242506 02/24/15 • CSA
V ' CITY OF CARMEL, INDIANA VENDOR: 365130
i ONE CIVIC SQUARE MARK CROMLICH CHECK AMOUNT: $ ...."195.00"'
CARMEL, INDIANA 46032 12685 LANTERN RD CHECK NUMBER: 242506
FN�o,�� FISHERS IN 46036 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343003 195.00 TRAVEL & LODGING
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Mark Cromlich DEPARTURE DATE: -Zs, TIME: A��PM
DEPARTMENT: FIRE RETURN DATE: Z, - \p-\� TIME: AM /( M
REASON FOR TRAVEL: Background Investigations DESTINATION CITY: Michigan
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Meals
Date Gas/Tolls/ Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
2/4/15 $65.00 $65.00
2/5/15 $65.00 $65.00
2/6/15 $65.00 $65.00
$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 $0.001 $0.001 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 $995.00 $0.00 e e
DIRECTOR'S STATEMENT:' I herebaffir that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
FEB 2 3 205
Director Signature: IYiJ' Date:
City of Carmel Form#ER06 Revision Date 2/12/2015 Page 1
10�-WrVM7 '"' MEL
U1 I I UY CAK
FIRE DEPARTMENT
DATE: February 11, 2015
TO: Cindy Sheeks
FROM: Matthew Hoffman, Fire Chief
Attached you will find a claim for reimbursement for Chief Orbie Bowles and Chief Mark Cromlich. On
February 4, 2015, I sent the 2 Chiefs to Michigan for background investigations for new hires. They
returned to the City on February 6, 2015 in the evening.
If you have any questions, please feel free to contact me.
Thank you.
1&4!
Orbie Bowles Room No. 0303
United States Arrival 02-05-15
Departure 02-06-15
Page No. 1 of 1
Folio No.
INFORMATION INVOICE Conf. No. 1653644
Membership No. Cashier No. 128
A/R Number
Group Code
Company Name ; 02-06-15 02:25:35 AM EST
Date Text Charges Credits
02-05-15 -Room Rate 75.00
02-05-15 6% State of Michigan Sales Tax 4.50
02-05-15 5% County Assessment 3.75
02-05-15 2% GLCVB Assessment 1.50
02-06-15 . VISA 84.75
Total 84.75 84.75
Balance 0.00
Club Carlson: A faster way to a free night ;stay at over 1000 Carlson hotels worldwide.
i Enroll and learn more at the front desk or at clubcarlson.com
Thank You For Staying With Us
I agree that my liability for this bill is not waived and agree to be held personally:responsible in the event that the indicated person,company or
association fails to pay for any portion or the full amount of these charges.
Guest Signature
t
Radisson Hotel Lansing
111 N.Grand Ave.
Lansing,NiI 48933
Telephone: (517)482-0188 Fax:(517)487-6646
Ennail:rhi_lans0c radissonxom
Hotels.com - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Page 1 of 2
Ho ls.wm
Hotels.com Confirmation Number: 120735224923
Booked: Online-Wednesday, February 4, 2015 8:18:22 PM EST
Your Receipt
Billing Name: orbie bowles
Billing Address: 46256
US
Booking Details
Guest Name: orbie bowles Room Type: Room, 2 Double Beds, Non
Smoking
Check-in: Wednesday, February 4, Hotel Details: Holiday Inn Grand Rapids
2015 Downtown
Check-out: Thursday, February 5, 2015 310 Pearl Street NW
Number of Nights: 1 Grand Rapids
Number of Rooms: 1 US
+16162357611
Charges: USD $
Wednesday, February 4, 2015: $159.00
Discount applied: $0.00
Sub-total: $159.00
Tax recovery charges and service fees: $23.86
Total Price: $182.86
Amount paid: $182.86
Amount still due: $0.00
Payment Method: Visa
Credit Card Number: 478368XXXXXX0949
Cancellation Policy
Free cancellation until 02/02/15
• If you change or cancel your booking after 6:00 PM, 02/02/15((GMT-05:00)Eastern Time(US&Canada))
you will be charged for 1 night(including tax)
We will not be able to refund any payment for no-shows or early check-out
htti)s:Hssl.hotels.com/customer care/print receipt.html 2/9/2015
Hotels.com - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Page 2 of 2
You were charged for the full payment of this booking.
