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VII.B5. 08-23-21 Meeting WarrantBOYNTON BEACH GENERAL EMPLOYEES' PENSION FUND WARRANT - PAID INVOICES AUGUST 23RD, 2021 TO: Resource Centers, Plan Administrator FROM: Board of Trustees Paid by Custodian: JP Morgan Asset Management -SPF Fees for QE 03/31/21 $ 46,710.78 JP Morgan Asset Management-SSPF Fees for QE 03/31/21 $ 57,947.84 TOTAL: $ 170,361.90 Dated this 23rd Day of August 2021. CHAIR SECRETARY Date Payee/Description Check Number Amount May 28, 2021 FPPTA 2802 $ 1,550.00 Invoice 4425; 37th Annual Conf. Registration for Laurie Fasolo Invoice 4470; 37th Annual Conf. Registration for Steven Grant May 28, 2021 Omni Hotels & Resorts 2803 $ 618.30 Hotel Reservation for Laurie Fasolo Conf. #40044193656 Event: FPPTA 37th Annual Conference June 2, 2021 Pension Resource Center 2804 $ 6,009.20 Administrative Fees- June 2021 Inv 18616 June 2, 2021 Gabriel Roeder Smith & Company 2805 $ 10,129.00 Invoice 462144 dated 5/13/21; Actuary Fees June 2, 2021 Wells Fargo Bank, N.A. 2806 $ 5,551.37 Custodial Fees for March 2021 June 4, 2021 Wells Fargo Bank, N.A. 2807 $ 5,727.83 Custodial Fees for April 2021 June 25, 2021 City of Boynton Beach 2808 $ 33,642.16 June 25, 2021 Omni Hotels & Resorts 2809 $ 600.00 Reservation for Steven Grant # June 25, 2021 FPPTA 2810 $ 825.00 37th Conference Registration for Darryl Sanders June 25, 2021 Steven B. Grant 2811 $ 714.58 Travel Advance & Sanders' Hotel Reimbursement 6/27-6/30/21 June 25, 2021 Darryl Sanders 2812 $ 335.84 Travel Advance- 6/27-6/30/2021 TOTAL: $ 170,361.90 Dated this 23rd Day of August 2021. CHAIR SECRETARY BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: 000000000028 DATE CHECK NO. 00002802 05121 nnnnnnnnnn?R INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 4425 & 4470 5/28/21 1,550.00 1,550.00 Check .00 Total 1,550.00 1,550.00 f r e BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK 00002802 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 2802 105/28/21 PAY LONE THOUSAND FIVE HUNDRED FIFTY AND 00/100 DOLLARS AUTHORIZE TO THE FPPTA ORDER 2946 WELLINGTON CIRCLE EAST OF AUTHORIZED SIGNATURE T 7T T T 'T U 7T C C L L LT '� '� '� !l 0 VENDOR NO. 000000000028 AMOUNT $1,550.00 VOID AFTER 180 DAYS FCR EFBonTAIIJ�IIICFUFRINTIr,C- 1110000 280 2118 1:06 TO 1 28951:80 6 30 29 20 6111 BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: 000000000028 DATE CHECK NO. 05/21 000000000028 00002802 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 4425 & 4470 5/28/21 1,550.00 1,550.00 .00 1,550.00 F06* C eck Total 1,550.00 w1 e, .:iAF FLoRiOAP l'RUc P TRUSTEES ASSQCIP,TIL7N SINGE 1284 LIl' W�1" Amanda Kish (Resource Centers, LLC) 4360 NORTHLAKE BLVD STE 206 PALM BCH GDNS, FL 33410 United States Invoice Date: 05/25/2021 Invoice Number: INV 4425 Registering for organization: Laurie Fasolo Reference: Online Event Registration: 37th Annual Conference Registration Florida Public Pension Trustees Association 2946 WELLINGTON CIR TALLAHASSEE, FL 32309 United States mj@fppta.org 8506688552 4a4In6b� Description Quantity Unit Price Sales Tax Amount USD Event Fee(s) - Trustee Registration Fee (Laurie Fasolo, Attendee) 1 $775.00 $775.00 Event Fee(s) - Not attending (Amanda Kish, Attendee) 1 $0.00 $0.00 Sub Total $775.00 TOTAL Sales Tax $0.00 TOTAL USD $775.00 Amount Paid ($0.00) AMOUNT DUE: $775.00 DUE DATE: June 4, 2021 PAYMENT ADVICE to , ,1? -60 Customer: Amanda Kish To: Invoice Number: INV Florida Public Pension Trustees Association -4425 2946 WELLINGTON CIR TALLAHASSEE, FL 32309 United States Amount Due: $775,00 mj@fppta.org Due Date: June 4, 2021 8506688552 to , ,1? -60 FL+JniCSJi a�LI:EkLIG t�cNS'I�ty TRU SFEEv,Fis CGiP.T �Ji SINGE 19®4 Amanda Kish (Resource Centers, LLC) 4360 NORTHLAKE BLVD STE 206 PALM BCH GDNS, FL 33410 United States Registering for organization: Steven Grant Invoice Date: 05/28/2021 Invoice Number: INV 4470 Reference: Online Event Registration: 37th Annual Conference Registration Florida Public Pension Trustees Association 2946 WELLINGTON CIR TALLAHASSEE, FL 32309 United States mjCaafppta.org 8506688552 Description Quantity Unit Price Event Fee(s) - Trustee Registration Fee (Steven Grant, Attendee) 1 $775.00 Event Fee(s) - Not attending (Amanda Kish, Attendee) 1 $0.00 DUE DATE: June 7, 2021 ----------------- a Sales Tax Amount USD To: $775.00 Florida Public Pension Trustees Association $0.00 Sub Total $775.00 TOTAL Sales Tax $0.00 TOTAL USD $775.00 Amount Paid ($0.00) AMOUNT DUE: $775.00 Amanda Kish INV -4470 $775.00 June 7, 2021 Customer: To: Invoice Number: Florida Public Pension Trustees Association 2946 WELLINGTON CIR TALLAHASSEE, FL 32309 United States Amount Due: mj@fppta.org Due Date: 8506688552 AMOUNT DUE: $775.00 Amanda Kish INV -4470 $775.00 June 7, 2021 BOENDO N BEACH GENERAL EMPLOYEES' PENSION DATE CHECK N0. 00002803 000000000305 n5/?1 nnnnnnnnn�nr. INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT LAURIE FASOLO 5/28/21 618.30 618.30 Check .00 Total 618.30 618.30 '.a��' `"��t a !c r a��1�;14 �.I a: �a,' 1s ,r�;a a r ''� Rt�� a'.:1.�,k �'��'�`_�,! F��� `fii..F�.`.!a�'i r.:c• ; �`— BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK 00002803 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 CHECK NO. CHECK DATE VENDOR NO. 2803 05/28/21 000000000305 PAY AMOUNT SIX HUNDRED EIGHTEEN AND 30/100 DOLLARS $618.30 AUTHORIZED S1 URE TO THE OMNI HOTELS & RESORTS ORDER 1500 MASTERS BLVD OF - AUTHORIZED SIGNATURE CHAMPIONSGATE FL 33896 VOID AFTER 180 DAYS -— BorDFr cor i.c sl.vcaoPr niu.r II®0000 M0311m I.OE70I2a95i.8DE30 29 20611 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000305 DATE CHECK NO. nP/91 nnnnnnnnn-zn� INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT LAURIE FASOLO 5/28/21 618.30 618.30 .00 618.30 a��`(m afini� �-: Check Total 618.30 Reservations Confirmation I Omni Hotels & Resorts (https://www.omnihotels.com/hotels/orlando-championsgate) THANK FOCI! YOUR RESERVATION IS CONFIRMED. Page I. of 9 A confirmation email has been sent to fasololObbfl.us. We look forward to seeing you at the Omni Orlando Resort at ChampionsGate. Your confirmation number is 40044193656. fIX10�ORf ms 3 L Guest Information R Laurie Fasolo https://ssLoninihotels.com/Omni 5/18/2021 Reservations Confirmation I Omni Hotels & Resorts Boynton Beach, FL 33426 Billing Information B Mastercard *********** 08/2023 LAURIE FASOLO T• a�ya Page 2 of 9 ROOM 1: $618.30 USD Rate Rules Confirmation # 40044193656 2. adults Deluxe Room - 2 Queen Beds FLORIDA PUBLIC PENSION TRUST ASS Read More v Modify Reservation 61t—v.//—A nm 0-11+1c /1'),- 11; G/1521101)I M015 adze IT ..... ....... .. isle+ EPUMILtanttO Chapteq'2121, Ronda tests*- 85-8sJ'4 �6216�44C-U `tjHc�ta rva,rrib�r This cartMes that MY OF BOYfvTON BEACH I GO E 130YNMN BAH BLVD BOYNTON BEACH FL 33 338 =31/2017 O-4 A, lolls C1 131I2022 MUMMPAL GOVERNMENT &c�irc "'! oat', C40pry Is exempt from the payment of Florida sales and use tax on real property rented, transient rental proporty ranted; tangible personal property purchased or ranted, or services purchased. 0 ImPortant ..tion fo PL You must provicle ail vendors and suppiiem with an exemption carttfl f fare mdng fa,c-exsm purchases. Sas Rule 12A-1.038, Florida Adminfstrati Code FAC.), Your Consumer's CertW mte of Fxatnpt%rr is to be used solsiy by your organization for your, organtza#ion's oustom my nonpofrt activitw 3. Purchases made by an individual an behalf of tite organization ars taxable, even It the irrdMdual will be reimbursed by the organization. 4. This exemption applies onfy to Purchases your organization makes. Pte sale or lease to othem of tangible personal Prop", shaping accommodations, or ather real property is taxable. Your organlxation must m9fater, ansd collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they am the lessor of real property (Rule 12.A -1.Q 10, FAC-). h, It Is a criminal a#fenxe to fraudulently present this c ertIf2cate to evade the payment of sales tay Under no circumstances should this ceriiflcate be used for the personal beneftt of any Individual. Violators w111 be liable for payment of the sales tax plus a penalty of 2DO% of the tex, and may be subject to conviction of a third-tfegn�e felony. Any violation will require the revocation of this certificate. B. If you have questions regarding your exemption certlifcete, please contact trip Exemption (Unit of Account Management at 800-352--387 1. From the available optiorts, select "Registration of Faxes," then 'Registration Information," and firtelly "Exemption Gertfncate s. and Nonprofit Entities.' The (nailing address is PO Box 6480, Tallahassee, FL M14-6480, BOYNTON BEACH GENERAL EMPLOYEES' PENSION DATE CHECK No. 00002804 VENDOR: 000000000001 06/21 00000nonnnnl INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 18616 JUNE 2021 6/02/21 6,009.20 6,009.20 .00 Check Total 6,009.20 6,009.20 BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK 00002804 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM -BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 CHECK NO. CHECK DATE VENDOR NO, 2804 06/02/21 000000000001 PAY AMOUNT SIX THOUSAND NINE AND 20/100 DOLLARS ` $6,009.20 AUTHORIZED SIG URE TO THE PENSION RESOURCE CENTER ORDER 4360 NORTHLAKE BLVD OF SUITE 206 AUTHORIZED SIGNATURE PALM BEACH GARDENS FL 33410 VOID AFTER 180 DAYS CORDER CO;I CI .5 M1'.IC ROPE I�TII.G II`ODD 0 2,90411 i®06 70 1 28Ii5t.g06 30 29 20 611 BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: 000000000001 DATE CHECK NO. 06/21 000000000001 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 18616 JUNE 2021 6/02/21 6,009.20 6,009.20 C .00 eck Total 6,009.20 6,009.20 i Bill To Boynton Beach General Pension Fund Date Invoice # 6/1/2021 18616 Tax ID Pension Resource Center 36-4504183 Resource Centers 87-0800468 Description Qty Rate Amount Boynton Beach General Employees' Pension Monthly Administrator 4,925.00 4,925.00 Fee for June 2021 Postage 420 0.55 231.00 International Postage 1 1.20 1.20 Retirement/DROP Application Fee for: 4 100,00 400.00 Willie Adams Richard Smith Frantz Lafontant Joe Matthews Death Benefit Processing Fee for Arma Aikens (Beneficiary of Roy 2 100.00 200.00 Aikens) and Willie Mae Owens (Beneficiary of Joe Owens) Death Search - 2nd Quarter 2021 420 0.60 252.00 Mail Payments to: $6,009.20 Resource Centers, LLC at Palm Beach Gardens address above, � If you have any questions concerning this invoice, please contact Michael Burr at Resource Centers, LLC Phone 561.459.2985 or email - michael@resourcecenters.com BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000031 DATE CHECK NO. 00002805 06/21 000000000031 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 4 62 14 4 5/13/21 6/02/21 10,129.00 10,129.00 Check .00 Total 10,129.00 10,129.00 � '- � � � ,�-s"V.._; �� .. ��.