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HomeMy WebLinkAbout252470 12/14/15 �u!GAgy CITY OF CARMEL, INDIANA VENDOR: 124410 CHECK AMOUNT: $**•f M M*895.10" ONE CIVIC SQUARE WILLIAM E HAYMAKER CARMEL, INDIANA 46032 CHECK DATE: 12/14/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 895.10 REISSUE CK 251996 CITY OF CARMEL Expense Report (required for all travel expenses) /N-1A ry EMPLOYEE NAME: William Haymaker DEPARTURE DATE: 11/15/2015 TIME: 10:00A�I /PM DEPARTMENT: Police Department RETURN DATE: 11/20/2015 , TIME: 9:00 AMCMM REASON FOR TRAVEL: Child First Training Conference DESTINATION CITY: Bentonville Arkansas EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMENTRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date p Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 11/15/15 $101.02 $65.00 $166.02 11/16/15 $101.02 $65.00 $166.02 11/17/15 $101.02 $65.00 $166.02 11/18/15 $101.02 $65.00 $166.02 11/19/15 $101.02 $65.00 $166.02 11/20/15 $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 Total $0.001 $0.001 $0.001 $0.00 $505.101 $0.001 $0.001 $0.001 $0.00 $390.00 $0.00 ' DIRECTOR'S STATEMENT: I hereby affiffm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. 9 Director Signature: � Date: City of Carmel Form#ER06 Revision Date 11/23/2015 Page 1 4501 W.WALNUT ST. HILTON ROGERS,AR 72756 HHONORs TELEPHONE 479-986-0500 •FAX 479-986-9696 Official Hotel Partner HAYMAKER,WILLIAM name room number: 417/SXBL address arrival date: 11/15/2015 7:15:00 PM 3 CIVIC SQUARE departure date: 11/20/2015 7:10:00 AM CARMEL IN 46032 adult/child: UNITED STATES OF AMERICA room rate: 1/00 If the debittcredit card you are using for check-in is attached to a bank or checking account,a hold will. Rate Plan: GVS HH be placed on the account for the full anticipated dollar amount to be owed to the hotel,including # estimated incidentals,through your date of check-out and such funds will not be released for 72 business ALL:: Car: hours from the date of check-out or longer at the discretion of your financial institution. Rates subject to applicable sales,occupancy,or other taxes.Please do not leave any money or items of value unattended in Confirmation Number:88265400 your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges.In the event of an emergency,1,or someone in my party,require special evacuation due to a 11/20/2015 physical disability.Please indicate yes by checking here:❑ signature: "11/15/2,011,5 .- . .1222773 GUEST ROOM $89.00 1222773 STATE TAX $5.79 11/15/2015 1222773 STATE TOURISM TAX $1.78 11/15/2015 1222773 CITY TAX $1.78 11/15/2015 1222773 COUNTY TAX $0.89 11/15/2015 1222773 ROGERS TOURISM TAX $1.78 11/16/2015 1222930 GUEST ROOM $89.00 11/16/2015 1222930 STATE TAX $5.79 11/16/2015 1222930 STATE TOURISM TAX $1.78 11/16/2015 1222930 CITY TAX $1.78 11/16/2015 1222930 COUNTY TAX $0.89 11/16/2015 1222930 ROGERS TOURISM TAX $1.78 11/17/2015 1223135 GUEST ROOM $89.00 11/17/2015 1223135 STATE TAX $5.79 11/17/2015 1223135 STATE TOURISM TAX $1.78 11/17/2015 1223135 CITY TAX $1.78 11/17/2015 1223135 COUNTY TAX $0.89 11/17/2015 1223135 ROGERS TOURISM TAX $1.78 11/18/2015 1223347 GUEST ROOM $89.00 11/18/2015 1223347 STATE TAX $5.79 11/18/2015 1223347 STATE TOURISM TAX $1.78 11/18/2015 1223347 CITY TAX $1.78 11/18/2015 1223347 COUNTYTAX $0.89 11/18/2015 1223347 ROGERS TOURISM TAX $1.78 11/19/2015 1223540 GUEST ROOM $89.00 for • :00or • account no. date of charge folio/check no. card member name authorization initial establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&mist. signature of card member total amount X -505.10 �H % Million HOMEWOOD e' WALDORF C O N RA D Garden �(ampterU SUITES HOME© Hilton Hilton o,a,...,o.., DOUBLETREE ®Inn- -.2aR o. "••'••"• Grand Vacations SuORIAR ........ s u r r e s 4501 W.WALNUT ST. r1. ROGERS,AR 72756 HHONORs Q� TELEPHONE 479-986-0500 ^FAX 479-986-9696 official Hotel Partner HAYMAKER,WILLIAM name room number: 417/SXBL address arrival date: 11/15/2015 7:15:00 PM 3 CIVIC SQUARE departure date: 11/20/2015 7:10:00 AM CARMEL IN 46032 adult/child: UNITED STATES OF AMERICA 1/0 room rate: 1/0 89.00 If the debit/credit card you are using for check-in is attached to a bank or checking account,a hold will Rate Plan: GVS HH# be placed on the account for the full anticipated dollar amount to be owed to the hotel,including AL: estimated incidentals,through your date of check-out and such funds will not be released for 72 business Car hours from the date of check-out or longer at the discretion of your financial institution. Confirmation Number:88265400 Rates subject to applicable sales,occupancy,or other taxes.Please do not leave any money or items of value unattended in your room.A safety deposit box is available for you in the lobby I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges.In the event of an emergency,I,or someone in my party,require special evacuation due to a 11/20/2015 physical disability.Please indicate yes by checking here: signature: .. descripfion • 11/19/2015 1223540 STATE TAX $5.79 11/19/2015 1223540 STATE TOURISM TAX $1.78 11/19/2015 1223540 CITY TAX $1.78 11/19/2015 1223540 COUNTYTAX $0.89 11/19/2015 1223540 ROGERS TOURISM TAX $1.78 11/20/2015 1223590 MC*5751 ($505.10) **BALANCE** $0.00 for •ns c alir 1._800.1harnp ton.or • account no. date of charge folio/check no. card member name authorization 401627 A initial establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&misc. signature of card member total amount X -505.10 (� DOUBLnREE Inn. 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' .• / - I.`�•o� .0,4 7000 0.” q♦�! .w \ate♦ a ael'Y�m /s.l d° �rrr ri •�4; dpi -r ':wa:;�+t.��:, �. i._ a;si ..�• ®'a^•.::av 6 • .:�atv F:nviO011l O° = =.ya ;�.re•.r IPS.`. .cs'.:C�ry/��a..nr .vo!sY Ip� ! �._�`:c•�. c.J.O .�:�� �a�'� aYr�:.� y; ll'.Ae�6o�F'ris°��.,. cwpL•eri�o'?/e.�•,•:,� c �.��m �..,®w c,:� ir°�,.,� �� �f\`. w ♦�iar� ror ort ` E� 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)) 11/24/15 Haymaker travel reimbursement $895.10 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 William Haymaker IN SUM OF$ $895.10 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 I Haymaker I -570.00 I $895.10 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 Tuesday November 24, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund