HomeMy WebLinkAbout236349 08/27/14 � tqq .
��f. CITY OF CARMEL, INDIANA VENDOR: 365130
b it ONE CIVIC SQUARE MARK CROMLICH CHECK AMOUNT: $*******275.00*
:: ? CARMEL, INDIANA 46032 12685 LANTERN RD CHECK NUMBER: 236349
1 FISHERS IN 46038 CHECK DATE: 08/27/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 275.00 EXTERNAL TRAINING TRA
OF
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: DEPARTURE DATE: -\Q -Zvi TIME: AM / M
DEPARTMENT: RETURN DATE: TIME: \o AM
REASON FOR TRAVELDESTINATION CITY:'
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
$0.00
8/10/14 $25.00 $25.00
8/11/14 $50.00 $50.00
8/12/14 $50.00 $50.00
8/13/14 $50.00 $50.00
8/14/14 $50.00 $50.00
8/15/14 $50.00 $50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 so-001 $0.00 $0.00t $0.001 $0.001 ,0.00 $0.00 $275.001 $0.00
DIRECTOR'S STATEMENT: I r tha all x enses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
AUG 2 5 2014
City of Carmel Form#ER06 Revision Date 8/19/2014 Page 1
• f / � % , � HAMPTON INN PRINCETON-IN,107 S RICHLAND CREEK D
PRINCETON,IN 47670
! � TELEPHONE(812)385-2400 • FAX(812)386-5096
® K. RESERVATIONS
NAME&ADDRESS ® www.hamptoninn.com or 1 800 HAMPTON
BOWLES,ORBIE ROOM 200/KXTD
2 CIZIC SQUARE ARRIVAL DATE 8/10/2014 10:52:OOPM
CARMEL,IN 46032
DEPARTURE DATE 8/15/2014 12:38:OOPM
US
ADULT/CHILD 1/0
ROOM RATE $83.00
RATE PLAN L-GR1
Hhonors#
AL:
CONFIRMATION NUMBER: 87971940
8/18/2014 . PAGE 1
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
7/29/2014 CHECK(NUMBER 235112) KHEWITT 955339 $415.00
8/10/2014 GUEST ROOM EXEMPT JROSTRO 957531 $83.00
8/11/2014 GUEST ROOM EXEMPT JROSTRO 957672 $83.00
8/12/2014 GUEST ROOM EXEMPT JROSTRO 957863 $83.00
8/13/2014 GUEST ROOM EXEMPT JROSTRO 958056 $83.00
8/14/2014 GUEST ROOM EXEMPT BDG 958239 $83.00
BALANCE $0.00
ACCOUNT NO DATE OF CHARGE FOLIO
251848 A
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&MISC
TOTAL AMOUNT
NERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
Crawford, Daviess, Dubois, Gibson, Knox, Martin
1 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: 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.
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))
$275.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark Cromlich
IN SUM OF $
$275.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.02 $275.00 1 hereby certify that the attached invoice(s), or
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 AUG 2 5 201
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund