANCE USE ONLY. DP Request No. Check No. Date -Am nt. $ Refund MCP No. Date Amount: $ WHITE - ACCOUNTING �. .t� C��.5 J l 6,4-v — PINK - TRAVELER ( L 1� PC4_4 PINK - DEPARTMENT \ 1 0000002 Jay J. Fink, Assistant Director Page 1 of 1 Jay J. Fink, Assistant Director 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 # 0000002 C/O Esther van Geloven 701 Brickell Avenue,Suite 500 Invoice Date 10 22 Miami, Florida 33131 / /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: 09.24.2013-09.25.2013 181.32 1.00 181.32 HOtel Stay: 09.25.2013-09.26.2013 226.47 1.00 226.47 NOTES: Miami Beach Water Study Trip to the Netherlands: Septemeber 23-26. Subtotal 2,223.98 Total 2,223.98 Amount Paid 0.00 Balance Due (USD) $2,223.98 i http://www.aynax.con-dprintlnvoice,php 10/22/2013 United Airlines - Thank You for Choosing United Airlines Page 1 of Ex [:If ( lIT� ...y :v Cf 5 e ��P =dE r �a�l�4E� = r ...� �. CNFIRP1ATIGN I F;R Thank You for Choosing United Airlines Thank you for choosing United Airlines. Economy Plus Amsterdam Hotels Purchase From Economy ESWA URZI Book Plus® seating Today and enjoy more space to Search Hotels > relax. Book early for the best Amsterdam Car availability. Rentals IS' Book ;)m car partners to save up � a to 35% and earn 75 146ft ' reward miles per day. Confirmation e-mail sent to jayjfinkpe @comcast.net Printer Friendly Save as PDF Manage your Reservations United Confirmation Number ®52Q4X Purchase Summary 07 N_ 1 Adults (age 18 to 64) ., $969.00 N Additional Taxes/Fees 113.30 P� Price Details 11 Economy Plus $281.00 3 Tota $1,363.30 r L: Payment Information r Name of Cardholder: Jay J Fink N N Card Type: Visa Card Number: XXXXXXXXXXXX6213 n MileagePlus Members: Upon completion of this itinerary, you will earn up to 9,531 MileagePlus award miles.* � r https://www.united.com/web/en-US/apps/booking/flight/confirmRevenue.aspx 9/4/201 XE: (EUR/USD)Euro to US Dollar Rate Page 1 of 2 The World's Favorite Currency Site r For more information,visit www.xe.com XE CURRENCY CONVERTER 7.50 E R = 10.3524 USD E' H US Dollar 1 EUR=1.38 32 USQ`� 1 U_S.._D� 0.7-2 UR Mid-ma et rates:2013-T- 14 3:55 UTC Sen a Online.Click here!! XE Market Analysis North American Edition 2013-10-24 11:16 UTC XE Trade The dollar continued to underperform,which lifted EUR is easy,secure,and it through 1.3800 barriers and left the CHF just shy of works with your bank. 0.8900. In early Europe short term accounts took their send an XE Trade impetus from a better than expected China flash Money Transfer► manufacturing PMI reading. However,early appetite to s sell JPY ran out of stream as Eurozone PMI unexpectedly decline and later in the session U.K. CBI industrial trend also corrected the September surge in s total orders.The fall in EUR and GBP was... Read More► F XE Services Send a cheap money Get a currency data transfer► feed ► Looking to send money abroad?Transferring money Need commercial grade rates for your business?XE online is easy with XE Trade. It works with your bank and Currency Data Feed easily integrates with your system it's free to sign up. and has guaranteed data delivery. • Free online quotes • 150+global sources • Competitive exchange rates • Rates for every world currency • No-fee money transfer options • Accuracy with proprietary rates • Bid for your preferred rate • Choose frequency of updates Transfer Money with XE Order the XE Data Feed Trade More Tools&Services Featured Products More XE Products http://www.xe.com/currencyconverter/convert/?Amount=7.5&From=EUR&To=USD 10/24/2013 XFINITY Connect Page 1 of XFINITY Connect jayjfinkpe @comcast.ne +Font Siz eTicket Itinerary and Receipt for Confirmation D52Q4X From:United Airlines,Inc. <unitedairlines @united.com> Wed,Sep 04,2013 10:22 AN Subject:eTicket Itinerary and Receipt for Confirmation D52Q4X To:JAYJFINKPE @COMCAST.NET U A Confirmation: MN'I0 ABTA.RAi.LJANOF-M1 NIBER D52Q4X Check-In > Issue Date:September 04, 2013 Traveler eTicket Number Frequent Flyer Seats — FINK/JAY]MR 0162378944700 UA-CW39XXXX 32E/28A/28A/4A FLIGHT INFORMATION Day,Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Sat,21SEP13 UA283 K MIAMI, FL NEWARK,NJ A-320 Purchase (MIA)12:30 PM (EWR-LIBERTY)3:36 PM Sat,21SEP13 UA964 K NEWARK,NJ AMSTERDAM,NETHERLANDS 767-300 Dinner (EWR-LIBERTY) 6;20 PM (AMS)7:45 AM(22SEP) Fri,27SEP13 UA947 K AMSTERDAM,NETHERLANDS WASHINGTON,DC 767-300 Lunch i (AMS)11:15 AM (TAD-DULLES)2:10 PM Fri,27SEP13 UA3752 K WASHINGTON, DC MIAMI, FL CRJ-700 Purchase (IAD-DULLES)8:18 PM (MIA)10:52 PM Flight operated by MESA AIRLINES doing business as UNITED EXPRESS, FARE INFORMATION — Fare Breakdown Form of Payment: Airfare: 433.00 USD VISA U.S.Customs User Fee: 5.50 Last Four Digits 6213 U.S. Immigration User Fee: 7,00 i U.S,APHIS User Fee: 5.00 U.S. Federal Transportation Tax: 34.40 September 11th Security Fee: 7.50 Netherlands Airport Security Fee: 17.10 Netherlands Passenger Service 20.60 i Charge: Netherlands Noise Isolation Charge: 2.70 International Surcharge: 536.00 U.S, Passenger Facility Charge: 13.50 I Per Person Total: 1,082.30 USD IeTicket Total: 1,082.30 USD The airfare you paid on this itinerary totals:433.00 USD i 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. Additional Charges: Wed.,Sep,4,2013/Visa 6213 was charged 129,00 USD for the following: Economy Plus Seat/EDD 01629242135290 Wed.,Sep,4, 2013/Visa 6213 was charged 38.00 USD for the following: Economy Plus Seat/EDD 01629242135286 Wed.,Sep, 4,2013/Visa 6213 was charged 114.00 USD for the following:Economy Plus Seat/EDD 01629242135275 http://web.Emil,comcast.net/zimbra/li/printmessage?id=186503&tz=America/New York&xim=1 10/7/201 1 , i ' Amsterdam Centre. vim,innfelhotels.nl Nieuk-mijdskolk 191012 PV Amsterdam The Netherlands Mr. Jay Fink T+31(0)20 530 18 18 Miamibeach Public works department F+31(0)20 422 19 19 1700 Convention Center drive, Miami beach, infoatnsferdamQinnfelhotels.nl Florida 33139 FL 33149 KEY BISCAYNE United States Room No. : 2236 No. of person(s) : 1 Arrival : 22-09-13 >o Departure : Z4-09-13 �tS INVOICE : 247536 v Reservation No. : 39534122 Cashier No. 10/3WIEN Inntel Hotels Amsterdam Centre, 24-09-13 07:36 Page No. 1 of 1 LDate' - - Debit€ Credit RS' 22-09-13 Cltytax 7.26 22-09-13 Accommodation 157.50 23-09-13 Citytax 7.26 23-09-13 Accommodation 157.50 24-09-13 Visa Card 329.52 329.5 - _ _329;52` : Balance Due: 0.00 Total incl. VAT 329.52 -43C(3 I _ �q52 °89 Q5 N et VAT Tota I i Deductable Low 264.15 15.85 280.00 Non Deductable Low 33.02 1.98 35.00 r Deductable Hiqh 0.00 0.00 0.00 Non Deductable Hiqh 0.00 0.00 0.00 No VAT included 0.00 0.00 0.00. City Tax 14.52 14.52 0.00 Thank you for choosing Inntel Hotels Amsterdam Centre Inntel celebrates its 30th birthday Signature: Merchant ID Credit Card # XXXXXXXXXXXX6213 i Transaction ID 38412348 Credit Card Expiry XX/XX i Approval Code A005989 Capture Method Manual Approval Amount 329.52 Transaction Amount 329.52 I ® I I Green Koy Bonk:ING 66.81.78.065,(BIC)swift INGBIVA,IRAN NI43 INGB 06881780 65,VAT.no.:111.8178287831101,XuK Anislerdonn no,33279829.The standard rondilians of Ih8 Federalio Horora are appli(oble to ell Iransadlans and rosorvolions. I o ' I-TOTEL—DELFT CENTRE JAY FINK Bill 2013010830 1701 E TRAFALGAR CIR Date 25/09/2013 HOLLYWOOD FL 33020 Room 712 Prince room VERENIGDE STATEN Arrival 24/09/2013 a Departure 25/09/2013 Hampshire Hotel, Delft Centre Date Description Supplement Qty, Price Amount in 24/09 Grouprate 1 129.50 129,50 24/09 Citytax 1 2.35 2.35 25/09 Visa 426429XXXXXX6213 08-14 -131.85 i Total 131.85 Paid -131.85 To be paid € 0.00 L 3-1 3 q, 1y\ U-5 . Gross Vat Net Tax Free 2.35 2.35 i VAT 6% 129.50 7.33 122.17 I We thank you for your reservation. KvK: 27194734 VAT: N L8 09395678801 Bank: 154848182 IBAN: NL03RAB00154848182 BIC. RABONL2U i . l i I I I Koepoortplaats 3,2612 RR Delft Tel. +31 (0)15 2122125,Fax.