HomeMy WebLinkAbout238623 10/28/14 y pr_CAq�
�/ CITY OF CARMEL, INDIANA VENDOR: 357303
® ; ONE CIVIC SQUARE ROBERT HENSLEY CHECK AMOUNT: 41 175.00*
r. r� CARMEL, INDIANA 46032 400 GREYHOUND PASS CHECK NUMBER: 238623
'y,�TaN� CARMEL IN 46032 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 175.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIAN�
EMPLOYEE NAME: Bob Hensley DEPARTURE DATE: TIME: AM/
DEPARTMENT: FIRE RETURN DATE: TIME: `V AM PM
REASON FOR TRAVEL: Hazard Zone Conference DESTINATION CITY: Notre Dame, Indiana
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM__j/
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 $50.00 $50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.001
$0.001
$0.00
$0.00
$0.00
$0.00
0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $0.00
DIRECTOR'S STATEMENT: I hereb,. (firm t t a xpe ses listed conform to the City's travel policy and are within my,'department's appropriated budget.
Director Signature: Date: OCT 2 7 2014
City of Carmel Form#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
® Fax: 574-271-0956
Email: i0629@redroof.com
Printed: 10/22/2014 6:17:39 AM
Folio (Detailed)
Name: BUTTLER, JIM Confirmation Number: 282629-3339
Address: 5 CIVIC
CARMEL, IN , US
Room! 224 Room Type: NS2Q, NON-SMOKING STANDARD 2 QUEEN BEDS
Nights: 3 Guests: 2/0
Rate Plan: GOV Daily Rate: $58.99 + $0.00 Tax GTD: 900 - CASH
Arrival: 10/19/2014 (Sun) Departure: 10/22/2014 (Wed)
Room Rate:
10/19/2014 (Sun) - 10/21/2014 (Tue) $58.99 + $0.00 Tax per night.
Date Code Description Amount Balance
10/1/2014 901 CHECK ($176.97) ($176.97)
10/19/2014 100 ROOM CHARGES $58.99 ($117.98)
10/20/2014 100 ROOM CHARGES $58.99 ($58.99)
10/21/2014 100 ROOM CHARGES $58.99 $0.00
Summary
Room Tax F&B Other__ CC _ Cash DB
-$176.97 $0.00 $0.00 $0.00 $0.00 ($176.97) $0.00
13 Shifter- Schedules& Sign Ups rage L Ot J
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chedules &Sign Ups ` R�
Hazard Z
one
au
Management
log
Conference
UniverW-1 19 Notre 0.%Tw
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Event: 2014 Brunacini Hazard Zone Management and Leadership Conference-Notre Dame,IN
Dates: Stag_1012012014 Enda 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 Join Us1I Odober20=22,
2014 at the beautiful Notre Dame campus in South Bend,Indiana.
Click to view con`eronce agendalsossio s
Click to view conference flyer,
This years conference will feature:
• Laurence Gonzales-Author of"Deep-Survivat-Who lives,Who dies,and Why"
• Scott Pectin-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-glick here for your 5200 DO sneciat
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 and!Suites at Notre.Dame
Please use the following link to make reservations at the Fairfield:
httpJ/cwp.marriott.com/sbnndibrunacinihazardzonel
1220E Angela Blvd
South Bend,IN
(574)234-5510
Approximate Rates:
'Standard King $11,1.00
"Standard Queens$115.00
`King Suites$115.00
Hilton Garden Inn South Bend—Group
Website: http:/Nltongardeninn3.hilton.com
53995 Indiana 933
South Bend,IN 46637
(574)232-7700
Approximate Rates:
https://www.bshifter.com/SelectBlueCardCommmd.aspx?view=V iewDetail&eventguid=3b8O9fD... 8/14/2014
&BLUE Invoice
Across the Street Productions -- -----
19101 Stone Ridge Drive-Suite A r— Date vInvoice#
South Bend, Indiana 46637 I si6/20�4 12-2294
Bill To
Carmel Fire Department
Denise Snyder
2 Civic Square
j Carmel, Its 46032
P.O. No, Terms
P Due Date
i
�j
Hazard Zone Conf ` Net 30 �i 915/2014
Quantity Description Rate Amount
91 Hazard Zone Conference 2014; Buhler, Hoffman, Hensley, ~� 445.001 4,005.00
Capshaw, Steele, Brandt,Toney, Stindle, Peterson ` !
1
j
1
t
'1 1
i
I Train the Trainer favoict.e must be paid 34 days prig to the start 9r clss3
j Toto! µ,
?Make Checks Payable to:
:'across the Stmt Productions
Phone (574) 7-A-0%2 roti Free (M,872-5422 Fox(5.14)273,4174- " 0 'rhr'wr, ;
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Hensley
IN SUM OF$
$175.00
ON ACCOUNT OF APPROPRIATION FOR
I
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
1120 43-430.02 $175.00 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 OCT 2 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))
$175.00
I
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