US BANK -CAL CARD CHARGES

SEPTEMBER 2014

CURRENT
CARD HQLDERS STATEMENT ReceiptstSubstantiation Account# Account Description Amount
ACTIVITY Provided

Becky Van Wyk Yes See attached 7265 Office Expense -Shelving $ 64.91
Office Expense -Board lunch
7265 58.00
g~17J2014
Subtotal Van Wyk 122.91

Staff Travel - Skillpath Seminar, K.

Elizabeth Avalos Yes See attached 7415 149.00
Jantz, 11/14/2014.
Staff Travel - CALAPRS disability and
7415 benefits course, K. Prinz & M. 622.00
Gonzalez, Burbank, CA.
Board Travel - CALAPRS trustee
7417 155.50
roundtable, L. Basua, Burbank, CA

Charges on account $ 1,049.41

Refunds/Adjustments to Charges
Net charges on account $ 1,049.41

SUMMARY FOR A/P INPUT

ACCT# AMOUNT
7265 $ 122.91
7415 771.00
7417 155.50
Payable to US Bank $ 1,049.41

G:\Shared\RETIRMNT\RCCT~FUNDMGRS\CASHACCT~Cash Acct FY 2015\CAL CARD~2014 -September Recon 1

 us •
P.o, gox sus ACCOUNT NUMBER
FARGO ND 58125-6343
STATEMENT DATE 09-22-2014
ennn~iyT pUE $1.049.41
~~ X1.049.41
NEW BALANCE
PAYMENT DUE ON RECEIPT

ll AAAOUNT ENCLOSED
I~~I1~'~I1~1111~~~~1"I~I~I1 ~~~~'~~~'I~~~1~'~1~1'~il~~u~i~ll~t
OOOOD2643 1 MB 0.435 1064817337312D0 P
FCERA Please make check payable to"U.S. Bank"
ACCOUNTING SUPERVISOR
1111 H STREET
FRESNO CA 93721-2515
U.S. BANK CORPORATE PAYMENT SYSTEM
P.O. BOX 790428
ST. LOUIS, MO 63174-0428

----------------------------
Piease tear payment coupon at perforation

CQ:~iPO : A ACCD WT S.:. A Y

urchases Gash Late
Cash Advance Payment New
FCERA Previous And Other =Balance
Balance + Charges + Advances + Fees + Charges -Credits - Payments
.00 Q.00 0.00 1 189.8 1049.41
Com an Total 1 189.85 1 049.41 0.04

COR#~ORAT~ 14CCOUNT AGTIViTY

FCERA TOTAL CORPORATE A T,IJ,fI
R
'I ~ ~~
,.
Post Tran Amount
Date Date Reference Number Transaction Description ~-j

~ ~~ ~ ~~~~' 0$.67 PY
09-05 09-~b 7~79826425800000000~224 PAYMENT - TNANK YOU 00000 C
~-. ~_ r~, - ~r

1~:~W1/ 14CT~~1~T1~ - -

CREDITS PURCHASES CASH ADV TOTAL ACTIVITY

~~~~~~~~~ $0.00 $926.50
$0.00 $926.50

Post Tran Amount

Date Date Reference Number Transaction Description
149.00
09-09 09-08 24717054251152512430667 SKILIPATH SEMINARS MAIN 913-3623900 KS 311.00
09-15 09-13 24610434257004093074602 MARRIOTT BURBNK AP & CONV BURBANK CA
311.00
09-15 09-13 24610434257a14093a75427 MAl2RIf.~TT BURBNK AP & CONV~BURBANK CA
101SO ARRIVAL: 09-10-14

ACCOUNT NUMBER ACCOUNT SUMMARY

CUSTOMER SERVICE CALL PREVIOUS BALANCE 1,189.85
~~
OTHER CHARGES 1049.41
800-344-5696 -
DISPUTED AMOUNT CASH ADVANCES `.00
STATEMENT DAtE
.00 CASH ADVANCE FEES .00
09/22/14
CHARGES .00

CREDITS .00
SEND BILLING INQUIRIES TO:
AMOUNT DUE PAYMENTS 1 189.85
U.S. Bank National Association
CIO U.S. Bancorp Purchasin Card Program
P.O. Box 633 1,049.41 1,049.41
Fargo, ND 58125-6335 ACCOUNT BALANCE

Page 1 of 2
~~
~~ Com an Name: FCERA
Cor orate Account Number.
Statement Date: 09-22-2014

N~111f A~C7'IUI~Y

Post Tran Amount

Date Date Reference Number Transaction Descri lion
09-15 09-13 MARRIOTT BUftBNK AP & CONV BURBANK CA 155.50
24610434257004093076193