+31 (0)15 2122125 reset-veringeiiGltotelcielftceutre.nl,wivw.hampshire-hotels.com/delft,www.hoteldelftcentre.nl a Relceningnummer: 154848182,1CVK nurnmer:27194734 Amsterdam Centre. iYvm.innlelhotels.nl Nieuviezijdskolk 191012 PV Amsterdam The Netherlands Mr. Ja J. Fink T+31(0)20 530 18 18 II y F+31(0)20 922 19 19 Miamibeach Public works department i 1700 Convention Center drive, Miami beach, Florida infoamsterdam®inntelhotels.ni �I 33139 FL 33139 MIAMI BEACH , United States Room No. 2329 No. of person(s) 1 Arriva 1 25-09-13 Departure ; 26-09-13 "ant INVOICE : 247818 Reservation No. 39540585 Cashier No. : 10/ MGOUD Inntel Hotels Amsterdam Centre, 26-09-13 08:10 Page No. 1 of 1 Dot"e: _•.Desc -- - - -- �� r - __ �� -��=�� . . �;.� _�__�.. �. , _ Credi € 25-09-13 Citytax 7.26 25-09-13 Accommodation 157.50 26-09-13 Visa Card 164.76 L UWt Balance Due: 0.00 Total incl. VAT 164.76 Net VAT Total Deductable Low 132.08 7.92 140.00 Non Deductable Low 16.51 0.99 17.50 Deductable Hiqh 0.00 0.00 0.00 Non Deductable Hiqh 0.00 0.00 0.00 No VAT included 0.00 0.00 0.00 i City Tax 7.26 7.26 0.00 i Thank you for choosing xnntel Hotels Amsterdam Centre Xnntel celebrates its 30th birthday i Signature: Merchant ID Credit Card 4 XXXXXXXXXXXX6213 Transaction ID 38419319 Credit Card Expiry XX/XX Approval Code A015088 Capture Method Manual Approval An-cunt 164.76 Transaction Armunt 164.76 i I l Groon Key Bank:ING 68.01.78.065,(BIC)will INGBNL2A,IBAN N143 IHGB 06091780 65,V.A.T.no.:NL817828783801,KYK Amslerdom no.33279829.The standard condilions of Ilia Faderalie Ilarora are applirahla 10 all Iramarlians and reservations. Hampton by Hilton Amsterdam Airport Schiphol tel: +31 23 820 0940 I / i Neptunusstraat 1,2132 JA Hoofddorp,The Netherlands fax: +31 23 820 0941 FINK, JAY ROOM NUMBER 231/NVR PO BOX 398011 MIAMI BEACH,FL 33239 ARRIVAL DATE 26/09/2013 19:29:00 UNITED STATES OF AMERICA DEPARTURE DATE 27/09/2013 08:56:00 ADULT/CHILD 1/0 ROOM RATE OE 129.00 RATE PLAN LV1 AL: INVOICE 6517 Hhonors# 927962011 BLUE CONFIRMATION NUMBER : 82157687 VAT# FOLIO NO./CHE 43189 A 27/09/2013 PAGE 1 TAX DATE: 27/09/2013 DATE DESCRIPTION ID REF NO GUEST CHARGES T CREDIT BALANCE 26/09/2013 GUEST ROOM ESVA 71186 129.00 26/09/2013 CITY TAX 6% ESVA 71186 7.30 27/09/2013 VS*6213 BODE 71403 136.30 I BALANCE 0.00 ESTIMATED CURRENCY TOTAL EUR 0.00 VAT AMOUNT INCL.VAT DECUCTABL.E 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 You have earned approximately 1646 Hilton HHonors points for this stay.Hilton HHonors(R)stays are posted within 72 hours of checkout. To check your earnings or book your next stay at more than 3,900 hotels and resorts in 91 countries,please visit HHono Hampton hotels are all over the world. Find us in Canada, Costa Rica, Ecuador, Germany, India, Mexico, Poland, Turkey, United Kingdom, and United States of America. Coming soon in Italy and Romania. Y'A(0 q CREDIT CARD DETAIL APPR. CODE: MERCHANT ID: c 4 CARD NUMBER: VS*6213 EXP DATE: 08/2014 TRANSACTION ID: 71403 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.HAMPTONBYHILTON.COM.WE LOVE HAVING YOU HERE. T\/HG Budget Schiphol II BV hodn Hampton by Hilton Amsterdam Airport Schiphol Bank Rabobank 37.77.22.588 IBAN NL23RAB00377722588 BIC RABONL2U,K.v.K.no.53074041 Amsterdam,VAT no.NL8S0734368.B.01 All agreements we enter into are sub;ect 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 voor reserveringen Qa naar hamatonbvhilton.ni HAMPTON HILTON AMSTERDAM AIRPORT SCHIPHOi. 