HomeMy WebLinkAbout238696 10/28/14 VOIDED 1+ s+�F
CITY OF CARMEL, INDIANA VENDOR: 368807
® t`� ONE CIVIC SQUARE VERNON PETERSON CHECK AMOUNT: $*******175.00*
?� CARMEL, INDIANA 46032 22880 ANTHONY ROAD CHECK NUMBER: 238696
M�(10N�` CICERO IN 46034 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 175.00 EXTERNAL TRAINING TRA
4`1(OF CA
CITY OF CARMEL Expense Report (required for all travel expenses)
/NDI�N�
EMPLOYEE NAME: Al Peterson DEPARTURE DATE: TIME: AM/ M
DEPARTMENT: FIRE RETURN DATE: TIME: '� AM/
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 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 $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 1 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 $175.00 $0.00 11
DIRECTOR'S STATEMENT: I e eb_ t t al xpenses listed conform to the City's travel policy and are within my department's appropriated budget.
- -- OCT 2 7 2014-.
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
Granger, IN 46530 US
Phone: 574-271-4800
® Fax: 574-271-0956
Email: i0629@redroof.com
4>%*&
RIZ I R100
Printed: 10/22/2014 6:29:32 AM
Folio (Detailed)
Name: BUTTLER, JIM Confirmation Number: 282629-3339
Address: 5 CIVIC
CARMEL, IN US
Room: 220.,,;;,.;; 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
!i ,t112Eer- Schedules & Sign Ups YaaQe L of J
prg�•
70C .Schedules &Shgn lips
Hazard Zone
-
Management
aft
J an
Conference
'�dReturn to!.'sst
Event: 2014 Brnnmciai Hazard Zone Management and Leadership Conference-None Dame.1N
Bates: Start.1012=014 End 10P2=14
Location:
Notre Dame,Indiana 4650
Description:
The Brunacini's have again collaborated Mth the leading fire service instructors to hW thein 5th
Annual Hazard Zone 2014 at the beautiful Nal Dams campus In Soutment and h Bend.Indiana.tease dater fes!E>ctober20-Z2.
Click to we-w-cor rfemncm mmadalsP.S39100%
Cttcu tax view(m finer
This year's conference will feabire:
• Laurence Gonzales•-Atitillar-ot'Deep Survival-WO Rees,VOW dies,acrd VW
• Scott.Pettin-Retied Phoenix FD,AZ Battalion Chief.C.E.O.ofTIGNUM and author of"Sink,
Float,or Swim"
• Alan.Nlck,and John Brunacini-H=Wd.Zone Management
• Gordon Graham-Retire CHIP's Captain.Risk Manager.and President of Lwdpol
Terry Garrison-Fire Chief Houston,TX
• Along with many morel
Instructors-click.here for ngr S2QA.RO.aae ML
After dune 1.2014 regular registration fait of$445.00
Hotel Accommodations:
When caffingthe haters for special rites-please mention that your reservations are for the
"Brunacini Hazard Zone Conference at Notre Dame".
Fairfield Inn andU tes at Notre,Qame
Pleaw.use the Wowing link to make reservations at the Fairfield:
http flcamp_mar iott=rigsbnndlbrunaanihazardzonef
t220E Angela Blvd
South:Bend,IN
(574)234-5910
Approximato Rates:
'Standard-King 5111.00
'Standard Queens$1-15M
'ting Suites$115A0
Hilton Garden Inn South,Band-Group
Webgr'te: hWJJhitton_gwdeninn3.hdon.corn
53995 Indiana 933
South Bend,IN 46637
(974)232-7700
Approximate Rates:
httpsJ/ww w.bGt�r.eom/SeleetBlueCardCommand.aspx?view--ViewDetail&-even,-Wd=3b8O9fO-.- 8/14/2014
CAM0, Invoice
Across the Street Productions
19101 Stone Ridge Drive-Suite A Date r tnvairaE
South Bend, Indiana 46637 802O14 12-2294
Bill To
Carmel Fire Department
Denise Snyder
2 Civic Square
Carmel, IN 46032
I
P.C.No. Terms Due Date
Hazard Zone Conf Net 30 915/2014 4
Quantity Description Rate Amount
f I_
9 Hazard Zone Conference 2014; Buttler, Hoffman, Hensley, 445.001 4,005.00
Capshaw,Steele, Brandt,Toney, Stindle, Peterson
r I
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1 1 I
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Train the Trainer Invoices must be paid'14 days prior to the start of class
Total
� 3
Make Checks.Payable to:
�t
Across the Street Productions
Phone (574}273.OW TO :Free (855) 872-5622 P'am 74)Z73nw'31U4' � to
VOUCHER NO. WARRANT NO.
ALLOWED 20
Al Peterson
IN SUM OF$
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE 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 7014
i
1
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.
iTerms
j Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$175.00
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