~~~ CREDITS PURCHASES CASN ADV TOTAL ACTIVITY

$0.00 $122.91 $0.00 $122.91

Post Tran Amount

Date Date Reference Number Transaction Descri lion
09-18 09-17 SQ *GARY LANFRANCO FRESNO CA 58.00 J~ ~~
24492154260741342352378 64.91
09-22 09-20 24692164263000294486682 BOWES x{10795* FRESNO CA

Department: 00000 Total: $1,049.41

Division: 00000 Totai: $1,049.41

Page 2 of 2
Van yk, Becky mn m ui nnw~,

Fram: Van Wyk, Becky

Sent: Thursday, September 18, 2014 1:16 PM
To: 'Rod Coburn, DDS;Avalos, Elizabeth
Subject: Board Lunch on 9/17

Rod and Elizabeth,

Cosmo's only provides an electronic receipt for ATM/Credit Card purchases. 1 requested an electronic receipt be emailed
to my county email address, but apparently, it did not make it through the firewall as I still have not received the receipt.
Thus, I am documenting the purchase with this email. The cost was $58 even.

Please call (559.457.0681) ar email me if you have further questions.

Sincerely,

Becky Van Wyk

Interim Retirement Administrator
Fresno County Employees' Retirement Association
1111 H Street
Fresno, CA 93721
Li14lt a hu~~, . _
7~~~ wo~~~ r+wpc:~srow~ ~u~:
~AEcy~i r.H 4~~?c) t!i~i5) ~3E~-6266

il.k5~~ ~A1~5.}til 1t18Atl~12 1~ttiNSN: iJ`t.;il]6ti u'~-20..14

5;~~'f+ ~I i.~it bt.~l(=K 6lIRI~ 5hIEl.Vi;a a9,9d

JIIH~lJi(tI-: ~~."~~

v"lit+: 5 .91

MYLtiW~`S GHRU ~Uiia~k. ~6'ii70ub'1~5~51"L'%

UtS~i KkXi(XkkRXXXX515~ FiHtI1JN'(:~~~.~i AUiNCU~U~112i0

~4llf'i.~i R~i~IU~"t;~i77f301~.i51u Oyl'~i;/1~ O'~.4y~5
CUSTUMkft COgE: n~
~ice`` +~, ~ :y'i

~ ~

~SIOkEe Uty~ ~tkM~NAL, ~t~ ~9~t0{►4 O'~.g9.~'3

"t:i_[il~~ ~~k.Z, ~t~'U1.6ra N,~) t'F.i.Liit liltilt~i I~~M~

;!'~s (Il i~ ~ !!'(~ ~ ~ EI I, I ~ 'r ~~'~~ ~ ~''~i' ~Mi ~ I~ I~,!(~ II ~ ~ ~ ~,i

~'~I~ !iEpl~ 9f'I~1 {.I ~ s'~' 31; ~ 1i~<< ~sl,~ I +lII~ i ~~!:~~~il~~ ~

THfit~K YaU FOB u,l~~; F~h{G l.~l~lE'S.

tiE~ 't~EVEiiSE ~ID~ Ft~R f;~CtIItM F(lltCY,
~(~flE Mf~t~~'~t;kkw l~Hl

Wk N#~i~E TNE: t3k~~~?7 F~~I~~`, iyURf~Ahll~F~'~!

~~ Y(]II E~IP~G M l.il~~~=f~ ~~I~ t., ,~~ ~~,i ~ ar~i rr ~,~ 99~.

