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235112 07/22/14
�+U���p"� CITY OF CARMEL, INDIANA VENDOR: 00351194 `� �` CHECKAMOUNT: $*******830.00* ''�• ONE CIVIC SQUARE HAMPTON INN-PRINCETON :C �a CARMEL, INDIANA 46032 107 S RICHLAND CREEK DRIVE CHECK NUMBER: 235112 +,;,_. ,� PRINCETON IN 47670 CHECK DATE: 07/22/14 [TpN L�' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 830.00 EXTERNAL TRAINING TRA Form ST-105 Indiana Department of Revenue State Form 49065 R4/8-05 General Sales Tax Exemption Certil5cate Indiana registered retail merchants and businesses located outside Indiana may use this certificate.The claimed exemption must be allowed by Indiana code. Exemption statutes of other states are not valid for purchases from Indiana vendors.This exemption certificate can not be issued for the purchase of Utilities, Vehicles, WP ter ra ,or Aircraft, Purchaser must be registered with the Department of Revenue or the appropriate taxing authority of the purchaser's state of residence. Sales tax must be charged unless all information in each section is fully completed by the purchaser.Purchasers not able to provide all required information must pay the tax and may file a claim for refund(Form GA-110L)directly with the Department of Revenue. NanieofPurchaser CITY OF CARMEL r ONE CIVIC SQUARECARMEL IN 46032 Business Address City State zip } iga Purchaser must provide minimum of one ID number below. ,oi Provide your Indiana Registered Retail Merchant's Certificate TID and LOC Number as shown on your Certificate......................... 0031201550 — 020 `A TID#(10 digits) LOC#(3 digits) If not registered with the Indiana DOR,provide your State Tax ID Number from another State................................................................ *See instructions on the reverse side if you do not have either number. State ID# State of Issue Is this a m blanket purchase exemption request or a ❑single purchase exemption request? (check one) v Description of items to be purchased. m Purchaser must indicate the a of exem uon bein claimed for this purchase. (check one or explain) tyP P g P ❑ Sales to a retailer,wholesaler,or manufacturer for resale only. E❑ Sale of manufacturing machinery,tools,and equipment to be used directly in direct production. C3 Sales to nonprofit organizations claiming exemption pursuant to Sales Tax Information Bulletin#10. (May not be used for personal hotel rooms and meals.) ❑ Sales of tangible personal property predominately used(greater then 50 percent)in providing public transportation-provide USDOT#. - Ape rson or corporation who is hauling under someone else's motor carrier authority,or has a contract as a school bus operator,must 4 provide their SS#or FID#in lieu of a State ID#in Section#1. USDOT# W❑ Sales to persons,occupationally engaged as farmers,to be used directly in production of agricultural products for sale. Note.A farmer not possessing a State Business License#may enter a FID#or a SS#in lieu of a State ID#in Section#1. �.: ' ❑ Sales to a contractor for exempt projects(such as public schools,government,or nonprofits). ® Sales to Indiana Governmental Units(agencies,cities,towns,municipalities,public schools,and state universities). f ❑ Sales to the United States Federal Government-show agency name. Note;A U.S.Government agency should enter its Federal Identification Number(FM#)in Section#1 in lieu of a State ID#. a C1 Other-explain. I hereby certify under the penalties of perjury that the property purchased by the use of this exemption certificate is to be used for an exempt purpose pursuant to the State Gross Retail Sales Tax Act,Indiana Code 6-2.5,and the itempurchased is not a utility,vehicle,watercraft,or aircraft. I confirm my understanding that misus either negligent or' entional),and/or fraudulent use of this certificate may subject both me personally and/or the business entity I represent a irriposition ter ,and civil and/or criminal penalties. ' Date Signature of Purchaser Printed Name DIANA L CORDRAY Title CLERK-TREAURER The Indiana Department of Revenue may request verification of registration in another state if you are an out-of-state purchaser. Seller must keep this certificate on file to support exempt sales. i HOTEL ROOM CALCULATIONS - BOWLES, HEAVNER, CROMLICH Bowles TOTAL ROOM PER ADDT'L FEES- DATES RATE TAX RATE TAX AMOUNT NIGHT W/TAX RESORT TOTAL 8/10/2014 $83.00 12.000% EXEMPT $ 