Any additional charges and fees incurred during your stay will be charged to your hotel's local currency and may
be subject to a foreign exchange fee.
This receipt was printed on: Monday, February 9,2015 4:16:41 PM EST
This is not a VAT invoice.
Retain this copy for statement verification.
Please note that if you make changes in your booking,they could result in charges applicable by policy and
availability.
However, your booking confirmation does act as payment proof. Therefore, the"tax"charges referred to on your
reservation confirmation do not relate to sales taxes charged to you by Hotels.com, but to any transaction taxes
incurred by Hotels.com (e.g. sales and use, hotel occupancy tax, excise tax, etc.)that Hotels.com pay directly to
the hotel in relation to your reservation.
Please see the website for Terms and Conditions:
http://www.hotels.com/customer—care/terms—conditions.html
httDs://ssl.hotels.com/customer care/print receipt.html 2/9/2015
r
ORBIE BOWLES
xxxx xxxx xxxx 0949
Date Of;.::. : .Reference Number..,., Charges,.:Pay rnents And Credits.- Statement Amount
Trans.. Post: : '>::`' . .z :.... .
02/04 02/06 2422443152Y2YPRKK FOUNDERS BREWING C GRAND RAPIDS MI 8.75
02/04 02/06 2422443152Y2YPTED FOUNDERS BREWING C GRAND RAPIDS MI 20.00
02/05 02/06 2405523158AXOF5QF NUTHOUSE SPORTS GRILL LANSING MI 12.50
02/05 02/06 2469216140OX21DYW HOTELS.COM120735224923 800-246-8357 NV 182.86
Fees
TOTAL FEES FOR THIS PERIOD 0.00
Interest Charged
02/06 02/06 Interest Charge on Purchases 21.16
02/06 02/06 Interest Charge on Cash Advances 0.00
TOTAL INTEREST FOR THIS PERIOD 21.16
WE MAY REPORT-INFORMATION ABOUT YOUR-ACCOUNT-TO
CREDIT BUREAUS. LATE PAYMENTS,MISSED PAYMENTS,
OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED
c
IN YOUR CREDIT REPORT.
YOUR ACCOUNT IS PAST DUE.IF PAYMENT HAS BEEN
MADE, PLEASE DISREGARD THIS NOTICE.
2015 Totals Year-to-Date
Total fees charged in 2015 $0.00
Total interest charged in 2015 $21.16
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ST. G E:CA.;.:.0 ON .':'>:!:>:; ,>;>::r:>`.`; i <;':: :`:`% " ":;:;:;:i` "; >`: .....
INTERE LATI .
Your Annual Percentage Rate(APR)is the annual rate on your account.
IMPORTANT INFORMATION CONCERNING YOUR Method 4-No Grace Period—Average Daily Balance,Including
CREDIT CARD ACCOUNT New Purchases And Cash Advances
BILLING RIGHTS SUMMARY Separate daily balances are kept for purchases and cash advances.
In Case of Errors or Billing Inquiries We add the daily balances for the billing cycle and divide the total by
If you think your bill is wrong,or if you need more information the number of days in the cycle to get your average daily balance.To I
about a transaction on your bill,write us on a separate sheet at the get the daily balance for cash advances,the add new cash advances
_ address shown on the front of this bill.We must hear from you no and subtract any payments
® later than 60 days after we sent you the first bill on which the error or and credits.To get the daily balance for purchases,we add new
problem appeared.You can telephone us,but doing so will not purchases and subtract any payment or credit's.
preserve your rights.In your letter,give us the following
information: No Method Listed-Grace Period 25 Days For Purchases And
Cash Advances—Average Daily Balance,Including New I
•Your name and account number. Purchases And Cash Advances
•The dollar amount of the suspected error.
Separate daily balances are kept for purchases and cash advances.
•Describe the error and explain,if you can,why you believe We add the daily balances for the billing cycle and divide the total by
there is an error.If you need more information,describe the
the number of days in the`cycle to'get your average daily balance.To
item you are unsure about: get the daily balance for cash advances,we add new cash advances
v' You do not have to pay any amount in question while we are and subtract any payments.
® investigating,but you are still obligated to pay the parts of your bill
and credits.To get the daily balance for purchases,we add new
that are not in question.While we investigate your question,we
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))
Backgrounds $195.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark Cromlich
IN SUM OF $
$195.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.03 $195.00 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
FEB 7 3 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund