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Home My WebLink About257628 04/15/16 v`% "p\� CITY OF CARMEL, INDIANA VENDOR: 114500 '."® �)• ONE CIVIC SQUARE TIMOTHY J. GREEN CHECK AMOUNT: $********99.68* ?� CARMEL, INDIANA 46032 CHECK DATE: 04/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 041316 99.68 TRAINING SEMINARS VOUCHER NO. WARRANT NO. ALLOWED 20 TIMOTHY J. GREEN $99.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members I 0 I 43-570.00 I $99.68 I hereby certify that the attached invoice(s), or 1110 210 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 Monday,April 11, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund / !Q*piYE/jfi/ic CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Tim Green DEPARTURE DATE: 4/7/2016 TIME: 8:OOAM AM/PM DEPARTMENT: Police Department RETURN DATE: 4/8/2016 TIME: 5:OOPM AM/PM REASON FOR TRAVEL: Training DESTINATION CITY: Edinburgh, IN 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 4/7/16 $99.68 $99:68 $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 $0.00 $0.0.0 0.00 Total $0.00 $0.001 $0.00 $0.00 $99.68 $0.00 $0.00 $0.00 $0.001 $0.00 $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. 00, Director Signature: �� Date: City of Carmel Form#ER06 Revision Date 4/11/2016 Page 1 12161 NUS 31 n. ` EDINBURGH, IN 46124 HILTON I HHONORS TELEPHONE 812-526-5100 •FAX 812-526-3818 ' Official Hotel Partner GREEN,TIM name room number: 321/KXTD;,,,. address arrival date: 4/7/2016''Y:08:00 PM room rate: 89.00, Kate an: . uvb If the debit/credit card you are using for check-in is attached to a bank or checking account,ahold will HH# 383276374 BLUE be placed on the account for the full anticipated dollar amount to,be owed to the hotel,including AL: US#40032279503 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:83877574 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 4/8/2016 physical disability.Please indicate yes by checking here: signature: date referen'ce cle�"c'r�ptio'n amount 4/7/2016 1256531 GUEST ROOM $89.00 4/7/2016 1256531 STATE SALES TAX .$6.23 4/7/2016 1256531 COUNTY/HOTEL TAX $4.45 WILL BE SETTLED TO VS*4670 $99.68 EFFECTIVE BALANCE OF "H r .-:$0.00. for • :00or online account no. date of charge folio/check no. 373715 A card member name authorization initial establishment no.and location establishment agrees to transmit to card holder for payment purchases&services THANK YOU FOR STAYING AT THE HAMPTON INN IN EDINBURGH, taxes IN. IT WAS A GREAT PLEASURE HAVING YOU AS OUR GUEST. WE LOOK FORWARD TO WELCOMING YOU BACK NEXT TIME YOU ARE tips&misc. IN THE AREA! signature of card member total amount X ��- ' a rlo[`;• ®. CON RAD CQRO , / _ . WALDORF "X ��,�l.l\� Gafden H��O��MES OOD HOME© dHilto Vaca Hilton "",'•••"'••. ••"•" �(((/// .•..u•......o- DOUPLF:IhF,E :munss ®Irtn Y�i..,,,,u,. ..�........, GrandVacatimts J'� E INDIANA:ITNI�TE RECUT N IVE E 1 r DUCATIO {N1-3 SCHOOL OF PVBLI°C AND ENVIRONMENTAL:AFFAIRS Yf presents this- mow' 6 6 T 6 � - �i. I ��; ��..• e xZ zcat et o omk eto w � � tbado r f,`or successfully completing thfe' . 1 Cr�sisy Leadershp Symposium w G1ven at'CampAtterbury S lip X h ar DtrectoY of ExecuttWk., cation