`" i� i l x"" rte"✓ J �'.:1 I �""�'' BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK 0000280 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 CHECK NO.CHECK DATE VENDOR NO. 2805 06/02/21 000000000031 PAY TEN THOUSAND ONE HUNDRED TWENTY—NINE AND 00/100 DOLLARS TO THE _ GABRIEL ROEDER SMITH & CO ORDER PO BOX 78000 OF DEPT #78009 DETROIT MI 48278 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000031 AUTHORIZEDURE AUTHORIZED SIGNATURE 10,129.00 VOID AFTER 180 DAYS Eor�Ee co s g9icHor�n�nn DATE CHECK NO. 06;21 000000000031 INVOICE NUMBER I INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT ` 462144 5/13/21 6/02/21 10,129.00 10,129.00 C .00 eck Total 10,129.00 10,129.00 Gabriel, Raeder, Smith & Company One East Broward Blvd. NiFf Suite 505 Ft. Lauderdale, Florida 33301-1804 (954) 527-1616 Attention: Ms. Amanda Kish Administrator Boynton Beach Pension Plan for General Employees The Resource Centers, LLC 4360 Northlake Blvd., Suite 206 Palm Beach Gardens, Florida 33410 For professional actuarial services rendered for the City of Boynton Beach Pension Plan for General Employees, 3/1/2021 through 5/7/2021 Benefit Calculations for: Adams, Franklin, Jean -Hilaire, Matthews, Mitchell, and Watson Final charges for preparation of the 10/1/2020 Actuarial Valuation Report; total fee of $13,168* less previous charges of $6,889 Preparation of GASB Statement No. 67 projected 9/30/2021 disclosure exhibits in conjunction with the 10/1/2020 Actuarial Valuation Report (based on hourly charges, limited to $2,500 per agreement) Amount Due * Last year's total fee of $12,986 increased by 1.4% due to increase in CPI from September 2019 to September 2020 iDat� y,�ur > It1�IbICi', 1 '• Dept. # 78009 Gabriel, Roeder, Smith & Company PO Box 78000 Detroit, Michigan 48278-0009 "'MMN ral Tait is M. �., 6.00 225.00 1,350.00 PLEASE INDICATE THE INVOICE NUMBER ON YOUR REMITTANCE. THANK YOU. POge I of 1 6,279.00 2,500.00 $10,129 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000080 DATE CHECK NO. 00.002006 06/21 000000000080 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT SACCTS MAR 2021 6/02/21 5,551.37 5,551.37 Check .00 Total 5,551.37 5,551.37 BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE.BANK 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000080 DATE CHECK NO. 06/21 000000000080 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT CHECK NO.CHECK DATE VENDOR NO. 5ACCTS MAR 2021 6/02/21 5,551.37 5,551.37 C 2806 0 6/02/2 1 000000000080 PAY AMOUNT FIVE THOUSAND FIVE HUNDRED FIFTY—ONE AND 37/100 DOLLARS $5,551.37 TO THE WELLS FARGO BANK, AUTHORIZED SI URE N.A. / ORDER TRUST OPERATIONS NW 5159 O F PO BOX 1450 AUTHORIZED SIGNATURE MINNEAPOLIS MN 55485-5159 VOID AFTER 180 DAYS eorceH comrnlris wncaoRnaruac 11'0000 2806n` 1®06 70 1 289 5t®806 30 24 20611 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 000000000080 DATE CHECK NO. 06/21 000000000080 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 5ACCTS MAR 2021 6/02/21 5,551.37 5,551.37 C .00 eck Total 5,551.37 5,551.37 Fold Hete ` � Fee Invoice: 13303124 Account Number: 25876101 Wells Fargo Bank, N.A. ForPorioct 0301/2021 05/31/2021 Invoice Date: 04/07/2021 oucooy xNTFnV19 Return To'. Boynton Bouoh-C|oarbridAoL<�C VVe||s Fargo Bank. N.A. Dixie Martinez Admin. Trust Services Group 4JOONorth|akoBlvd Ste 206 NVV615Q Palm Beach Gardens FL 33410 P.O. Box 1450 Minneapolis, MN 56485'5159 40 PAYMENT DUE UPON RECEIPT Account Name: Boynton Beach 'C|oarbridgeUGCap Contact: Karl Hutchinson 0055938 Summary ofCurrent Period Fees Charged Billed Tota Administration $1,228.40 $1.228.40 T�+"| Current Period Fees $1,228.40 $1.228.4 Z zl� | ~�� �^7 | � PLEASE RETURN THIS PAGE WITH PAYMENT Page 2 Total Charged to Account $0.00 Total Billed $1,228.40 Wells Fargo Bank, N.A. Fee Invoice: Account Number: For Period: 03/01/2021 Invoice Date: 13303124 25876101 - 03/31/2021 04/07/2021 Account Name: Contact: Boynton Beach - Clearbridge LG Cap Karl Hutchinson 0055938 Services Value I Quantity Rate Frequency Amount Administration Market Value 36,852,072.51 @ 0.0004 x 1/12 Total Administration Total 1,228.40 $1,228.40 $1,228.40 Summary Page 2 Total Charged to Account $0.00 Total Billed $1,228.40 Payment Due $1,228.40 Page 2 Wells Fargo Bank, N.A. 002311 XNTFDms Fl- Boynton/DHJFxd Dixie Martinez Admin. 2OO =^� 438UNo�h�koL�vg Ste Palm Beach Gardens FL33410 ^ \ ~~� Fold Here Account Name: Boynton/DHJFxd Contact: Karl Hutchinson 0055938 Summary ofCurrent Period Fees Charged Administration Total Current Period Fees Return To. Wells Fargo Bank N.A. Trust Services Group NVV51S0 P.O Box 1450 Minnoapo|ia.k8N 55485'5159 F__�503.43 PAYMENT DUE UPON RECEIPT Billed Total $503.43 $503.43 $503.43 $503.43 PLEASE RETURN THIS PAGE WITH PAYMENT Page Fee Invoice: 13303334 Account Number: 4048000161 For Period: 0501/2021 03/31/2021 Invoice Date., 0407/2021 002311 XNTFDms Fl- Boynton/DHJFxd Dixie Martinez Admin. 2OO =^� 438UNo�h�koL�vg Ste Palm Beach Gardens FL33410 ^ \ ~~� Fold Here Account Name: Boynton/DHJFxd Contact: Karl Hutchinson 0055938 Summary ofCurrent Period Fees Charged Administration Total Current Period Fees Return To. Wells Fargo Bank N.A. Trust Services Group NVV51S0 P.O Box 1450 Minnoapo|ia.k8N 55485'5159 F__�503.43 PAYMENT DUE UPON RECEIPT Billed Total $503.43 $503.43 $503.43 $503.43 PLEASE RETURN THIS PAGE WITH PAYMENT Page � Fee Invoice: 13303334 Account Number: 4046000161 Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 M Invoice Date: 04/07/2021 Account Name: Boynton/]HJ Fxd Contact: Karl Hutchinson 0055938 Services value I Quantity Rate Frequency Amount Administration 0O0O4 x 1/12 50343 K8a�o Value 15,102,911.65�� Total Administration $503.43 Total $503.43 Summary Total Charged to Account $0.00 Total Billed $503.43 Payment Due $503.43 Ut" Wells Fargo Bank, N.A. Fee Invoice: 13303335 Account Number., 4046000170 For Period: 0301/2021 0381/2021 Invoice Date.- 04/07/2021 Return o�x z xwTF0ns . Wells Fargo Bunk`N.A. Boynton/San Fx Trust Services Group Dixie Martinez . inez Admin NVV515Q 4JSONo�h|akoB|vd Ste �c�^'°-� ' P.O.Box 1450 Palm Beach Gardens FL3341O � Minneapolis, MN 56485'5150 PAYMENT DUE UPON RECEIPT Account Name: Boyn1n/SanFx Contact: Karl Hutchinson 0065938 � Summary ofCurrent Period Fees Charged Billed Tota $483�77 $48377 � Adm inistrutnn � Total Current Period Fees $483.77 348377 � � � � � � � � � � � � ~ | � � / PLEASE RETURN THIS PAGE WITH PAYMENT ` ` Page Fee Invoice: 13303335 Account Number: 4046000170 Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 ® 1 Invoice Date: 04/07/2021 Account Name: Boynton/San Fx Contact: Karl Hutchinson 0055938 Services Administration Market Value Summary O W N Value I Quantity 14,512,984.25 @ Rate Frequency 0.0004 x 1/12 Total Administration Total Amount 483.77 $483.77 $483.77 Total Charged to Account $0.06 EE$483.77 Total Billed Payment Due $483.77 Page 2 Fold Isere Fee Invoice: 13299760 Account Number: 24102201 Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 ® 1 Invoice Date: 04/07/2021 002216 XNTFDV19 - -- Return To: Boynton/S&P400 �� r _ Wells Fargo Bank, N.A. Dixie Martinez, Administrator l Trust Services Group The Resource Centers, LLC NW 5159 4360 Northlake Blvd., Suite 206 P.O. Box 1450 Palm Beach Gardens FL 33410 Minneapolis, MN 55485-5159 $543.03 PAYMENT DUE UPON RECEIPT Account Name: Boynton/S&P400 Contact: Karl Hutchinson 0055938 Summary of Current Period Fees Charged Billed Total Administration $543.03 $543.03 Total Current Period Fees $543.03 $543.03 b g - PLEASE RETURN THIS PAGE WITH PAYMENT Uto Z-1 ,; Page 1 Fee Invoice: 13299760 Account Number: 24102201 ® Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 Invoice Date: 04/07/2021 Account Name: Boynton/S&P400 Contact: Karl Hutchinson 0055938 Services Administration Market Value Annual Account Maintenance Summary Value I Quantity 16,103,315.08 @ 1.00 @ Rate Frequency 0.0004 x 1/12 75.00 x 1/12 Total Administration Total Amount 536.78 6.25 $543.03 $543.03 Total Charged to Account $0.00 Total Billed $543.03 Payment Due $543.03 Page 2 Fold Here x z w iv Fee Invoice: 13303337 Account Number: 4046002463 Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 Invoice Date: 04/07/2021 002314 XIVTFDVI9� Return To: { Wells Fargo Bank, N.A. Boynton/City Mut Dixie Martinez Admin. ,;' Trust Services Group NW 5159 4360 Northlake Blvd Ste 206 _ Palm Beach Gardens FL 33410 P.O. Box 1450 Minneapolis, MN 55485-5159 $2,792.74 PAYMENT DUE UPON RECEIPT Account Name: Boynton/City Mut Contact: Karl Hutchinson 0055938 Summary of Current Period Fees Charged Billed Administration $2,792.74 Total Current Period Fees $2,792.74 Total $2,792.74 $2,792.74 PLEASE RETURN THIS PAGE WITH PAYMENT , �t �x �FsFiPagel Fee Invoice: 13303337 Account Number: 4046002463 Wells Fargo Bank, N.A. For Period: 03/01/2021 - 03/31/2021 Invoice Date: 04/07/2021 Account Name: Boynton/City Mut Contact: Karl Hutchinson 0055938 Services Value / Quantity Rate Frequency Amount Administration Market Value 83,782,203.92 @ 0.0004 x 1/12 2,792.74 Total Administration $2,792.74 Total $2,792.74 Summary O Total Charged to Account $0.00 EEE$2,792.74 Total Billed Payment Due $2,792.74 &A, Page 2 BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: 000000000080 DATE CHECK NO. 00002807 06/21 000000000080 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT APR 2021 SACCTS 6/04/21 5,727.83 5,727.83 Check .00 Total 5,727.83 5,727.83 f'TV(.f � .. ,I iG,"w' lig `� � 'r ['. 30YNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK OW 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 CHECK NO.CHECK DATE VENDOR NO. 2807 06/04/21 000000000080 PAY AMOUNT FIVE THOUSAND SEVEN HUNDRED TWENTY—SEVEN AND 83/100 DOLLARS $5,727.83 TO THE WELLS FARGO BANK, N.A. ORDER TRUST OPERATIONS NW 5159 OF PO BOX 1450 MINNEAPOLIS MN 55485-5159 AUTHORIZED SI URE i AUTHORIZED SIGNATURE VOID AFTER 180 DAYS BORDER rOffnNswcygNRiN,iNc II®0000 280 ?II® `:06 20 1 2 B 9 5t:aDG 30 29 20 Din BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: 000000000080 DATE CHECK NO. 06/21 000000000080 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT APR 2021 5ACCTS 6/04/21 5,727.83 5,727.83 Check .00 Total 5,727.83 5,727.83 Fold Here Fee Invoice: 13325026 Account Number: 24102201 Wells Fargo Bank, N.A.For Period; 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 000295 XNTFDV46 Boynton/S&P400 Dixie Martinez, Administrator The Resource Centers, LLC 4360 Northlake Blvd., Suite 206 Palm Beach Gardens FL 33410 Account Name: Boynton/S&P400 Contact: Karl Hutchinson 0055938 Summary of Current Period Fees Administration Total Current Period Fees 6A -M -s j 5 �-VT �3 Return To: Wells Fargo Bank, N.A. Trust Services Group NW 5159 P.O. Box 1450 Minneapolis, MN 55485-5159 $567.'46 PAYMENT DUE UPON RECEIPT Billed Total $567.46 $567.46 $567.46 $567.4 3C6�o C 7' Page 1 Fee Invoice: 13325026 Account Number: 24102201 Wells Fargo Baftk,"`4" For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 Account Name: Boynton/S&P400 Contact: Karl Hutchinson 0055938 Services Value / Quantity Rate Frequency Amount Administration Market Value 16,836,375.24 @ 0.0004 x 1/12 561.21 Annual Account Maintenance 1.00 @ 75.00 x 1/12 6.25 Total Administration $567.46 'total $567.46 Summary • ��- . -. • . • • t Total ill$. . Payment Due Page 2 Fold Here Fee Invoice: 13339697 Account Number., 4046000170 ® ells Fargo Bank, "A` For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 000405 XNTFDV46 Return To: Boynton/San Fx[[� [ Wells Fargo Bank, N.A. # Dixie Martinez Admin. L Trust Services Group 4360 Northlake Blvd Ste 206 NW 5159 Palm Beach Gardens FL 33410 jo t1 ` ''0ZI P.O. Box 1450 Minneapolis, MN 55485-5159 By $465.50 PAYMENT DUE UPON RECEIPT Account Name: Boynton/San Fx Contact: Karl Hutchinson 0055938 Summary of Current Period Fees Administration Total Current Period Fees $465.50 $465.50 -p Total $465.50 $465,50 Page 1 Fee Invoice:/3339697 Account Number: 4046000170 M Wells Fargo ����' N.A. For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 Account Name: Boynton/San Fx Contact: Karl Hutchinson 0055938 Services Value I Quantity Rate Frequency Amount Administration Market Value 13,964,887.85 @ 0.0004 x 1/12 465.50 Total Administration $465.50 Total $465.50 Summary Total Charged to Account Total Billed Payment D -� ', •.. Page 2 Fee |nvoice: 13338696 Account Number.,4040UOO101 Wells Fargo Bank, N.A. For Perioc� 0401/2021 04/30/2021 Invoice Date: 05/07/2021 000404 A�TFDV46 Dixie Martinez Admin. ~~�~ 43S0Nodh|akeBlvd Ste 206 Palm Beach Gardens FL3341O Fold Here � � � "UN A 2 2021 UU� y1� Account Name: Bnynton/DHJFxd Contact: Karl Hutchinson 0055938 Summary of Current Period Fees Administration Total Current Period Fees Return To: Wells Fargo Bank, N.A. Trust Services Group 0VVS1SQ P.O.Box 146O Minneapolis, MN 65486'6159 PAYMENT DUE UPON RECEIPT Billed Total $484,68 $484.68 S484�68 $484,68 PLEASE RETURN THIS PAGE WITH PAYMENT i� , Page Total Charged to Account Total Bided ' M Wells Fargo Bank, N.A. Fee Invoice: 13339698 Account Number: 4046000101 For Period: 0401/2021 04/30/2021 Invoice Date: 05/07/2021 Account Name: Contact: Boynton/DHJFxd Karl Hutchinson 0056038 Services Value /Quantity Rate Frequency Amount Administration Market Value 14.540.50448 0,0004 x 1/12 Total Administration Total 484,68 $484.8B $484.68 Summary Total Charged to Account Total Bided rayment Due Fold Here Fee Invoice: 13340025 Account Number: 25876101 ® Wells Fargo Bank, N.A. For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 000409 XNTFDV46 Boynton Beach - Clearbridge LG Cal�i� I �. Dixie Martinez Admin. '1 4360 Northlake Blvd Ste 206 Palm Beach Gardens FL 33410 11 j i Account Name: Boynton Beach - Clearbridge LG Cap Contact: Karl Hutchinson 0055938 Return To: Wells Fargo Bank, N.A. Trust Services Group NW 5159 P.O. Box 1450 Minneapolis, MN 55485-5159 $1,313`77 PAYMENT DUE UPON RECEIPT Summary of Current Period Fees Charged Billed Total Administration $1,313.77 $1,313.77 Total Current Period Fees $1,313.77 $1,313.77 61:3 1 a -I PLEASE RETURN THIS PAGE WITH PAYMENT Page 1 Fee Invoice: 13340025 Account Number: 25876101 ® Wells Fargo B?/1k, M..4. For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 Account Name: Boynton Beach - Clearbridge LG Cap Contact: Karl Hutchinson 0055938 Services Value / Quantity Rate Frequency Amount Administration Market Value 39,413,038.31 @ 0.0004 x 1/12 1,313.77 Total Administration $1,313.77 Total $1,313.77 Summary Total Charged to Account $0.00 Total Billed $1,313.77 Payment Due $1,313.77 M. Page 2 Fold Here Fee Invoice: 13339698 Account Number: 4046002463 Wells Fargo Bank, N.A.For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 000406 XNTFDV46 Boynton/City Mut Dixie Martinez Admin. 