HomeMy WebLinkAbout238609 10/28/14 y�: CITY OF CARMEL, INDIANA VENDOR: 00351022
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ONE CIVIC SQUARE JEFFERY FUCHS CHECK AMOUNT: $*******175.00*
_� CARMEL, INDIANA 46032 4285 N 400 E CHECK NUMBER: 238609
M�1Poil�. GREENFIELD IN 46140 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)
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EMPLOYEE NAME: Jeff Fuchs DEPARTURE DATE: 'moo - \�-\� TIME: \o AM/PM
DEPARTMENT: FIRE RETURN DATE: �� - �a.-�� TIME: y AMM
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
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g 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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $0.001 $0.00 $175.00 $0.00 1 1
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel olicot�a itGW y de artment's aPPro riated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 10/24/2014 Page 1
Red Roof Inn Mishawaka-Notre Dame
1325 East University Drive Court
AML AMh, Granger, IN 46530 US
Phone: 574-271-4800
®PIS~
Fax: 574-271-0956
Email: i0629@re&oof com
Printed: 10/22/2014 6:43:35 AM
Folio (Detailed)
Name: BUTTLER, JIM Confirmation Number: 629-447426
Address: 5 CIVIC
CARMEL, IN US
Room: .__ .217 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: 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 - $O:vO ($170.97) $0.00
BLUE CAR95Invoice
Across the Street Productions
19101 Stone Ridge Drive -Suite A Date Invoice
Bend, Indiana 46637 8/12/2014 12-2187
Bdl To
Department
Carmel Fire De
� P
Denise Snyder
2 Civic Square
Carmel, IN 46032
P.O. No. Terms Due Date
24618 Net 30 9/11/2014
Quantity Description Rate Amount
1 Hazard Zone Conference 2014; Fuchs 445.00 445.00
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Hazard Zone
RUNCANManagemen O
Conference odw —,a
octol?T'2022nd 20T4
Univeisity or Notre D' '�;*Retum to List
Event: 2014 Brunacini Hazard Zone Management and Leadership Conference-Notre Dame,IN
•'suatw Dates: Start:10/20/2014 End:10/22/2014
lChscounts Available' 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 Usil October 20-22,
2014 at the beautiful Notre Dame campus in South Bend,Indiana.
Click to view conference agendalsessions.
Click to view conference flyer.
This years conference will feature:
• Laurence Gonzales-Author of"Deep Survival-Who lives,Who dies,and Why"
• Scott Pelfin-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 more!
Instructors-click here for your$200.00 soecial.
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:
http://cwp.marriott.com/sbnnd/brunacinihazardzone/
1220 E Angela Blvd
South.Bend,IN
(574)234-5510
Approximate Rates:
*Standard King $111.00
'Standard Queens$115.00
*King Suites$115.00
Hilton Garden Inn South Bend—Group
Website: http://hiltongardeninn3.hilton.com
53995 Indiana 933
South Bend,IN 46637
(574)232-7700
Approximate Rates:
https://www.bshifter.com/SelectBlueCardCommand.aspx?view=V iewDetail&eventguid=3 b8O9fO... 8/14/2014
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Fuchs
IN SUM OF$
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#rrlTLE 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
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
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