21:32 JA Hoofddorp ---------------------------- CARDHOLDER COPY PLEASE RETAIN THIS COPY THANK YOU DATE: 2709.,13 08:55- -- ----------------- COMPLETION VISA CREDIT EMV PAN: :Ax:aa XwAAxxxx6213 CARD EXPY: x*xx CARD-ENTRY: ICC ----------------- APPROVED RUTH CODE: 025761 TERMINAL ID: 55551297 MERCHANT ID: 100,,020OU889 TRX.REF. NO.: 13299 ACCOUNT WILL BE DEBITED TRANS.AMOUNT: USD189.52 TOTAL AMOUNT: USDI89.92 CHECK NUMBER.: 11808 SIGNATURE VERIFIED � rxx K.xxx1(kx Yxx[:lE KX�1' x£x:X:K;t DYNAMIC CURRENCY CONVERSION MERCHANT SALES CURRENCY: EUR ORIGINAL AMOUNT: 136.30 EXCHANGE RATE: 1.3934 CARDHOLDER HAS CHOSEN TO PAY IN USD [HIS TRANSACTION IS BASED ON 1HE GLOBAL BLUE REFERENCE RATE PLUS 3z. MY CHOICE IS FINAL, TRANSACTION CAN ALSO BE CONDUCTED IN EUR. A WA k:K A kX A" k kM[l:k':I(x:C A'Lkf:R:k k:L:Y,AI:A SERVICE PROVIDED BY PAYSOUARE AND GLOBAL BLUE. 24 uur/ '1 da � e 9 24 ho urs 1/ - =,�ec�`_.��!,� ._��.� •�_ _ _ -- day ••F,. rf_'l M. ggin, G f'IC If�.�li;:I�'�,�nr�Flo _Y«=2 c� �`?� gr., q ` K '1L '•!?� Cr•r,c.,c�• '\�,,_�I`! Tr..=� �.. F •�:� LJ I. �,�1.1 - s.�-.a.,�� - L � �.;fir trz�•�.3`T� i '�:''-` - �,' I r ( h f 5:t ar • 13 0 S - 0 sb CKA 1_DAllr• 9 27/201 :Isr. IME: 23:1 FFND TIME: 23:1 6TR1Pg: 1328 4DIS1 0.00 M IF .:� $ 32.0 AX IRA $ I.0 0(3'R 1-OT: $ 33.0 0- 1 800.222-TAXI ROYAL NETHERLANDS EMBASSY HSBC BANK USA,N.A. 39931 4200 LINNEAN AVENUE NW 15-170/540 WASHINGTON, DC 20008 (202)244-5300 11/1/2013 PAY THE ORDER OF City of Miami Beach **2,223.98 Two Thousand Two Hundred Twenty-Three and 98/100************ ******"*************************'�******************* DOLLARS CITY OF MIAMI BEACH ATTN ELIZABETH WHEATON v AFTER 90 DAY 1700 CONVENTION CENTER MIAMI BEACH, FL 33139 MEMO USA travel expense Jay ink trip to Netherlands �^-�---- ----- -_ Y P _ ��rncr_> _ 1180399 LII° 11o0511�00 b ?09'0 389 0 28 ? �`t61 e-- _ r 4 ,. �� m 1 --�n 5 1 r - - - N„ ^�� 1. 1 " r� -' ! Z a -� = - _ >t ; s - _� M i a �, - ,- Y _ - - Z Sa /w��. +-� _ �` -d'iii/ 3 �`� C - � :� F - d [1� r _ - I. ,_ - ' aY: Ar.: 3 l : '� .7 f - A r- } n - ti: -owe a m v _l I. _ " 7C -r .`'. '; t__ ,9 I.--❑ 7_ - - j m_ 4 1. a�: - - I �' • � : s_. j R "` - ' l $ - i t h � '� m! Y ]3 r a 1- _s - _ ;! [�--�--:-,�. 7 ti y.� t 3 uE� 4 ! y 4• 1 - -t -.-,ti, 1.,� _ r 1- `tip ` �, :' - J r p ��3 p - _ 't�.. d_.-,�. . A m "� F: A - --� I ""- �,J °n °Y _ :. q t- 1 i _- �d P ',3 Nj� A ' _ - _ _� - •, � _� _ 4 i 01 �_ t ..t FI �D `i S '�' - r - - .S I ' r CITY OF MIAMI BEACH TRAVEL REQUEST FORM EMPLOYEE: S . �,n�. DATE: TITLE: �t,J 'SS�'S -ct,r� t ne LtW DEPT: "�kj b<k'C I N W TRAVEL PURPOSE AND JUSTIFICATION: Q 4b �� DESTINATION: AfnSk-Al-CACtrn -�✓l TRAVEL DATES: FROM:. SP p�emtQt,� TO: sepAexn ADMIN LEAVE: FROM: b�eMoc'r 2013 TO: S �P-M(oe- - 2-+, `?A 3 MODE OF TRAVEL: BUDGET ACCT: O l I" 17X'I O' UUU PRIVATE AUTO JUSTIFICATION: ESTIMATED COSTS REGISTRATION $ TRANSPORTATION Q"VV1 $ 13103, �fl MEALS d $ 02 46 v LODGING "```'� $ 9 30 v OTHER $ TOTAL TRAVEL ADVANCE BEING REQUESTED $ - 3° EMPLOYEE: DEPT. DIRECTOR: 4 "ec ! it f MANAGEMENT AND BUDGET., CITY MANAGER: FINANCE DEPARTMENT USE: DP Request No. Check No. Date: Amount: $ DP Request No. Check No. Date: Amount: $ DP Request No. Check No. Date: Amount: $ DP Request No. Check No. Da_ te: Amount: $ Total: $ ATTACHMENTS. 1. All Conference/Convention/Hotel Registration Documentation Must Be Attached. 2. For Private Vehicle Use, Attach an approved Request for Vehicle Insurance Approval Form. 3. If a Travel Advance is Being.Requested, Attach a Direct Payment Request. WHITE - ACCOUNTING YELLOW- TRAVELER PINK • DEPARTMENT CITY OF MIAMI BEACH TRAVEL REQUEST FORM EMPLOYEE: DATE: TITLE: DEPT.' TRAVEL PURPOSE AND JUSTIFICATION: ' V DESTINATION: TRAVEL DATES. FROM:. - TO: ADMIN LEAVE: FROM: TO: MODE OF TRAVEL: BUDGET ACCT: PRIVATE AUTO JUSTIFICATION: ESTIMATED COSTS REGISTRATION $ TRANSPORTATION $ MEALS-,'::, ' LODGING $ OTHER $ TOTAL $ TRAVEL ADVANCE BEING REQUESTED $ EMPLOYEE: : .�. x DEPT. DIRECTOR: MANAGEMENT AND BUDGET.• CITY MANAGER: 4 f FINANCE DEPARTMENT USE: DP Request No. Check No. Date. Amount. $ DP Request No. Check No. Date: Amount:.$ DP Request No. Check No. Date: Amount: $ DP Request No. Check No. Da_ te: Amount: $ Total: $ ATTACHMENTS. 1. All Conference/Convention/Hotel Registration Documentation Must Be Attached. 2. For Private Vehicle Use, Attach an approved Request for Vehicle Insurance Approval Form. 3. If a Travel Advance is Being.Requested, Attach a Direct Payment Request. WHITE • ACCOUNTING YELLOW. TRAVELER PINK • DEPARTMENT iY CITY OF MIAMI BEACH TRAVEL REQUEST FORM EMPLOYEE: DATE: TITLE: 1 DEPT. - ) V11 TRAVEL PURPOSE AND JUSTIFICATION: Nj DESTINATION: 7L t V ZI! t TRAVEL DATES: FROM: TO: ADMIN LEAVE: FROM: ' TO: --2 MODE OF TRAVEL: BUDGET ACCT: PRIVATE AUTO JUSTIFICATION: ESTIMATED COSTS REGISTRATION TRANSPORTATION A- T 4-C MEALS $ U LODGING OTHER TOTAL $ TRAVEL ADVANCE BEING REQUESTED EMPLOYEE: DEPT. DIRECTOR: KJ Zr f. MANAGEMENT AND BUDGET: CITY MANAGER: FINANCE DEPARTMENT USE: DP Request No. Check No. Date: Amount: $ DIP Request No. Check No. Date: Amount: $ DIP Request No. Check No. Date: Amount: $ DIP Request No. Check No. Da_te:- Amount., $ Total: $ ATTACHMENTS: 1. All Conference/Convention/Hotel Registration Documentation Must Be Attached. 2. For Private Vehicle Use, Attach an approved Request for Vehicle Insurance Approval Form. 3. If a Travel Advance is Being Requested, Attach a Direct Payment Request. WHITE - ACCOUNTING YELLOW- TRAVELER PINK . nF:PARTMFNT G-In d c the N"etherlands Ass Mint 01mor P-g q" - - -4 . 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Leta 11 Va h!g P id rt-a-l:E 0 ft Th�, M01hHirds C a r--4-111c &A r m Wic isrs!bus t r z ,rs;cs ,%7n c n t ke rv)- d 3 q d. rp 7g%i n d-;i t va rC q M Lip;wi!r rnvm e It{-,j iji-a- c-- tror's-p- VOlik-jr!on 11�oc �inCl W.-Rmcl Troan 01-013 Bill.1irg MU,914 rpo4ji wj h I c1-1. or wv. lcrA ibmard t-D 01-v!R�q YOU 0 N014CM47-1-Cls, 11a haoesal-agnop c 1)a n:gee n-.1-sto n rd:E U rrme Rd� SUGGESTED PROGRAM MIAMI BEACH WATER STUDY TRIP' TO THE NETHERLANDS September 23 - September 25, 2 013 Saturday, September 21, 2013 Departure from Miami to Amsterdam (late afternoon/evening) Sunday, September 22, 2013 Morning Arrivals at Amsterdam Schiphol Airport Travel to Amsterdam Central Station by train Walk 8 min. to Inntel Amsterdam Centre Hotel Nieuwezijds Kolk 19 1012 PV Amsterdam http://www.inntelhotelsamsterdamcentre.nl/ Check in at hotel Afternoon Optional • Free to explore Amsterdam • Informal walking tour of urban regeneration in the Jordaan neighborhood https://www.jordaaninfor.nl/index.php?lanq=en or • Visit of newly-renovated Rijksmuseum (incl. Rembrandt's Nightwatch) https://www/rijksmuseum.ni/en 6:00 PM - 8:00 PM Welcome dinner at Kantjil Indonesian Restaurant Spuistraat 291-293 1012 VS Amsterdam 1 This program can be customized further once the participants & their field of expertise are known. Monday, September 23, 2013 => Iconic Amsterdam: water management and urban design challenges Note: using public transport and program includes walking tours: wear comfortable shoes 8:45 AM Departure from hotel Public transport to Waternet 9:30 AM Briefing at Waternet (Waterboard for the City of Amsterdam) about the water challenges and climate change impacts that Amsterdam is