4360 Northlake Blvd Ste 206 Palm Beach Gardens FL 33410 Account Name: Boynton/City Mut Contact: ' Karl Hutchinson 0055938 Summary of Current Period Fees Administration Total Current Period Fees Return To: Wells Fargo Bank, N.A. Trust Services Group NW 5159 P.O. Box 1450 Minneapolis, MN 55485-5159 ;$2,896.42 PAYME*T DUE UPON RECEIPT Charged Billed Total $2,896.42 $2,896.42 $2,896.42 $2,896.42 PLEASE RETURN THIS PAGE WITH PAYMENT f BI- Flage 1 Fee Invoice: 13339698 Account Number- 4046002463 . ® Wells Fargo Bank, N.A. For Period: 04/01/2021 - 04/30/2021 Invoice Date: 05/07/2021 Account Name: Boynton/City Mut Contact: Karl Hutchinson 0055938 Services Value / Quantity Rate Frequency Amount Administration Market Value 86,892,464.92 @ 0.0004 x 1/12 2,896.42 Total Administration $2,896.42 Total $2,896.42 Summary Total Changed to Account $0.00 Total Billed $2,896.42 Payment Due $2,896.42 0 Page 2 BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: nnnnnnnnn4nl DATE CHECK NO. 00002808 07/21 000000000401 FNVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 006213 7/01/21 15,739.82 15,739.82 .00 15,739.82 006214 7/01/21 9,853.41 9,853.41 .00 9,853.41 ^'6215 7/01/21 4,069.60 4,069.60 .00 4,069.60 6216 7/01/21 3,346-04 3,346.04 .00 3,346.04 006217 7/01/21 269.01 269.01 .00 269.01 006218 7/01/21 364.28 364.28 .00 364.28 Check Total 33,642.16 WON.w;.P � fill r! ii ` I !k ELrl�l��; 17�,i P P Am w It'r.'b. ; BOYNTON BEACH GENERAL EMPLOYEES' PENSION �QStiZt�� 4360 NORTHLAKE BLVD STE 206 10891 N. Military Trail PALM BEACH GARDENS, FL 33410 Palm Beach Gardens, FL 33410 800-206-0116 63-1289/670 2808 10-7101121 1000000000401 PAY THIRTY-THREE THOUSAND SIX HUNDRED FORTY-TWO AND 16/100 DOLLARS -r--�� 4UTHORIZED SIG'14n TURE / 70THE CITY OF BOYNTON REACH ORDER ASI T N : ANDREA JAVIER O E 4UTH ORIZED SI GIJf.TURE P.O. BOX 310 BOYNTON BEACH FL 33425 $33,642.16 VOID AFTER 180 DAYS PGRCEN COI:TAI�T. r.!I'?.OF Fl;Y: T Ih IIE0000 280611E EQ06 70 128q 51:806 30 2q 20111E BOYNTON BEACH GENERAL EMPLOYEES' PENSION 00002808 VENDOR. DATE CHECK NO. 000000000401 07/21 000000000401 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT 0106213 7/01/21 15,739.82 15,739.82 .00 15,739.82 006214 0 7/01/21 9,853.41 9,853.41 .00 9,853.41 006215 C 7/01/21 4,069.60 4,069.60 .00 4,069.60 006216 07/01/21 3,346.04 3,346.04 00 3,346.04 006217 7/01/21 269.01 269.01 .00 269.01 006218 7/01/21 364.28 364.28 .00 364.28 C eck Total 33,64.2.16 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: nnnnnnnnn,Dr F DATE CHECK NO. 1 00002809 nti/21 000000000305 ------------ INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT STEVEN GRANT 6/25/21 600.00 600.00 Check .00 Total 600.00 600.00 BOYNTON BEACH GENERAL EMPLOYEES' PENSION CENTERSTATE BANK 4360 NOl3THLAKE BLVD STE 206 10891 N. Military Trail P 4LM BEACH G� RDENS,, FL 33410 Palm Beach Gardens, FL 33410 63-1289/670 800-206-0116 CHECK NO.CHECK DATE VENDOR NO. 280-9 1 06/25/21 1 0000000003051 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: 600.00 O. AUTHORIZED SI URE AUTHORIZED SIGNATURE VOID AFTER 180 DAYS BONDER COFITAINS MICROPRINTW( DATE CHECK NO. n -F / 91-- -0 0 0-0 0 0 0 0 03-0-5---- v - -- INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT STEVEN GRANT 6/25/21 600.00 600.00 C .00 eck Total 600.00 600.00 0000010 as/ID 'y ,i =5„ must provide •.y. vendors and suppliers 1h an exemption •w1ffl+nl t before : iA . tax-exempt A "I"Ill.%, 1 1.•' 1 l•�11 =X11 Purchases made by an Individual on behalf of the organization are taxable, even If the individual will bz S C.{ } by theorganiftHon. ,. _ _ • s= �';:, • >: 1_.. "= .. -: • _.:..•±. a •u :: • �2. ♦ • cftirjW oftnee to fmudu** ~ this cartifloate to evade this payment of sales tqx. Under no— olroumsta.nose should this oertMosts be used for ft persoM benaft of any Individual. Violators will be liable for payment of the sales tax plus a perafty of 200% of the tax, and may be subjed to corMadon of a thlrd-d" felony. Any vloistlon YWII require the revocation of this certiffents. lit ifr you havequestions .g : • .your=.,sa' • •. oertiffoate,please ., _Exemption Managernent at SM -M -W71. From the available options, select mRogistration of Twcftm then uReglatration ThIshasag% FL 32314-M. This Email may be subject to public record requests. ---------- Forwarded message --------- From: Omni Hotels & Resorts <replV@em.omnihoteis.com> Date: Sat, May 15, 2021 at 4:12 PM Subject: Omni Orlando Resort at ChampionsGate Reservation Confirmation - 40044166540 To: <STEVEN a View as a webpage 150.0 Masters Blvd, Championsgate FL_US_33896_ Driving Directions to the Hotel > Phone: 407-390-6664 ' ` View/Moldifyx:eservation >> ` v� We are pleased to inform you that the following reservation has been confirmed. Have a pleasant stay and we look forward to assisting you again! Thank you for booking with Omni Hotels & Resorts. Now, as part of our Say Goodnight to Hunger initiative, vvewill make odonation toFeeding America onyour behaU° Together, vvocan help end hunger inAmerica. Omni Hotels & Resorts Reservation Summary Guest Steven Grant Sa|octGuest# i Occupants IAdults, OChildren Your Stay 3nighte, I noonm(e) 4 FLORIDA PUBLIC PENSION TRUST ASS 3nigNo 200.00 USD Sub -total (3nights): 600.00U8O Taxes (room onl): 87D0USO Resort Charge: O.00US[] Additional Items Taxoa~~: 0.00U8ID Grand Total 687.00 USD American Express ***********3009 Deposit of 0.00 is due by 06/27/2021 Applicable resort charges included in room rate above. Additional charges may apply. Please read full terms and conditions, reservation FAQs, property policies & parking information. Changes to your reservation: We understand that plans change and we are here to help. If the dates of your trip or the length of your stay happen to change, please note that this may result in a rate modification. *$1 helps provide 10 meals on behalf of local Food banks. For each completed stay at any participating Omni, regardless of how the reservation is made, Omni will donate a meal to a family in need. ** Taxes and charges are calculated based on room rate and additional items purchased above. BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: nnnnnnnnnn1)o DATE CHECK NO. 00002810 Oh/21 000000000028 ------------ INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT SANDERS 6/25/21 825.00 825.00 Check .00 Total 825.00 825.00 2810 106/25/21 1000000000028 $825.00 1 4 m_. AUTHORIZED S URE j AUTHORIZED SIGNATURE VOID AFTER 180 DAYS H(JHl7ER COFJTAIPIS h91CROPRIFITIN( 11®0000 28 1011® 1.06 70 1 289 51®806 30 29 206E BOYNTON BEACH GENERAL EMPLOYEES'PENSION VENDOR: n,nr nnnnnn0Q DATE CHECK NO. Oh/21 000000000028 00002810 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT SANDERS 6/25/21 825.00 825.00 C .00 eck Total 825.00 825.00 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: nnnnnnnnn7nn DATE CHECK NO. 00002811 06/21 000000000700 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT TRAVEL ADVANCE 6/25/21 714.58 714.58 .00 Check Total 714.58 714.58 TO THE STEVEN B. GRANT ORDER C/O CITY HALL A OF 100 E. BOYNTON BOYNTON BEACH 2811 06/25/21 1000000000700 AMOUNT $714.58 AUTHORIZED UI` TTN :'MAYOR STEVEN B GRANT AUTHORIZED SIGNATURE BEACH BLVD FL 33435 VOID AFTER 180 DAYS BORDER CONTAINS MICHOPRINT114C II®0000 28 1111® 1.0670 1 2a951e80E 30 29 20611' BOYNTON BEACH GENERAL EMPLOYEES' PENSION 00002811 VENDOR: CHECKDATE nnnnnnn_nn7nn _ _ _-_ _ 06/21 - 000000000700- INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT TRAVEL ADVANCE 6/25/21 714.58 714.58 Clieck .00 Total 714.58 714.58 CITY OF BOYN t °fin N BEACH, a Oit DA TRAVEL AUTHORIZATIONFORM Travel .,EJanuary0 Line See Instructionso b Please note the City is tax exempt in the state only as long as the City sends a check 8 Hotel Cost $ 582.58 for the hotel. Travelers will not be reimbursed for sales tax for in-state hotels. Hotel Name Sharing Room With: 9 Meal Per Diem Cost: Breakfast - $8. $ 24.001 If any meals are Included in registratiolli Lunch - $12. $ 48.00 fee or hotel rate please do not include Dinner - $20. $ 60.00 in this section s -_ 10 Registration Fee $ - 11 Other Costs: $ - Ground Transportation $ - Traveler must provide receipt for reimbursement Parking Fee $ - Traveler must provide receipt for reimbursement Tolls $ - Traveler must provide receipt for reimbursement Fuel $ - Traveler must provide receipt for reimbursement 12 Plane Fare $ - Written,justification Must be attached to this form as to why rental car is necessary 13 Rental Car $ - and an insurance card must be picked up from Risk Management prior to leaving. 14 Books / Publications $ - 15 When personal car is authorized, provide estimated mileage & cost: Estimated Mileage »»> See Instructions (Item 15) if the Traveler receives a car allowance. Estimated cost $ - (Effective January 1, 2019, reimbursement is $.56per mile) Total Expenses $ 714.58 16 Advance Check Requested: Yes (Type Yes or No) DO NOT send a separate 121 form for advance (No advance will be issued for expenses less than $50. Only show amount to be paid 17 Amount requested: $ 714.58 to Traveler - do not include amounts that were paid on separate 121 forms) 18 Acct. # to be charged: Note - A Travel Expense Report must be completed,; Iwithin '15 business days of return from your trip. I Receipts must be kept for hotel, fuel, ground Traveler Signature: ,transportation, tolls, parking fees, etc. Finance must be notified if trip is changed or cancelled. Send an e-mail to Isis Sablon or call Ext. 6320. 4 COPY OF THE CONFERENCE/ MEETING BROCHURE MUST BE ATTACHED TO THIS FORM & THE TRAVEL EXPENSE FORK Department Head: J Scott Baur, Resource Centers Finance Department: S:\2021\Pension Funds\Boynton General\2021 Accounts Payable\Pending Invoices\Grant, Steve 06-25.21 Travel Authorization Form (Effective January 1, 2019) 6/24/2021 The Fountains at ChampionsGate - Reservations - Confirmation Success! Your room is booked. Check ) view your confirmation email. Thanks, DarryH Your itinerary number is 1036584615711 Room I Confirmation #: 63742SCO087,47 Confirmed Thank you -for choosing our property. We look forward to your arrival. F1 Add to calendar (I Share The Fountains at ChampionsGate 8101 Roseville Blvd— Davenport, Florida 33896 1-855-945-4092 res.fro@astonreservations.com hrLp,iiwwvw.aquaastan.corrn/hoteBs/the-fountains-at-champlonsgate Confirm #63742SCO08747 I -Bedroom 2.5 -Bath Townhorne Summer Play -cation 33 Nights I_] Dates Sun, Jun 27, 2021 Wed, Jun 30, 2021 (3 Nights) Guests 2 Adults Guest Information Darryl Sanders Payment Method $344.25 https://be,synxis.com/confirm?adult=2&arrive=2021-06-27&chain= I 0365&child=O&currency=USD&depart=2021-06-30&hotel=63742&level=hotel&loca... 1/2 1 1 6/24/2021 The Fountains at ChampionsGate - Reservations - Confirmation Card ending in 3009 L"7 Cancel Room W F-) mt, 0, Check4n Check-out After 4:00 PM Before 11:00 AM ROOM I 1 -BEDROOM 2.5 -BATH TOWNHOME Deposit Policy A deposit of I night plus tax due at booking. Full balance charged 14 days prior to arrival. Daily amenity fee of USD$26.1 1 applies. Stays subject to one-time cleaning fee of USD$113.50 (1'&'2'&'3BR) or USD$130.53 (4BR). Refundable security deposit $500 or property protection plan USD$65 required at check-in. Cancellation Policy Cancellations within 3 days of arrival, no-shows, or early check-outs to be assessed a full stay cancellation charge. 