0
 Page 1 of 1

Avalos, Elizabeth

From: Rod Coburn, DDS[nc~3@comcast.net]

Sent: Thursday, October 02, 2014 1:49 PM
To: Avalos, Elizabeth
Subject: Re: Van Wyk ~ Credit Card Statement
Hi Elizabeth

CC statement is OK,however I would add a notation, that the Lanfranco bill is lunch for the Board on
Sept 17

I understand you and the Elections Office are handling the election lb scheduling...as you identified, I
too am concerned with dual election proximity of dates and having candidates running for both
positions at the same time.

Thank you for handling both ofthese issues

Rod

On Oct 2, 2414, at 11:22 AM,Avalos, Elizabeth wrote:

Hi Rod

have attached Becky's credit card statement for your review.

Please let me know if you have any questions. Thank you.

Elizabeth Avalos
Administrative Services Assistant
Fresno Gounty Employees'
Retirement Association
1111 H Street
Fresno, CA 93721
559.457.0681 phone
559.457.0318 fax

<SK1V][BT C55214100210130.pd~

10/3/2014
 ~~v' ~`-

P.O. BOX 6343

FARGO ND 58125-6343 ACCOUNT NUMBER
STATEMENT DATE
~~~~ AMOUNT DUE
~`~u Qn~ A61nF
$1.049.41
$1.049.41
PAYMENT DUE ON RECEIPT

illn~~ll~~iiii~~~li~~ili~n~lihlil~~~ll~l~~i~i~l~~~~~~~i~i~lii~ AAAOUNT ENCLOSED

000002643 1 MB 0.435 1064817337312D0 P
FCERA Please make check payable to"U.S. Bank"
ACCOUNTING SUPERVISOR
1111 H STREE7
FRESNO CA 93721-2515
U.S. BANK CORPORATE PAYMENT SYSTEM
P.O. BOX 790428
ST. LOUIS, MO 63179-0428

---------------------------------------------------------------------------------------------------------
Please tear payment coupon at perforation.

rurci lases N2w

Previous And Other Cash Advance Payment
+ Charges + Advances + Fees + Charges -Credits - Payments =Balance
Balance

CORPflRA3~ ACCO#1'NT AC~'i'ViTY

ER TQTA~ CORPORATE AC 1t1
~''"'' 'l 1 ~8-`a R
Post Iran ., rt ~~°" Amount
Date Date Reference Number Transaction Description ~j

I 09-~5 09-~5 747982642580000000p224 PAYMENT -THANK YOU 00000 C ~~[~ ~+

,-
~,
~~~~~
F'—
i
Y~o~``
708.67 PY

~~~W AGTI~(ITY -~ ~ ,

ELtZA CREDITS PURCHASES CASH ADV TOTAL ACTIVITY

$0.00 $926.50 $0.00 $926.50
~~

Post Tran .mount ~,

Date Date Reference Number Transaction Description
09-09 09-0$ 24717054251152512430667 SKILLPATH SEMINARS MAIM 913-3623900 KS ~ a.s.00 `1 N t5
09-15 09-13 MARRIOTT BURBNK AP & CONV BURBANK CA 317.00 '1 t.~ (c,~
24610434257404093074602
10184 ARRIVAL: 09-10-14
09-15 09-13 MAkRiOTT BURBNK AP & CONV BURBANK CA 311.00 "~ d.~ ~ ~j
24610434257004093075427
10180 ARRIVAL: 09-10-14

ACCOUNT NUMBER ACCOUNT SUMMARY

CUSTOMER SERVICE CALL PREVIOUS BALANCE 1 189.85

_.____.__.... ~ OTHER CHARGES 1049.41

800-344-5696
STATEMENT DATE DISPUTED AMOUNT CASH ADVANCES __ •~

09122/14 .00 CAS~~AAVAS FEES..._,._, .00

CHARGES •~

SEND BtLLiNG INQUIRIES TO: CREDITS •~

AMOUNT DUE PAYMENTS,____„_.,_.,_....?,189:85
U.S. Bank National Association
C!O U.S. Bancorp Purchasing Card Program
PA. Box 6335 ~,~~9.41 1,049.41
Fargo, ND 58125-6335 ACCOUNT BALANCE

Page 1 of 2
 Com an Name: FCERA
Cor orate Account Num
Statement Date: 09-22-2014

NEVY ~1~7`IV..~1~~'

Post Tran Amount

Date Date Reference Number transaction Descri lion
155.50
09-15 09-13 24610434257004093076193 MARRIOTT BURBNK AP & CONV BURBANK CA

