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HomeMy WebLinkAbout238827 11/05/14 a �..4Axb r! CITY OF CARMEL, INDIANA VENDOR: 114500 ONE CIVIC SQUARE TIMOTHY J. GREEN CHECK AMOUNT: $*****1,651.32* CARMEL, INDIANA 46032 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 1,651.32 TRAINING SEMINARS CITY OF-CARMEL Expense Report (required for all travel expenses) 'I �NDI�Np- 1 EMPLOYEE NAME: Tim Green DEPARTURE DATE: 10/24/2014 TIME: 12:OOPM AM/PM DEPARTMENT: Carmel PD RETURN DATE: 10/29/2014 TIME: 11:00PM AM/PM i REASON FOR TRAVEL: Chiefs Conference DESTINATION CITY: Orlando, Florida EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 10/24/14 $25.00 $44.62 $219.38 $65.00 $354.00 10/25/14 $219.38 $65.00 $284.38 10/26/14 $219.38 $65.00 $284.38 10/27/14 $7.80 $219.38 $65.00 $292.18 10/28/14 $10.00 $219.38 $65.00 $294.38 10/29/14 $25.00 $52.00 $65.00 $142.00 $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 $50.001 $0.00 $114-421 $0.00 .$1,096.901 $0.00 $0.001 $0.001 $0.001 $390.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 11/3/2014 Page 1 International Association of Chiefs of Police 121S Annual Conference Orange County Convention Center I Orlando, FL October 25 — 28, 2014 INDIANA ASSOCIATION OF CHIEFS OF POLICE Housing Request Form Reservation Information: Occupant Name(s): First Name:Tim Last Name:Green Sharing With(optional): First Name: Last Name: Agency Name:Carmel PD Address:3 Civic Square City, State,Zip code:Carmel, Indiana 46032 Phone: 317-716-8549 Fax: E-mail: tgreen@carmel.in.gov Housing Information (please fill out completely): Tax not included in below room rates. Embassy Suites International Drive 1 Convention Center -Room Type(se=Single • ng Single/Double:$1 Single/Doubld/TWin:$205 Triple:$215 Quad: $225 1 King Bed (1 Person, 1 Bed) Double(2 People, 1 Bed) 2 Double Bedsjj�Single(1 Person)[:]Double(2 People)❑Twin(2 People)❑Triple(3 People) ❑Quad (4 People) *Please note these rates are for a 4-night minimum stay only. A departure prior to 4 nights will result in a higher rate. Arrival Date: October 24, 2014 Departure Date: October 29, 2014 Special Requests: Credit Card Information Tim J Green Name of Cardholder: rn Credit Card Type(select one): ❑MasterCard ❑American Express ❑Discover Credit Card Number: Expiration Dater 07/15 Security Code. Billing Address. -- ---•••�- •- -- CANCELLATION POLICY Your reservation must be cancelled no later than 3:00 pm local hotel time, 5 days prior to arrival in order to avoid a cancellation penalty of 1 night's room and tax. PLEASE COMPLETE AND RETURN THIS FORM NO LATER THAN FRIDAY, July 18, 2014. SECURE FAX#: 317.816.1633 EMAIL: info(a-biacop.org ADDRESS: 10293 N. Meridian Street, Suite 175 1 Indianapolis, IN 46290 QUESTIONS? Call 317.816.1619 ext. 112 or e-mail anorris(djacop.orq CHANGES TO RESERVATIONS MUST BE MADE TO TRAVEL PLANNERS AT 877.422.7123 Square Receipt Page 1 of 2 Orlando All trans AL How was your experience? Custom Amount $46.00 Subtotal $46.00 Tip $6.00 Total $52.00 Orlando All trans 407-300-4046 10/29/2014, 12:44 PM #LD1C ©2014 Square, Inc.All rights reserved. 1455 Market Street,Suite 600,San Francisco,CA 94103 mhtml:file://C:\Users\tgreen\AppData\Local\Microsoft\Windows\Temporary Internet Files... 11/3/2014 8978 INTERNATIONAL DR ORLANDO, FL 32819 TELEPHONE 407-352-1400 •FAX 407.363.1120 GREEN,TIM 428/KNGN 10/24/2014 3:33:00 PM 10/29/2014 1/0 195.00 Rate Plan: IAC HH# AL: Car: Confirmation Number:80238729 10/29/2014 Page: 1 10/24/2014 3306127 GUEST ROOM $195.00 10/24/2014 3306127 TAXES $24.38 10/25/2014 3306567 GUEST ROOM $195.00 10/25/2014 3306567 TAXES $24.38 10/26/2014 3306962 GUEST ROOM $195.00 10/2612014 3306962 TAXES $24.38 10/27/2014 3307415 . GUEST ROOM $195.00 10/27/2014 330741'5 TAXES $24.38 10/28/2014 3307791 GUEST ROOM $195.00 10/28/2014 3307791 TAXES $24.38 **BALANCE** $1,096.90 563827 A VOUCHER NO. WARRANT NO. ALLOWED 20 Timothy J. Green --- IN SUM OF$ $1,651.32 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 210 -570.00 $1,651.32 I 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 I Mond November 03, 2014 Chief of Police 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)) 11/03/14 per diem, hotel,cabs, baggage $1,651.32 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