1 -The F'03UNTAINS AT C 10 A N1 0' � GIN S -�i AT H DIRECTIONS BUSINESS TRAVEL TRAVEL AGENTS SITEMAP EMAIL SIGNUP PRIVACY POLICY 8101 Roseville Blvd, Davenport, FL 33896 CONTACT (855) 954-4160 Property Direct: (407) 787-4800 Copyright Q 2018 The Fountains at ChampionsGate All rights reserved. https://be.synxis.com/confirm?aduIt=2&arrive=2021-06-27&chain=1 0365&child=O&currency=USD&depart=2021-06-30&hotel=63742&level=hotel&loca... 2/2 BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR: rnnnnnnnnn�no DATE CHECK NO. 00002812 nh/21 000000000308 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT TRAVEL ADVANCE 6/25/21 335.84 335.84 Check .00 Total 335.84 335.84 2812 06/25/21 AUTHORIZED SI URE AUTHORIZED SIGNATURE VOID AFTER 180 DAYS II110000 2,R 1 211® N.06 70 1 289 5108,906 30 29 20611® BOYNTON BEACH GENERAL EMPLOYEES' PENSION VENDOR:DATE nnnnnnnnn-�_nR _ __ 06/21 000000000308 $335.84 G CHECK NO. 000000000308 00002812 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISC. TAKEN NET AMOUNT TRAVEL ADVANCE 6/25/21 335.84 335.84 C .00 eck Total 335.84 335.84 t CITY OF BOYNTON BEACH, FLORIDA E TRAVEL AUTHORIZATION FORM Travel after January 1, 2019 Line See Instructions for each Line number. 16- Advance Check Requestedi Yes (Type Yes orNo)DO NOT send a separate 121 form for advance (No advance will be issued for expenses less than $50. Only show amount to be paid 17 Amount requested, $ 335.84 to Traveler - do not include amounts that were paid on separate 121 forms) 18 Acct. # to be charged:_ ,Note -A Travel Expense Report must be completed:' within 15 business days of return from your trip. Receipts must be kept for hotel, fuel, ground Traveler Signature: 'transportation, tolls, parking fees, etc. Finance must be notified if trip is changed or cancelled. Send an e-mail to Isis Sabl6n or call Ext. 6320. k COPY OF THE CONFERENCE/ MEETING BROCHURE MUST BE ATTACHED TO THIS FORM & THE TRAVEL EXPENSE FORK Department Head: J Scott Baur, Resource Centers Finance Department: SA2021 \Pension Funds\Boynton GeneraU021 Accounts Payable\Pending Invoices\Sanders, Darryl 06-25-21 Travel Authorization Form (Effective January 1, 2019) Please note the City is tax exempt in the state only as long as the City sends a check 8 Hotel Cost $ - for the hotel. Travelers will not be reimbursed for sales tax for in-state hotels. Hotel Name Sharing Room With: 9 Meal Per Diem Cost: 'If included � in registration Breakfast - $8. $ 24.00 any meals are Lunch - $12. $ ! 48.00F fee or hotel rate please do nott inclulu de Dinner - $20. $ 60.00 Cin this section. 10 Registration Fee $ 11 Other Costs: $ Ground Transportation $ - Traveler must provide receipt for reimbursement I Parking Fee $ - Traveler must provide receipt for reimbursement Tolls $ - Traveler must provide receipt for reimbursement Fuel $ - Traveler must provide receipt for reimbursement 12 Plane Fare $ - Written justification Must be attached to this form as to why rental car is necessary 13 Rental Car $ - and an insurance card must be picked up from Risk Management prior to leaving. 14 Books / Publications $ - 15 When personal car is authorized, provide estimated mileage & cost: Estimated Mileage >>>>> 182x2 See Instructions (Item 15) if the Traveler receives a car allowance. Estimated cost $ 203.84 (Effective January 1, 2019, reimbursement is $.56per mile) 16- Advance Check Requestedi Yes (Type Yes orNo)DO NOT send a separate 121 form for advance (No advance will be issued for expenses less than $50. Only show amount to be paid 17 Amount requested, $ 335.84 to Traveler - do not include amounts that were paid on separate 121 forms) 18 Acct. # to be charged:_ ,Note -A Travel Expense Report must be completed:' within 15 business days of return from your trip. Receipts must be kept for hotel, fuel, ground Traveler Signature: 'transportation, tolls, parking fees, etc. Finance must be notified if trip is changed or cancelled. Send an e-mail to Isis Sabl6n or call Ext. 6320. k COPY OF THE CONFERENCE/ MEETING BROCHURE MUST BE ATTACHED TO THIS FORM & THE TRAVEL EXPENSE FORK Department Head: J Scott Baur, Resource Centers Finance Department: SA2021 \Pension Funds\Boynton GeneraU021 Accounts Payable\Pending Invoices\Sanders, Darryl 06-25-21 Travel Authorization Form (Effective January 1, 2019) r 2001 NW 2nd St to Champions Gate Drive 182 miles, 3 hr 7 min Map data ©2021 INEGI, Google 10 mi' a ® Wearing a mask in some public spaces is required due to COVID-19 via Florida's Turnpike 3 hr 7 min Fastest mule nmLi, avo#d5'alC)b"•Jdi)lari on 182 miles ) Fiorid s Turnpike ,. This route has tolls. via 1-95 N 3 hr 17 min - _20-7) miles via 1-95 N and Florida's Turnpike 3 hr 20 min 193 miles Explore Champions Cate 00000 Restaurants Hotels Cies stations PaNrkirdg I...oLs, More