CREDITS PURCHASES CASH ADV TOTAL ACTIVITY

BECKY V $0.00 $122.91 ~~
$0.00 $122.91
f~~ /~°
Post Tran Amount
Date Date Reference Number Transaction Descri lion
58.00
09-18 09-17 24492154260741342352378 SQ *GARY LANFRANCO FRESNO CA ~~91
09-22 09-20 24692164263000294486682 (OWES #00795* FRESNO CA

$1,049.41
Department: 00000 Total: $1,049.41
Division: 00000 Total:

Pege 2 of 2
SkillPath Seminars -Registration Page 1 of2

51c111P'a~~ Unifeci States Keyword Search $i ZIP Search _; $i

Prdfessionaltrusirtess trainingsince 1989

Call us:i-800-83-7545 ~'" ` ~
~ ~
~ TOTAL ACCESS ~ ABOUT US j CONTACT US ~
j AUDIO CONFERENCES & WEBINARS ON-SITE TRAINING RESOURCES ', ON-LINE TRAtNiNG
SEMINARS i i I A

Thank You!
FCERA,we appreaate your business.

Thank you for enrolling in ...

Seminar Information:
Conflict Martagemenf Skills for Women
Conflict Management Skills for Women We appreciate your business. you nave our firm
November 14, 2014 9:00 AM - 4:00 PM promise to make Uxs the most rewarding trair~rg
program you've ever aflerwied. Your Express
Add to VOUf Outlook C2lendar
Admission Ticket-which serves as your
invoice/record of paymenYM~i artive viae-mail within
Univefsity $quBCe Hotel
1 business day.
4961 N. Cedar
Fresno, CA 93726
Map this location
Cancellations and substitukions.
Cancellations received up to five business
days before the seminar are refundable, minus a
registratlon service charge, which you may apply
toward any future seminar. After that, cancellations
CompanylPersonal Information: aye sU~;e~c~ me ~,s~ ~m~~a~ tee, wr,~~n vim, may
also apply Mwartl a future seminar. Please note tt~at if
you don't pncel and don't attend, you are sfill
FCERA responsible for payment. Substitutions maybe made
1111 H Street at any time.
Fresno, CA 93721
Lunch is on your own. Why not invite
Phone Number: 559-457-0651 ~~- another participant to dine with you? you can
Fax Number:559-457-0318 share information, review the rtroming and make each
day even more enjoyable.

Attendees: Paridng. We do our best to find seminar

facilities that have ail ttie pluses we look for.
Convenient location, great meeting rooms, courteous
1. Ms. Klm M Jantr
$149.00 staff and plenty of free parking. However,some
Conflict ManagemertY Skills for Women
facilities have paid parking only. You may wantto
Tauc: $0.00 check wish Me tadlity person~rel to determine parking
S8mirla~ Total: $149.00 fees—ofEen ttrey can erect you to hee paridng just
around the comer.

Recommended Resource:

S&H: $0.00
Ta~c: $0.00
Resoutrte Total: $0.00

$1A9.OQ
To4si:

Payment Information:

Payment Method: Credit Card

Cab Type: Visa
Card Number.2614
Exp. Date: Si2D16
Name on Card: Elizabeth Avalos

Billing Address:

Same as company address.

~,ti„c•/h~crcxn~ ckili»ath cnm/index_cfm/re~ist~'atio2l/COmplete/COUnh'Y/US 9/612014

 •

TRAVEL REQUEST
Travel Authorization No: 920014008

County Employee ~ Yes ❑ No

Department Name &Number

Fresno County Employees' Retirement Assoc. 9240 If No, List S.S. No.

Prepared By Elizabeth Avalos

Division
Preparer's Phone Number d~7-o~50
Name &Title of Person

Kim Jantz, Retirement Coordinator

Destination (Including Intermediate Stops if fdecessary)

Fresno, CA

