HomeMy WebLinkAbout253922 01/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352754
ONE CIVIC SQUARE TED LENZE CHECK AMOUNT: S*******150.00'
CARMEL, INDIANA 46032 5575 BUTTONWOOD DRIVE CHECK NUMBER: 253922
NOBLESVILLE IN 46060 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 150.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel .expenses)
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EMPLOYEE NAME:Ted Lenze DEPARTURE DATE: \ -\S-\\o TIME: S M
DEPARTMENT- FIRE RETURN DATE: TIME: `z� AM PM
REASON FOR TRAVEL: 2016 Company Officer Academy DESTINATION CITY: Huntington. IN /
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
$0.00
1/15/16 50.00 $50.00
1/16/16 50.00 $50.00
1/17/16 50.00 $50.00
1$0.00
$0.00
$0.00
�$OT00
$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.qoj $0.0010.00 $0.00 ' $0.00 $0.00 $0.00 $0.001 , $150.00 $0.00
DIRECTOR'S STATEMENT: I h e y aff t all Lixe�list nform to the City's travel policy and are within my de artment's appropriated budget.
N 25
2016
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 1/25/2016 Page 1
SUPER 8 HUNTINGTON
r
2801 GUILFORD STREET
!, HUNTINGTON,IN 46750 US
Phone: (260)358-8888
Fax: (260) 358-1889
Email: kevishp@yahoo.com
Printed: 1/17/2016 7:23:36 AM
Folio (Detailed)
Name: BUTTLER,JAMES Confirmation Number: 87029630
Account Number: 330-817710
Address: 2 CIVIC SC
-CARMEL,—IN--46032 US
Room: 118 Room Type: NQQ1, 2 QUEENS NSMK Nights: 2 Guests: 2/0
Rate Plan: S3A Daily Rate: $65.59 + $0.00 Tax GTD: CK-CHECK
Arrival: 1/15/2016(Fri) Departure: _ 1/17/2016(Sun)
Room Rate:
1/15/2016(Fri)- 1/16/2016 (Sat) $65.59 + $0.00 Tax per night.
Date Code Description Amount Balance
12/17/2015 CK CHECK ($131.18) ($131.18)
1/15/2016 RM ROOM CHARGE $65.59 ($65.59)
1/16/2016 RM ROOM CHARGE $65.59 $0.00
Summary
Room Tax F&B Other CC Cash DB
$131.18 $0.00 $0.00 $0.00 $0.00 ($131.18) $0.00
By signing below,I agree to these terms and conditions.
Guest Signature: _
(1)Regardless of charge instructions,the undersigned acknowledges the above as personal indebtedness.(2)This property is privately owned-and
management reserves the right to refuse services to any one,and will not be responsible for injury or accidents to guests or loss of money,jewelry or
any personal valuables of any kind.
"We or our affiliates may contact you about goods and services unless you call 888-946-4283 or write to Opt Out/Privacy,Wyndham Hotel Group,LLC,
22 Sylvan Way, Parsippany, NJ 07054 to opt out. View our website about privacy."
This is a NON-SMOKING facility. Please DO NOT SMOKE in rooms or your card will be charged a fee. Thank you for your cooperation!
OVTH�R�
_ cc .. --
s: �
INVOICE
To: Carmel Fire Department
From: Tori Holland 2 Civic Square
Columbia Southern University Carmel, IN 46032
P.O. Box 3110
Orange Beach, AL 36561
(800) 977-8449 ext. 1357
DATE QTY — DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL
12/03/2015 3 2016 Company Officer Academy-Huntington, IN $175.00 $00.00 $525.00
(Buttler, Lenze,Mason)
Sales $0.00
Tax
TOTAL $525.00
Please make all checks payable to Columbia Southern University
and include a copy of the invoice with payment.
Terms for Payments,Cancellations,Refunds,and Substitutions
All registration fees must be paid prior to the start of the event.Failure to pay by this time period will result in the forfeiture of your registration.You may re-register as
long as enrollment is still available.
