HomeMy WebLinkAbout238624 10/28/14 J4�,Coq\!
CITY OF CARMEL, INDIANA VENDOR: 354969
ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $*******125.00*
:• CARMEL, INDIANA 46032 5808 SEDGEGRASS CROSSING CHECK NUMBER: 238624
9r;�TON.�o;= CARMEL IN 46033 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 125.00 EXTERNAL TRAINING TRA
R
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Matt Hoffman DEPARTURE DATE: TIME: AM/
DEPARTMENT: FIRE RETURN DATE: \ - `�\-\�\ TIME: \o AM/ M
REASON FOR TRAVEL: Hazard Zone Conference DESTINATION CITY: Notre Dame, Indiana /
EXPENSES ARE FOR ( apply):all that a I : TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging 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 1 $50.00 $50.00
10/21/14 $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
$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 00 1 1$125.00 $0.
DIRECTOR'S STAT b h penses 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@re&oof.com
Printed: 10/22/2014 6:17:21 AM
Folio (Detailed)
Name: BUTTLER, JIM Confirmation Number: 282629-3339
Address: 5 CIVIC
CARMEL, IN US
Room: 218 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
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Sign Ups
Hazard Zone
Management
Conference
Octobei.10 1-)rd
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2014
Dame
4:iiRetum to List
Event: 2014 Brunacini Hazard Zone Management and Leadership Conference-Notre Dame,IN
Dates: Start 10/20/2014 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
Annual Hazard Zone Management and Leadership Conference.Please Join tlslf October-20-22,
2014 at the beautiful Notre Dame campus In South Bend,Indiana.
Click to view conference aoenda/sessions.
Click to view conference Over.
This year's conference will feature:
• Laurence Gonzales-Author-of"Deep-Survivat-Who-lives;Who.dies,and.Why".
• Scott.Peltin-Refined 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
Gordan Graham-Retire CHIP's Captain,Risk Manager,and President of Lexipol
• Terry Garrison-Fire Chief Houston,TX
• Along with many morel
Instructors-click heine for your$200,00 amcfal.
After June 1,2014 regular registration rate of$445.00
Hotel Accommodations:
When calting:the hotels for special.rates—please mention that your reservations are for me
"Brunacini Hazard Zone Conference at Notre Dame".
Fairfield Inn and Suites at Notre Dame
Please use the following,Ank to make reservations at the Fairfield:
http:lJewp.marriott.com/sbrind/brunacinihazardzonet
1220E Angela Blvd
South Bend,IN
(574)234-5510
Approximate Rates:
*Standard King $141.00
*Standard Queens$115.00
*King Suites$115.00
Hilton Garden Inn:South Bend—Group
Website: httpJJhiltongardeninn3.hilton.com
53995 Indiana 933
South Bend,IN 46637
(574)232-7700
Approximate Rates:
https://www.bshifter.com/SeleetBlueCardCommand.aspx?view--V iewDetail&eventguid=3b8O9fD... 8/14/2014
BLUE CM06.)l Invoice
Across the Street Productions —
19101 Stone Ridge Drive-Suite A --- Date Invoice#
South Bend, Indiana 46637 8/6/2014 294
—{'V29
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Bill To
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Carmel el it Department
Fire p
Denise Snyder
2 Civic Square
Carmel, IN 46032
{
P.O. No. — Terms Due Dote
Hazard Zone Conf Net 30 9/512014
i
Quantity Description Rate amount
9 Ha-zard Zone Conference 2014; Buttler, Hoffman, Hensley, 445.001 4,005.00
i Capshaw, Steele, Brandt, Toney, Stindle, Peterson t
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1
1
1 1 I
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Train the Trainer Invoices mus*be paid 14 days prior to Rb start of clues
Mabe Checks Payable to: ; Total
Across the Street Productions
I
Phone (574)273--0962 ToU Free (85 872-58x3 F*x(574)273-3174 Wovw ve
"I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Matt Hoffman
IN SUM OF$
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.02 $125.00 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-? 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.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill's))
$125.00
1 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