facing & will face in the future. http://www.waternet.nl/about-waternet/ 10:30 AM Site visit & walking tour through Watergraafsmeer polder http://www.watergraafsmeer.org 12:00 PM Finish tour at Amstel Station Take metro/train to Amsterdam's Office of Spatial Planning 12:30 PM Division of Spatial Planning, City of Amsterdam - Lunch briefings Water safety in Amsterdam by Ellen Monchen Urban Carpenters work at IJbank by Ton Schaap (incl. designing with water on Java Island) 2:00 PM-5:30 PM Site visits & walking tour - Division of Spatial Planning, City of Amsterdam 6:00 PM Dinner - location TBD Amsterdam hosts and other relevant parties will join for dinner 8:00 PM Return to hotel I Tuesday, September 24, 2013 => Living and designing with water 7:45 AM Check out of hotel, luggage on the bus 8:00 AM Departure by bus to Noordwaardpolder 9:30 AM - 11:00 AM Biesbosch Museum and N'oordwaardpolder project & briefing on Room for the River httr)://www.west8.nl/[)rojects/noordwaard 11:30 AM- 1:45 PM City of Dordrecht: lunch & briefing 2:30 PM- 3:30 PM Rotterdam Climate Plan Briefing http://www.rotterdamclimateinitiative.nl/en/100 climate proof/news/news 3:30 PM- 5:30 PM Walking tour of Rotterdam Climate Plan initiatives 5:30 PM Departure by bus from Rotterdam to The Hague 6:15 PM Check in hotel Mercure Hotel Den Haag Central Spui 180 2511 BW The Hague http•//www mercure.com/gb/hotel-1317-mercure-hotel-den-haag-central/index.shtml Wednesday, September 25, 2013 => The Future of the Netherlands 8:00 AM Depart to Scheveningen by public transportation 8:45 AM - 9:45 AM Scheveningen Boulevard Renovation: site visit & briefing http://www nieuweboulevardscheveningen.nl/Nieuwe-Boulevard- Scheveningen/English/to/New-boulevard.htm 10:15 AM - 11:00 AM The Sand Motor - Kijkduin: site visit & briefing http://www.dezandmotor.nl/en-GB 11:00 AM Depart by bus to Delft 11:45 AM - 3:45 PM Briefings & lunch at Deltares Topics: The Delta Commission Adaptation strategies, pathways and tipping points Integrated design and planning with water 3Di and Serious Games Building with Nature www.deltares.com 4:00 PM - 5:30 PM Lunch &walking tour Delft South East Redevelopment Plan or Delft City Center Integration of green and blue planning http://www.delft.nl/delften/ 5:30 PM Depart by bus back to hotel in The Hague END OF OFFICIAL PROGRAM Optional for Thursday, Sept. 26: Visit & briefing Delta Works (among others storm surge barriers) i J Estimated expenses as er� June 12 201 p 3 MIAMI BEACH WATER STUDY TRIP TO THE NETHERLANDS September 23 - September 25, 2013 Expenses per person* Airfare (economy class $ 11200.00 Hotel Amsterdam 2 nights, ind. breakfast ** $ 500.00 Hotel The Ha ue 2 nights, incl. breakfast ** $ 430.00 Public Transportation to/from airport & to Schevenin en $ 30.00 Meals *** $ 240.00 Total $ 2,400.00 Group expenses Bus transportation 2 days) $ 1,600.00 Optional per person) __ Rijksmuseum entrance _ _ $ 20.00 * These prices, except airfare, are estimated high, not taking into account any potential group discounts or sponsorships. Tours and visits are not listed separately as these will be planned and facilitated at no charge by the Netherlands Consulate General in Miami. ** The Netherlands Consulate General can negotiate lower prices once we know how many people will be participating. Both hotels are 4 star hotels in the middle of the city center. The hotels have group rates for groups consisting of 10 people or more. *** The Dutch government will host one of the dinnE!rs in the program. Some of the local hosts will likely provide lunch at their offices. United Airlines - 1 rnanx You ror Ulioosing Unitect Airlines Page 2 of', Flight Details United Confirmation Number D52Q4X x Sat., Sep. 21, 2013 Miami, FL (MIA) to Amsterdam, Netherlands (AMS) Depart: Arrive: Flight Time:3 ; Distance: Flight: UA283 � a- 12:30 p.m. 3:36 p.m, hr 6 mn 1,086 miles Aircraft: Airbus A320 e. Sat., Sep. 21, 2013 Sat., Sep. 21, 2013 Fare Class: United Economy(K) a Miami, FL (MIA) New York/Newark, NJ (EWR Meal: Snacks for Purchase - Liberty) No Special Meal Offered. r� Change Planes. Connect time in New York/Newark, NJ (EWR- Liberty) is 2 hours 44 minutes. 