Cancellations must be made up to 30 days before the event start date.Columbia Southern University will refund half your paid tuition in this time frame.Any
cancellations made less than 30 days of the event start date is nonrefundable.Full refunds will be given at Columbia Southern University's discretion.Any refund
issued will be done by the same method of tuition payment.
*Documentation may be required for cancellation.
Columbia Southern University reserves the right to cancel any event that does not meet the minimum enrollment requirements.Should this occur,we will call registered
participants to reschedule.If the alternative event is not convenient for you,a full refund will be issued.Columbia Southern University's liability is solely limited to
refunding of event tuition payments.
Substitutions may be made up to one week of the event start date.The substitute must meet the specific qualifications of the event in order to attend.The participant,or
representative,is responsible for providing Columbia Southern University with the substitute's information.
Any event hosted or sponsored by Columbia Southern University is subject to change.This includes-but is not limited to-the event facility,agenda,and instructors
/presenters.If applicable,participants will be notified of changes before event start date.
*Please contact ContinuingEd@columbiasouthem.edu if you have any questions about these terms.
THANK YOU FOR YOUR BUSINESS! ;
COLUMBIA SOUTHERN UNIVERSITY
phoned 251.981.3771 toll freed 800.977.8449 faxi 251.981.3815 address) 21982 University Lane,Orange Beach AL 36561
www.columbiasouthern.edu
Snyder, Denise W
From: Mason, Bryan L
Sent: Thursday, December 03,2015 13:10
To: Snyder, Denise W
Subject: Fwd: Company Officer Academy- Huntington,IN
Attachments: Carmel Fire Department.pdf
Importance: High
Just came in.
Bryan
Sent from my Verizon Wireless 4G LTE smartphone
-------- Original message --------
From: Tori Holland<Tori.Holland@columbiasouthern.edu>
Date: 12/3/2015 12:38 PM (GMT-05:00)
To: "Buttler,James N" <JButtler@carmel.in.gov>, "Lenze, Jr, Theodore A" <TLenze2carmel.in >,
"Mason, Bryan L" <BMason@carmel.in.gov>
Cc: "Snyder,Denise W" <DSnyderncarmel.in.gov>
Subject: Company Officer Academy- Huntington, IN
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ACADEA4Y
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Hello!
Columbia Southern University is getting excited for next year's Company Officer Academy in Huntington, IN and we hope
that you are too!Your registration has been processed and the invoice has been attached.
WHEN:
i
January 15-17, 2016
8 a.m.-5 p.m.
WHERE:
Huntington University Dining Commons
K
502 Lake Street
Huntington, IN 46750
Get Directions
ACCOMMODATIONS:
Holiday Inn Express- Huntington
2205 N Jefferson St.
Huntington, IN 46750
(260)356-3434
Special Company Officer Academy Rate: $99.99/night
*Mention ou are with Compan Officer A e—m ,and book before DeceFT 15t to receive the discounted rate*
�i
CONTINUING EDUCATION UNITS:
This year participants have the opportunity to earn 2.4 Continuing Education Units(CEUs) courtesy of Columbia
Southern University's Department of Continuing Education. In order to receive all 2.4 CEUs, participants must be present
throughout the duration of the retreat,as confirmed by a sign-in roster each day. Following the completion of the
retreat, CEUs will be verified through Columbia Southern University and certificates will be mailed to participants.
For more information regarding the conference, please visit our website HERE. If you have any questions or
need any further assistance, please do not hesitate to contact me.
Best Regards,
Tori Holland • Continuing Education Coordinator
Columbia Southern University • Continuing Education Department
Phone: 800.977.8449 x 1357 • Fax: 251.981.3815
21982 University Lane • Orange Beach, AL 36561
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Inspire Change — Refer a Friend
2
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Ln invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
►hom, 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))
$150.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ted Lenze
IN SUM OF$ -
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.02 $150.00 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
JA ,G
'7,TJVP
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund