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Home My WebLink About238581 10/28/14 CITY OF CARMEL, INDIANA VENDOR: 365254 fi**** FR (9, ONE CIVIC SQUARE JAMES BOTTLER CHECKAMOUNT: S 150.00CARMEL, INDIANA 46032 7218 W FOX VIEW TR CHECK NUMBER: 238581 NEW PALESTINE IN 46163 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 150.00 EXTERNAL TRAINING TRA 4`Sq OF CA9 e t.QWi�[k{yip CITY OF CARMEL Expense Report (required for all travel expenses) ' !NDIANp EMPLOYEE NAME: Jim Buttler DEPARTURE DATE: TIME: AM DEPARTMENT: FIRE RETURN DATE: �0 - �'�- �� TIME: CAM PM REASON FOR TRAVEL: Hazard Zone Conference DESTINATION CITY: Notre Dame, Indiana V/ EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 10/19/14 $25.00 $25.00 10/20/14 $50.00 $50.00 10/21/14 $50.00 $50.00 10/22/14 $25.00 $25.00 $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 $0.00L- $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $150.00 $0.00a DIRECTOR'S STATEMENT:#XOT� nses listed conform to the City's travel policy and are within depart appropriated budget. OCT 2 7 l� Director Signature: Date: City of Carmel Form 9 ER06 Revision Date 10/24/2014 Page 1 Red Roof Inn Mishawaka-Notre Dame 1325 East University Drive Court Granger, IN 46530 US Phone: 574-271-4800 Ra Roo ® Fax: 574-271-0956 Email: i0629@redroof.com Printed: 10/22/2014 6:54:14 AM Folio (Detailed) Name: BUTTLER, JAMES N Confirmation Number: 629-178842 Address: 7218 w fox view tri New Palestine, IN 46163 US Room: 207 Room Type: NP1KM, NON-SMOKING SUPERIOR 1 KING BED MICRO- Nights:. 3 Guests: 1/0 Rate Plan: BAR Daily Rate: $58.99 + $0.00 Tax GTD: 912 - MASTERCARD Arrival: 10/19/2014 (Sun) Departure: 10/22/2014 (Wed) X000(X000(X)000 6841 Room Rate: 10/19/2014 (Sun) - 10/21/2014 (Tue) $58.99 + $0.00 Tax per night. Date Code Description Amount Balance 10/19/2014 100 ROOM CHARGES $58.99 $58.99 10/20/2014 100 ROOM CHARGES $58.99 $117.98 10/21/2014 100 ROOM CHARGES $58.99 $176.97 10/22/2014 912 MASTERCARD (6841) ($176.97) $0.00 Summary Room Tax F&B Other CC Cash DB $176.97 $0.00 $0.00 $0.00 ($176.97) $0.00 $0.00 is anirter- Nctieautes& sign Ups Yage l or 3 fie• t. Schedules & Sign Ups i N. rXHazard Zone a Q" Management Conference ljlljq�'1,0 Mitre Donw to List Event: 2014 Brunacini Hazard Zone Management and Leadership Conference-Notre Dame,IN Dates: Start 10/20/2014 End:10/22/2014 Location: Notre Dame,Indiana 46556 Description: The Brunacini's have again collaborated with the leading fire service instructors to host their 5th Annual Hazard Zone Management and Leadership Conference.Please Jointlsil October 20-22, 2014 at the beautiful Notre Dame campus In South Bend,Indiana. Click to viewconference maendatseions Click to view conference liver, This year's conference will feature: • Laurence Gonzales•=Author of"Deep'Su[vivaf-Who lives;Who dies,and Vtdsy" • Scott.Pettin-Retired Phoenix FD,AZ Battalion Chief,C.E.O.of TIGNUM and author of"Sink, Float,or Swim" • Alan,Nick,and John-Brunacini-Hazard Zone Management • Gordon Graham-Retire CHIP's Captain,Risk Manager,and President of Lexipol • Terry Garrison-Fire Chief Houston.TX • Along with many morel Instructors-cilck here for your$200.00 special. After June 1,2014 regular registration rate of$445.00 Hotel Accommodations: When calling the hotels for special.rates—please mention that your reservations are for the "Brunacini Hazard Zone Conference at Notre Dame". Fairfield Inn andSuites at Notre Dame Please use the following link.to make reservations at the Fairfield: http://cwp.mardott.comisbnndibrunacinihazardzonet 1220 E Angela Blvd South Bend,IN (574)234-5510 Approximate Rates: 'Standard King $11.1.00 'Standard'Queens.$115.00 'King Suites$115.00 Hilton Garden Inn South Bend—Group Website: httpJ/hiltongardeninn3.hilton.com 53995 Indiana 933 South Bend,IN 46637 (574)232-7700 Approximate Rates: https://www.bshifter.com/SelectB lueCardCommand.aspx?view=V iewDetail&eventguid=3b809fD... 8/14/2014 1POLDE CUD Invoice Across the Street Productions 19101 Stone Ridge Drive-Suite A Date Invoice# South Bend, Indiana 46637 8/612014 12-2294 Bill To Carmel Fire Department Denise Snyder i 2 Civic Square Carmel, IN 46032 P.O.No. Terms Duo Dale Hazard Zone Conf Net 30 915/2014 Quantity Description Rate Amount 9 Hazard Zone Conference 2014; Buttler, Hoffman, Hensley, 445.001 4,005.00 Capshaw, Steele, Brandt, Toney, Stindle, Peterson K Train the Trainer invoiew must be paid 14 days prior to the start of claw I Make Chft-ks Payable to: ToW Across the Street Produedons ai Pliont (574)273-0%2 Toll Frt* (W.. 872-5922 Fax(574)273.31'74 VOUCHER NO. WARRANT NO. ALLOWED 20 Jim Buttler IN SUM OF $ r I $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.02 $150.00 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 DCT 7 7 2014 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) $150.00 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 5-11-10-1.6 120 Clerk-Treasurer