17 Depart: Arrive: Flight Time:7 : Distance: Flight: UA964 :9 6:20 p.m. : 7:4S a.m. +1 Day hr 25 mn 3,657 miles Aircraft: Boeing 767-300 Travel Total Distance: Fare Class: United Economy K Sat.,Sep. 21, 2013 Sun., Sep. 22, 2013 Y( ) ' New York/Newark, NJ (EWR Amsterdam, Netherlands Time:13 hr 4,743 miles Meal: Dinner - Liberty) (AMS) 15 mn LAm. Fri., Sep. 27, 2013 Amsterdam, Netherlands (AMS) to Miami, FL (MIA) �7 t Dei;a:. Arrive: Flight Time: Distance: Flight: IJA9 � �:: 47 11;11 2:10 p.m. hr 55 mn 3,867 miles Aircraft: Boeing 767-300 Fri., Sep. 27, 2013 Fri., Sep. 27, 2013 Fare Class: United Economy(K) Amsterdam, Netherlands Washington, DC (IAD - Meal: Lunch f (AMS) Dulles) Change Planes. Connect time in Washington, DC (IAD - Dulles) is 6 hours 8 minutes. Gr Depart: Arrive: Flight Time:2 Distance: Flight: UA37S2 8:18 p.m. 10:52 p.m. hr 34 mn 921 miles Operated by MESA AIRLINES DBA Travel Total Distance: UNITED EXPRESS. Fri., Sep. 27, 2013 ' Fri., Sep. 27, 2013 _ Washington, DC (IAD - Miami, FL (MIA) Time:17 hr 4,788 miles Aircraft: Canadair Regional Jet p. Dulles) 37 mn 700 Fare Class: United Economy(K) Meal: Snacks for Purchase No Special Meal Offered. c: L+ 'r:rn-..rr---a-•:---tie.-.ncrp,;._. ___ __ _ __ _ _ _ _ _ __ _ _ _ ___ _ .`_.':s.,._. _... .'^i�.:"^.;n.-._l�°'-a-i ti,..;T,�-..,--+fir-;+. r:4-"_°9'f`,"F,p�^,i? =_r, _ x^-•.•,.-�..•- �n..�v^ ,^°_._-cl-^z^r_..:_'•r--�S-:•+v-..°?r�„53;�.M•.,w.,^dE�'2•:1rGZ-��.-"r"'.TS�^xa •-•�;�, Traveler(s) M 1 Mr. Jay Jackson Fink r IN Date of Birth: 3/1/1964 Gender: Male r s Special Meals Request: Not applicable for this itinerary r Frequent Flyer: UA-CW393966 i y E-mail Address: jayjfinkpe @comcast.net °7 4 Home Phone: (774) 823-7089 - United States Seat Assignments: MIA - EWR: 32E EWR - AMS: 28A > AMS - IAD: 28A IAD - MIA: 4A Y t� 3-, rr�+.. ., .�.�.�.- ......-+--vs-.T--�:=..3° :+""f:..--r",'=`.7^c^-;.JT_T_-c.? �';r'�:.-'T---r-:r.i^"1s"`.—i_•'.-s�r,.—„c�rsr;c'T - a.�'�”:^_. r,�,,r=.tc:'ge.:;�v,-°"""��.�-5`rrvz.;c-e:,�.:.-r..zr-°.°�c°'.TF Manage Your Reservation Carbon Offsetting Option { United is committed To view your reservation at any time, visit Manage ..F,;s: ��_.� SUSTAINABLE TRAVEL Reservations. Your direct link to this reservation is IN;cR;`A;IO;!qII- to promoting Flight: Miami, FL (MIA) to Amsterdam, Netherlands "�` environmental AMS responsibility within its culture, which includes helping our customers to respond to concerns about climate change with a carbon offsetting option. We've partnered https://www.united.com/web/en-US/apps/booking/flight/confirmRevenue.aspx 9/4/201'. unitect ti_irnnes - L nanK You ror k.noosing uniiea Airiines rage j or with Sustainable Travel International ("STI"), a non- Think You Can Check Yourself In Faster? You're profit organization dedicated to providing education and Right. services that support environmental conservation, to provide this option to customers. If you want to leave Online check-in is the fastest and easiest way to check united.com to learn more about STI or to purchase in for your United Airlines flights. You can check in up to carbon offsets from STI for this itinerary, go to 24 hours before your flight from your own computer and print your boarding pass. This gives you everything