Departure Return

Datelfime: 11/14/14 8:30 AM 11/14/14 4:30 PM

Purpose:

SkillPath ~ Conflict Management Skills for Women

Expense &Travel Authorization Transportation

¢~ None Requested ❑
Salary
Meals ❑ Airplane ❑
Hotel ❑ County Auto ❑
~ Private Auto ~
Registration Fee
❑ Taxi ❑
Telephone Business
Rental Car ❑
Bus ❑
Parking ❑
Mileage ~I

Signature of Employee Receiving Airline Tickets

Administrative Office Approval for Unbudgeted Travel

FCAC-106
 MARR10T7
GUEST FOLIO BURBANK AIRPORT MARRYOTT
260 ZZ/PRINZ/KELLY 140.00 09/12/14 07:02 10180 5291
ROOM NAME RATE DEPART TIME ACCT# GROUP
HK 09/10/14 19:22
npE ARRIVE TIME
1111 H ST
ROOM VSXXXXXXXXXXXX2614
CLERK
FRESNO CA 93721 PAYMENT MRW# S
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE
09/10 ROOM 260, 1 140.00
09/10 OCC TAX 260, 1 14.00
09/10 CTA FEE 260, 1 .10
09/10 TOUR TAX 260, 1 1.40
09/11 ROOM 260, 1 140.00
09/11 OCC TAX 260, 1 14.00
09/11 CTA FEE 260, 1 .10
09/11 TOUR TAX 260, 1 1.40
09/I2 CCARD-VS 311.00
PAYMENT RECEIVED BY: VISA XXXXXXXXXXXX2614
.00

AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAI~ED T0:

EAVA~OS@CO.FRESNO.CA.US
SEE "IN?ERNET PRIVACY STATEMENT" ON MARRIOTT.COM

BURBANK AIRPORT MARRIOTT

2500 N HOLLYWOOD WAY
BURBANK, CA 91505
MARRIOTT PH# 818-843-6000 FAX# 818-842-9720
chzrged to
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for ali amounts
above. (The
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth
If you
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount.
7.57
are direct billed, in the event payment is not made within 25 days after check-out, you will owe us interest from the check-out date on any unpaid amount at the rate of
per month (ANNUAL RATE 18%), or the maximum allowed by Iaw, plus the reasonable cost of collection, including attorney fees.

Signature X
 • •

TRAVEL REQUEST
Travel Authorization No: 920014Q05

Department Name &Number County Employee ~ Yes ❑ No

Fresno County Employees' Retirement Assoc. 9200 If No, List S.S. No.

Division Prepared By Elizabeth Avalos

Preparer's Phone Number X57-0' 50

Name &Title of Person

Kelly Prinz, Retirement Benefits Manager

Matthew Gonzalez, Retirement Coordinator

Destination (Including Intermediate Stops if Necessary)

Burbank, CA

Departure Return

Date/Time: 09/10/14 3:00 PM 09/12194 8:00 PM

Purpose:

CALAPRS Course in Retirement Disability Administration

CALAPRS Benefits Roundtable

Expense &Travel Authorization Transportation

Salary ~ None Requested ❑

Meals ~ Airplane ❑
Hotel ~ County Auta ❑
Registration Fee ~ Private Auto ~
Telephone Business ❑ Taxi ❑
Rental Car ❑
Bus ❑
Parking ~
Mileage ~

Signatu o epartmen ead Signature of Employee Receiving Airline Tickets

Administrative Office Approval for Unbudgeted Travel

FCAC-106
 BURBANK AIRPORT MARRIOTT
424 ZZ/GON~ALEZjMATTHEW 140.00 09/12/14 07:05 10184 5291
ACCT# GROUP
GK 09/10/14 19:22
6 2111 H ST
VSXXXXXXXXXXXX2614
FRESNO CA 93721 MRW#:

09j10 ROOM 424, 1 140.00

09/10 OCC TAX 424, 1 14.00
09/10 CTA FEE 424, 1 .10
09/1Q TOUR. TAX 4Z4, 1 1.40
09/11 ROOM 424, 1 140.00
09/11 OCC TAX 424, 1 14.00
09/11 CTA FEE 424, 1 .10
09/11 TOUR TAX 424, 1 1.40
09 12 CCARD-VS 311.00
AYMENT RECEIVED BY: VISA XXXXXXXXXXXX2614
.00

AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED T0:

EAVALOS@CO.FRESNO.CA.US
SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.CQM

BURBANK AIRPORT MARRIOTT

2500 N HOLLYWOOD WAY
BURBANK, CA 91505
PH# 818-843-6000 FAX# 818-842-9720
 ,, •, •, •
1

TRAVEL REQUEST
Travel Authorization No: 92Q014005

County Empioyee ~ Yes ❑ No

Department Name 8~ Numi~r

Fresno County Employees' Retirement Assoc. 9200 if No, List S.S. No.

Prepared By Elizabeth Avalos

Division
Prepare~'s Phone Number ~~Z~'~~a
Name &Title of Person

Kelly Prinz, Retirement Benefits Manager

Matthew Gonzalez, Retirement Coordinator

Destination (Including Intermediate Stops if Necessary)

Burbank, CA

Departure Return

Dateli'ime; 09/70/14 3:00 PM 09/12/14 8:00 PM

Purpose:

CALAPRS Course in Retirement Disability Administration

CALAPRS Benefits Roundtable

Expense & Trave( Authorization Transportation

~ None Requested ❑
Salary
~ Airplane ❑
Meals
~ County Auto ❑
Hotel
~ Private Auto ~
Registration Fee.
❑ Taxi ❑
Telephone Business
Rental Car ❑
Bus ❑
Parking ~
Mileage ~I

t
Signatu o epartmen ead Signature of Employee Receiving Airline Tickets

Administrative Office Approval for Unbudgeted Travel

FCAC-106
 MARRIOTT
GUEST FOL10
__
529 ZZjBASUAjLAURA 140.00 DUPLICATE 17:37 ACGT
RQOM NAME RATE DEPART TIME Z O Z HZ
GK 09/11J14
TypE ARRIVE 71ME GROUP
JrZ91
ROOM XXX NE VSXXXXXXXXXXXX2614
CLERK
ZZZ L Z PAYMENT MR#
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE

09/11 ROOM 529, 1 i40.OQ

09/11 OCC TAX 529, I 14.00
Q9/11 CTA FEE 529, 1 .10
09/11 TOUR TAX 529, 1 1.40
09/I2 CCARp-VS 155.50
VSXXXXXXXXXXXX2614
.00

MARRIOTT

'f his statement is your only receipt You have agreed to pay in cash or by approved pvsonal check or to authorize us to charge your credi! card for a~i amounts charged to
forth at~ve. Qhe
you. The amount shown in tha credits column opposite any credit card entry in the reference column above wiII be ebarged to the credit card number ret
us such amount. If you
credit card company will bill in the usual manner.) it for any reason the credit carcl company dog not make payment on this account, you will owe
amount at the rate of t.5%
are direct biIled, in the event payment is not made within 25 days after checkout, you will owe us interest from the Checkout date on any unpaid
per month VtNNUAL RATE 78Y,), or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.

Signature X
 • • •

TRAVEL REQUEST
Travel Authorization No: 920014Q04

County Employee ►.1 - ■ •

Department Name 8~ Number

Fresno County Employees' Retirement Assoc. 9200 If No, List S.S. No.

Prepared By Elizabeth Avalos

Division
Preparer's Phone Number 4~7-~~SO
Name &Title of Person

Laura Basua, Trustee

Destination {Including Intermediate Stops if Necessary)

Burbank, CA

Departure Return

DatelTime: 09/11/14 3:00 PM 09/12/14 7:00 PM

Purpose:

CALAPRS Trustee Roundtable

Expense &Travel Authorization Transportation

~ None Requested ❑
Salary
Meals ~ Airplane ❑
Hotel ~ County Auto ❑
Registration Fee ~ Private Auto ~
❑ Taxi ❑
Telephone Business
Rental Car ❑
BUS ❑
Parking ~
Mileage ~I

Signature of Employee Receiving Airline Tickets

Administrative Once Approval for Unbudgeted Travel

FCAG106