83.000 8/11/2014 $83.00 12.000% EXEMPT $ 83.000 8/12/2014 $83.00 12.000% EXEMPT $ 83.000 8/13/2014 $83.00 12.000% EXEMPT $ 83.000 8/14/20141 $83.00 12.000% EXEMPT $ 83.000 TOTAL STAY-NUMBERS WERE ROUNDED IN FORMULAS 1 1 $415.0000 Heavner TOTAL ROOM PER ADDT'L FEES- DATES RATE TAX RATE TAX AMOUNT NIGHT W/TAX RESORT TOTAL 8/10/2014 $83.00 12.000% EXEMPT $ 83.000 8/11/2014 $83.00 12.000% EXEMPT $ 83.000 8/12/2014 $83.00 12.000% EXEMPT $ 83.000 8/13/2014 $83.00 12.000% EXEMPT $ 83.000 8/14/2014 $83.001 12.000%1 EXEMPT $ 83.000 TOTAL STAY-NUMBERS WERE ROUNDED IN FORMULAS $415.0000 Crawford, Daviess, Dubois, Gibson, Knox, Martin - Perry, Pike, Posey, Spencer, Vanderburgh, Warrick ALL HAZARDS INCIDENT MANAGEMENT TEAM CLASS REGISTRATION FORM August 11th— 15th Vincennes University (Gibson Center)--8100 S. Hwy 41 Ft Branch, IN Start time each day 8AM central time. NAME: Joel Heavner PSID#: 9223-2309 AGENCY: Carmel Fire Department COUNTY: Hamilton ADDRESS: 2 Civic Square, Carmel, IN Are you in the process of applying for a task card (yes/no)?: No TASKFORCE POSITION: Prerequisites--Have you taken NIMS: 100_x_ 200_x_ 300_x_ 700_x_ If you answered no to any of the NIMS classes, you are not eligible to take the class. Do you live at least 50 miles away from Ft. Branch? Yes_x_ No *If you live at least 50 miles from the training center, and are member of the District 10 Taskforce, you may be able to request funding for lodging from the DPC. Details will be dealt with on an individual basis once your registration is processed. This class will be limited to 27 people. On Monday, Tuesday, and Wednesday there will be a break to go get lunch from campus or area restaurants. ON THURSDAY AND FRIDAY WE MUST HAVE A WORKING LUNCH (will be included with the class). Send all registration forms to Steve Anderson at smoketerl@twc.com Also for questions about the class email Steve or text/call cell 812-480-5014. Crawford, Daviess, Dubois, Gibson, Knox, Martin Perry, Pike, Posey, Spencer, Vanderburgh, Warrick I i ALL HAZARDS INCIDENT MANAGEMENT TEAM CLASS REGISTRATION FORM August 11th— 15th Vincennes University (Gibson Center)--8100 S. Hwy 41 Ft Branch, IN Start time each day 8AM central time. NAME: Orbie Bowles PSID#: 2850-9318 AGENCY: Carmel Fire Department COUNTY: Hamilton ADDRESS: 2 Civic Square, Carmel, IN Are you in the process of applying for a task card (yes/no)?: No TASKFORCE POSITION: Prerequisites--Have you taken NIMS: 100_x_ 200_x_ 300_x_ 700_x_ If you answered no to any of the NIMS classes, you are not eligible to take the class. Do you live at least 50 miles away from Ft. Branch? Yes_x_ No *If you live at least 50 miles from the training center, and are member of the District 10 Taskforce, you may be able to request funding for lodging from the DPC. Details will be dealt with on an individual basis once your registration is processed. This class will be limited to 27 people. On Monday,Tuesday, and Wednesday there will be a break to go get lunch from campus or area restaurants. ON THURSDAY AND FRIDAY WE MUST HAVE A WORKING LUNCH (will be included with the class). Send all registration forms to Steve Anderson at smoketerl@twc.com Also for questions about the class email Steve or text/call cell 812-480-5014. Crawford, Daviess, Dubois, Gibson, Knox, Martin 1 Perry, Pike, Posey, Spencer, Vanderburgh, Warrick ni ALL HAZARDS INCIDENT MANAGEMENT TEAM CLASS REGISTRATION FORM August 11th— 15th Vincennes University (Gibson Center)--8100 S. Hwy 41 Ft Branch, IN Start time each day 8AM central time. NAME: Mark Cromlich PSID#: 8631-4718 AGENCY: Carmel Fire Department COUNTY: Hamilton ADDRESS: 2 Civic Square, Carmel, IN Are you in the process of applying for a task card (yes/no)?: No TASKFORCE POSITION: Prerequisites--Have you taken NIMS: 100_x_ 200_x_ 300_x_ 700_x_ If you answered no to any of the NIMS classes, you are not eligible to take the class. Do you live at least 50 miles away from Ft. Branch? Yes_x_ No *If you live at least 50 miles from the training center, and are member of the District 10 Taskforce, you may be able to request funding for lodging from the DPC. Details will be dealt with on an individual basis once your registration is processed. This class will be limited to 27 people. On Monday,Tuesday, and Wednesday there will be a break to go get lunch from campus or area restaurants. ON THURSDAY AND FRIDAY WE MUST HAVE A WORKING LUNCH (will be included