http://co2offsets.sustainabletravelinternational.org/ua/offsets. you need to bypass the lines at the airport, pass through security and go directly to your gate. Read more about online check-in. Remind Friends and Family of your Flight Status Is someone picking you up or dropping you off for this trip? Set up a one-time flight reminder that will be sent to them via e-mail. Important Travel Information: The U.S. government raised the security alert level and implemented extra restrictions to assure the security of air travel. Certain changes in airport procedures and restrictions on items allowed on board aircraft are detailed on. the Travel Alert: Elevated Security page. Any changes to your flight reservations may incur additional charges. Airlines require government issued photo identification upon check-in, such as a driver's license or passport. Passport, visa and health requirements may apply for this itinerary. Each passenger must ensure he or she has all required travel documents as stated in Rule 19 of the Contract of Carriage. Information on this site is provided as a courtesy and should be verified by the passenger before travel. Other resources include the consulate of the destination country and the U.S. Department of State. Please read important information governing airline baggage liability limitations. You will be contacted with any changes or additional information such as schedule changes, itinerary changes, etc. Special services are on a request basis and cannot be guaranteed. Special meal requests must be received at least 24 hours before the departure of your flight and cannot be guaranteed. **Miles shown are the actual miles flown for this segment. Mileage accrued will vary depending on the terms and conditions of your frequent flyer program. United MileagePlus mileage accrual is subject to the rules of the MileagePlus program and, as provided therein, mileage will be credited in accordance with the terms and conditions of the MileagePlus Program in effect at the time of travel, not at the time air travel is purchased, booked or reserved, and accordingly miles may not be awarded for some tickets or miles may be awarded in an amount fewer than shown. Important Baggage Information Carry-on baggage allowed United accepts the following items, per customer to be carried on the aircraft at no charge: One carry-on bag no more than 45 linear inches or 114 linear centimeters (L + W + H) or 14 inches x 9 inches x 22 inches (23 x 35 x 56 cm) One personal item (such as a shoulder or laptop bag). Learn more about carry-on baggage policy Checking bags for this itinerary Checked baggage service charges are collected at any point in the itinerary where bags are checked. The bag service charges below reflect a maximum outside linear dimension of 62 linear inches (157 cm) First and second baggage service charges per traveler as listed 1st bag 2nd bag ; Weight per bag below: Sat., Sep. 21, 2013 Miami, FL (MIA) to Amsterdam, Netherlands $0 $100 50.0 Ibs (23 kgs) (AMS) Fri., Sep. 27, 2013 Amsterdam, Netherlands (AMS) to Miami, FL $0 $100 50.0 Ibs (23 kgs) (MIA) https://www.united.coin/web/en-US/apps/booking/flight/confirmRevenue.aspx 9/4/201 XE: EUR/USD Euro to US Dollar Rate Page 1 of 2 � ) g �I The World's Favorite ..... .: For more information,visit www.xe.com XE CURRENCY CONVEF ?el"s� 4k C �tQ��a� 4.40 EUR 6.07405 USD Euro US Dollar 1 EUR=1.38046 USD - 94 EUR Mid-market rates:2013-10-24 13:57 UTC Send Money online.Click lierell Ir 4 11:16 UTC XE Trade lifted EUR is easy,secure,and it n shy of works with your bank. Y took their Send an XE Trade • ash Money Transfer► ?V0 ILig appetite to n U.K.CBI t. ;r surge in .. 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