with the class). Send all registration forms to Steve Anderson at smoketerl@twc.com Also for questions about the class email Steve or text/call cell 812-480-5014. Snyder, Denise W From: Bowles, Orbie Sent: Thursday,July 17, 201414:06 To: Snyder, Denise W Subject: Fwd: Hampton Confirmation#87971940 Sent from my iPhone Begin forwarded message: From: Hampton Confirmed<hampton e,res.hilton.com> Date: July 16, 2014, 12:42:58 PM EDT To: 'Bowles, Orbie" <OBowles@carmel.in. og_v> Subject: Hampton Confirmation#87971940 Reply-To: "hamptonhelpghiltonres.com" <hamptonhelp@hiltonres.com> Your reservation? � �� ��•��:•� Confirmed' d� N *MW���14 ® (yeah we were excited to©D 40` met 40`�'�'�t "� W WIN am _.�-a 4 _ Hampton Inn Princeton ! , 107 S. Richland Creek Drive! Princeton IN I United States 47670 T: 1-812-385-2400 1 F: 1-812-386-5096 We look forward to seeing you! Rooms&Suites Dining Amenities&Services Map& Directions 1 Thank you for booking with us, Orbie Bowles Confirmation: 87971940 Modify Reservation HILTON`.. HHONORS Arrival: 10 Aug 2014 3:00 PM Departure: 15 Aug 2014 12:00 PM z Corporate: 0002640428 JOIN ` HILTON HHONOS Rate Information: AND EARN POINTS, Rate Type: ROOM UPGRADES, Fedrooms/U.S. Govt Rate per night: 83.00 USD FREE NIGHTS AND MORE. Total for Stay per Room: Rate 415.00 USD Taxes 49.80 USD Total 464.80 USD Total for Stay: 464.80 USD Includes estimated taxes and service charges. (Gratuities not included.) About Us Tax: Check us out in Canada, Costa Rica, • 12.00%per room per night Ecuador, Germany, India, Mexico, Additional Charges: Turkey, Poland, United Kingdom and • Self parking: 0.00/night throughout the USA. Room Information: Rooms: 1 Clients: 1 Adult DOUBLE YOUR HHONORS. Room Type: 2 QUEEN BEDS NONSMOKING EARN DOUBLE POINTS Rate Rules and Cancellation Policy: OR DOUBLE MILES. •Your reservation is guaranteed for late arrival. •Please contact us should you need to cancel your reservation. •Cancellations are required by.6PM on 10 Aug 2014 local hotel time. •Cancellation penalties may apply. - Sign up fo'r our monthly email newsletter � Save up to 2595 when you rent a car wr@h one of our partners. WITH THE CITIO HILTON HHONORSTM RESERVE CARD'S I M18D1 INL Iti.,il LL 1, LtILG,•L'fl ,1.1A,rtt 7 lltnkl ,L �1�. Milton CON RAD ® Gutifen �z p r a+r5ru HOME Hivan wareGzc Utx2 �rnm ..-.. G:KndWeytlamx PLEASE DO NOT REPLY TO THIS EMAIL.MAIL SENT TO THIS EMAIL ADDRESS CANNOT BE ANSWERED. If you use a debit/credit card to check in, a hold may be placed on your card account for the full anticipated amount to be owed to the hotel, including estimated incidentals,through your date of check-out and such hold may not be released for 72 hours from the date of check-out or longer at the discretion of your card issuer. If you need to MODIFY or CANCEL your reservation, click here. Any change to the arrival date,departure date or room type of this reservation is subject to the hotel's availability at the 2 time the change is requested and may result in a possible rate change or an additional fee. For example,shortening or lengthening your reservation is subject to availability and may not be possible at a later date. For more information, please click here to see all the rules and restrictions applicable to this reservation. If you have questions regarding your reservation, please contact Hilton Reservations and Customer Care at 1-800- HAMPTON(426-7866), click here, or email us at hamptonhelpCoD_hiltonres.com. Hilton HHonors membership, earning of Points&Miles®, and redemption of points are subject to HHonors Terms and Conditions. View Our Privacy Statement Create or Update a Profile Unsubscribe Unsubscribing from all marketing email will prevent you from receiving your HHonors Monthly Statement.You can continue to check your account by logging into your profile or by calling 1-800-HHONORS. Outside the United States and Canada, please dial+800 44 45 86 67 for assistance. Notice of Confidentiality:This message and any attachments may contain confidential information. If it has been sent to you in error, please reply to advise the sender of the error and then immediately delete this message. -indicates a trademark of Hilton Worldwide. ©2014 Hilton Worldwide Hilton Reservations and Customer Care 12050 Chennault Drive I Carrollton,Texas 75006, USA 3 Snyder, Denise W From: Bowles, Orbie Sent: Thursday,July 17, 201414:06 To: Snyder, Denise W Subject: Fwd: Hampton Confirmation#87971940 Sent from my iPhone Begin forwarded message: From: Hampton Confirmed<hampton(c�r�,res.hilton.com> Date: July 16, 2014, 12:42:18 PM EDT To: "obowles(c�r�,carmel.in.gov" <obowles@carmel.in.gov> Subject: Hampton Confirmation#87971940 Reply-To: <hamptonhelp@hiltonres.com> Your reservation? � �•� •�+� � ' (yeah we were excited Zoo) Hampton Inn Princeton 107 S. Richland Creek Drive I Princeton IN -- United States 47670 { T: 1-812-385-2400 1 F: 1-812-386-5096 , We look forward to suing you! �. . Rooms&Suites Dining Amenities&Services Map& Directions 1 Thank you for booking with us, Orbie Bowles Confirmation: 87971940 Modify Reservation HILTON HHONORS Arrival: 10 Aug 2014 3:00 PM Departure: 15 Aug 2014 12:00 PM Corporate: 0002640428 J 0 N HILTUN HH0N0RR,"S Rate Information: AND EARN POINTS, Rate Type: ROOM UPGRADES, Fedrooms/U.S. Govt Rate per night: 83.00 USD FREE NIGHTS AND MORE: Total for Stay per Room: Rate 415.00 USD Taxes 49.80 USD Total 464.80 USD Total for Stay: 464.80 USD Includes estimated taxes and service charges. (Gratuities not included.) About Us Tax: Check us out in Canada, Costa Rica, • 12.00%per room per night Ecuador, Germany, India, Mexico, Additional Charges: Turkey, Poland, United Kingdom and • Self parking: 0.00/night throughout the USA. Room Information: Rooms: 1 Clients: 1 Adult DOUBLE YOUR HI-ONORS. Room Type: 1 KING BED NONSMOKING EARN DOUBLE POINTS Rate Rules and Cancellation Policy: OR DOUBLE IDES. •Your reservation is guaranteed for late arrival. •Please contact us should you need to cancel your reservation. •Cancellations are required by 6PM on 10 Aug 2014 local hotel time. •Cancellation penalties may apply. f� ; Sign up fbr our monthly emai I newsletter 3 Saveup to 2594 when you rent a car=one of our partners. WITH THE CITIO HILTON 4 HHONORS-RESERVE CARD• ♦••tX't§FYl'�-0 eil•v.•C Irl.Q+X r.11 Wl rv..Lm ..11'wl..l' Kw+•�jXnOX tlN•U It{klCl k{t•t)L]l LLILL!•Lt - {i!. % �n Wide Hn nCONRAD HOME@ kkl1•k' PLEASE DO NOT REPLY TO THIS EMAIL.MAIL SENT TO THIS EMAIL ADDRESS CANNOT BE ANSWERED. If you use a debit/credit card to check in, a hold may be placed on your card account for the full anticipated amount to be owed to the hotel, including estimated incidentals,through your date of check-out and such hold may not be released for 72 hours from the date of check-out or longer at the discretion of your card issuer. If you need to MODIFY or CANCEL your reservation,click here. Any change to the arrival date,departure date or room type of this reservation is subject to the hotel's availability at the 2 time the change is requested and may result in a possible rate change or an additional fee. For example,shortening or lengthening your reservation is subject to availability and may not be possible at a later date. For more information, please click here to see all the rules and restrictions applicable to this reservation. If you have questions regarding your reservation, please contact Hilton Reservations and Customer Care at 1-800- HAMPTON(426-7866), click here, or email us at hamptonhelpehiltonres.com. Hilton HHonors membership, earning of Points&Miles®, and redemption of points are subject to HHonors Terms and Conditions. View Our Privacy Statement Create or Update a Profile Unsubscribe Unsubscribing from all marketing email will prevent you from receiving your HHonors Monthly Statement.You can continue to check your account by logging into your profile or by calling 1-800-HHONORS. Outside the United States and Canada, please dial+800 44 45 86 67 for assistance. Notice of Confidentiality:This message and any attachments may contain confidential information. If it has been sent to you in error, please reply to advise the sender of the error and then immediately delete this message. indicates a trademark of Hilton Worldwide. ©2014 Hilton Worldwide Hilton Reservations and Customer Care 2050 Chennault Drive Carrollton,Texas 75006, USA 3 VOUCHER NO. WARRANT NO. ,i Hampton Inn - Princeton ALLOWED 20 IN SUM OF$ 107 S. Richland Creek Drive Princeton, IN 47670 $830.00 I ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.02 $415.00 I hereby certify that the attached invoice(s), or 1120 43-430.02 $415.00 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Fire Chief Title Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) $415.00 $415.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer